STATE OF NORTH CAROLINA ------- County.
I ----- , Clerk of the ----- Court, hereby certify that ----- and ------ his wife appeared before me this day and due execution of the annexed deed of conveyance ; and the said ----- being by me privately examined, separate and apart from her said husband, touching her voluntary execution of the same, doth state that she signed the same freely and voluntarily, without fear or compulsion of her said husband, or any other person, and that she doth stil voluntarily assent thereto. Let the same, with this certificate, be registered.
Witness my hand and official seal, this ----- day of -----, A. D. 189
Clerk ----- Court.
STATE OF NORTH CAROLINA - ( ...) County
I, (...) , Justice of the peace, do hereby certify that Allison Gray being by me privately examined, separate and apart from her said husband, touching her voluntary execution of the same, doh state that she signed the same freely and voluntarily, without fear or compulsion of her said husband, or any other person, and that she doth still voluntarily assent thereto.
Witness, my hand anad private seal, this 10th day of August, 1893
W.H Ragan N P.
STATE OF NORTH CAROLINA ----- County.
The forgeoing certificate of ----- , a Justice of the Peace of ----- County, is adjudged to be in due form and according to law. Therefore let the same, with this certificate, be registered.
Witness, my hand and official seal, this ----- day of ----- 189-
Clerk