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|Callie Lou, LVA at Nov 30, 2022 02:16 PM|
|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||Free status||Where emancipated||Who emancipated||Previous place of registration||Date of birth||Place of birth||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||Name of clerk||Additional information|