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Status: Complete

What is your name?: Edmon Jackson.

What is your age? (years): [62?]

What is your occupation?: farming.

Where is your residence?: Wolf town. [Wolftown]

Where were you born?: Graves mill.

Are you married?: no.

What was your wife's name before marriage?:

Are you married to more than one woman?:

Have you children?: yes

Do your wife and children enjoy good health?: yes.

Are you sound in body?: yes.

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?:

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?:

Dated: June 20 1923

Signed : Edmon Jackson

Witnessed: :

Witnessed:

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