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County of York
State of Virginia

This day personally appeared before me, George Smith, a Justice of the Peace in my said County, William H. Russel, & made oath that he is not embraced with any of the Excepted classes of His Excellency President Johnson's Proclamation of May 29th AD 1865. Given under my hand this 19th day of March AD 1866.

Geo. W. Smith J.P.