State of MissouriMissouri
County of Saint LouisCounty of Saint Louis
Be it Remembered that on this Tenth day of December in the Year Eighteen Hundred & thirty one before me P Ferguson a justice of the peace in
and for the county aforesaid appeared ViviaVivia the above named petitioner who being duly
sworn on her oath saith that the statement by her made and set forth in the above
petition is true
Sworn to and signed before me the 10th day of December 1831.
PeterPeter FergusonFergusonJustice of the peace county St. LouisSt Louis