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0371
County of ELizabeth City to wit

On this first day of January AD 1866 personally appeared before me W.R. Willis a Notary Public for the County aforsaid to the State of Virginia  G.W. Caine and made oath in due form of law that he is not embraced in any of the exceptions contained in the President's Proclamation of May 29th 1865

G.W. Caine

Sworn to and subscribed before me the day and year above written.

W.R. Willis Notary Public