{"newspaper_name": "Delaware patriot & American watchman.", "edition": "01", "page": "p4", "byline": ""}
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tito i5ih ofMay, 1925 T. -, Of .. 10 The county q
-. in the State of -, do, hereby declare that was
an officer in the Continental Line OF the Army OF tns rev
outon, and served SUCH there insert to the END OF ne
war; or (as the case may be) the time when the ar
rangemen of the Army provided by the resolves OF Con
gress Of Sd and 2s Of October, l7s0s was carried ino
effect, and reduced under that arrangement at whch
period was a in the regiment of the - line


And also declare that afterwards received celca'e
Commonly called communication certificate, Tor sum
equal the amount Of Eve years full pay; which sum was
offered by the resolve of Congress- OF the I'D OF March,
1888, instead Of the half pay tor te to which was en''
tied, under the resolve Of the 2ist Of October, 178o


And do further declare, that have received Of 'he
United States, pensoner since the Sd DAY OF March
1896 Here insert No money! Gas the case may be) that


have received pensnner of the United Staies since
the Sd day of March 1926, the sum OF -- dollars, pa'd
by the agent for paying pensions IN the state OF
-


Before me, - there insert Justice of the Peace, or
cher Mags rate duly empowered administer oahs,l N
,he county of --.s. the State of -, personally APP
,eartd, this day. - and --- Of the sad county, who
did severay, nske oa, that -, by whom the folts',
uc declaration was subscribed is generally repned and
be eved have been fiicer in the Army OF The e'o
luton, in manner as herein stated.


Witness MY ha d. this - day Of, in the year -
4 Signed]


l., Clerk oi he Court Of the County Of -, in tie
State of - d. hereby certify, that -, before whom


he frrg ing ,ifav'ts were sworn, was, at the time,
- [ere insert, Justice OF The Peace or"'her Magistrate
dnl, empowered administer oahs, and duly empowered
to administer oatts.


H. ,es iin.ny hcrco, | have herernto set my hand
f. 81 and AFFIXED the seal ct the said Coart, This daj
i Of ---- in III" year -.
i lsgnedl
4 lib


Form n declaration II be ,.ad by tie commissioned W
fcers, -Nuscans, and Pyivates.


For The purpose OF obtaining T. bt neh OF An act fo


the relief Of certain surviving officers and soldiers of ht
Amy of 'he Revolution, approved on the 18th OF May
u 1923. | -- of - in the County of -, in the 5 ait
of do reby declare that enlisted in the Conlnen


al Line Of the Amy of the Revolution io and d'ng The
war, and continued its service until s termination
which period Sereeap Corporal, Musician, or Pr
yate the be, 10 Captain IS Company, il
the regiment OF tee - line And | also declar,
tba. received certificate for the reward
egl,ty dollars, To whch was entitled under resolve y
Congress, passed he 18Th OF MAY, l775.
And iufsiel declare that not, on the ffeen'
day of March, 1898, the Pension List of the Unite
i States.


:, [sienedl


Before me, -, ere insert either Justice OF III
Peace ar other MaglstIate dull empowered sdninse
ally a;pl ared, ths day. -. and =, of The sald Count,
Nho did stverally make o. b has -, by whom the fore
: rong declaration was subscribed is generally repnted am
believed to have been Office IN the Army OF the Kevou
5 ion ia manner therein stated


Wines, my hand, thus - day of --, in the year -
! [eigncd


l. -, Clcrl. Of tue Court Of the Couuy of -, in III
+, ate af , 10 certify, that -, before whom the fore
gong aiiiayts orn At the tiue, - (Ju.
/ ce Il be Peace. The ,nay oc ana duly elr
. powered 20 administer oaths.


In teslimun, whereof, haye hereuno set my hant
Fl. 81 and affixed lie seal Of Ne said Court, this
y day q -, IL the yeat
:, .Ssnedl