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State of Illinois
Cook County } SS
Cyrus P. Bradley of the County and State aforesaid being duly sworn deposes and says, that a forgery has been committed in the County of Henry, in the State of Illinois, and that Edwin S. Piper is guilty of said forgery, and is now a fugitive from Justice from the said State of Illinois:
The said forgery consists in altering and passing a certain, altered and forged draft upon the Banking House of Perry, Spaulding & Co of Geneseo, in the County of Henry, in the State of Illinois, on or about the month of
"Dayton Branch State Bank of Ohio, N o 31,370"
Dayton th 1861
NBC $2,500#
Pay to E. B. Ballard Esq or order
Twenty five Hundred Dollars
To American Exchange
Bank New York City } B. G. G. Young,
Teller
Which said above described draft had been
altered from the sum of Seven dollars or thereabouts, and this deponant further saith that the said Edwin S. Piper passed under the name of E. B. Ballard and endorsed the said draft and uttered and passed the same upon the said Perry, Spaulding & C o, knowing the same to have been false, altered & forged, and that the said Edwin S. Piper alias E. B. Ballard is now a fugitive from the justice of the State of Illinois, and has taken refuge in the State of Kentucky, and prays that a requisition may issue on the Gov. of the State of Kentucky for the surrender of the said E. S. Piper alias E. B. Ballard to the lawful agent of the State of Illinois
C. P. Bradley
Sworn and subscribed before me this th day of
December A.D. 1862.
T B Brown
J. P.