Enrollment of soldiers, their widows and orphans of the armies of the United States residing in the state of Indiana, Whitley County, for the year 1894, Part 11

Author:
Publication date: 1900
Publisher: [Ind.? : s.n.]
Number of Pages: 742


USA > Indiana > Whitley County > Enrollment of soldiers, their widows and orphans of the armies of the United States residing in the state of Indiana, Whitley County, for the year 1894 > Part 11


Note: The text from this book was generated using artificial intelligence so there may be some errors. The full pages can be found on Archive.org (link on the Part 1 page).


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Enrollment residing in


Township,


Index.


No.


NAME IN FULL.


Deceased Father or Husband was killed at


Place.


State.


Place.


State.


Did deceased Father of Ilushinnd die of dirense contracted while in service ? Yes. No.


In Indigent cirenm- stances?


Yes.


No.


1


22


23


24


25


Scott Thomas of Smithers Daniel Secrist Samuel Seatt Charles et D


Jis


Sranje Wesley!


.


1


Vanderfry Villian


Watters James H. Walter Samuel White Samuel


Berbe George M


Deceased Father or Husband died of wounds received at


.


County, Indiana, for the Year 1894.


In Alnıs Ilouse.


Dependent on others for support. Yen. No.


Injured while in service. Give nature of injury. State time and place.


Contracted disease while in service. Give nature of disease.


Yes. No.


26


27


28


1 .


29


Deafness


Chravie Dirich and Pele


Disease of Games


bancar and favor internal external


Shinal Disease


Larance Oflabarna Det 1864 rupture


low of speech att thathonodgo Tiena Fick 1864


Funny Disease of Head and


Chradt Sim Strake and Heart failure


Deafening left Ear


AUDITOR'S COPY


-OF-


ENROLLMENT


SOLDIERS, THEIR WIDOWS AND ORPHANS.


TOWNSHIP ..


-


-


COUNTY.


FOR THE YEAR 1894.


WM. B. BURFORD, PRINTER, INDIANAPOLIS.


1


ENROLLING ACT.


AN ACT lo enroll the lale soldiers, their widows and orphans, of the late armies of the United States, residing in the State of Indiana.


[APPROVED APRIL 13, 1885.]


SECTION 1. Be it enacted by the General Assembly of the State of Indiana, That each Township Assessor, as As- sessor of his township, at the time for taking lists of prop- erty for taxation, shall enroll every person employed in the late armies of the United States, of the war of 1812, of the war of the United States with Mexico, of the war of 1861, and of all wars of the United States with Indian tribes, and other persons, specified in the several classes below, residing in his township :


First. Any officers of the army, including regulars, volunteers and militia, or any officer in the navy or marine corps, or any enlisted man, however employed, in the mili- tary or naval services, or in the marine corps, whether reg- ularly mustered or not.


Second. Any master serving on a'gunboat, or any pilot, engineer, sailor or other person, not regularly mustered, serving upon any gunboat or war vessel of the United States.


Third. Any person not an enlisted soldier in the army, serving for the time being as a member of the militia of any State, or who volunteered for the time being to serve with any regular organized military or naval force of the United States, or who otherwise volunteered and rendered service in any engagement with the British, rebels, or Indians.


Fourth. Any acting assistant surgeon, or surgeon, or contract surgeon, or any other physician or person who temporarily volunteered to assist in taking care of the sick or wounded, and any chaplain of the army or navy.


Fifth. Every widow, whether married or not, and every child under sixteen years of age of all persons mentioned above in classes one, two and three, and the children of like ages and widows of every army or navy surgeon and army or navy chaplain, who have died or shall hereafter die, and the name of the deceased father or husband of said children and widows.


SEC. 2. Said Assessor shall write the first and surname of every person listed by him, and note whether of African descent, the rank, letter of the company, number of the regiment, and the State to which the regiment belonged of which the listed man was a member, the arm of service in which employed, whether injured, wounded, or con. tracted disease while in the service, and his present post- office address, and the postoffice address of all other per- sons listed, and in case of deceased fathers and husbands of said children and widows, the date of their death and place of residence at the date of death; and shall ascer-


tain and report whether any widow, not remarried, or other person listed, is in indigent circumstances, or in the almshouse, or dependent upon others for support.


SEC. 3. The first enrollment under this act shall be made at the time of listing property for taxation for the year of 1886, and once in four years thereafter, and the roll shall be returned, at the time the Assessor makes his assessment returns to the County Auditor, to the County Clerks of the proper counties.


SEC. 4. The Auditor of each county shall furnish the


- Township Assessor, at the expense of his county, such blanks and books as may be necessary for the aforesaid statements, in accordance with the forms to be prescribed by the Adjutant-General of the State of Indiana ; and the Circuit Clerk shall, within thirty days after the aforesaid statements and rolls are returned to him, procure suitable books at the expense of his county, and prepare duplicate tabular statements thereof by townships, cities and towns, with the names arranged in alphabetical order, one of which he shall forward to the Adjutant-General of the State of Indiana, and the other shall be filed and retained in his office, and for said services the Clerk shall be en- titled to the same compensation as now allowed by law for similar services, to be paid out of the county treasury ; and each Clerk shall furnish a true and certified transcript of such records to any regular organization of ex-soldiers when requested through their officers, and each Clerk shall furnish all necessary information contained in said tabular statement to pension claimants, their widows and orphans, and other claimants for pay and bounty, as they or their agents or attorneys may demand, for which service last mentioned he shall receive no compensation whatever.


SEC. 5. It shall be the duty of the Adjutant-General, when he shall have received the said tabular statement from the County Clerks, to put the same on permanent file ' in his office, and to make therefrom a general list, arrang- ing the surnames in alphabetical order, by regiments and companies, which general list shall be retained in his office; and he shall transmit a true copy thereof to the Commis- sioner of pensions at Washington, D. C., and shall furnish information to pension claimants and others, as provided in the next preceding section, under the restrictions and limitations imposed upon the County Clerk.


SEC. 6. Any officer intrusted with the custody of the records above provided for, who shall refuse or neglect to furnish within a reasonable length of time, information or transcripts as hereinbefore provided, to the proper ap- plicant or applicants, shall be deemed guilty of a misde- meanor, and be fined, on convietion thereof, in a sum not less than twenty-five dollars and not more than one hun- dred dollars.


ENROLLMENT


OF


SOLDIERS,


THEIR WIDOWS AND ORPHANS,


OF THE


Armies of the United States


RESIDING IN THE


STATE OF INDIANA,


AND


Township,


County,


FOR THE YEAR 1894.


*M B BURFORD, PRINTER AND DINDLA, INDIANAPOLIS


Enrollment of Soldiers, their Widows and


Index. No. NAME IN FULL.


Rank.


Company.


Regiment.


State.


Volunteers.


Regulars.


Militia.


Marines.


1 IRREGULAR SERVICE.


2


3


4


5


6


7 8


9


10


george W Gray Priste D 142 Indiano


george W Robinson Privato 9 88 8and Not


theosx foriner Private 3 37 Il vol Albert Jucken Privetek 129 Sind, Und


Private: 152 9.vid 16 Andrew& Byrum Private 101 Sind Nel - Andrew Malone Private 100 And Med thing N. Laurence Burate 4 16 Ohio not


George R. Kcn (Private " Bratty ford und Shinch & 124 gmd Nol


Adam Kernr


Yohn: Myers Private B 53 Per ind


John thers


Private K 88 mes ul Granate & 17 david vol


Private $ 10 Ohio od Bolest Hanna Swatek +8 And vol William N Worden Private & 142 8md Nol Ercan Schrader Private 1. 25 food val Million & Walker Private 100 Find 201 John Vanfaction Greater of land und 1


1 1


Adam Malone Frente 5 Betty Jn 11


Private to 30 Snel Preston


Surate B: 74 dvd Ml Nathen W. Sebesty Brukte 4 152 2mil ind timon Nachbarger Tristik is don't not


Orphans, of the


the Year_1894.


White.


Colored


War of


PRESENT POST OFFICE ADDRESS.


Pase while in service. Give nature of disease.


Town ur City.


Township.


State.


11 12 13


14


15


29


10 Rebellion reverse


Junion จักร


Divreah, and Sia


25 Rebellion Méresse 10 Deletion Mouse


w Rebellion Presse


1) Inion.


chand


Ir Rebellion Presse


Rachelline Manesse


union.


And


nitiun


Ir Rebellion (Columbia City.


_v


10 Rebellion Columbine city


Union


Find


of Theowl


In Rebellion rosesse


Junion


is Rebellion Gresse


Union


find


--


10 Rebellion Tresse


dension


Union


1 ml


IV Everton Mesesse


IN Rebellion Bresse Coesse


Anion


Amil


Dierbach send


umon


Imo


Gatorsan


W Beledi Columbia city W Rebellion Columbia city IN Relation Presse


union


And


1 1 Lesion


Amd


Il Francilien, Columbia City


Lancome


Iunion


" direction Baker Recession MCollins


71ª Relación, Catambra Este Union


In2


Efection


VI Relación Emesse


Mimoin


Sand


---


the Atrinach AChronic


Diversas and


of the stomach wood


Ir Schullian Mousse


reunion


W Rebellion Bilimbia City


Leten , and round eneuratiara


ind Hiramation.


attana, annel (Constipation


Divereach and !


1


No. of Children under 16 years old.


Enrollment


Armies of the


Index.


No.


NAME IN FULL.


WIDOW OF


SON OF


DAUGHTER OF


1


16


17


18


i


george W Gray george W Robinson Geert AR dier SAUbert Jucker Joseph tt york Andrew & Byrum Andrew Malone


George BAKER Adam Remy Adam Kerns


Lafin tess JohnN Cose Robert Hanna William & Worden Esrom Schrader William & Walker Japon Vanhauton John Menhouston


Adam Malone


Nathen WSedgela China Harchborger


United States,


_the_Year 1894.


Date of deceased Father's or Husband's death. Mouth. Day. Year. 19


Place of death of deceased Father or Husband.


Residence of deceased Father or Unsband at time of death.


ease whilo in service. Give nature of disease.


State.


21


29


Digreah, inA file'


extend filer the stomach Chronic


Diversak, and valium


of Theori of the stomach send


Jan 4 1861 Mereste


Leter! xund wind ¿ eneurmatias Diareach and Bilir


ind Scheumation.


ther 2 1880 Hillers burgh And pension Th


C in grown et B'inka mange 2" Hp paga repete-se right eye Effective


atism, annel (Construction ited Plustaliation


Diarech and


..


Esfection Jenny, Chronic Prosich


ited Piler


State.


Town or City.


Town or City.


20


Enrollment residing in


Township, -


Index.


No.


NAME IN FULL.


Derensed Father or Husband was killed nt


Deceased Father or Husband died of wounds received at


Did deceased Father or In Husband die indigent circum- stances? of disenso contracled while in sorriro? Yes. No .. Yes. No


Place.


State.


Place.


State.


1


22


23


24


. 25


George W Gray george W Robinson


Albert Juckes


Andrew Malone


George BAKER Adam Renn Yohn Myers French Dowith Infon Hess


J,and yes


Robert Hanna William & Worden Esrom Schrader William & Walker John vanhauton yacobi Dinner Charles H Hoblin Adana Malone


ME


Nathen W.Sedasly Sinon Harchborger


County, Indiana, for_the Year 1894.


In Alma House.


Dependent on others Jus Injured while in service. Give nature of injury. State time and place.


Contracted disease while in service. Give nature of disease,


support.


Yes. No. Yes. 26 27


29


28 . right foot, marked 30 5 Via1 8.64, 0) fring fueled Mennene wind Cost of Nedring sun: Mike der 1362, feouralle Kentucky


Metronic Dirreach, and S'il''


received a rupture 25th, Vingert 1869; 21 weine Texas


Contracted Filer bindung of the Stomach AChronic


: Masteren la rupture terne maraton Jusqunia


( Chronic Vivrea) Chronic Diversas and (Rheumatiam Chronic Doivent


Last Two Fingers 1 86 tat Bitte of thathar Then that sound right foot may attirer Tazewell Ter renstroke Factures, Jackson Min Dincare of Theoui wrongly Harre falling and couring persicoale Disease of the Stomach. .... January 1862 complincon Gruek Kentucky (Beunitis .... Lung Fraiche


yes gun Shot wound in arin fin that worend in right shoulder + left foot shares 11545 Peters burgh, Virginia


Heart trouble Rheumato VChronic iChronic Direah Byer effected , and round contracted Rheumatism Chronic Diarbach and Til Gatorsah


rupture rand Soneamation. in Set Kingitan Theart trouble Schematicin wounded in trusKingston georgin 1564, worander, in green it Blicka nega 2. 2%


injured in Breast Struck by peries of Chillit Store river Dec 1862


therematism, annel (Constipation Contracted Plushalation


gun shotscocina, in fight foremon HisHand, concentration try by forced that Chronic Diareach sind chevi Efection


and Rules activotreeinen rupture ( 7:21885 received, worse rechtune -


Emntinated Siler


Enrollment_of_Soldiers, their Widows and


Index. No.


NAME IN FULL.


Rank.


Company.


Regiment.


State.


Volunteers.


6


7


8


9


10


Robert Harvest


PrivatoK 88 And, 101


Private B 74 Gmt , 1dl Millions of Hillen Binat 8:17 And wal


Bruit sstill


Proste 7 12 land und


george W Herr i


Private 2 152 And val.


.


-.


Marines.


IRREGULAR SERVICE.


1


2 3 4 £


Regulars.


Militia.


Orphans,_of_the


r_the_Year_1894.


White. Colored.


Town or City.


Township.


State.


No. of Children under 16 years old


ease while in service. Give nature of disease.


11 12 13


14


15


29


of injury of the


Kiliclaro. Create


Minion


Yand Two 60


W Ribution Presse


union


matism.


War of


PRESENT POST OFFICE ADDRESS.


Enrollment


Armies_of the


WIDOW OF


SON OF


DAUGHTER OF


Index.


No.


NAME IN FULL.


1


16


17


18


Robert Forrest


William of Allen Brbest Oftill George W Herr.


-


United States,


r_the_Year_1894.


Date of deceased Father's or Ifu-band's death, Month. Day. Year.


Place of death of deceased Father or Husband.


Residence of deceased Father or Husband at time of death. vase while in service. Give nature of disease.


Town or City.


State.


Town or City.


State.


21


29


1


19


20


1


matism


-


Enrollment residing in


Township,


Index.


No.


NAME IN FULL.


Deceased Father or Husband was killed nt


Deceased Father or Husband died of wounds received at


Did deconseil Father or Husband die of disenso contrartel while in No. service ? Yes.


Yes.


No.


Place.


State.


Place.


State.


23


24


25


-


1


22


Cabest Forrest


Hisles ToAllen. William of Allen Bobert eltill george W. Herr


jind


yer


indigent


1


stances?


County, Indiana, for_the Year_1894.


Iu Alis House.


1 1 Dependent on others for Injured while in service. Give nature of injury. State time and place.


Contracted disease while in service. Give nature of disease.


Yes.


support. No. 1 Yes. No. 27


26


28


29


gun shot found in left Thishis " mother Brenton with,oith, birrotinas


Biler ande, injury of the Pallet


Frechling f fect st eldabeth from Kentucky Dec 31+ 1+64 rupture


Baroffula Rheumatism


1


32 names


CLERK'S COPY


-OF-


ENROLLMENT


SOLDIERS, THEIR WIDOWS AND ORPHANS,


Union


TOWNSHIP. Whitley 1


COUNTY.


-


FOR THE YEAR 1894.


WH. .. BUSFORD, PRINTES, INDIANAPOLIS.


ENROLLING ACT.


AN ACT lo enroll the late soldiers, their widows and orphans, of the lale armies of the United States, residing in the Stale of Indiana. 1


. [APPROVED APRIL 13, 1885.]


SECTION 1. Be it enacted by the General Assembly of the State of Indiana, That each Township Assessor, as As. sessor of his township, at the time for taking lists of prop- erty for taxation, shall enroll every person employed in the late armies of the United States, of the war of 1812, of the war of the United States with Mexico, of the war of 1861, and of all wars of the United States with Indian ¿ tribes, and other persons, specified in the several classes below, residing in his township :


First. Any officers of the army, including regulars, volunteers and militia, or any officer in the navy or marine corps, or any enlisted man, however employed, in the mili- tary or naval services, or in the marine corps, whether reg- ularly mustered or not.


Second. Any master serving on a gunboat, or any pilot, engineer, sailor or other person, not regularly mustered, serving upon any. gunboat or war vessel of the United States.


Third. Any person not an enlisted soldier in the army, serving for the time being as a member of the militia of any State, or who volunteered for the time being to serve with any regular organized military or naval force of the United States, or who otherwise volunteered and rendered service in any engagement with the British, rebels, or Indians.


Fourth. Any acting assistant surgeon, or surgeon, or contract surgeon, or any other physician or person who temporarily volunteered to assist in taking care of the sick or wounded, and any chaplain of the army or navy.


Fifth. Every widow, whether married or not, and every child under sixteen years of age of all persons mentioned above in classes one, two and three, and the children of like ages and widows of every army or navy surgeon and army or navy chaplain, who have died or shall hereafter die, and the name of the deceased father or husband of said children and widows.


SEC. 2. Said Assessor shall write the first and surname of every person listed by him, and note whether of African descent, the rank, letter of the company, number of the regiment, and the State to which the regiment belonged . of which the listed man was a member, the arm of service in which employed, whether injured, wounded, or con- tracted disease while in the service, and his present post- office address, and the postoffice address of all other per- sons listed, and in case of deceased fathers and husbands of said children and widows, the date of their death and place of residence at the date of death; and shall ascer-


tain and report whether any widow, not remarried, or , other person listed, is in indigent circumstances, or in the almshouse, or dependent upon others for support.'


SEC. 3. The first enrollment under this act shall be made at the time of listing property for taxation for the year of 1886, and once in four years thereafter, and the roll shall be returned, at the time the Assessor makes his assessment returns to the County Auditor, to the County Clerks of the proper counties.


SEC. 4. The Auditor of each county shall furnish the * Township Assessor, at the expense of his county, such blanks and books as may be necessary for the aforesaid statements, in accordance with the forms to be prescribed by the Adjutant.General of the State of Indiana ; and the Circuit Clerk shall, within thirty days after the aforesaid statements and rolls are returned to him, procure suitable books at the expense of his county, and prepare duplicate tabular statements thereof by townships, cities and towns, with the names arranged in alphabetical order, one of which he shall forward to the Adjutant-General of the State of Indiana, and the other shall be filed and retained in his office, and for said services the Clerk shall be en- titled to the same compensation as now allowed by law for similar services, to be paid out of the county treasury ; and ., each Clerk shall furnish a true and certified transcript of such records to any regular organization of ex-soldiers when requested through their officers, and each Clerk shall furnish all necessary information contained in said tabular statement to pension claimants, their widows and orphans, and other claimants for pay and bounty, as they or their agents or attorneys may demand, for which service last mentioned he shall receive no compensation whatever.


SEC. 5. It shall be the duty of the Adjutant-General,; . when he shall have received the said tabular statement from the County Clerks, to put the same on permanent file. in his office, and to make therefrom a general list, arrang- ing the surnames in alphabetical order, by regiments and companies, which general list shall be retained in his office ; and he shall transmit a true copy thereof to the Commis- sioner of pensions at Washington, D. C., and shall furnish information to pension claimants and others, as provided in the next preceding section, under the restrictions and limitations imposed upon the County Clerk. . 1


SEC. 6. Any officer intrusted with the custody of the records above provided for, who shall refuse or neglect to furnish within a reasonable length of time, information or transcripts as hereinbefore provided, to the proper ap- plicant or applicants, shall be deemed guilty of a misde- meanor, and be fined, on convietion thereof, in a sum not less than twenty-five dollars and not more than one hun- dred dollars.


-


ENROLLMENT


OF SOLDIERS.


THEIR WIDOWS AND ORPHANS,


OF THE-


Armies of the United States


RESIDING IN THE


STATE OF INDIANA,


AND


Union Township, Whichy County,


FOR THE YEAR 1894.


WM @ BURFORD, PRINTER AND BINDER, INDIANAPOLIS


Enrollment of Soldiers, their Widows and


dex.


No. NAME IN FULL.


Rank.


Company.


Regiment.


---


State.


Volunteers.


Regulars.


Militia.


Marines.


IRREGULAR SERVICE.


1


2


3


4


5


6


7 . 8 9


10


1. Alken Georges Pri 5 Beating Ind Val


Y allen Miliana.


6/17


3 allen mely/M


1374


If By rum argued


1


4


·1


i


r-


A


Orphans, of the


r_the Year 1894 B


C 1


White.


Colored.


11 12


13


14


15


use of Demnach and


E


1


1


1


3


F G HI


axshrew and Rhumatisme.


n


J


L


M


N 0


Q


R


S


T


V W


War of '


bease while in service. Give nature of disease.


PRESENT POST OFFICE ADDRESS.


No. of Children under 16 years old.


Town or City.


Township.


State.


D


29


W. 1861 Chasser


Enrollment


Armies of the


dex. No.


NAME IN FULL.


WIDOW OF


SON OF


DAUGHTER OF


1


16


17


18


Aker Hangar


1


2 allen Milliard. 3 allen Mely/M


Hf Byrum Angry


A


United States,


for the Year 1894.


B


Date of deceased I'ather's or Husband's death. donth. Day. Year.


Place of death of deceased Father or Husband.


Ated disease while in service. Give nature of disease.


State.


21


29


wave of Demach and


E


F


xanh.


G


HI


diarrhoea and thurmatism.


N


0


Q R S


T U


V W


Residence of deceased Father or Husband at time of death.


Town or City.


State.


Town or City.


19


20


C D


Enrollment


residing in


Township,


dex.


No


NAME IN FULL.


Deceased Father or Husband was killed at


Deceased Father or Husband died of wounds received at


Did derenred Father or Husband die of disease contracted while in service ?


In indigent cirenim- stanece?


Plnee.


State.


Place.


State.


Yes. No.


Yes. No.


1


22


23


24


25


1 Uker Georges


& Allen Milliard. 3 allen Mely/M


4 Byrum ag


. i


1


A


County, Indiana, for the Year_1894. B


Dependent on others for Injured while in service. Give nature of injury. State time and place. !


Contracted disease while in service. Give nature of disease.


support. Y'EN, No.


Yes. No.


D


28


29


Avviare of Ramach and


26 27 Quecand by hoven falling and causing, verrica la cocina Jany 16 2 Campo Buen Creche Ky Rhumatisme E Duct frozen at Elizabethlimon ky F


Catranh.


G


II Chronic diarrhoea and thurmatism.


I J


L


M


N 0


P Q


R


S


T


U


V.


=


M


-


C


In House.


Enrollment of Soldiers, their Widows and


x.


No.


NAME IN FULL.


IRREGULAR SERVICE.


· Rank.


Company.


Regiment.


State.


Volunteers.


Regulars.


Militia.


Marines.


.


1


2


3


4


5


6


7


8


9


10


1


P


1


County, Indiana, for the Year 1894.


Dependent ou others for Injured while in service. Give nature of injury. State time and place.


Contracted disease while in service. Give nature of disease.


House.


support. No. Yes. No.


YEN.


D . 26 27 28


29


E


F


G


HI


I


J


K


L


M Mº 1


N


0


P


Q


R


is ...


S


T


U


V


W


C


Enrollment of Soldiers, their Widows and


IRREGULAR SERVICE.


Index. No.


NAME IN FULL.


to Rank.


Company.


Regiment.


State.


Volunteers.


Regulars.


Militia.


Marines.


10


1


3


4


5


6


7


8


9


5 Terrest Robert The # 8. Ind Tal


-


Orphans,_of_the


r_the Year 1894.


War of


PRESENT POST OFFICE ADDRESS.


Town or City.


Township.


State.


11 12


13


14


29


E


F


G


n


and injury of the


HI


I


J


K


L


M


MC


N


0


P


1


Q


R


DE =1213 S T U


W


No. of Children under theare while in service. Give nature of disease. 16 years old.


White


Colored.


Enrollment


Armies of the


Index. No.


NAME IN FULL.


WIDOW OF


SON OF


DAUGHTER OF


1


16


17


18


5 Harvest Chabert 1


1


United States,


r_the_Year_1894.


Date of deceased Father's or Ha-band's death.


Place of death of deceased Father or Ifusband.


iscare while in servire. Give nature of disease.


'Town or City. State.


21


29


E


F


G


and injury of the HI


I J


. .


K L


M


MC


N


0 ==== > 0 P Q R S V


T U


W


19


20


Residence of deceased Father or Husband at time of death.


State.


Month, Day. Year.


Town or City.


Enrollment residing in


Township,


Index. No NAME IN FULL.


Deceased Father or Husband was killed at


Deceased Father or Husband died of wounds received at


Did deceased Father of Husband dio of di-ense contrarted while in service? Yes. No.


In indigent circum- stances?


Plnee.


State.


Place.


State.


Yes. No.


1


22


23


24


25


1


& Forrest Robert


1


County, Indiana, for_the_Year_1894.


Dependent on others for Injured while in service. Give nature of injury. State time and place.


Contracted disease while in service. Give nature of disease.


support.


Yes. Na.


Nu.


26 27


28


29


E


--


F -


G


Than that wound i left thigh at Bentonville 11.0. mich 19- 1165,


(Piles and injury of the palati, HI


I


J


K


L


M


MC


N


0


P


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