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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
Charles		Pain		36		1801-11-01	35	Male	dark mulatto	5	6	rather spare at this time and has a [film] over his right eye				born free/free born					King George County			Free		Free
James		Fraser		37	1802-06-02		25	Male	black	5	5	rather stout made about the body and shoulders, who has been deprived of the left leg and greater part of the thigh by amputation			has rather a low voice and mumbling expression attended with some little difficulty of utterance	born free/free born					King George County		negro	Free							Served Thomas Jordan formerly of this county in his lifetime and his family after his death, so much of the term of twenty-one years, for which he was bound by his mother, as the said family chose to keep him.
Jack		Pain		38	1804-02-05		28	Male	dark mulatto	5	10	well fit, though not corpulant		short and curled hair		born free/free born					King George County			Free
Polly		Grace		39	1804-02-05	1804-10-05	37	Female	black	5	6													Free						Valentine Peyton

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