Child's Name: Samuel Johnson
Date of Birth: Mar. 14, 1777
Place of Birth: Temple
Sex: M.; Color: W.
Living or Stillborn: L.
No. of Child: 4th
Father's Name: Zebadaih [sic] Johnson
Color: W
Residence: Temple
Mother's Maiden Name: Lydia ---
Color: W
Occupation: Housewife
Clerk of: Temple