1

State of Tennessee} this {insert symbol:}day personally appeared
Franklin County } before me {illegible: Chad?} Long as
acting Justice for said {insert symbol:}County {illegible: on? will?} Bill and
made with in due form of leave that
he has lost or misplaced a promissory
note of ninety dollars & some cents {written above: 82 cents}
on Charles Barney made payable to
D C Smith due about the 22 day of
Oct'r {insert symbol: with a small credit}1860_ this Jany 28,, 1861
sworn to & subscribed
before me this Jany 28,, 1861

{illegible: D?} A Long O. Bell
{illegible}