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From DigitalMaine Transcription Project
� [handwritten] I Eleazer Dickey on oat say and dec-lare, that I have no real nor personal Estate nor any income whatever, my necessary bedding and wearing apparel excepted, except one fine cart.
I am a laborer, but by reason of age and infirmity, I am not able to labor. My wife is aged and infirm. I have five children under age. Hallet 17 works [?] Patty 15 Do Hambleton 13 Do Jane 11 Do Alexander 9 Do
I am unable to support myself and family without my pension.
Eleazer Dickey[signature]