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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
Henry Derrick 200 1831-11 17 Male dark yellow 5 5.25 no perceivable marks or scars born free/free born Alice emancipated is the son of Alice a free woman emancipated by Genl Washington
Mary Hathaway 223 1831-11-24 61 Female mulatto 5 1 a scar under the right eye occasioned from a burn, a scar on the left wrist emancipated Daniel McCartychichester William Moss

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