Personally appeared before me
LibertyWaiteWaite a Justice of the Peace, in for

the said County, and being duly sworn says he has
taken up as a runawaySlave in the CountyCounty of St Louis
of St LouisCounty of St Louisand State of MissouriMissouri a negro man
about 24 years old who goes by the name of
S. Slaughter and thisaffiant believes the said
Sam is a runaway slave, and prays a commit
ment may be had for hs safe keeping