3--014 ACT OF FEBRUARY 6, 1907 __________ DECLARATION FOR PENSION. __________ THE PENSION CERTIFICATE SHOULD NOT BE FORWARDED WITH THE APPLICATION __________ State of_____Iowa______ County of__Howard______ personally appeared before me, a _Clerk District Court___ within and for the county and State aforesaid,Barsnett D. Everingham, who, being duly sworn according to law, declares that he is_75_ years of age, and a resident of _____?resco_____________ county of ______Howard_____, State of ____Iowa___________; and that he is the identical person who was ENROLLED at New Oregon, Iowa______ under the name of ___Barsnett D. Everingham___, on the ___8th__ day of ___August___, 18_62__, as a __private___, in _________company "I" 38 Iowa Vol. Infantry__In the service of the United States, in the _ civil __ war, and was HONORABLY DISCHARGED at Davenport, Iowa , on the 5th day of September, 1865. That he was not employed in the military or naval service of the United States otherwise than as stated above. That his personal description at enlistment was as follows: Height, 5__feet__10_inches; complexion,__light_; color of eyes_Blue_; color of hair,_Black_; that his occupation was __Carpenter____; that he was born ___January 18th_____,18_32_, at ___Willoughby, Canada West__ That his several places of residence since leaving the service have been as follows: ______Cresco, Iowa, the entire time_____ That he is ___ a pensioner. That he has _____heretofore applied for pension________Certificate No. 165545____________ That his post-office address is __Cresco___, county of__Howard__ State of__Iowa__
stamped: valid in Law |