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Am a husbandman by occupation, very infirm and am able to do but little labor by reason of a Rupture[underlined] and a lame knee["lame knee" underlined]

Family. My Wife Matilda Dole aged 56 years now 59. much out of health Daughter. Sophronia Dole " 18 of age now + for herself " Hannah Dole " 14 " " 17 bad health " Amelia Dole " 11 " " 14 good health

Amos Dole[signature]

That since the exhibition of my first Schedule during the Summer Session of 1821 my wife has a long sickness which has obliged me to dispose of some of my stock for her comfort and the following changes have been made in my property, viz:

Horse and Sleigh sold to Benj Eastman July 18, 1821 for $45} my debts to this amount settled by him One Cow sold to Same 17 Sept 1821 12- Cash One " " " Wm Dole Aug 10, 1821 12 - Do One swine consumed in my family One " exchanged for activities for family use Six sheep consumed in my family and exchanged for activity for family use The Amount of Cash received in exchange for two Cows has been expended during the sickness of my family. My health remains Similar to what was stated in my last Sche-dule of September 1821, excepting that my infirmity increase upon me with age -- All the property I now possess is one swine ["one swine" underlined] and some few articles of kitchen furniture, viz one old desk 3 6 old chairs 1.50 1 [?] .75 1 tea kettle .50 6 knives + 6 forks .75 2 pails .33 one pig 2.50 } $9.33

Amos Dole[signature stricken] Amos Dole [signature]

Sworn so before me Sam W Smith Justice of said Court

Property valued at nine dollars + thirty three cents Sam W Smith Justice