1

State of Tennessee [D?]

To Thomas Masten Sheriff
of Sumner County

To one days attendance at Bledsoesboro, for
the purpose of delivering a list of the
Votes taken in Sumner County for
Elector of president and vice president of
the united states $1.75

To Seventy five miles Traveling to
and from the place of comparing votes 5.27
$7.2

I do hereby certify that Thomas
Masten Sheriff of Sumner County
hath performed the above
Lower stated ^duties agreeable
to Law, Given under my hand
at Bledsoesboro, this 5-day nov^r 1804

Walter Jones

John Sevier Governor

Examined & allowed
Jn^o Goss Ch^m