:;'.

.~

REPRODUCED FROM THE r

HOLDINGS OF THE

'rEXAS STATE ARCHIVES

',~=:Of~~~=~~~] ;'~~'".:I, .:.: a..! ~f. ~ _ ...•.........•.................. , do hereby make application to the Commi~sioner of Pen-

~i?ns;fqr:a pension to be granted me under the Act passed'\\::'\i~::~-;/~~\'> .~'. I ..

'''',i;Oy'~~('March~6, A. D. 1909, on the following grounds:.···t~~~·_.;\~)·.-%1:~~~;::'··~~:~·~..:.-:'--.,: . , . ' ... I f~-t~~t~~~,iFr~~'in t?emilitary' service ,~f' the Conf!'Jderate States. during the war between the States rf the·/'::·:T·-·:;~~~~:?-?::1.:-;:-;:-'. ", " <...',. " I' ,l,

t~~es,~;lthat r aid not desert the Confederate service, but during said war I was lo);al and true to m:x ~uty,?;~~c- :\ 'l~j~.:"~';~J~<.q .. ':' ... } • '

.(J.1~Y~';~t~:i'tiIne ;oluntarily abandoned my pest of duty in th~sai service; t'hat I was honorably discha~~~ or

-~':'_~~~~;~fl~:{~', .....<. ';: ' ;--J •\I. ;;~.bt-; .- ...-.~.~~. - .... ~' ...m..... mT:·m

~~~~~~~~:·:··==~·=~·~~~::=-~~~::~::·::::::i~:·~:::~:::::::::::::::::::::::::::..::::::.:::s ·:'·;:/;'·f;·).:. (GIve date and cause.) ;.:";~.~~>.:·.::-:~·~:J::'-'~;:i:t"..:".",: .'~,;. " ' . ir: .~

f)ee:~i.:~'ibo~~·'fidecitizen of-this State since prior to January'l, A. D. 1880, and have been continuously~ince a·~t·'..:·«,~~n~:}:;i~~~~'\ :'.~ ' ' :; :/.'•..e Statf<>f.T~as. I do further state that I do not hold any national, State, city or county officewhIch pays

~::,'K,,"~}~;~:i~:,},;~,j);,;;,,:~1,<; ... ~..i~~~~:-W1"iITo;;..f~ea!oh~'.hundred and fifty dollars per annum, nor have I an income from any other employipeht or .i{~§\~;;Ji;(~~Ec-:j!iZ·:~}4(~:;,':~lf;:\·. ; .' -

"{iioj,it,qe'whate~~.5vhlChamounts to one hundr.ed and fifty dollars per annum, nor do I receive from ani source''~: .,.-":~~:it.~~:"~":"~:'~i,~~;,:..:/~~,r,:'> __ '.' : ' ~ ".~;

~~¥~t.~~:~~~:;of~~~pport amounting in value to the sum of one hundred and fifty dollars peri~nnum,'~~~~:~tfit:~;:r~f·~:::~:,··.:'-'~:'.<' ',_,.. >~.. ' __

:,pW;ri'J:tight)nor' does Anyone hold. in trust for mv benefit or use, nor does my wife own~¥or doesJ~~~~£%4:~~:h};~t'~~i;;.:'·:~::~'~~:~':·:':,,:",:. ' . ,~ 1~

. ,." !l8t~forYmYw~fe,:estate or property, either real, personal or mixed, either in fee or for life; of the,-,'i;~~:{:~t\~;.::~~:;:~:~f.,~:~),t~;';:i'\.~::)/~,·~~,:·--,''. ~eQffbveri.oh'e-:;thouSand:dollars; nor do I receive any aid or pension from any other State, or from tM United,::~:f~q~.:~'":}:k~{~~;~?,;~t~~~)i"~::~'",.. , '. f·~~\!P.f~:9:~~~~HOiic~,andthat I am not an inmate of the Confederate Home, and I do further s~te that

.!\;lg:\.ft~;:~~ttw~J.';~::</,::~;:,<..•·; ;:

.v~j;!t91~:~161i(jwiiigj.qU:estionsare true: n':~;.;"t:.i{;).:.t.~~,~-.,r,·';"··-:? :,,-- .-:: ..;_),:-\. ":~'~:' -'. ,

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Ai:'" ;"'; .< , ,/./, ? b7......<-1f<~~'t.~;gfllr~Ided~aI~~~ a~ h~ your postoffice address · ·..· 7 ..·~·~=·'-'{'rv~ h.

kiS,'p·:7.·: ..::·~_·JJ~ _~ ..~ ··..·..·· · : { : .:~~~~~gk!~~-~~~f.._.pe~~!~~._~d:::}he,.Q(m~~.der!ltepE:!nsi9Pla"'_!lndbeen rejected? - If rejected, s,fate when

i*~~ft+:::~iO~:':::·:C~-:~~..:=::~..S;, IIi what State. was the command III whIch you served orgamzed h.M h h..,'-'. '. ' .... ..;:.r . ,_',,' , ""',:. ,...." Jj ~ V7~ •••

:~~~';' ;.~'~.::..¥~w long did you serve? Give, if possible, the date of enlistment and discharge.... L~Ln·£.~-T../.L_~<./ ~

!'.~~>-.,10. What was the letter of your company, number or name of batta,:io~, regiment or batt y? m·-- •••.••••• ••••@·TX"'t; .. ~ r---- '., .,Ji::\:' j I ., ;L.L.-r.,u _

'"<" ~~ ••~_ ..•••LZ I....•..••••...••.•...••••...........••..••••...•..•••~ •.••....~!(::):':-""""""""""""''''''''''''''-''''i'~''''-''''''7-' .....pr ..

,:ll.~ .• I~ transferred from one command to another, give time of tr~ansfer, name of command and time of, service.

~'~'~::'-, .:. ", :..

.'::...•. :.:c __:_••.::••...•......••...... _ .....•.....••••.....••...........•.................. ~-_ .b~ ::: .

,:I;.. ~at branch 10f the service did you enlist in-infantry, cavalry, artillery or navy? _ ., .>" ,. - /J•.. .d L

'...•...................... _h.,(•...

by the Thirty-first Legislature of the State of TexaS, andk

FORM A

F1r use of Soldiers, whlJ are in indigent circumstances."

County Judge .., f.::'~r.~e: County,Texas .

. . . ' I '\.. · AFFIDAVIT OF WITNESSES

.. (If possible, the Itwo witnesses should have Sel ved with the applicant in the army, and, if so, let them, or either,it in their oath, their source of knowledge; also any information r;garding applicant's army service.)

Before me l/.J!/I/Y.n..Yf ...I!.m/.../ ..Zk!/.~..n~£j~ , County Judge oL ~J.L.~m Coun ty,

ol'Tox,", on tb!' day pffi'"nally app""d ....~, ..::/f-.~"1:-::1L,./I!,...J;f~ ....'a" pmonally 40wn to m, to b, mdlble "Ii"na, who; b,ing by m, ,wom,on oath "ale that they .,., pm.nailY

. acquainted with the foregoing applicant, (j,nd that the facts set forth and statements made in his application are corred

,.

. 13 .. I:i' commissioned direct by the President, what was your rank and line of duty

__ ~n_ nmn mmmn..J..nn.m.nm..nmn nh nnn.....•......'.n.n.~.~~ ~~ n.n nn nm.""

, I .. ,

'.' 14. If detailed for special senice, under the law of conscription, what was the nature of your service and how Ion.;

.... ,>. I -r---.- .. -r- -LJ .. /J .--1 .L- -;did;;i~"serve? mn.n nn..mh n •• n h nddnn n ~ .di:t.n ~ n..~"'"

'f..:;,',. I

' .•.... , ... ',,':.- ",",'.;c.:.i' ••>.:>~: ',:",.

~:T-_·__n nm n..nrnnn.m hn nn..nnmh n..n.n.n·· ·· mn n nn h n.n.m.n.mm.hnn..h., nnmnnn.n..n n nn h n n n.h hn n .,',': " ,

'C'i~.iiHmyou thn,rr,,,,d to oth,,, '"'y P2!JI"ty of '"'y kind fo, th, pu'1''"' 01 bocomin. '>'h'p,fideey und" thi,::'\i;f.~;~".';hnhnh..'.~.:Jnm h m.........•..nnnn..mmnnm.~~ n n.h~m ..m..nmn.nhmnmn n : to ••.••.....

, ifPJ:e:;~~J}ldi.tionerpJ:~y~ tgaLhis a~l{cation fo~ pension beapprovedandB~chPt:eim::~:~:~·i:·~S-~·~~·nl~~~n;~

:'to:';;I~t::h:,::::~:::',i~::iO:::)~:I~~~~T:.~::~~;~"'-'

L ,C I ...i0'f" ~7'\[~EAir:', ..,.~.j;~?;~i~'>... ,r,:,,_:''!,''

.',;~,;,:,.."';\ ;, '... ' ) County Judge

,:~ii!:Vf ---- . - ...·:~·':\:;.;f;~!~!:;'·:<'>1 AFFIDAVIT OF WITNESSES

on ." •• ',···,Ri1;{~(tf;··, .""ii'f·,· ..". ·IN'9T,¥;~,1.'here must be at least two credible wih~esses. ]

",,-,,;,:<.;.}!i.\;'t~·' .'. >,f: !'.

~\;~t>F&f'Er-.STATEOF IEXAS l·~ff.~Lr.'i·~:,:·',:)'~;f0:;~~~{,~'::"·~ ..:.~j .':-~ ,

7.tYj{gJ

H'(~;ff.:B.#q1'.e'f:)\:;;':~;\

:.d:KTii~' ,,"

.', ~7_:?::~,··{"~· ,'_.,' ,

i6.~tg·:;Ue to he: credihlecitizens, who, heing by me dul}isworn, on oath state that they personally know mm .

,·7fq~~~lc__,..th, abo" na,ri,dapplio;rit fo, • p'neron, and that thoypersonallyknowthat tho "id .., , .

..~'W',1,tLh'" b""" a bona fid, ,-"ident dti'ffi' 01 tb, Stat, of T",,,, ern" p,-;" to Jan""J 1, A. D. 1880,

~~~·;~iheYhaY~nl.interestin this claim. ,M: 41,/ g;p~ ~

Ir;;:~;:'t~ ioo' mb,mib,d b,fo" ~::~~:,:::~:~~::d~;: ~1:1!Jfi~~:~~,:~'~¥:I,.~'> .. I - -

:':/,!':,[ SEAL.]~/..:...., ""r .~.,''. ", ':',

,-

••• n __•••••••• nn ••_•• _ •••••• n.n ••\n •••••••••••• nn •••••.••••. __••••• _•••••••••••••••••••••••••••• un ••••••••• nn ••••••••••••••••••••••••••• u:-1'"

•••• n •••••••• nun •••••••••••••••••••••••.•••••••••• n •• __••• __•••.••..•••••••••••••••••••••••••••••••••••••••••• _•.•••••••••••••••••••• _.n •• o••• n •• J•••

.. nn ••.••••••••••.••••••••••.•••••• ." ••••••••••....•••.....••.•••.....••••.••••.•••....•...•.•.•••.• u .•..•.....•••..• un .•...•• _ .•.••••••••..••••••..••..

;,~~;,::::::::::::=~:~:42:-~::::,:~:::=::',::t""me, thi"" ..Lk'_,..day ,L~, ..... ,....."., ....,..." A. D. 19.. 'Z /

I. ~'., '1 ,.:- ••••••• _-••• ,.-

., ••••••••••••••••• n ••••••• m ••••••••••••••••••••••• l:.:J!.J~ ....m.n.m ••••• n ••••••••• nn on.

'. , CountyJnagc ...~,.county, Tc,"'

:&\:~:\<.'\".1;;,~)•• '. - '".-•• I, ,,'~ "

,CERTIFICATE OF THE STATE AND COUNTY ASSESSOR

~(~'-/j~lP~/):;~::;······,( : ~ . ~;,"..,.).s¥2J(,-.~._-- ,'--'"Stat, and CountyA""", m th, CountyoL , .. ""'1'" t()'~ (eft...:~~i,~;~yth.t..ll.'5ir..., f:i.~--,--..,.., ,..-- "'hi, wii" 0' hi, tm,t", " tcu,t" 10' hi,- ....·",,1

Ila.nieissign~d,tO the foregoing application for a pension, under the Act of the Thirty-first Legislature, ap-

;";"::;~;iJ«' ..' ..

'f~.;;~~;9:9:i' ,h"g,d on~ Jandand p""n~l,J'mp"t~mn, 01 "id ,ountywith "tat" ""J, p""

nn;~i.ll'~>j'j;r.valn,.0L."g!::.l{L ,,~ m •••••••••• m""''''''''''dOllars. 0

,'-;~;~_und" ..·mychand,thi,__~daY OL7Ti , --,,A. D. 19 ·..·7·"q~G"t,;i'3' ·£d="LY....,,~0.4-,"., State and CountyAGsessor.

The A<Uutunt General.

the

G""Address: "The Adjutant General,War Department, Washington, D. C,"

1556"·94 9WAR DEPARTMENT,

THE ADJUTANT GENERAL'S OFFICE,

The name A. G. Cox has not been

found on the rolls, on file in this

office, of any Company I, 17th TexasCavalry, Confederate States Ar~y. Thelast roll of McKniG~t's Company (1)

is dated April 30, 1864, and the onlyroll on .file of Henry's Company (I) is

dated March 15, 1862. No record has

been found of the capture or paroleof a man named A. G. Cox, as of

either of said organizations.

1 W~~HINGTON. August

RespeotfttUy.returned to;'....:.:.•••' >,

Commissioner' of Pensions,

State of Texas,Austin •

~ i

.,

t}fif•r,.~~...

t!!

:' .'~ - .., ., .... -1'

h:~, ··1AfUTANf6fN~' 0Ff1C£

i :::"i'~! I ~

~.••..•." '(9 1556949 en" .. ~ I •.•Q' ~.~:t.:'!IAb npC,\RTIlFNT

118 .,.., "" •..-., . , .. " .-,~" .i

--.-------------- •••• ~••••¥ •••••••• -- •• __ .~--- • ~ .~.~_. -. -- --"--- •

. I

18\J.709,~r!l

OFFICE OF

.War·Department,

~_·~~:/·u.~;.~r-:_ose:1The wrd.ow u11he person above named is an applicant for a

.~Confederate pension granted by this State, and I desire to verify his

to request the military reoord

Washington} D. C .

. I I have the honor

.'.Of tZ ..~ ..~c«: who

.Dear Sir:

. is reported to have enlisted in

~~{":,'~.J . 11{-· '~'i ~.cum~ .;;00.mpany , eg1ment v::e.{{4 .,c'~~; '.' I· .

- ,...~..:,./-

servioe of the Confederate States Army.

proof of

Very respectfully,

.2D 70 .S-'

!! i

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" ':. '}l ~7()~, " ( J .I ,';

Account of Death of PenSIOner NO,mp __.m_m.._m.__, County __. .. ~I_.~ __ :_._~.=_=_= _Pensioner's Name in fUlL ..:_a_~_.Z~n--------- .... ----..m-~---------=-------.. ,---.------ _

ITEMIZE ACCOUNT NOT TO EXCEED THIR"RY DOLLARS. '

STATE OF TEXAS . ii·':"" :, : .;! ',::,"."7~:"·" ':'~ -~ ~ '. ,:' ::

" , To .I. @__:.__....~~.-n_n __ ._~-- n :_n .Dr .." 0 ' .., - .•.. \

~RITE ADDRESS PLAINL y_: h. __ ~_m . . .__r---.- _"n._. ._. ~__~n--' ,.',

'-....

~ ~r- ,..L- -(

~G" ','

To above account for--------~.-~,·~,'----~7----::----'----------~o2'9:::)-----'---r---I-----;n------------,.,-----@---DOllars,l, \- ,is just, due and unpaid. ",' '"i,' ----- •• '-.:;:: •• -~---n~:~-~~-!.!:J--- ~__~;._._m ~"~:~-~, I

,', - AA./ /," ~"" " """, /~ ., I

. Swornto ~,/dSUbscrib;;ore methi~~~::-~ :_.---:__:~~--~:-~::~:::-_,~::~:~~=: 'Of(; Notary PUbliC, ~ ~~---.-----------.

? (~ '70 ~

?\)~tJ

-\1:::::-C)

;,2.:z:0~.~;!~~:~~~.~p~licationis her~;;..m~l', sh~n be applied to paying all or part of the expenseR' " ~~i~~;Gi1p~r~a ,·.:2}, ~~ : : ; : : .;~;~~;t~a(tlie warrant for the current quar:erhag not been ca~.h2dby the pensioner, to the best of my,r''7~~'tL'~~~;_!.~,·._::-·_,-:''''i..'-, "

,

.Jer···c,~i-iiff that I am of the opinion that the Mortuary Warrant above requested should be issued in~.~t;::7(,::. '.~_ <>;-._~ ,'-,., J, ) "; ,.' _ •

"';::~.•....L~ .. '·,~~rem,tione.d apPlic?n,in ~ccordanc3 with Act passe3' the~hirty-fi£th Leg~~slatur=,and :!9'_~~ d_L!jf'. 1917 ~ d-d)) TX:'.' j. I' /' . c:7/p~ ~.c••.. ' s'gned - ...LV~··.·..·······-'···.··-·····-···c-_ ..-: q..Physicilul

-."'1,;'" - /'

Y';,·-';.:'.< ':.:~,',' , •• .' , ,.,..>.,,:.\.' .• PhYSICIanS Address ~ ~

(\ii!;~~'~, -

APPLICATION FOR MORTUARY WARRANT

<'.<, " STATE OF TBXAS,} d... a.'i'::;po~t!,{)f h •••••••••••• ~ •• hh ••• f I, ._":..::..: ~.: ~ : ~ .

l~:~jf~.byce~ tjat I am the person to whom is entrusted the paying. of the accounts and i .

~li!-'---'--T~£:~'---------------------------------¥'" .who wa)' a penSIOner'<state of Texas, and who~eJle ~mber is,g.o 7a..~.~..and whose original county is. : = .;;':'X:;-L, n_!Ju-a;'~:<L~, . _. nn' •••••••••••

..