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Bureau Refugees, Freedman &c
Hd. Qrs. Asst. Commissioner
Baltimore, Md. Oct. 4, 1866

Personally appeared before me Henry A. Clarke who being duly sworn, says that he is a resident of Elk Ridge Landing, Md. and that the within statement is true.

Edwd C Knower
Capt V.R.C.
A.A.A.G

[[stamp]] THE NATIONAL ARCHIVES OF THE UNITED STATES [[/stamp]]