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entered into or made this day of 186. I have this day engaged to work for  on his farm in County for one year at the rate of   dollars per month of which amount I am to receive   dollars per month as I earn and call for it and the ballance of   dollars per month is to be retained in the hands of     until the end of the year with the understanding that is shall be forfeited if I leave the employ of said      at any time during the said year    without his permission. For the above consideration I agree to do my part working the same number of hours and carrying on the work of the farm in the same manner as was customary before the war carried on in the year 1860.  Failing to do this the said     has the right to discharge me forfeiting at his option the back pay of    dollars per month retained in his hands as per above agreement Lost time by sickness

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