Note 1 — Chapter XXI · FEEDING THE DESTITUTE.

Form of certificate:—

Richmond, Va., ............... 1865.

I CERTIFY, on honor, that I am well acquainted with Mrs. Jane Smith, and that she is the owner of no real estate or personal property, or effects of any kind; and that she has no male member of her family who is the owner of real estate or personal property or effects of any kind, upon which there can be realized sufficient money for the maintenance of her family; and that she has no means of support, and is a proper object of charity; and that her family consists of four females and five children.

Given under my hand, this 17th day of September, 1865.

Jefferson Jones, M. D.