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County of Elizabeth City
Personally appeared before me a Notary Public of the County aforesaid Diana G Jordan and made oath that she does not come within any of the exceptions of the Amnesty Proclamation of the President of the United States under date of 29 May 1865
Given under my hand the 23 Nov 1867
James E Iwmer
Notary Public
[[stamp]] U.S. INTER. REVENUE CERTIFICATE FIVE 5 CENTS [[/stamp]]

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---------- Reopened for Editing 2023-10-23 08:40:31