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Georgia }
Thomas County }

The undersigned would respectfully ask for the appointment of agent of the Bureau RF & AL. for the County of Decatur & for his character & qualifications would respectfully refer to the annexed petition & the statement herewith appended.
Respectfully Submitted
H G Crawford

Col C. C. Siblez,
Asst. Com'r. State of Ga.

The applicant would further state that he has examined carefully the oath to be taken as submitted to him by Captain White, & that he can conscientiously take the same unless it be that part which requires him to swear that he did not sympathize &c  Notwithstanding applicant was bitterly opposed to secession & did all to his power to prevent it yet