State of Missouri vs. Claiborne, a slave the property of William Clark
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[missing figure]

Executed this writ on GeorgeGeorge Burgess
having a true copy of the prith his wife Rose Burges a free white member
of his family over the age of fifteen years
July 28th 1870

Serviced 0.50

R. SimpsonR Simpson Shff By Edugles. Deft.