Know all Men by These Presents,
That we, Clary Self as prinipal
, and John DB Clark as security,
are held and firmly bound unto the State of Missouri, in the just and
full sum of fivehundred Dollars, lawful money of the
United States, for the payment of which we bind ourselves, our heirs,
executors and administrators, firmly by these presents, sealed with
our seals, and dated this 20th day of April A.D. 1861
The condition of the above Obligation is such, that whereas,the said
Selfhas applied to the Board of
County Commissioners of St. Louis County for, and obtained a
license to reside in the State of Missouri, during good behavior:
Now, if the said applicant shall be of good character and behavior
during her residence in the State of Missouri, then this
obligation to be void, else of full force and virtue.
John D.B. Clark.L.S.
4. 11 1/4 35- long scar on shin mode &
flat nose, dark mulatto. heavy
set. cook & wash
Pd H 2.