Académique Documents
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cording to law, dotA, on her oath, malee the following d~cl(lratwn, ............. who was a " : That. she is the widow of
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years, a resulenicf.
and State of
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of the provision made by the act of Congress approved July 14f 1862
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"commanded
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on .." ",.A. D. 18.6.'1
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, in the State of
wkile in the liue of (l1dy in the service of the United Scotes: SIte furthe» declares ihui slu: uxis married to the said
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BIle also decla·res that she has 'l'n '11.0 manner been engaged in, or aided or abetted, the Re-
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bell-ion in the United Stares. .~ S~e further sa,ys that her Post Office address as .."iz!.-f.i... ""."" "
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,persons
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and enMled to credit, and who, being by me duly sworn, say that the contents of the furegot'ng declaration thereto. ~
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They fUrther swear that they were acquainted With the said
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, deceased, tOn!tis life-time, and know that lie and the said
to the time when he entered the service; and that they were generally reco!J11/lzed euch. by as
their oequainumce» and netg/tbors, and their of tohom. are now under the age arrioqe was never questioned.
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That duriug
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the continuance of said marriaqe there uiere born to them the followtng
of sixteen
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Sworn to and subscribed before me, tkls
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and I IlerclnJ certlfy tlwt I Iunse no interest, direct or indirect, in the prose-
lt1ihlf8s my
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Agent
Jinom ~[[ mcn 61) tgc5c }1rc5cnt5, Tllflt I,d.4.~~7" . .... "#~.!. .. , ~ ,0/ ::-;-.--: ; , in. the Cuunty of
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Stale of.
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, do Ilereby
, for me and in my name to prosecute the claim. presented by me and I do hercby authorize my the papers~ documents and records relating to m.y said claim;
for a pens/on by reason of the service of my late husband; said Attorney ..."to examine
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more persons to assist ltim in the business aforesaid; to file additional evidence or ar!Jumenis when necessars ; to receice the certificate wMch mall issue in my name upon sald claim, i and to do any and all lawful acts necessary in effecting the oqject of ....;~. appo£ntment. said
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before the undersigned autlwrity with£n and for said County, personally came
Witness
my hand (8)
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said. COlt1lty,do cert/f/.! that Esq., before whom the foregoing ....... " acting ....................... _
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acknouiled[j1nent
.................. made, 'Was,at the lime of taking the same, and stili-is, an , witAin and for said County, duly
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.commissioned and suorn ; and that the signature, purporting to be Ids, to sald
acknowledgrnent, ls leis genulne s{gnature. hand and affix the seal of our said Court, at day oj
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ot tbe ma1'rlage of the. p~bI a', 1III.1d' ;warda and re-marrla.j:& of the mother ";tt&t be died .UhanC!~ llool"ration., It of'Mt'IIea.tlf rbll'llt\le 'tiit'!d'ilhM" A~ Uieda~ of Mttli'OIt<eWldWti"il1u~t he pronn. 1lIDd1L.v.t lIf atll!ndlllQ:' Phtatctit.n or None'U tb, bllllt ~Ide!loe. .'. OWV~ . . <it Gua'Mtan.thlp \ mat be tiled. , ' - . c_ ' ,, .'
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~nd for t~e County and State aforesaid, at tbs time of eo doing an acting Justice
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do hereby certify and affidavit ef the Peace in / day Esq., before whom the foregoing declaration that all his official acts as such are as it above_ appears, is genuine. Court,
were made, and who bas thereun to signed his name, w entitlSd
and tor the County and state above named, duly elected, qualified a~d sworn to full faith and cred:t, and that bis ssid signature, Given under my ~ of_._~
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an~eaid .____
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. A. D. 186
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Clerk.
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STATE OF
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COUNTY,"
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do hereby eertify and affidavit of tbe Psaee in ,{
or
and for the County and state above named, dilly elected, qualified and sworn Given under my hand and seal of said . 'Of~~'~_
to full faith and eredit, and tnat his snid signatllra, as it above appeal'S, is gen~in~
ff_~
Court, this
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WAR OF 1861.
CLAIM FOR WIDOW'S PENSION.
BmEFinZ~~~~T~;,,'L2~or
PROOF EXHIBITED.
Service.
Dl'll.th.
NIloUlell
IIDd dates
of birth of ehildren.
and ~i~ep~
O .a ddre ss.
Appd.
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per month,
%s""rnining Ole,-k.
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