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0112

Norfolk Sept 25 1865.
I certify on oath that I am not included in any of the classes excluded from the Amnesty proclamation of President Johnson [[strikethrough]] dated [[/strikethrough]] 
Hardy Hendren

[[stamp]] INTER. REVENUE CERTIFICATE 5 FIVE CENTS [[/stamp]]

Subscribed and sworn to before me a Notary public for the city of Norfolk in the state of Virginia this 25th day of September 1865 as witness my hand & seal of office
 
G A Martin
Notary public 

[[stamp]] INTER. REVENUE CERTIFICATE 5 FIVE CENTS [[/stamp]]

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