传硕公版书
第三三认充结状光绪四年三月一一二○四－五
炭匠首柯永求认充
具认充结状人柯永求，今当大人台前，认得求接充炭匠首额缺，在衙当差，自当小心奉公，不敢玩误差事。合具认充状是实。
光绪四年三月日具认充结状人柯永求（画押）
淡新档案选录行政编初集 · 佚名 · Chapter 35 of 479
第三三认充结状光绪四年三月一一二○四－五
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