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From DigitalMaine Transcription Project
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I, Joseph Basteen on oath say and declare that I have no real nor personal estate and any income whatever my necessary Bedding and wearing apparrel excepted except one pig
I am a lumberer - But by reason of age and infirmity I am unable to labor I have three children names age Charlotte + Alexander L[?] 10 years old Sarah about 15 Colin 11 I am unable to support myself and family without the aid of my country Joseph Basteen[signature]