By Jacob Radcliff mayor, and Richard Riker recorder, of the city of New-York

it is hereby certified, that ... we have this day examined [blank] certain [blank] Negro slave named [blank] the property of [blank] ... about to be manumitted, and [blank] appearing to us to be ... of sufficient ability to provide [blank] we have granted this certificate, this [blank] day of [blank] in the year of our Lord, one thousand eight hundred and [blank]