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State of North Carolina
Chowan County -
 
The foregoing application was duly subscribed and sworn to in my presence - I do further certify that I am ex officio comissioner of deeds and affidavits

Witness Wm R. Skinner Clerk of the County Court of Chowan, at office this 2d day of January 1866 and 90th year of American Independence -
 
Wm R. Skinner - Clk