december the 1st 1865
one years provisions(crossed out) support set apart for 
Mrs Jane Carnes by the undersigned persons 
as follows
" Corn    "       "         "     5 Brls
" Wheat   "       "         "    10 Bushell
Pork      "                 "   300 pounds
Coffee    "       "         "    20 pounds
Sugar     "       "         "    30 pounds
Molasses  "       "         "    10 gallon
pepper    "       "         "     1 pound
spice     "       "         "     1 pound
Ginger    "       "     "   "     1 puund
Salt                              3 Bushel

Sworn to & subscribed     ) 
this 4 day of Dec 1865   (        E. M. Ing
J E Wood Clerk            )       Thos Harris

(rear)
Years Supply
For Mrs Carne

1865


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