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State of Virginia
City of Norfolk} s.s.

On this 28th day of Dec. 1865 before me the undersigned a Notary Public in city aforesaid in the State aforesaid, personally appeared Samuel W. Wood, who being by me duly sworn, deposes and says that he has read the President's proclamation of the 29th May 1865, and that the case of the said deponent is not embraced within any one of the exceptions therein contained, as he verily believes.

SW Wood

Subscribed and sworn to before me this 28th Dec. 1865. So witness my hand and seal of office.
Simon S. Stubbs
Notary public

[[Stamp]] Inter. Revenue Certificate, FIVE CENTS [[/Stamp]]