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The State of Indiana
Fulton County [?]
Personally came
before me a Justice of the Peace in
and for Farm County [?] [yeah?]
my and [?] [Midgrean?]
and we [knowledges?] the [execu?]
how of the forgiving [?]
when thru voluntary [ach?]
Whip my hand and feat this
March 31 1860

[Signature]
[Thed. F Bamwells Jr?] [Lae?]