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I Angelina E. Johns of Fairfax County Virginia do hereby state and solemnly declare that I am not embraced within any of the Exceptions of the Amnesty Proclamation of the President of the United States dated May 29th 1868 and that having taken the Oath presented thusly I am fully entitle to the benefits thereof as I am advised and believe. 
Baltimore 18th September 1865
A.E. Johns

Sworn to before me [[strike through]] [[?]] [[?][[/strike through]] a Justice of the Peace of the City of Baltimore this 18th day of September A.D. 1865. 
Jos. W. Blake, J.P

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