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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
Sampson Green 1810-05-29 Male bright mulatto 5 4.75 a scar over the right temple and one on the back of the right hand between the thumb and forefinger emancipated Amherst County
Jack Fields 1811-02-25 21 bright mulatto 4 9.75 a wart on the left point of his nose and a small scar over his left eye and one over his right born free/free born
Wm Jackson 1811-03-28 36 black 5 4.75 the left thumb partly cut off; the under part of the right ear and upper part of the left bitten off born free/free born

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