| 4
First Name |
Middle Name |
Last Name |
Alias |
Registration number |
Date of registration |
Date of certification |
Age |
Gender |
Color |
Height- Feet |
Height - Inches |
Marks or scars |
Eye color |
Description of hair |
Speech |
Name of mother |
Color of mother |
Free status of mother |
Name of father |
Free status of father |
Name of spouse |
Free status of spouse |
Name of children |
Free status |
Where emancipated |
Who emancipated |
Place of birth |
Date of birth |
Previous place of registration |
Name of clerk |
Additional information |
Saml |
McD |
Reid |
Samuel |
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1863-09-17 |
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John |
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Radus |
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1863-09-17 |
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Wm |
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Willard |
William |
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1863-09-17 |
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Wm |
M |
Gold |
William |
|
1863-09-17 |
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Wns |
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Moffell |
Winston? |
|
1863-09-17 |
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| 4
First Name |
Middle Name |
Last Name |
Alias |
Registration number |
Date of registration |
Date of certification |
Age |
Gender |
Color |
Height- Feet |
Height - Inches |
Marks or scars |
Eye color |
Description of hair |
Speech |
Name of mother |
Color of mother |
Free status of mother |
Name of father |
Free status of father |
Name of spouse |
Free status of spouse |
Name of children |
Free status |
Where emancipated |
Who emancipated |
Place of birth |
Date of birth |
Previous place of registration |
Name of clerk |
Additional information |
Saml |
McD |
Reid |
Samuel |
|
1863-09-17 |
|
|
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|
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|
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John |
|
Radus |
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|
1863-09-17 |
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Wm |
|
Willard |
William |
|
1863-09-17 |
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|
Wm |
M |
Gold |
William |
|
1863-09-17 |
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|
Wns |
|
Moffell |
Winston? |
|
1863-09-17 |
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