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Transcription
What is your name?: Lee Smith
What is your age? (years): 35
What is your occupation?: Laboror [Laborer]
Where is your residence?: Wolftown
Where were you born?: Madison Va
Are you married?: -
What was your wife's name before marriage?: -
Are you married to more than one woman?: -
Have you children?: -
Do your wife and children enjoy good health?: -
Are you sound in body?:
Are you subject to any periodic complaint which is liable to render you unable to follow your usual employment, or which is calculated to shorten life, and thereby render yourself, wife, and children a burden to this Lodge?: No
Will you faithfully obey the laws and submit to all the penalties that may be imposed, should it ever be proved that you have made a false statement?: yes
Dated: March 23, 1899
Signed : Lee Smith
Witnessed: : A. Johnson
Witnessed: B. Poter
Notes and Questions
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