New-York, This is to certify, that the bearer has, in my presence, subscribed to the declaration, agreeable to the terms of their Excellencies the Commissioners proclamation, dated at New-York, 30th November, 1776 [electronic resource].

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Bibliographic Details
Online Access: Full Text (via LLMC)
Corporate Author: New York (Colony). Governor (1771-1780 : Tryon)
Other title:LLMC online.
Format: Electronic eBook
Language:English
Published: [New York] : [Macdonald and Cameron?], [1776]
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Description
Item Description:Printed form completed in manuscript.
The proclamation referred to is Evans 14783: By Richard Viscount Howe of the kingdom of Ireland, and William Howe, Esq; ... the King's Commissioners for Restoring Peace to His Majesty's Colonies in North-America ... Given at New-York, this thirtieth day of November, 1776.
The proclamation was printed by Macdonald and Cameron.
Some copies completed in manuscript: "New-York [Suffolk County] ... the bearer [John Ketcham] ... "; signed at bottom: "Wm. Tryon."
Physical Description:1 online resource (1 sheet)
Place of Publication:United States -- New York -- New York.
Source of Description, Etc. Note:Online resource; title from PDF title page (LLMC Digital, viewed September 10, 2017)