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Form 2327b-5703-327-3m in dup.

Widow's Application for Confederate Pension

THE STATE OF TEXASi

Form 111B

County o~ __~~.=:-:-_~_~m m .. . I "-

I"Mrs ..:~~~~.~ __.mmm__m . dO hereby make application to theComptr?ller of Public Accounts for a pension, to be granted me under the Act passed J;>ythe Thirty-third~ ~ .

Legislature of the State of T approve April 7 A D. 1913, on the following grounds:

• j d 3;m the ,wido oL - ..n.__u=../j:/.. 00---. _. __.m_m__m_u ecease who 'departed this life on the.~day of.__muu 00' A. IT.-/m , in the county of.. __ m . . .mm_mm_mm the State of._7~.~n--~--.- ....------..-n----.....-.n.---.-.__.00_ •••• __ ••• • ._. •• _. nn.. . u_. m .__...._..__

. 1 h;ve--no! remarried since the death of my said husband, * and I do solemnly swear that I wa~ never di- ~

vorced from my said husband, and that I..,never voluntarily abandoned him during his life, but remained his

:~~::_~~~~~_~.~,:~~;;?1(::::::::~:yd:;~~:.__~~~::::::::~.~~u~::~OLZ:~~:~:::Jf,_J(_f: . listedandser:edinthemilitaryserv­ice of the Confederate States during the wal~ between the States of the United States and he did notdesert the Confe~erate service. I have been a resident of the State of Texas since prior to January 1, A. D.1910. and have been continuously since a citizen of the State of Texas. I do further state that I do not re­ceive from any source whatever money or other means of support amounting in value above the sum of $300.00per annum, nor do I own in my own right, nor 'does anyone hold in trust for my benefit or use, estate or prop­erty, either rea.l, personal or mixed, either in fee or for life, of the value of one thousand dollars, exclusiveof the home of the value of not over $2000; nor do I receive any aid or pension from any other State of the

Uni~~S2~::ei~::r ::~:::;::~::~t~_ft~~~t~~~:~ns~er~gi~~":t~;JE?;fi;;!E;":e~~~?~

3. How long have you resided in the State of Texas? mm7.:3.--u---m--'---;J:m-~--;;,;------m-----------.4. How long have you resided in the county of your presen\' residence L--lf-.;-m-~mu.-------m--m5. What is, your ~ostoffice addr~ssL6I~--f!2nk-..--m.-~--.~--~6. Have you applIed for a penSIOn under the Confederate penSIOn law and been reJe~t~.m m-:_::_,~. --

If rejected, state when and where. m_~--mnn.---"----.-----Oo--.--- ..-m----n.-._-.mn . m .

7. Did your husband draw a pension ?_uOom~f ~nunl0,,··/.6-~~~--7--mm--um __ ~: __ ~~·t_iS_~::~__~:s~a:~:~_~:II_n:=:?~=::::::-:::::U:::~~":~~

9. In what State was your busband's command originally organized ?L Q_=_'L.!f!._Z._. .m m_. m _

10. How long did your husband serve?_j.~_~~u~--Z---.n--n--.-If known to you, give date of'enlistment

and discharg e _.u.nL..f?.-:-'..'1...1/..7-00 . _ _00.__.. n 0000.··. - -_nOonn__..n_.-__.un-U ••• n__--.---00 -- nn_ -----_.n..--- ---------.11. What was the name or letter of the company, or number of the regiment' in which your husband

served? If he was transferred from one branch of service to another, give time of transfer, description ofcommand and time of service. (If applicant's husband was a pensioner give his file number, which is evi-

dence sufficient for proof of sendee.) .m__.l_Q.-:.7! __'7:./_mm_nm ....__nmmn u .mn.nn_.m. mmum mOonm_nn.m..- ..--- ..----.-- ....-.-- ..---- .....-.- ....--.--.- ..-.....--------.--------- ..-------- ..----.---- ..--.-.---- ...--------.---.----------.---- ..----.---- ...------- ..-------------------------------

12. Name branch of service in which your husband served, whether infantry, cavalry, artillery, or the

navy, or if commissioned as an officer by the President, his rank and line of duty, or if detailed for special

service, under the law of conscription, the nature of such service, and time of service __/2·~~·~·7nn.n---mu

..-----.-----.--------.------.-------.------------.-------.---------------.----.-------------------------------.-.---------.----.--------------.-.-------.--------------------------------.--- ..--------------------------------------------------------------------.---.------------.------------------------------------------------------------------------------------------.--------- ..--- ..--------------.-----------.---------.--------------------------------.------------------- ...--------.------------------------------------------------------------------------------------------

13. Do you own any property other than that rendered for taxes in your county? If so, state value of

same and county where loca ted __.__~_ ...__.__u_.m. .nm -_..__nn ..__nm n..--..-----.--n... ·· ··__-._n ._.__nn.

14. Have you transferred to another any property of any kind for the purpose of becoming a beneficiary

nnder thisIaw L__mn~-m ..nn_nm00 nnm mnmm_m __ n0000 nmm00 _ m_ nmnnm00 nm__nm_00 m00 _mnnmm00 _ moo n@Wherefore your petitioner prays that her application for a pension may be approved and such oth

proceedi~g~hehadintheP~i';:.::::~i::p~~~:~;n!;b.!on !b/7fm~~Sworn to and subscribed before me thisn.2kmday Of_X~_~mJ __L7.mA. D. 192mm._

[Se~l] Texas.

, *Where applicant bas remarried it is necessary tbat she state facts covering puticubrs of last rnarraige. date. to whom married. and date of bst husband's death.She must also state that she is now a widow_

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_m m_. m_.__m_m mm deceased; that they personally

AFFIDAVIT OF WITNESSES

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deceased, is in truth and fact the widow

County

(Not~.-There must be at least two creditable witnesses.]

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, . Before me, . m m__mu m uu oo m_m_'County Judge oLm_oou. mu ~unty,

d..tat . f Texas, onM'ay personally alll1t:"led_m~?.---~u-f:kd...~m-m-~

, JrC .'. " \ , ..'" ....~ ..u'" __u__m oo __m moo .m m.. mm__m ' who are personally known to me tQ..be credible citi-

, zens, who, being by me d!J4!:sworn, on oath state that they person~y kn~v Jibat Mrs~ _

know that she has not nimarried since the death of her husband, for whose services in the army she claims

a pension, and that they have no interest in this claim.·

, (S;gnature of w;tness)~r:ftJ-L(f~~~-------m-m-m------

: " -1 ~. - /J/? A-r-- /-JSworn to and subscribed before me, this k:moom d~.J_-u~-7' ...7"\--oo---m---'A. D. 192~_ .

...•_.__.._-oo.._--------_::~-oo

. , [Seal.]-,

- ._ ·Where'- applicant has remarried it is necessary that she .tate facti cO'Yering particulars of lalt marriaa-e, date, to whom married, and date of Jalthu.band'. death. She must allo .tate that .h. i. now a widow.

" AFFIDAVIT OF WITNESSES

__ /,,,,'~:' rN.:-Le.-':"'Theremust be at least two creditable witnesses.]••.•.•••. !.,.

County

zens, who, being by me duly sworn, on oath state that they pe

pension, and that they personally know that the said~o

has been a bona fide resident citizen of the State of Texas since prior to January 1, A. D. 1910, and that they

have no interest in this claim.

(Signature of Witness) 1ff::t} __~.m u. .. m _

(S;gnature of w;tnesa0f!:l-~~--m----------------­

. -Swornto and subscribedbeforeme, th;.---2:::'~------d.t oL_m__m~---m-m-' ,A. D_ 192_5__I~~~-------~----------~---y_._~{----------------_ ..._~----------------

[SeaL]

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AFFIDAVIT OF WITNESSE1s

----.

------- •. -.--"-'(If possible the two witnesses should have served with the applicant's husband in the army, and if so,

"~t"them, or either of them, state it in their oath, also any other information regarding the army service of

applicant's husband.)

"THE STATE OF TEXAS, }County of . .. .. ~__. .

Before me, m_.._m_m m_.. m . m__m' County Judge of-_mm__m m .. _m_.. County, State of Texas,

on this day personaUy appeared. .. . . . .. ._.._. . , who

are personaHy known to me to be creditable citizens, who, being by me sworn, on oath state that they are per­

s«?naUyacquainted with the foregoing applicant, and that the facts set forth and statements made in her appli-I

cation "are correct and true, to the best of their knowledge and belief, and that they have no interest in this

claim. "And further make oath to the foHowing facts touching the service of applicant's husband in the

qonfederate Army: (Witnesses must state fuHy the source of their knowledge of service of applicant's.-

husband) .._.. ..m ... ..__....__.. ..__. ,__.. .. n .. n n . _

(Signature of Witn ess )_. n. h •••••• n n _

(Signature of Witness) n. n u . .., n n . . _

Sworn to and subscribed before me, this n ..__m __ m __day of__.. u . m m , A. D. 192000 __000

I. .i.~2L~:tes::::n:N:.se::~n~::o::~:i'~./~State01:"""". do"certifythatM,~~M"-T-Lif--4-~B<i""~WhOSe nameissignedto the foregoing application for a pension, under the Act of the Thirty-third Legislature, approved April 7,

1913, is c!J.arged on t7 ta_~'jus of said ountYJYith a homestead of the value oL __:{§.__P.m~ __m..m "_.

_____...__.._mm_- __._pt'~----Lm .. _~_n nunn..mmm__...~S, and, i~ additi~ to ho este~d, of other

property, real or persQnal, or both of the ~~--~~L~c?-L-- m_m Dol!ar.s.Givennndermyhand.thiSmkZ~r __"_dayOf~"~ .D. m?!-_.-- .:.JC:J-.dT--ft;. .._~__.nm __

StateandCo,®"es",r.

[Sea1.] County Judge .... u_nm_m..__m .__County, Texas.

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REPRODUCED FROM THE HOLDINGS OF THE-TEXAS STA TE ARCHIVES

TYLER, TEXAS1-6-40

Hrs. (J. H.) Laura ::::ichard s ~m, ~etE:te,

Tyler', '.i'ex28.

$;)t)7.00I2-2Z-tOTa cJmplete fUlleral charges

( Items Jf serviceHea"y p~l~ olush half c~uchCla"k steel vDultCI J ~h ill I<HeD'se service

~et rning remB~1s tJ :)tJrIJrsEmb ,lmingCem,tery grBveside equi!\ment'p18'ler tr v_cIe

Pal bearers c()~chp 81 be 81' e l' S p'l av e 8 B"1' •Amb lance t~ h8Rnital

TJt81

Swdrn to before me

January 1941

)

$/164.00125.0014.0012.005.00

25.0010.002.005.002.003.00

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S2313-1038-2m

REPRODUC6D.FFlQM Il1fi HQ.ko'.INGS.JJ.GI~7'~s.&fi!FEARGHIYES .__

~lease execute applioation for Mortuary Warrant and:ja~ Undertakera+.taohto it a sworn itemized statement showing the cost f the burial •.Return to Geo. H. Sheppal1ll.Comptroller, Austin, Texas. _ ••.._ •._

APPLICATION FOR MORTUARY WARRANT

THE:ZTE OF TEXAS, }County of (.~ I'-O?~~.L~' .do hereby certify that I am the person to whom is entrusted the paying ofahe accounts and indebtedness of

the late Mr_~~__~_~_~ (I~_~~_Lf:J._?_~~9.~_'?_t::1. . , who was a pensioner of the State of

Texa;;,~::h::,:~:enum~er:~~~'-4-028;~gkf~cJ7~~=~~,.!:~-L---------_~.3._d Of~ __ .:ctZ, 19-1&;nthetownoL----_ffL- _

County of ------------~as, £JThe pensioner died in the home of---CL;;t ~---L--r..~----

who was related to the pensioner as . _~ _

That the warrant, which application is I:ereby ma' f~Shall~~d to ~afing,~Of ~funeral expenses incurred by the said pensioner~_._ -L J.0f...: __~ __lL [_.L

I further certify that the warrant for the current mon has not been cashed by the pensioner, to the

best of my knowledge and b~lief, ~ ; !. , •...••.'-'<../ '--"

I am related to the pe~slOner asm----m-:~----------~----------------m--------f-;.-----;;-----~ m _that my postoffice addrpi-I!\-------------'#--::2..L-~24J~~--------------------m-- m _

-=:-:~--::::------;~-r--------------------------------------~----------------!~ ~ i City Si ed.~~---- ~ __: ~_"_~~~:_~__~ ~__~ __ft·. -C 1

t ,..s.woM4A be1'm¥eI):J.ethis L day of - - - _~ , 19--'1--1~ \...J u~ ::t.? " 7- 11~ .. Z z C" ,inl 0 ~ ~:! ------- __._f.. -- - - - ~ m _

, '<:,O.~;; j {} _ Jf)~j,<....~ ; {, Notary Public in and for~ /--T---State of Texas.,m ~ 1

~: • -- ,! '1 /J CERTIFICATE qF UNDER'J!AKERtq__--:*~_----C2'7Y~-- ------e-- ---, docertifythatI amun~ker ~:::1o:ad -Chargo/-;~he--~~~~-~;~-~~~L-- -- - _; m __ : St~te :L_~:-~~:--~~- th~

town of ~~ ~ , County OL ~ , State of ~_~~

on the __,,< ~ day Of 4:.~t~L 19~./J That said body was prepared for burial by me

on the~ Jf " day Of---~~-~-~~~L.-----7:::.l--~---19-~, ~th~t I am of the opinion thatwarrant herein applied for sho,uld be issued to the said V~----~~ -ri~_2:..~__

who makes the foregoing application, Signed_~_~_~~ __Undertaker.

THORNDIKE FUNEntJ.. H,OME

lYlfR! 1 E.XAS

I, :-_. .~~-AT-E7;.:HY-:~:---~, ~ocertifythatI ama practicing' •. ) J vz, -/ /If ('!/?_-~ -a.../.'L c..-fl-yO<.--t 0- . I t'Il dphYSIcIan, and that I attende<L------i'-_IL ~~-Y.."::"~~-~---/-----------------------mt2:A::!:in-ius as 1 ness, an

am of the opinion that his ailments were ~ ___=_ m _

----------------. ----------------------------------------------------------------------------- ..-----------.---

I further certify that I am of the opinion that the Mortuary Warrant above requested should be issued in

the name of the aforementioned applicant, in accordance with Act passed by the Thirty-eighth Legislature

and approved March 2, 1923. :> Yi--... ~• ~N ,y C----t. ~SIgned_=_.:. c -====. _

. Phys;cian'sAddres'---.L~---.l0:"'~--=----_t_T_?n ni r· . f", " ~. -.... "-''1-.' --, !, , I / r ') ":,,)/ I \..Y\J-~.~L·'.-.~.-.....li;'.1 /,' \.A) t( ,f, '( •••••••/ f . J ,i. , "--;.)- / f ,',:") /~1'. ~

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~·~·December30. 1940 Execute and return at once.