o~i·l - usgwarchives.net long have you resided in Texas L.uu u.uu uuu.4.~uuuu7..~ u.u uu .. u u u uuu uu _ 4. In what county do you reside L u u;;;I; ...

1.. R~fflQQIJCeQ fffQM THEt(()4CtNl;i$ (iJFTHE TE'XA$ $rA rE ARCHIVES'. -

'.

. ,.

. ,

, ,l

FORM A.

Soldie~'s'Applicati()n> for I·Pension. ;

j'\

The Commissioner 'of Pensions reserves the j

rig~t to caU. for additional ,testimony if he 1 ., ' deems it necessary.', J ... ' .. ;.,

F

::-:~~--:~:-:o~i·l' •• /~ A .:-' /7) J / ~ ..J /" lPostoffice -l#:1J~ m:C ~,: ~!t:.. :-1

r ",•

~,t~·l...;

.". ~'(

f

·'t·.'i~

·.i

I.",,

.~.

1f,~:.~J":'~k !.'lV'X'!, .( )

: '. f !l .... ~. _-,Lk

• i

: ;(,f,}~,.,~:.;!';7~,,:~...

.:Rej ected }._.: :..;:~ :.-" :.: - ~.m :.- ..:. :-.:..: ,:~.,:.'\

......

E. L. Steck; Printing, .Bookblndlng, Austin

- (Jyrr~JA>) !-f-~/O /8")~Filed 1.••...•\ ..•:':., .••..• :.,t, - : :.,. - , ::=··..·· ,il

. '. / ~

_Approved • • . -!"

Pension allowed' :from..•...............................................:: : ,,·!

," .'::';.,'!'

'r_-6::'" ...•

.',

1',1,,>i;- i~ tt,~f.!; +'.~.;~ ,~ .i

f.;~ .•'

\

, 1

".,";

=o:.'},

-:-J< -'

~;8 "/.

f:··~C.,.- .•

\

II(I

12.

158-1212-500.

FORM A

For Use of Soldiers who are in Indigent Circumstances

THE ST~ OF TEXAS, } .

COnN'"," £r ~ 'I, .u.~ ....'211~u ....u.uu~4!., dp hereby make application to the Commissioner of Pen-

sions for a pension to be granted me under the Act passed by the Thirty-first Legislature of the State of Texas,

and approved March 26, A. D. 1909, on the following grounds:

I enlisted and served in the military service of the Confederate States during the war between the States of the

United States, and that I did not desert the Confederate service, but during said war I was loyal and true to my duty,

and never at any time voluntarily abandoned my post of duty in the said service; that I was honorably .discharged or

surrendered uu..u.u u u~:.u u..u~ J A/u",u"[u,~,,,§=,.u~.u u.

...nn .. ~n ~ n.~ ~mn.n:n ~ --.~ n.nm_

(Give date and cause.)

that I have been a bona fide citizen of this State since prior to January 1, A. D. 1880, and have been continuously

since a citizen of the State of Texas. I do further state that I do not hold any national, State, city or county office

;vhich pays me a salary or fees, one hundred and fifty dollars per annum, nor have I an income from any other employ-

ment or other source whatever which a~ounts to one hundred and fifty dollars per annum, nor do I receive from

any source whatever money or other means of support amounting. in value to the sum of one hundred and fifty

dollars per annum, nor do I own in my own right, nor does anyone hold in trust for my benefit or use, nor does-my wife own, nor does anyone hold in trust for my wife, estate or property, either real, personal or mixed, either in

fee or for life, of. the assessed value of over one thousand dollars; nor do I receive any aid or pension from any

other State, or from the United States, or from any other source, and that I am not an inmate of the Confederate

Home, and I do further state that the answers given to the following questions are true:

1. What is your age ? u..uu uuu uu u~u~~~uu uu..uuu u _ ·._uuuu uu u u uu.u..u_.~.~ C& ~ '2. Where were you born L u u u n uuu u u u ·Uu u"'uuu.uuuu u u.uu u __u u~u ~.~u.-.

3. How long have you resided in Texas L.uu u.uu uuu.4.~uuuu7..~ u.u uu.. u u u uuu uu _

4. In what county do you reside L u u ;;;I; u u u u__ uuu__uu..u u.u.u·uu __ u__.u u uuu.

5. How long have you resided in said county and what is your postoffice address L u u~uuu!::~ u.

.. __ n .. m mm mn~ ~~ .. -L-m-~n~_.-m .. mnmmn nn -m m· .. un n n ...•..

6. Have you applied for a pension under the Confederate pension law and been rejected? If rejected state

~~~~ 'when and where .. uu u u u u u u u..uu __u · · · ' .uuu L/.u.__ u u uu u u..uu u..·..u u u ,/ .

7. Who';s your oooupa';on, ;£ oh1, '0 'ngag, ;n on" : z::.~ ; :..@8. In what State was the command in which you served organized? _u ~.~u. __u..u.._

9. How long did you serve? Give, if possible, the date of enlistment and discharge ~ uS? ~

10. What was the letter of your company, number or name of battalion, regiment or battery? u uu u .

m .. mn mW· .. ·~=~x ..~··~ ..·~~ ..~ ..~11. If transfefre~from one ~~m;bd- to anotfer, give time of transfer, name of command and time of service

~

................... _.. _._ _.. n n _.: : n._ .. _ __._.. :.. _.._.:._.v~-.~~~~..~ --"-.--- _..u _.. : .. Q__ --; ~.=:;-~What branch of the serVIce dId you enhst m-mfantry, cavalry, artIllery or navy L ~u •••

13. If commissioned direct by the President, what was your rank and line of duty L..................•...........•.....................................................................................................................h.~ ~., .

14. If detailed for special service, under the law of conscription, what was the nature of your service and

. ~. ~ h;;;t: fl .. - " A.~how long dId you serve ~ * ~ .

n ••••• u •••• h •• ••••••••• •••••••••••• _ •••••••••••••••••••••••••••••••••••••••••••• •••••••••• h •••••• _ ••••••••••••• ••••••••• •• _ •••••••• h ••• _. __ •• __ •••••••••••• n •••••••••• h •••••••••••• __ ••••••••••••••••••••••••• _

15. Have you transferred to others any property of any kind for the purpose of becoming a beneficiary un-

- ~.der this law 1 .

Wherefore your petitioner prays that his application for pension be approved and such other proceedings be

had ;0 the premi", M "" required hy law. ~

Sw",n to and suhserihedhef~::g:::::~s:~~tii':dayOf~~.m .... m .. , A. D. 19t~

[SEAL.] County JUdge ~ county; Texas.

Affidavit of Witnesses.

[NOTE.-There must be at least two credible witnesses.]

COU:=:Fs'r~~~S'.m} L ~

Beforeme,7~.Jj~m' Cnn",?' Ju.~,-of.f~;,;..~r+couutyState of Texas, on this day personally appeared ....Z..l;:.~.W ,&t'/~' .1.4 ti.....~ who are personally

known to me to be credible citizens, who being by me duly sworn, on oath state that they personally know .

...A.dt. S L~;~-t.... the above named applicant for a pension, and that they personally know that the said

~ 1-._ t::7v•• /..........j~.:.! /..~1..L ~ has been a bona fide resident citizp,n of the State of Texas since prior

to January 1, A. D. 1880, and that they have no interest in this claim.

;::::::::::::::::·~~~i~ .Sworn to and ,uh"dhed before me, this -2.~,y OL ~ ~ __ , A.D. 191.P .

....~p~~ ~[SEAL.] ~~~ ~T-e£e;S .

,\.,,

Affidavit of Witnesses.

(If possible, the two witnesses should have served with the applicant in the army, and, if so, let them, or either,

state it in their oath, their source of knowledge; also any information regarding applicant's army service.)

THE STATE OF TEXAS, }COUNTYOF .

Before me, , County J udge of County,

State of Texas, on this day personally appeared .

who are personally known to me to be credible citizens, who, being by me sworn, on oath state that they are personally

acquainted with the foregoing applicant, and that the facts set forth and statements made in his application are cor-

touching,the applicant's' s.ervicein source

4 :~_ -.. U-.. Uh -.-.-- .. ---n.h.u.--.---------n n __ •• .: ••••••••• •••••••••••••• ••••••••••••••••••• __ •••••••••••• __ .n __ u ••• •••••••••••••••••••••••••••••••••••• \, •••••• _._. ••• _._._ •• _ •••••• _ ••••• _.h: __..•.. :: .. :~ _..~_..

":~::~::::,::"~:::;::~_~:~::~:'":~:,>~~E~=:!:::_~::~::=:~'~·I

':',:::;i-~:r~~mm __ :m_mmmmm:mmm_~3::;:l,:~:~'~'j;;:,.~ '. ,.~, " .•••.. I< ". p ...

:~~~~=~:~,'~~=~,~~~~:~:,J::~,~'::";.:=~:~~,=~:~::~-::=:~=::;t~~ljr:·

(Sigria~~re,,0£4 Witness) ~!..~.~= : ~ ~: .. :~~; : ~ .. ~.~~ ::.:~.:~ .. f.:.:.~~~~.:;?yt..L .

Sworn to

.~,,'

:.Certificate~f the',state :arid'

t: .

Given under my hand,

T-R

iij

iIII

=4\

.,!

OFFICE OF

(tommi,$,$ion~rof ~ltn,$lon,$.stat~ of Z5~xas

:Austin

603-413-IM

R. A. BUFORD, Commissioner

To the Adjuant General.

War Department,

Washington, D. C.

Dear Sir:

honor to request the military record

Company , R~giment

in service or the Conrederate States Army.

epoted to have enlisted in

Purpose: person above named is an applicant

ror a Conrederate pension granted by the State, and I desire to veriry

his proof or service.

Very respectrully,

®

iI'I,iI

I. 'Iii

i .r~ .!!

- --- ---- -

April 1,1913.

,Th~re is an applicant here for a pension and he can '

~

not locate any witnesses wh~ have p~r8enal kn~lectg~ of his ser-

vice in the Conf~derate army.Now,! would like t9

testimony @f those who know

the applieant'a service

the absence of better

Hon.n.A.Duford,

Austin ,Texas,

Dear Sir:-

kn<Jw if' the

fr@m tradition and.reputation of'

in said army would be 6ufficment in··

testimony?