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The department was created on November 4, 1808 during the First French Empire by a decision of Napoleon I. It was formed out of territories belonging to neighboring areas. More than half of the territory was taken from the Lot (including Montauban and Moissac), over one-third was taken from Haute-Garonne (including Castelsarrasin), and the rest from the department of Lot-et-Garonne, Gers, and Aveyron.
The department of Tarn-et-Garonne constitutes part of the Midi-Pyrénées region. It borders the department of Lot, Aveyron, Tarn, Haute-Garonne, Gers, and Lot-et-Garonne.
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