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Printed declaration from Joseph Harry of Long Gully, declaring that he is under the age of 53 years and that his wife does not exceed 55 years and that they do not have any infirmity likely to shorten the natural duration of life. Also signed by H. L. Atkinson that he has examined the Candidate and to the best of his belief, he is quite free of any infirmity which would tend to shorten the natural duration of life. Dated May 12 1864. Printed by Bro Graham Berry.
