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the wife of the identical (16)

of

who rendered the service alleged in in the regiment

the above application (in the company of Captain

in the war of

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) by the following-named facts and circumstances, and that they have no interest in the prosecution of this claim.

[Signatures of witnesses.]

day of

Sworn to and subscribed before me this A. D. 18-; and I hereby certify that the contents of the above declaration, etc., were fully made known and explained to the applicant and witnesses before swearing, including tho words added; and that I have no inter

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est, direct or indirect, in the prosecution of this claim. [L. S.]

[Official character.]

Co.

Reg't of

NOTES.

1 Here allege full name of applicant.

2 Here allege full name of soldier.

3 Here allege again the name of soldier.

4 Here allege the name under which the soldier served.

5 Here allege the rank under which the soldier served.

Here state "enlisted,"
," "volunteered," or "was drafted," as the case may be.

7 Here state the number of days or months of service rendered by the soldier; fourteen days being the shortest period for which service pension is by law allowed, unless the soldier was actually engaged in a battle. If the claim is made for battle service the blank should be so varied as to allege such service in addition to the allegation of term of service.

8 Here insert the words "an honorable discharge," or "death." as the case may be.

Here let a full description of soldier follow, giving age, occupation, birthplace, height, color

of hair, eyes, and complexion, and any other particulars as to description.

10 Here allege the name of the person who performed the marriage ceremony.

11 Here state the official character of the person who performed the ceremony; i. e., whether a minister of the gospel or a justice of the peace, &c.

12 Here state whether the claimant or her husband (the soldier) had been previously married; and if either had, the name of the former husband or wife should be stated; and the date and place of the death of, or divorce from, the former consort should be alleged.

13 Here insert the name of the husband on account of whose service and death the claim is made.

14 Here state all the places of residence; if in a city, giving the street and number; and from and to what dates he resided at each place.

15 If any application for bounty land or pension has previously been made, state the fact here, giving the date, and number if possible, and the act of Congress under which the claim was made; and designating whether it was a claim for bounty land or pension, and whether a warrant for the land or certificate for the pension was ever issued.

:6 Here insert the name of the soldier.

17 Here name all the facts nd circumstances which enable the witnesses to swear, from a personal knowledge, that the claimant is the widow of the identical person who rendered the service alleged in the claim.

All services rendered by the soldier in the war for which claim is made, or in any other war, with the names of officers in each service, must be given in the application.

If this blank is used, it will be useless to fill the spaces relating to the appointment of attorneys. If the service was rendered as a substitute, the name of the principal for whom the substitute served should be given.

FILED BY

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a

in the company commanded by Captain
[if in naval service, name vessel, etc.], commanded by

in the

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regiment of in the war

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First group of facts which will entitle to pension.

That being duly enlisted, as aforesaid, I actually served sixty days with the Army or Navy of the United States in Mexico, or on the coast or frontier thereof, or en route thereto, in the war with that Nation, which service was as follows:

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of

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on the

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and that the who has afforded me the

(or b) That I am dependent on others than those legally bound for my support for my livelihood; that I have been so dependent since upon whom I am dependent is following support: [Here describe what has been done for your support.] (or c) That I am disabled by reason of which said disability was not incurred while in any manner voluntarily engaged in aiding or abetting the late rebellion against the authority of the United States; but that said disability was incurred at follows:

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Second group of facts which will entitle to pension. That, being so actually enlisted as aforesaid

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(a) That I am years of age, having been born at

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(or b) I was actually engaged in battle with the enemy in the war with Mexico, to wit: In the battle of

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(or c) That I am dependent on others than those legally bound for my support for my livelihood; that I have been so dependent since upon whom I am dependent is

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following support: [Here describe what has been done for your support.]

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(or d) That I am disabled by reason of which said disability was not incurred while in any manner voluntarily engaged in aiding or abetting the late rebellion against the authority of the United States, but that said disability was incurred at on or about the 18—, in manner as follows:

day of

Third group of facts which will entitle to pension.

I was personally named in a resolution of Congress for a specific service in said war, to wit: In the resolution of the

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(or b.) That I am dependent on others than those legally bound for my support for my livelihood. That I have been so dependent since

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of

who has afforded me the

upon whom I am dependent is following support. [Here describe what has been done for your support.] (or c.) That I am disabled by reason of · which said disability was not incurred while in any manner voluntarily engaged in aiding or abetting the late rebellion against the authority of the United States, but that said disability was incurred at on or about the 18-, in manner as follows:

day of

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That in support and proof of my right to pension I tender herewith, under the regulations prescribed by the Secretary of the Interior, the following evidence: and the affidavits of

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That I have

heretofore made application for pension or bounty land,

which said claim is No.

That I am

the rate of

a pensioner of the United States under certificate No. - at dollars per month. That since my discharge from said service

I have resided as follows, to wit:

That I am not laboring under any political disabilities imposed by the fourteenth amendment to the Constitution of the United States.

Witnesses:

[Claimant sign here.]

STATE OF

Before me,

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a clerk of a court of record, on this day of A. D. —, personally appeared known to me as the person described in, and who signed and executed the foregoing declaration for pension, and whom I certify to be a credible person and of good repute for truth and veracity in the community in which he lives, who, being by me first duly sworn, deposes and says that he has read (if claimant can not read, read to him and so state in acknowledgment) the foregoing declaration and knows the contents thereof, and that all of the facts therein stated are true. [L. S.]

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AN ACT granting pensions to the soldiers and sailors of the Mexican war, and for other purposes.

Be it enacted by the Senate and House of Representatives of the United States of America in Congress assembled, That the Secretary of the Interior be, and he is hereby, authorized and directed to place on the pension-roll the names of the surviving officers and enlisted men, including marines, militia, and volunteers, of the military and naval services of the United States, who being duly enlisted actually served sixty days with the Army or Navy of the United States in Mexico, or on the coasts or frontier thereof, or en route thereto, in the war with that nation, or were actually engaged in a battle in said war, and were honorably discharged, and to such other officers and soldiers and sailors as may have been personally named in any resolution of Congress for any specific service in said war, and the surviving widow of such officers and enlisted men: Provided, That such widows have not remarried: Provided, That every such officer, enlisted man, or widow who is or may become sixty-two years of age, or who is or may become subject to any disability or dependency equivalent to some cause prescribed or recognized by the pension laws of the United States as a sufficient reason for the allowance of a pension, shall be entitled to the benefits of this act; but it shall not be held to include any person not within the rule of age or disability or dependence herein defined, or who incurred such disability while in any manner voluntarily engaged in or aiding or abetting the late rebellion against the authority of the United States.

SEC. 2. That pensions under section one of this act shall be at the rate of eight dollars per month, and payable only from and after the passage of this act, for and during the natural lives of the persons entitled thereto, or during the continuance of the disability for which the same shall be granted: Provided, That section one of this act shall not apply to any person who is receiving a pension at the rate of eight dollars per month or more, nor to any person receiving a pension of less than eight dollars per month, except for the difference between the pension now received (if less than eight dollars per month) and eight dollars per month.

SEC. 3. That before the name of any person shall be placed on the pension-roll under this act, proof shall be made, under such rules and regulations as the Secretary of the Interior may prescribe, of the right of the applicant to a pension; and any person who shall falsely and corruptly take any oath required under this act shall be deemed guilty of perjury; and the Secretary of the Interior shall cause to be stricken from the pension-roll the name of any person whenever it shall be made to appear by proof satisfactory to him that such name was put upon such roll through false and fraudulent representations, and that such person is not entitled to a pension under this act. The loss of the certificate of discharge shall not deprive any person of the benefits of this act, but other record evidence of enlistment and service and of an honorable discharge may be deemed sufficient: Provided, That when any person has been granted a landwarrant, under any act of Congress, for and on account of service in the said war with Mexico, such grant shall be prima facie evidence of his service and honorable discharge; but such evidence shall not be conclusive, and may be rebutted by evidence that such land-warrant was improperly granted.

SEC. 4. That the pension laws now in force which are not inconsistent or in conflict with this act are hereby made a part of this act, so far as they may be applicable thereto.

SEC. 5. That section forty-seven hundred and sixteen of the Revised Statutes is hereby repealed so far as the same relates to this act or to pensioners under this act.

SEC. 6. That the provisions of this act shall not apply to any person while under the political disabilities imposed by the fourteenth amendment to the constitution of the United States. Approved, January 29, 1887.

[3-037 a.]

MEXICAN WAR SERVICE PENSION-ACT OF JANUARY 5, 1893.

DECLARATION FOR THE INCREASE OF A MEXICAN WAR SERVICE

STATE OF

PENSION.

[The pension certificate should be forwarded with the application.]

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On this personally appeared before me, a

said,

aged

State of

within and for the county and State aforeof

years, a resident of the county of who, being sworn according to law, declares that is a pensioner of the United States, enrolled at the pension agency at the rate

of $8 per month, under the act of January 29, 1887, or the act of March 3, 1891, on account of the service of

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company,

Regi18-, in the Mexican war; and that

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in Captain

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is wholly disabled for manual labor by reason

[Here name the disabilities from which applicant suffers], and is in such destitute circumstances that $8 per month are insufficient to provide with the necessaries of life, and that believes -self to be entitled to an increase to $12 per month under the provisions of the act of January 5, 1893. That appoints

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of

county

true and lawful attorney, to prosecute claim. That

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Also personally appeared

residing at

the claimant, sign

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-, persons whom I certify to be respectable and entitled to credit, and who, being by me duly sworn, say they were present and saw

name (or make

mark) to the foregoing declaration;

that they have every reason to believe, from the appearance of said claimant and is the identical person

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that

their acquaintance with represents -self to be, and that they have no interest in the prosecution of this claim.

Sworn to and subscribed before me this

day of

[Signatures of witnesses.] ——, A. D. 189–, and I hereby certify that the contents of the above declaration, etc., were fully made known and explained to the applicant and witnesses before swearerased, and the words -added, and that I have no interest, direct or indirect, in the prosecution of this claim.

[L. S.] ing, including the words

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The post-office address (naming street and number in all large cities) of the applicant, attor

ney,

and witnesses should be embodied in or accompany every application, and all evidence in each claim; and each change of residence of said parties, while communicating with the Bureau of Pensions or the pension agents, should be stated.

Pensions are, by law, exempted from any liability on account of the obligations of the pensioners, and no lien upon them can be recognized.

Testimony in support of allegations made in a declaration may be taken before any officer, whose authority and signature are duly certified, and who shall disclaim any interest, direct or indirect, in the prosecution of the claim.

If executed before any officer not required by law to have a seal, the official character and signature of such officer should be certified by the clerk of the county or court of record or other proper officer under his official seal.

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