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NORTH CAROLINA
DEPARTMENT OF AGRICULTURE

RALEIGH

Probate Court
Wake County
North Carolina.

Personally appeared before me Wm. A. Graham and made oath that the annexed statement concerning J. Conrad Smith, colored, is true.

Sworn and subscribed to this 22nd day of September, 1917.

J F Hatch
Notary Public

My Commission Expires February 1st, 1918 [stamped]