Jane Elizabeth Manning [James] (a Negro [woman])[:] Do you wish to be attached as a Servitor for eternity to the prophet Josep[h] Smith and in this capacity be connected with his family and be obedient to him in all things in the Lord as a faithful Servitor? (Answer[:] Yes.)

Pres[iden]t Joseph F. Smith acting for and in behalf of the Prophet Joseph Smith: Do you wish to receive Jane James as a Servitor to yourself and family: (Answer[:] Yes.)

By the authority given me of the Lord I pronounce you, Jane James, a Servitor to the Prophet Joseph Smith (President Joseph F. Smith acting for and an[d] in his behalf) to his household for all eternity, through your faithfulness in the new and everlasting covenant, in the name of the Father and of the Son and of the Holy Ghost. Amen.