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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
James Derrick 199 1831-11 22 Male light colored 5 6 no perceivable marks or scars born free/free born Alice emancipated is the son of Alice a free woman emancipated by Genl Washington
Jane Anderson 224 1831-11-24 46 Female mulatto 5 1 a scar on the left cheek near the corner of the eye, no other perceivable marks or scars born free/free born

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