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United States of America
Department of State
To all whom these presents shall come greeting
I certify that the document hereto annexed is a true copy of the original on file in this Department
In testimony whereof I William H Howard Secretary of State of the United States have hereunto subscribed my name and caused the seal of the Department to be affixed
Done at the City of Washington this twenty eighth day of September AD 1865 and of the Independence of the United States the Ninetieth
seal
William H Howard

A true copy
J B Smith
Bvt Capt A.R.C. & Asst Supt