'f,-f-/k. fl1;-'~~'~-' '.)S3')-~ .,.1;~- _, :-c;l-ifj~f1. Widow's Application for a Pension. f kt?~ " '.l~, "n /I ':,',; :2.

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1 ",""" -; - L... ) ;,-(' - --=-- -_ = _ f -, --OO- -- m-_=---- j. t!. 1._, _. - 'f,-f-/k -.--,"",-P t... _.;" r \.{,o.;" -,:/FORM B. '.)S3')-!;.. '''')' cc...::... :---=--. --'-._.... =._-,,=:-o _._=_,,_=-- _ 13 ::s; -. 'j C) C) Wdow's Applcaton for a Penson t necessary..- _/, "--'./1 'he/«?j_oner of Penso rs>ves"jtl"e rght to call for addtonal testmony f he deems :2.1 7 ;zs- / : _,_,.".. Name of Applcant. C) e 1_ ' fl1;-''-' f kt? n_.-_ -:-f1,=t;ff,;4t='- =' =============== L: Q (.) :;:) Q G '-;; J :z ;!u t! APpveda- Fled '''&L'''''-'g=.. - Oc..-7-/.A:',- lf7cf 3. } PenSOn allowed from.1'. f. -, j ReJected : '. :..",.;... -,..:- > 1.. \ _..,.1;- _, :-c;l-fjf1 " '.l, "n / ':,',; A J'-,:'f \ ---,,,,t _._... ( 33..'0 -. -_._ " '.." -.. \, ";.,,>:!< --:'", ":" "),... -"co...

2 "For Use f 'Wdo; ';f.., COUNTYOF THE STATE...;. OF TEXAS}, Mrs.. h A.. :.L h.:..9;'..;:'"". hh h hhhhh.mm' ;,, _ wr:;""7 ''' do hereby make applcaton to the Commssoner of Pensons for a penson, to be grnted me under the Act passed by the Thrty-thrd Legslature of... the State of Texas, and app oved Aprl 7, A. D. 1913, on the followng grounds:, ' m the wdow ol.m"'h moou. u u. u U l.uu decease who departed.ths lfe on the,.,,;j",.,, k,, "".,./..u. "!ll the county olh"h.k(t/'.t.zc4u..m the State of ';"':;"', ':,.'" '00""'" uu.u h U h Uh"j"U.uu.uU.UUU.h uuumuuh.n..h.nnnhu.m.u.m..mh.unhhn uuuu..u h..u u..u.u.uuuh uh m.u.. -,\\l,:{:]:'havenot remarred snce the death of my sad husband, and do solemnly swear that was never dvorced '00" day olu 00'00'" " , A. D/7:-?.00. : from.my sad husband, and that never voluntarly abandoned hm durng hs lfe, but remaned hs true, fathful. :.nd l':wful wfe up to the date of hs death. ws marred to hm on the..2:::-t.uh.day of..hu,...u..:...:...mu...' A. D. /ux..f,.n the county Ofumu.m.uhhhu..mu..hL.u u, n the State of..uu'u""-:::::?h'==:- ;,.' My husband, the sad.qr.u..m.uaj..u.., enlsted and served n the mltary servce of the Confederate States durng the war betleen the States of e Unted States, and that he dd not desert the Confederate Servce. have been a resdent of the State of Texas snce pror to January 1, A. D. 1900, and have been contnuously snce "j a ctzen of the State. of Texas. do further state that do not receve from any source whatever money or :;.other eans' of supprt amountng n value to the sum of $ per annum, nor do own n my own rght, nor does anyoe hold n trust for my beneft or use, estate or property, ether real, personal or mxed, ether n fee or for lfe,. o.f the value of one thousand dollars, exclusve of the home of the value of not over $ ; nor do receve any ad or penson from any other Stte, or from the Unted States, or from any other source, and do.. further state that the answers gven,to the followng questons are true:,:'; ::;e ::r:l;o:g:::::::, ::...:::::::::::.:::.::::::::::.::::::::.::.::.::::.:::..:.:::.:.::.::.::::.' 3. How long have you resded n the State of: Texas?.m..2n''h'hh/UU h':'u'uuu",uuuuuuu",uuu, 1 4. How have you resded n the county' of your present resdence? And what s your postoffce address? uuu/ud uu.=-:..u.h m uumu.'k ==um m uh.uuuu..u.u.uu.u.uhu..u..u.! Dd Whatyour was husband your husband's draw a full penson? name?..uu(/7-::uuu.u.:2:6u f slt;:::: f numberu.u uu...u..h3u7.. :::=.u. 7. What was the date of hs death?uhhu uuuuu_./h. h/ 9ul 7.. uuuuuuuuuu uhuu.u.. l7ur.: 8. Uttlr husbants collnd OrgnZcd? "'hhut;;u.o;:::?;tr: l '\." #' ( [ t.'.;';'. descrpton of commanq _' and tme of servce"uu'''''h'..\uh.. h ufuu&:::?.u.' /\.u 1._<;Lq. n whch your husband served? f he was transferred from one branch of servce to another, gve tme o transfer, v,;";" "' :;.hn uuum u..u. uu.u uhu'm.unmunh ut.. uhhhhu u u m..nuuu uuuuu.u.h U.UUU.hh.U..U..UUhU.UUUhU u uu u' nh..h..huu11:' u..uuuuu..u.uuuhuhh Name branch otservce:-.n.,hch U.UUuhhu muu: um.hu.mh.um.humm.,.h your husbnd Uhh served; hhuwhether UUUu.hu..hmhuu nfantry, m cavalry, umuuu.uuuuuh artllery, U.uuhu o m.u.uu.h the navy, h.uuuu or j f, commssoned 'as an offcer by the Presdent, hs ]rank and lne of duty, or f detaled for specal servce, under the law f.conscrpton, the nature of such servce, and tme of servce huuu.uuhhhm uuu h uum,hhh.uhmuh hu..; u um..humh :.: "....uz:;;,.luuuu. ':.: \. 00 u u...huu.:....- n n n _ _ h ' _ _ n _ _.u.. m n u.1.:' m uuu h.m h h " Have you rnsferred to others any property of any knd for the purpose of becomlj.g a benefcary under th, Wherefore raw' -..- your.lxp_ pettoner ::::::::::=:.-.- prays that her aplcaton +.- _ for_ a penson _...._._._._.._ may be approved and such_ other TX : ngs be had} the premses as ar::::::e b 1::llcant)'!.JLT m.c u,..f-' :: u. '...,. SwornOtoand subscrbed befor me, ths..! ay Of..uu n m L.D. 19L1. :: " } '..t?z.l... ().A /.;...A' e [Seal.] County JUdoe..&b...e..e...e-'ounty, Texas. j 1! _J

3 .' AFFDAVT qf WTNESSES,. ;, ' ;. j. <'., [Nte:=-There 'must be at least two credtable wtnesses.] ::T::;=::J Before ru,,-.r):k'215...'q.._... _,County Jndg, O.._ &(g."'.."'.. '... _... _County, State of Texas, on ths day personally appeare..j:;;.7/;... 't1j.o. a.""who are. personally known to me to be credtable ctzens, who, beng by me duly sworn, on oath state that they personall;r know that MrS.m...m..f.....m..., appcntfor a penson as the wdow Of..-..lf!?...S deceased, s n truth and fact the wdow Of..j.'"/....",..mm deceased; that they personajjy know that she has not remarred snce the death of her husband, for whose servce n the army she clams a penson, fond that they have no nterest n ths clam. (Sgature :0 WtU",j2k.qJP---_. (Sgnature 'OfWtneSS)!.m&... m.: m m..1 f' 1"- AFFDAVT OF WTNESSES [Note.-There must be at least two credtable wtnesses.] :::T::::J \ '. l' "' m,,-q4-----' B,lore Comty Judga Of couuty, State of Texas, o.r{hs day personally appeared..,... A:.m1J!p.?-(..'!) 1.l..m, who are personally known to me to be credtable ctzens, who, beng by me duly sworn, on oath state that they; personally know the no nterest n ths clam. above named applcant for penson, and that,! they personally know that the sadmnt!mh..!....b.,... has been a,bona fde resdent ctzen of the State of Texas snce pror to January 1, A. D. 1900, and that they have. (SgUatu't 01 Wtno,,)) _a_ltzzt:4 - (SgnaturJ of WtnesS) L &... m.m..m m.. [Seal.] Sw"n to and,n"'".;b,d before ru" tb..l&.._duyol._l._.._. A. D. 19L.. '-!}J County JUdg'..nntY' 1',.

4 t "n --"-----,. f,:,f,, - y! ' -.<j'' 1 -fj' ",ls 4 - "'-- ".'.. -' -.'. L."l':"'''':<J.'lo.,.::'.<t,(J<,,'.. ;t;t,,:<-..,.j!ellj ES '".. ::".. ' '. AFF1DAVT:;OF :WTNESSES,.. (f possble, the two wtnesses should have; sered.wth th a;plcant's 'husband n the army, and f so, let them,,-'..,. '1; or ether of them, state t n ther oath; also any nformaton regardng the army servce of applcant's husband:) THE CONTYSTATE OF OF TEXAS,}. Before ne,,, County Judge of.. COUll ty, State of Texas, on ths day personally appeared, who personally known to me to be credtable ctzens, who, beng by me sworn, on oath state that they are personally acquanted wth the foregong appleant, and that the facts set forth and statements made n her applcaton are correct and,!. true, to the best of ther knowledge and belef,1and that they have no nterest n ths clam. And further make 'oath to 'the followng facts touchng the servce of the applcant's husband n the Confederate Army'; (State fully your source of knowledge) : _.,.. ': "'... _ nn _ n.n._ n.u n nn n un nn _ n on un nn _n nn T....., _ _00,.nun _ n nuu _n _nnn n.n n.n n n _ _ n nn nn n n _ n _ n _n n _ n n _ _ u _ n n n _ _ _. _ _.n _ _ n. _ _ _ _ _ _ _ _ n (Sgna ture of '\Vtnses). (Sgnature of Wtnses ) c Sworn to and subscrbed before me, ths day ol A.. D [Seal.] County Judge County, Texns. CERTFCATE OF STATE AND COUNTY ASSESSOR. rj:.j:l:.,state,'nd ConntyA,,,,"o, n the ConntyOf.J&.e.LAd St,,,, 01 To,,",,do",ct,fy th't 'u, ac::...._f WhO'"n'mo " "gn,d to the foregong applcaton for a penson, undlr the Act of the' Thrty-thrd Jegslatnre, approved Aprl 7, 1913" s charged on the tax rolls of sad county wth a homestead of the value ol. :.:.:,:::.:.L::::::ll:::::l::,:th" p,op"ty, VOa!: p",ona!, 0' Gvenund" myh,nd, th dayof..7.._a.d. 19] $(. C- Q..&;. }f.. State and County A;sessor..

5 -..., _1f REPRODUCED FROM THE HOLDNGS OF THEtTEXAS STA TE ARCHVES \ -

6 REPRODUCED FROM. TH HOLDNGS OF THEltEXAS STATE ARCHWES.J.A. McDONALD (LAWYER) COUNTY HENDERSON ATHENS, JUDGE COUNTY TEXAS 'Aug G/18. Hon.J C Jones,Com.PensoTls, Austn,TexaSe Dear S1J'1:- nclosed fnd alcat1on of' MrB A C Smeon,survveng wfe of' James H.Smpaon decea.aed,who was drawng a peneon at the.! trust you wll fnd ths apnlcton a.ll 0 K., e;q= and tha.t. herpemlon wll ;be dul j' gra.nt. ed.

7 J'L,." -.Ff lflfuflh"tfj;ol,{/lj(-"''''' l''''. """'.Pf;,1ootHJ- ""',T.-7"' XAS:STJHjtEl :.'"., '" '-'._-.1. _.::. ",. ' r( "orm 763b m. l-':"'j '..,""Cto. am., 'OA!' \..(_t'-...,,, APPLCATON FOR MORTUARY WAR-RAN(t:.!:c:,)-/':;;'}',"!,./ '. "J" /1"1> " " t 'f'" ',"/..A, county:_s. },_.h1/w'.('l do hereby fy that t perso 0 whom s entrusted the payng of-;:-;;l::;; and ndebnss of the late_14_ll --, who wa::j penson of the State of Tex:h::,;uml:d c, ded on the -::!:: of-- a Of : ;:' m the ttwn Of---f. m The penaonerded n te homeof {J who was related to the pensoneras A_ --r-'1y--...c.=-= reflm Lt6;.1W; _ funeral That expenses the warrant, ncurredwhch by theapplcaton sad pensoner s hereb!<fe for,.aah,._lf..:.." e aed to payng all or part of the further certfy that the warrant for the current month has not been cask'edby the pensoner, to the best of my knowledge and blef. " am related to the pensoneras... l m m m--- _ that mrpostoffceaddroos SW :.: m _--;c : ClY-"-=-R:---.' _ Sworn,.. to before me ths_":' day of Sgnetm----m- -a& L--, 191_ J 2J;L Notary Publc n and for State of Texas. _. days expres frobl Of Pena8' dh CERTFCATE OF UNDERTAKER., m_m m, do certfy that am undertaker n the ;'townof, County of, State ol m m 'that had charge of the body ol, who ded n the..'\;.1v,. 't '," '\"!':.':townof, County ol, State of _ )Jf.(:,. :/.:'\, ;;djf.fon the day olm m_m 19. That Sadbody was prepared for bural by me 'f':t{?-;.. r.!!:f:.;'_),.on the day ol m m m. 19, and that am of the opnon that -f J;:;. "1;warrant heren appled for should be ssued to the sad mm mn m m -,,';:1?;WhOmakes..,:g the foregong applcaton....,.-. /"-"':\ SgneL m Ud;;rtker. -- '"'.:.... "''' TX) /,. -, / CERTFCATE OF PHYSCAN '., t1..!-;;(!.:...,. -.L/T-: -r ' d,0certfy that am a practcng 'physcan, d.that,_, '-=:'-:... " /.. nst llness, and. _am of_t_h_e op:o_n_tha_l_s_a_lm_e_n ts w e=== -_c-_- :---@-TX. - --" , further certfy that am of the opnon that the Mortuary Warrant above requested should be ssued n the name of the aforementoned applcant, n accordance wth Act passed by the Thrty-eghth Legslature and approved March 2, '. '/ A".. / / /,./., '/) o ;. t ' r' - '...,.-;:;... r---:;-' _ /'f )1;,_.,.)_,o'"- " "-- Physcan' AddresB- Sgned" -9: Z' _w-/ /..LlQ. ' _ -c?22-.._nom v',.j (j..r.-:, ;. -. ( ( f:::::./'-,,.,,,',-.>,-,.,' ( :&Df 19 3'-1 '

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