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Richmond Va
October 13th 1865

I Saml C. White of the City of Richmond State of Virginia do solemnly swear in the presence of Almighty God, that I am not excluded from the benefits of the Presidents Amnesty Proclamation of May 29th 1865 by coming within any of the excepted classes, so help me God.

Saml. C White

Sworn and subscribed to before me this 13th day of October 1865, at Richmond Va.    

E.B. Townsend
Lieut & Asst Prov Mar
District of Henrico

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