Professional Documents
Culture Documents
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M$Az of ^ T < .J^^^kii^i^^^h^- SS.
In. the matter of the application for pension of *&. ^-n. ^C• (fo\ < W ^ °t GAv^UUx™
U^pLry^j, tA^J^*A^-~rn /C*+XJLri™*. Q, (Vn o^iA>^ __. __
; ON T H I S . is 7 5 day of. On. fl/W A. D . 189 0, personally appeared before me, a
PUSlUs<- .in ancid for the aforesaid County, duly authorized to administer oaths
y?L<\. . U'. LlH AA/CW\ aged 3 ^ years, a resident of - ^ w i v A ^ r x i
in the County of -JixAsiy/Lisisz>^rY^ and State of / C A
well known to me to be respectable and entitled to credit, and who being duly sworn, d e c l a r e ^ relation
to the aforesaid case as follows: That *&4u}\a.vtv) been well and personally acquainted with
'•<£ J^f^-v-v. &. [flA, &AASW\ for JL, -3 years, and _ _ years respectively, and t h a t .
-^4«^^-^*=T!-0_
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ADDITIONAL EVIDENCE.
a ! - '
CLAIM OF
1
i ° i ^ * £ / ? ? / A ^ C U v- O/^ic^O^js
LQfJJj >
a- t
FILED BY -1
4?
P*
ft
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3 £r
g
CL
IT)
!i-+•(
Attorney at Law, _l
«-. __ -t I
rt
Atchison, Kansas. „ _, D.
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Selp & Horton, Printers, Atchison, Kansas. (T> D*
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o-
M:: Ida ^ Martinfile;WC-408623; Veterans Administration, Group 15 (Washington: National Archives)
,y.
NOTICE—Witnesses must give their means of knowledge of the facts testified to.
Qeperal Affidavit.
State oP_ ., County nF ^ ^ ^ ^ f e g a , ss:
s In the matter of ^%U
/^hiJiJuAsi^. /2-frvpt-m' J- ^t l^n^\.
HMTHTS • T> A. D. 189J£ personally appeared before me, a
(Jy^JZ^j (P_^LCA in and for the aforesaid County, duly authorized to administer
n*th«/ ^ 0?. If/a^Mi^ aged ' frsl/ys/Aj ^Lwv-v. ypars, a
resident nf — £ % / l ^ C / U i ^ * 2 ^ r > ~ \ in the County of. ^ f e and State
nf ^syZZ*—i^z-<rr p --g whose postoffice address is ^?y'l^yt^^&-4->^
and. aged _years, a
resident of_ _in the County of_ and State
of .whose postoffice address is.
well known to me to be reputable and entitled to credit, and who, being duly sworn, declare^in relation to the
aforesaid case as follows:
h-^TTsi/L^Ct.
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^sltJU / l ^ ^ ^ J i ^ - M A y t
A _£feiai>3_
rV-V^r-C tW--r"Vi/
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QXA+JLAA^.
IZJL-
-^-*^OV^-*i- Lt^t^c yJ-^JU. St- 4yi. el<^Usts*f
i 9r - ,
f£U^L+-*~m <3^C-t-^X
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Ida C. Martinfile;WC-408623; Veterans Administration, Group 15 (Washington: National Archives)
•
.. • -ft.. ^f2<~+du. «fec*<(Jta
Q ^ ^ A I T U X ^ J ^ t Z U < * J L J L - * ^ / < £ • < t Y - . Z & 9 - 4 . C r U ^ < ? x s < s C i J ^ ,
£v-L. <7K*4*vli^3
<t
(K?- t-' *--i-i,-U. -'*-*v
\ \ ji - tl*ey have no interest in said case, an d q§e not concerned in its prosecution.
further declare that tJ*»\
[If affiants sign by mark, two persons who can write sign here.l AFFIANTS.
h*-~
and acquaint mi ifcaaa with its contents before *#fcy executed t h e same. I further certify that I am nowise inter-
ested in said case, nor am I conc^erne&in its-pros%cution; and that said afnant*-a*e personally" known t o m e , and
!
"0 (•)
" ";» /"", "i • I C^f P [Official Signature.
[L. S.]
[Execute before a Notary Publm.or Clprk of'Court.-'If before a Justice of the Peace, a CfAk's Certificate will be necessary.]
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Ida C. Martin file; WC-408623; Veterans Administration, Group 15 (Washington: National Archives)
i*~*-.<
I
PHYSICIAN'S AFFIDAVIT.
STATE OF 22^*2^? , COUNTY QF 4^C^^^i>^^- ss.
Pension-Claim No -of^ V'.....TMZr.r r. — C?f ST^^Z^r?^)
late
B Personally appeared before me an officer duly authorized to administer oaths within and for the County and State
= O;
a.
o aforesaid,
•H a citizen of
o
3
o
5d
whose Post Office addresB is
vTD' 9
P
CD
en well known to me to be reputable and entitled to credit, and who, being duly
m
sr
a
T3'
to
I have been a practicing physician for
JA <U>&6
years, and ptl acquainted with the above-described soldier
f about
(Here embody all the facts known to e aftlant in accordanc marginal ins, ctiona.)
to
1
3
t^^^/A •ZtHX?
to
r/ZLAsts/lW-^. sJ&iLJ^
g 3
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ISTOTBS.
Physician's affi-
davit should be Is
his own handwrit- . . /*.
ing or explanation \/y , f
made why it is not, J f i t / J 5 * <
and if made f r o m r * * * ' '
memoranda, th at
fact stated and the
memoranda em
bodied in the affi
d a v i t . It should
s h o w when the
affiant first got ac-
quainted with the >.*€- av-&<7.u vws?^T>i^j f-z^A^*<L*y srt^rt^. l^%s
soldier; for what
p e r i o d and how
well he knew him
and his o p i n i o n
(and )
for) as to soldier's
£*?L^&f./i/^ J6~Z&L.
10
physical conditio
up to the time "
came under i
a n t ' s treatment,
the date (as near yLt^»^Z^£ /**<n^&e*A-*-ri4r
He should a l s o
state what portion
of each year of this
V*X,
time was t h e sol:
Mer,reaH.v~8ble to
•pqr-form' hard
<%y £/i^* rT^^f.£.£<?<?*xst LC <frx*>
manual labor and
the cause of his in-
ability.
£ /p^T^X-
m
X
v:;i»4.i*L*v» ., • •.-.•
Ida C. Martin file; WC-408623; Veterans Administration, Group 15 (Washington: National Archives)
I further declare that 1 have no interest, either direct or indirect, in^Hie prosecution o i t h i s claim.
SWORN TO AND SUBSCRIBED BEFORE ME, this JBt..M day of /&2te&*2. A. D. 189 0 "
and I h e r e b y certify t h a t t h e affiant is a practicing physician in good professional s t a n d i n g ; • t h a t t h e contents of t h e above
declaration, etc., were fully made known to h i m before swearing, inclnding t h e words
erased, a n d t h e words
?/?A'•>
(Official Signature.)
[L. S.]
'^zQdica^
-—This should be sworn to before a CLERK OF COURT, NOTARY FUBLICTSfSEST
•jsroiJQJsi:ca:,xx,-vr T - v i o a c d c s
R
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AP R
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IdaC. Martinfile;WC-408623; Veterans ^^ministration. Group 15 (Washington: National Archives)
UBS?
':' .
GENERAL A F F I ^ V I T .
&
well known to me to be respectable and entitled to credit, and who being duly sworn, declare in relation
to the aforesaid case as follows: T h a t _ > ! k ^ . _ h a ^ < 3 been well and personally acquainted with
J- -</7L*.<sv In/£±~C^*>&Y
J**&*>^ -<U+2%-z><
yeaaa F«peetHwi[ 1 '1irrt ^sg-^fc^e:
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^/vCtSlAX-^} XL»^C^^L^LA^{ f. 11
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!f&tf$&iitt^& \
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Ida C. Martinfile;WC-408623; Veterans Administration, Group 15 (Washington: National Archives)
S T A T E OF ., COUNTY O F . ., w.
Sworn to and subscribed before me this day by the above-named affiant , and I certify that I read said
affidavit to said affiant , including the words ' ^77^-i.^ erased, and the words
and acquainted ftfe*_with its contents bef<3£e. .executed the same. I further certify that I
am in nowise interested in said case, nor amrf dbjicernecF&iais prosecution; and that said affiant ^^^.
[L. S.]
© £ ^ rr (Pu
<
/2tc* (J l/PtLCCt <^#-o i^»c m*^ tT?J
d':i'X'is-%i*.
>J >-
GO
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LU
£«*$-:'
Ida (J. Martinjple;JVC-408623; Veterans Administration, Group 15 (Washington: National Archives)
State of
Xss.
County oi-^v^C^f^c<z~t>-z<^
Company
-*7J£ &**<£&..Meg\mer\\......<^.C^rtt^^
and entitled to credit, and who, being duly sworn, declare in relation to aforesaid claim, that the date of the b i r t h s
That<«t*,. £*r3V*?:.present at the birth^f the same in the capacity oLCW&Kvet**?^. .tf. r£ and has
.further declarer that =<£v*^...«-<»-*..no in terest in said claim, and...<^"?...not conoerned in itt
prosecution.
Signature
of
Affiants.
SWOKN TO AND SUBSCBIBED BEFORE ME this day by the above named affiants; and I certify that I read said
affidavit to said affiants, and acquainted them with its contents before they executed the same. I further certify
that I am in nowise interested in said claim, nor am I concerned in_ks prosecution^.....v_...Jfruje-cv 1-uw rvc-<5> >
NOTE.—This should be sworn to before a CLERK OF COURT or JUSTICE OF THE PEACE. If before a JUSTICE, then
CLERK OF COUNTY COURT mutt add hit certificate of character on the back hereof and not on a separate slip of paper.
County and State, do certify that , Esq., who hath signed his
\ . \ .
name to the foregoing affidavit, was at thetime of so doing a
. i. in
*and State, duly commissioned and sworn ; that aft his official acts are entitled to full faith and
and for said County^jnc
\ \ . \ \
cr
credit, and that his signature thereunto is genuine. ^
\
\
Witness my hand and seal of offioe,...-. day of.. :., is
*
x
Clerk of the.
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Ida C. Martinfile;WC-408623; Veterans Administration, Group 15 (Washington: National Archives)
[3—013.]
&UM-JLkxj^a^.v&A^4^.j^£^^
on the Sr.fhrfiLiL day of . . . ^ £ ^ K - £ ~ L * « _ . _ _ _, A. D. V&?*?, who bore at the time of his death the rank of
-C»=Ca»r»<^*!L k .ffl3-#*;..'^^3? / _^fc4C„ in ?. t^£^.QA/^(r'fr<<iJ-.i!^±<rX^A^^^-f^. i that 8 ' l e W1S
"lurried under the name of
&d^..J&^ZLjj£j4it> to said . . . w J h w * & % d&£~*<&r**i*.
""the /.&£_ day of J^C-6^4L< , A. D. 1 8 ^ T b y i^&P^Vr.. . f e . ^ f c f e * ^ * * - .
•t -•de'C&isLA^l&ZtO -xSO.d*-{*v&^&r?*& ..__, there being no legal barrier to such marriage; that neither she nor her husband had been
previously married \
that she has to the present date remained hiB widow ; that the following are the names and dates of birth of all his legitimate children yet surviving
who were under sixteen years of age at the father's death, to wit:
HIS BY H E R S I X F . H I S BY A F O R M E R M A R R I A G E .
that she has not in any manner been engaged in, or aided or abetted, the rebellion in the United States; that . <?-k</*___ prior application has been
tiled <S
he
that she hereby appoints _/^^4fC^r£c^jCi^^^^..^^..j^U?J^r<^.^t^: :_'.•—- •- r attorney to prosecute her claim ;
that her residence is No. ..u.l.)^7..>^r^-Cr!-LA^O^. street,
ft
and that her post office address is . _ v ^ ) C i ^ i ^ i f c s ^ „ . . ^ ^ ? . < 3 U ^ r ^ r f ; t ^ ? ' - > %$.
(Attest.)
(Attert.)
(L'luimant'B signature.)
SWORN to and subscribed before me this tP^O day of .J&^firiifJefiJL- > ^- ^ - ^ £^0
and I hereby certify that the contents of the above declaration, & c , were fully made known and explained
to the applicant and witnesses before swearing, including the words „_.
(Signature
(Official rhrirjHJui.;
mmgw&m
if iiarmy; otTSaad and rank, if la L .
an^c^nillMllliuafasasniWns;them, or the disease and manner lu which it was incutjfad, in either case showing soldier's death to have
p*«rorpauf(l," or otherwise.
\ U " !l3P"! T,°, ™"' P™ T l o u «iy married, so state, and give date of death or divorce of former sponse.
lt , U
n f o r *°S» children as are not nnder her care claimant should account
u If prior application has been nled, either by soldier or widow, »o state, giving number assigned to it.
(7777—10 at)
o I AC-OA *
ft tf
o ft 9 m
o
p ft w w
ft E o
/
All the blanks in this form should be carefully filled and the requirements of t h e notes strictly observed.
An honorable discharge from t h e service in all cases is necessary.
Declarations of claimants, either for original pension or for increase of pension already granted, must be made before a court of record or before
some officer thereof having custody of its s e a l ; said officer being fully authorized and empowered to administer and certify any oath or affirmation
relating to any pension or application therefor.
The claimant's identity and loyalty must be proven b y two witnesses, certified b y the judicial officer to be respectable and credible, who are
present and witness the signature of the declarant, and certify to his identity and loyalty under oath or affirmation.
Declarations and other papers should be as legible and as clear in statement as possible.
Where a n y evidence is already on file in any department of the Government, a definite description of and specific reference to it will render it
available in a n y subsequent claim.
The post office address ( n a m i n g Btreet and number in all large cities) of the applicant, attorney, and witnesses should be embodied in or accom-
pany every application, and all evidence in each claim ; and each change of residence of said parties, while communicating with the Pension Office
or tile 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.
All facts, testimony of which is required to establish a claim, must he proven by the affidavits of two or more credible witnesses, unW.sa other
evidence is specified.
The statements of claimants, unless duly corroborated, are not accepted as evidence.
Testimony in support of allegations made in a declaration may be taken before any officer whose authority and signature are duly certified,
and who sh::li disclaim any interest, direct or indirect, in the prosecution of the claim.
With all claims for arrears, increase, or restoration to the rolls, the original pension certificate must he returned, or explanation of its absence
must be given under oath.
To facilitate the adjudication of claims, all the requisite evidence that is available should li« forwarded with llw application.
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Ida d. Mdllinflle,WC-408>313, H — j AtMnmnUluli W&P 15 (WaSnington: Natural ArchVes)
M-OCIAJ.
• • _ Q ) X A A U - ^ A J : f v L / i A y ^ u .
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aatinfile;WC-408623; Veterans Administratis Group lyO^^slm&pn: National Archives)
arn^Lc C^C-t^. i
!0_
Judge of Probate Court in and for Atchison County, State of Kansas.
i ^ Ada,C- v Martin fiIe; WC-408623; Veterans Administration, Group 15 (Washington: National Archives)
ss.
ion,
artxn ; r j oeint; ; dul}, sworn on o a t h , d e p o s e s and s a y s *
wmmshe i s the widow of John A. K a r t i n . C o l , , 8th Kansas I n f a n t r y ;
IKfc
..•-.,".'•.• .:•'.';-'/.''''y--.*.-'•:'"•'*• - .•>'*'•*"_ v »•
Sfei^M|Mae;,:eyery p o s s i h l e e f f o r t to o b t a i n a d d i t i o n a l evidence to t h a t
1
llljready on f i l e in the o f f i c e or the Pension fWT&*tL , to show^the c s \ f e
c'aae, because o the death of those,who alone are fand.liar with the
v»* •-
^|^;„cSii^«'ri.oedb.^d sworn to before h& thff 22nd day of Dec. 1893.
- • x ^ - : l5ty Vr cof;ml*ssion
e x p i r e s A p r i l ^Ulwr'-^^^ fj^uJ^U, Notary r u o u c
Ida C. Martinfile;WCM08623; Veterans Administration, Group 15 (Washington: National Archives)
\ fr * *
T
^ 3—015
.<; pension;under the provisions of the act of Congress approved May 1, 1920.
That abe is .._._;„ll!;....9.Q... years of age, that she was born Hay...25T - , 1-851-
0 at | • ; ->••• : ^._..i^oor3to\xn.,...]i^..j.*....
111
That she is the widow of -jk"' *•' * - - ^ofe A* I^y-fcli^, __, w ho
0 ENLISTED :S.ep t. JL _.^ )- ..mai j .. I i , at .....At-dll-San.,—J£an.3a37 , under the name of
1
Io}m..Ai~IyIar_£iJQ„ I , in „J&fiJBliL-Bagl mRn-t.-l^as^-yal-uate^g-
i iRtanlry. L.l-....GQlQHal...aJld...GDlQILel
(Here state company and regiment, if In the Army; or vassel, ilia tniTNavy)
and was honorably
r-
DISCHARGED .Jl&lLi 15., 10fl5 —, 1 , h a v i n g s e r v e d n i n e t y d a y s o r m o r e , o r w a s d i s c h a r g e d for, or d i e d i n s e r v i c e
k of t h e U n i t e d S t a t e s o f a d i s a b i l i t y i n c u r r e d i n t h e s e r v i c e i n t h e l i n e of d u t y , d u r i n g t h e C I V I L W A R , a n d w h o
0 DIED 9.1o t»_2nd_» , ioa9:., at M.QhLS.QJLV--Eanaas,
* That he also served in
0 (Here give a complete statement of all other military or naval service, if any, at whatever time rendered)
< and that, except as herein stated, said soldier (or sailor) was..HQ.tL employed in the military or naval service of the United States;
CD
hi THAT SHE WAS MARRIED to said soldier (or sailor) JtiUm %* , , 1.A7.1..., under the name
A
I of J.l?.,..Q.halllas. ..., at *«*M r w , Kaniiqp -,-
I- by i— „BS.X.« S J f l n n n ^ • that she had . . . H Q . t been previously married, that he had _**5L5
2 been previously married;
(If there was a prior marriage of either, the name and the date and place of death or divorce of the former consort, or consorts, should be stated)
CD
Z
0 That neither she nor said soldier was ever married otherwise than as stated above. , >-s
h That she was NOT divorced from the soldier (or sailor) and that she has NOT remarried since his death;
0 That the following are the ONLY children OF T H E SOLDIER (or sailor) who are now living and are tinker sixteen years of age:
D (If he left no children tinder sixteen years of age, the claimant shoold so state) /* B C/ •*
/: £g
IT H.QXLQ , born ., 1 , at.
I-
<D , born , 1 , at.
Z , born ., 1.. , at.
- r ^ — % - * - — ^ Eg- • C7
LJ
:;—-~-~-i^....~—it::.". .-_ . . . . . . b o r n ~—— • —
, born
, , 1
, 1
__, a t .
, at.
I:•&•'• '~^"7"-* " • • —;---*•
I
, born ., 1 , at.
H
T h a t s h e . d i d — U O - t - s e r v e i n t h e A r m y , N a v y , M a r i n e C o r p s , o r C o a s t G u a r d of t h e U n i t e d S t a t e s b e t w e e n - A ' p r i l ' 6 , 1 9 1 7 , a n d
(Did or did not)
July 2 , 1 9 2 1 , or a t a n y t i m e during said period.
2 That she has heretofore applied for pension, £he number of her former claim being 1 ? C ~ 4 . Q . 8 £ L £ 3 — ; that said
Q soldier (or sailor) was XlQi a pensioner, the number of his pension certificate being
(i) —]^^^u^A..L
I * (Signature off first
flu witness) ^ H v U c OLuU^«> T^U^UCZ
^.SL^trffeABL-.-.-.-A.
-»»jk (Address of first witnW) (Claimant's signature in full)
/ A * (Signatusek
[L. S.]
^—\ . (Ofecial character^
A C T O F M A Y 1, 1920
Under the provisions of the Act of May 1, 1920, the widow of any person who served in the Army, Navy, or Marine Corps
during the Civil War for ninety days or more, and was honorably discharged, or regardless of the length of service was discharged for
or died in service of a disability incurred in the service in line of duty, may be entitled to pension, without regard to her financial
condition, provided she was married to him prior to June 27, 1905. The rate of pension is $30 per month, and $6 additional for
each of his children under the age of 16 years. Pension commences from the date of filing a valid declaration in the bureau.
The act of July 3, 1926, increases the rate to $50 per month only in the event that the widow was the wife of the soldier, sailor,
or marine during the period of his service in the Civil War."
"That no claim agent or attorney or other person shall be recognized in the adjustment of claims under this Act, except in
claims for original pension, and in such cases no more than the sum of $10 shall be allowed for services in preparing, presenting, or
prosecuting any such claim, which sum shall be payable only on the order of the Commissioner of Pensions; and any person who
shall violate any of the provisions of this section, or shall wrongfully withhold from the pensioner or claimant the whole or any part
of a pension allowed or due to such pensioner or claimant under this Act, shall be deemed guilty of a misdemeanor, and upon con-
viction thereof shall, for each and every offense, be fined not exceeding $500 or be imprisoned not exceeding one year, or both, in
the discretion of the court." • "
INSTRUCTIONS—READ CAREFULLY
i • -'
Declaration and testimony must be executed before some officer authorized to administer oaths for general purposes. If such
officer is not required by law to have and use a seal, his official character, signature, and term of office must lie certified by the
proper State, county, or city officer under his official seal, unless such certificate has been filed in the Bureau of Pensions for general
reference. • • ': .••-•'—»•••. -•,',•• •_ ••••-••:• ;'"•-. - -••; • • •'••''•"I'-'v
Under the law, a person may not receive pension from the Bureau of Pensions and compensation or vocational training pay through
the United States Veterans' Bureau, covering the same period of time, except that the receipt of compensation by a widow, child,
or parent on account of the death of any person will not bar the payment of pension on account of the death of any other person. ;
That part of the declaration referring to service between April 6,1917, and July 2,1921, should show whether the claimant or any
member of her family rendered any service in the Army, Navy, Marine Corps, or Coast Guard of the United States during said
period, and if so, the foil name under which each served should, be stated, together with the designation of the organization in (or
the vessel on) which such service was rendered with dates of enlistment and discharge. ' ;v
The term "family" includes: Child, legally adopted child, stepchild, father, mother, stepfather, stepmother, father and mother
through adoption, and person who has stood in place of parent for a period of not less than one year prior to induction into service.
. i. ;,':.:';»,,.
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Ida C. Martinfile;WC-408623; Veterans Administration, Group 15 (Washington: National Archives)
T H E STATE OF KANSAS.
ADJUTANT GENERAL'S OFFICE.
Topeka,, 71 cu *
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3 3 r t c r c b l j ( f i c r t t t l j . That it appears from the records on, file in. this office, that
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by *0 :'' LAS
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B U R E A U OK P E N S I O N S ,
SIR: .
----- JfakUd Washington, D. C, jkd&SJL , 18$JL
I t is alleged that / t p - f f i * ^ ^ . / M J U L J I Z ^ . enlisted Ww~t Vl , mil
also as a in Co , Eeg't
r dA^i4^*--M-^M&tt<£^--
and was treated in hospitals of which the names, locations, and dates of treatment are as follows:
In case of the above-named soldier the War Department is requested to furnish an official statement of the
enrollment, discharge, and record of service so far as the same may be applicable to the foregoing allegation,
together with full medical history. Please give the rank he held at the time he is claimed to have incurred the
disability alleged, and if records show that he was not in line of duty during that period, let the fact be stated.
Very respectful 1\, / }
"^y-f.^t- \~ •••'
Commissioner.
The Officer in Charge of the
Record and Pension Division,
War Department.
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By authority of the Secretary of War:
AJLSLAJ*- .6^^^^^^4^^^^^-<2^bfc^Ai^
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DROP REPORT—PENSIONER
IDA C MARTIN
ATCHISON KANS
4086 2 3 JUNE ».ID
315 ti OKTli TERRACE
Cert. No.
Pensioner
Soldier ...
Service ....
Class
Remarks
NOU.4 1932
BEC-4 19-32
ACCOUNTING DIVISION
NOV.1.8.1932 193
The name of the above-described pensioner
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Ida & Martinfile;WC-408623; Veterans Administration, Group 15 (Washington: National Archives)
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O N T H I S _ . A ^ _ j § L _ _ d a y of (/?7 ^w A. D . 189 0, personally appeared before me, a
Q\ oXHOv^ B t v i t v c in and for the aforesaid County, duly authorized to administer oaths
well known to me to be respectable and entitled to credit, and who being duly sworn, declare^n relation
to the aforesaid case as follows: That_„...J^uhavtiobeen well and personally acquainted with
1^JL^i^y\. d . (/H. &A€VV\ for JL 3 years, and years respectively, and that...
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Sworn to and subscribed before me this day by the above-named affiant , and I certify that I read said
affidavit to said affiant , including the words o tfaU*; Jcf- tz. J ?- erased, and the words
(TllCtAf 8 /.J<rJHJL added
and acquainted_ J-wt/vr with rfs^ntOTts""befor.p^s2^i^- executed the same. I further certify that I
am in nowise interested in said'^aae, noparti I koncVned in its prosecution; and that said affiant
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Icfc|C. Martinfile;WC-408623; Veterans Administration, Group 15 (Washington: National Archives)
NOTICE—"Witnesses must give their means of knowledge of the facts testified to.
Qeperal Affidavit.
fitate oP- ., County nP J%^4^4T^<SL--*--^ . ss:
^?2^Z^y (P^U^, in and for the aforesaid County, duly authorized to administer
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oaths ^ € d?. bya-ta^Lss aged Lsi/Js/7? ^-7\v*- years, a
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[If affiants sign by mark, two persons who can write sign here.] AFFIANTS.
and acquainting thi'm with its contents before tflpy executed t h e same.
he- I further certify that I am nowise inter-
ested in said case, nor am I concerned-in its.-pros*cution; and that said affiant»-a*e personally'known to me, and
[Execute before a Notary Publm.or Cffi'k'ofrCourt.-^If before a Justice of the Peace, a Cl/rk's Certificate will be necessary.]
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Ida C. Martinfile;WC-408623; Veterans Administration, Group 15 (Washington: National Archives)
PHYSICIAN'S AFFIDAVIT,
STATE OF m
PensioiuClaim No.
&^i&*&<?
of
COUNTY
Z . T r f T x r r T T"-^ LL^Y
late
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& Personally appeared before me an officer duly authorized to administer oaths within and for the County and State
a* o
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O aforesaid, a citizen of ftZr>*^i*z>
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whose Post Office address is
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<^lK^MS3^*-J? - well known to me to be reputable and entitled to credit, and who, being duly a
1? a
ior
sworn, declares in relation to aforesaid case as follows: -
s I have been a practicing physician for >—f..j&. years, and fat acquainted with the above-described soldier £
c
0Z
S£ &
about
4 (Here embody all the facts known to tfle affiant in accordance with the marginal instructions.) „
o
B «« <£L#£L
St •«
00 g
c 3
3
w e
O fcoL&risvJ^L JeidL
z?/jKfA ^ y ^ fac^sC*.
/#*y- \ t/Lts /*?<n^c |
3STOTB3. ml -J<f~ftr>- & /tt-^AlzL 4+t*
Physician's affi-
davit should he in
his own handwrit-
ing or explanation
made why it is not,
and if made from
memoranda, t h a t
fact stated and the
memoranda e m -
bodied in the affi-
As>****-£l4c£yJLS .
d a v i t . It should
s h o w when t h e
affiant first got ac- *?**£ (Pv-*>0*{2 St^ny?^ r^jjfi&ZpTH^ri^i g*L-*3L\
quainted with the
soldier; f o r what
p e r i o d and how
well he knew him
tf^WcAyzZt+i-, '
and his o p i n i o n
(and reason there-
for) as to soldier's
physical conditioi
up to the time "
came under t
a n t ' s treatment:
•ffcdfcAa
the date (as near
a s may he) t h a t
the treatment was
commenced; t
£M4k*t£^£?ri,
ed by the different%JL>tMJL
whole time cove: _.
periods of t r e a t -
ment and soldier's
physical condition
during that time.
He should a l s o
state what portion
of each year of this
time was t h e sol-
ilier realisable to
perform hard
manual labor and
the cause of his in
ability. jsi*~$«s6£^i/ /i£ri/£.
^f2*ri>£6'.(l+JLi'Z/L CUnA^lc/s 6&ttA
*J *£}<<i <H*/~£- 'jy^^yi^ri-/. '7 6&> H^A^
•'
Ida C. Martin file; WC-408623; Veterans Administration, Group 15 (Washington: National Archives)
I further declare t h a t 1 have no interest, either direct or indirect, in^&e prosecution o i t h i a claim.
erased, a n d t h e words
?/?/ >
(Official Signature.)
lature.)
[L. S.]
-This should be sworn to before a CLERK OF COURT, NOTARY PTJBLICTifHSST. CErliavmff a'
•JSTOiaLjsxrH:jDJ,~¥- i v i o a a s
<^
o
6
a. H
H s
N x
fi
N C
3
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iw o
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i :
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Ida C. Martinfile;WCM08623; Vetera^Administration. Group 15 (Washington: National Archives)
GENERAL A F F I r ^ V I T .
(/LZMJC^CC^I r?t*siL&Z^ in and for the aforesaid County, duly authorized to administer oaths
well known to me to be respectable and entitled to credit, and who being duly sworn, declare in relation
to the aforesaid case as follows: That_>4^>__ha*<3 been well and personally acquainted with
</2isLt sf.in/Ct*^^*>r for 3c3 years, -and • yrnrr respectively, and that.
<jr
C<?C^^gr7
^ ^ W &.<7?S*i~€^r. M?C —
$
flJT^jL
^phr~6i*4 ~tA-£jc^escs**^£*^
or
2^^
0 e***jj QiJL*-/L*"*t'<-*s •< /f&. *. ~ Jh*~~ /f?f
^i<^if^ &&*-***-*>
Id^C. Martinfile;WC-408623; VeteransfomMstration.Group 15 (Washington: National Archives)
r
State of ^fr^c^^ ;i
>ss.
County of~^V^C^t>c<z~z3rz-i:^
and entitled to credit, and who, being duly sworn, declare in relation to aforesaid claim, that the date of the b i r t h s
That/£%*-. £^3*rf?. present at the birth^of the same in the capacity of.<?^**v*?^^^..^ri<*^r5?--*rrSrTr;*ff and has
prosecution.
^^A-^_ .further declare that /i£/A^>-<r no interest in said case and. not concerned
in its prosecution.
~~!L added
and acquainted^z-«^***__with its contents bef<Sj»e„ ^Zj^._._executed the same. I further certify that I
am in nowise interested in said case, nor am-^c*diicernec§ncas prosecution; and that said affiant , ^ ? ^ ? ! _
personally known to me and that ^TJL. S*^& "~ ^fr-^: creaeShjg person.
' 30
CO /t^njzx^ed
j/^H^iY (/^^L.
[L. S.] >.*••• ,«k CO ^
T *
s N
tf
3
>i s 'A!
~»3r P» 7k —-.'at-'
^
i ^
Ida C. Martin file; WC-408623; Veterans Administration, Group 15 (Washington: National Archives)
NOTK.—This should be sworn to before a CLERK OF COURT or JUSTICE OF THE PEACE. If before a JUSTICE, then
CLERK OF COUNTY COURT mutt add hie certificate of character on the back hereof, and not on a teparate tlip of paper.
Clerk of the.
d
P
n
f 6
*>
s
- f*$ 1
r— _ . » -* •
cr ', ^i ja
PP
ft =S • M 1
u~* > , ^
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X
U-' -< VI a
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Ida C. Martin file; WC-408623; Veterans Administration, Gr>
natures of witneriBe*.)
(Signature.) ^/ .
<Ofa<Hi»! rhnrsctoj^)
0 t
M
oc
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H | -4 re
PH
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<«
All the blanks in this form should be carefully filled and the requirements of the notes strictly observed.
An honorable discharge from the service in all cases is necessary.
Declarations of claimants, either for original pension or for increase of pension already granted, must be made before a court of record or befor*
some officer thereof having custody of its seal; said officer being fully authorized and empowered to adiniuister and certify any oath or affirmation
relating to any pension or application therefor.
The claimant's identity and loyalty must be proven by two witnesses, certified by the judicial officer to he respectable and credible, who are
present and witness the signature of the declarant, and certify to his identity and loyalty under oath or affirmation.
Declarations and other papers should be as legible and as clear in statement as possible.
Where any evidence is already on file in any department of the Government, a definite description of and specific reference to it will render it
available in any subsequent claim.
The post office address (naming street and number in all large cities) of the applicant, attorney, and witnesses should be embodied in or accom-
pany every application, and all evidence in each clahn; and each change of residence of said parties, while communicating with the Pension Office
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.
All facts, testimony of which is required to establish a claim, must be proven by the affidavits of two or more credible witnesses, unless other
evidence is specified.
The statements of claimants, unless duly corroborated, are not accepted as evidence.
Testimony in support of allegations made in a declaration may he taken before any eifieer whose authority and signature are duly certified,
and who sh;;ll disclaim any interest, direct or indirect, in the prosecution of the claim.
With all claims for arrears, increase, or restoration to the rolls, the original pension certificate must be returned, or explanation of its absence
must be given under oath.
To facilitate the adjudication of claims, all the requisite evidence that is available should be forwarded with the application.
-i'
i •a ts
•S ^3
30
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>
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S
0
a
as
£
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ar
j. * fa ©
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* 9 a 8 43
3!
60 3 a (3
o
w
^ 0
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£2
mm *r
= 5 1•p* £m
J »
s
03 -p- AM •pH
—
'3 9 0 e5 fa
m — a 4 a fa
<a *» 3C
II
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mm
IdaC. Martin file; WC-408623; Veterans Afpiinistratioh, Group 15 (Washington: National Archives) .-'"^tUT^St
,11! i /7 «» ,--?.(
1
/ 0 0 iff ' (7
.y}2j!La^ay^^ sis<2/ 3&..^S.JL,OSL/4J cry sa-^fZ/, OL^L^Jd ^/YLi^Qj rYx&JH.sWMSI££<J(4t
st'^/J&ti _^y J^si J' jrf ^aft/y SUSIXAJ /tM-£+f <^*-^~& Vu<tA~ <^-JJ^OXA^CL)
<&*>1A/-^.
J .Jira,M9Z.
Ji^tJL_AylytSlA-s, \JVfLsLAyes4t4s,
a
. a^7\ £.'
JCUylAj 'ayiyiyoA-4i
„ . .
tnAJ.&jTFb iAJUxJUATU OLA^CUU^ tTY~iSl-lJAj AJ) ATnyiA^i s\sisv ~>ny^a^is^-nyQi^aEs-
I Jl*^yuuU...AA)
H
r J / J <>•— V ~ r. p • (1
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Jf (1) ^-aykA^AJ. p
(jiisdnalZt
Ida C. Martin file; WC-408623; Veterans Administration, Group 15 (Washington: National Archives)
[3—013.]
-+4
On this ___Z>J7'~_ 4»v/f , A. D. one thousand eight hundred and __^_(?_
the same being a court of record within and for the county and State aforesaid, „£/^/Z
oged V-j- . years, who, being duly sworn according to law, makes the following declaration in order to obtain the pension
provided by Acts of Congress granting pensions to widows : That she is the widow of __^J^_L^U.^^.JA^-^^JCO'^4^<*>. -
w
]j> ^ * * « * £ 6 ^ j ^ _ « f ^ 3 l _ _ _ . under the name of t-/.*^, ^JL d^oL^vCZc&
*J-i* /^ , y - ^ ^ — — — ™—~i""J "
« ^^i^ra^.^feidt^}^^,...?^.^?^^ j on <Bm ^"/ ^= *yrf_.^&&5&*!— - »•*> D - 18
&/>
™i--t£&.-£^...^a^^^r&K&&.. „
in the war of . . ^ K o . ^l^i£^^L£^^^>_.£__ , who?_^^£i!rfa^|£^__<=&^
on the _...^r.*L<flt-£ __ day of . (P.cJti^t^V. * A. D. VSP9, who bore at the time of his death the rank of
•^oJii^t^tJ^T.,^X^^^.fLJ?^i^J&t^C4, in ^.i^^.QA^0r^C^._e^jHClA^^?^^-4^i ! that she was married under the name of
-££dL^..<£cMLciLjUL*t& to said .. ( 2 [ ^ j « ^ - 0 j , . ^ . , ^ 4 « ^ ^ ^ ' - -
>n the /.&(£. day of __. \iA^UtA^ , A. D. 18G^fby ^^^^^..fe.,^^*^*** _
at j-&£CsULAr&!CrZ!0-t._VO<?/?rft4«r«^r^ , there being no legal barrier to such marriage; that neither she nor her husband had been
previously married *
that she haw to the present date remained his widow; that the following are the names and dates of birth of all his legitimate children yet surviving
who were under sixteen years of age at the father's death, to wit:
that she has not in any manner been engaged in, or aided or abetted, the rebellion in the United States; that _/?i^/"___ prior application has been
tiled « , .
that she berehy appoints X^?~yL<^0..^ r ^ f<A . - / t y ^ j ^ ^ / r ^ y her attorney to prosecute her claim;
1I
INSTRUCTIONS—READ CAREFULLY
Declaration and testimony must be executed before some officer authorised to administer oaths for general purposes. If such
officer is not required by law to have and use a seal, his official character, signature, and term of office must be certified by the
proper State, county, or city officer under his official seal, unless such certificate has been filed in the Bureau of Pensions for general
reference.
Under the law, a person may not receive pension from the Bureau of Pensions and compensation or vocational training pay through
the United States Veterans' Bureau, covering the same period of time, except that the receipt of compensation by a widow, child,
or parent on account of the death of any person will not bar the payment of pension on account of the death of any other pe.-son. :
That part of the declaration referring to service between April 6,1917, and July 2,1921, should show whether the claimant or any
member of her family rendered any service in the Army, Navy, Marine Corps, or Coast Guard of the United States during said
period, and if so, the full name under which each served should be stated, together with the designation of the organization in (or
the vessel on) which such service was rendered with dates of enlistment and discharge.
The term "family" includes: Child, legally adopted child, stepchild, father, mother, stepfather, stepmother, father and mother
through adoption, and person who has stood in place of parent for a period of not less than one year prior to induction into service.
JrtafrT Muffinfile,WC .108633; Veterans jJWiiiilUliuiWl), OJUIJJJ /J IWUUJimglWl! Nafional Archives)
&IUJ.~X)AJISAJ J / L . - ^ . i ^ ^ AALI
J
Tyi^Sbd^uQj... 9^a^CtL^y, GUscJj. /71A^Z4J dUtciy <Q i^aJM^i^, ^ ^ ^ \
• i r u H i n A j .
Q)XAM^UU. ^XAyiAyiAJ. —
• 9 A
P? 3 £4
{TS - « - CO
\ ^ # #
[•mm—i ii i
Ida C. Martin file; WC-408623; Veterans Administration, Group 15 (Washington:
liirair i • . •»-
--C^L^t^i
'.../..,
Probate Court, Atchison Co., Kansas.
'V'-:"". ••';•
Ida C. Martinfile;WC-408623; Veterans Administration, Group 15 (Washington: National Archives)
tf
:P* ' 3 n > ^ § l t t e r of the application of Ida C. Martin,
V
John A. Martin,Col. 8th Kansas InfarMry.
State of Kansas,
C c
f Atchison.
the United States Aanny; that Dr. VI. H. Grimes, the physician who at-
tended hiii* during his sickness immediately following his return from
This, affiant remembers that at and before the time of h^r marriage
ways said that he had contracted i t when i n .the service of the army,
and that he had been troubled with i t ever since; that this cough was
Jtona. „, born .
-'»* M& w -1^._
_, born .
_, at |t*-.«a 68- -OB
—, born . _, at U_-i?5,—4i
£?*.£
id
—, born :
—, born .
„ , at „
, at.
::•
<^m—£ia ia i.--.-
X
i _, born.
h ., at
That s h e - d i d — n o t - serve in the Army, Navy, Marine Corps, or Coast Guard of the United States between-Aprii 6, 1917, and
j. (Did or did not)
|_ July 2, 1921, or at any time during said period.
C That .*_—„. membejgof her family served in the Army, Navy, Marine Corps, or Coast Guard of the Uniteq ites between
5 ("a" or "no") *£/L, st
April 6, 1917, and July 2, 1921, or a t any time during said period ^uB^k^^^L^.
^" A * . ^ ! * * * /2>/ — « C A* ~jf-* / 7 ' /£. jeifflta"
• (If any members Qbrialmant's famil/were in the jnilitarayt naval service during the
J period mentioned, state the full name under which eacnsuch member served, with the designation of the organization in (or vessel on) which such/iervicewas rendered,
•^ together with the dates of enlistment and discharge. State also whether any such members are dead, and if so, give the names)
>2nd^.JLt*--85-th. ,
gj0v.eraQjas..^arvice-,
<c; That she has .
Q soldier (or sailor) was A Q *. a pensioner, the number of his pension certificate being
0
0
J
(1) rzof first witness)
hui.(Lu c£*M*~» ht^U^Z
(
(Addres/oY tJ>_
id witness)
Subscribed and sworn to before me this ^f^. day of zsE3sSss!SSS^L , 1 9 ^ / , and I hereby certify that
^ the contents of the above declaration were fully made known and explained to the applicant before swearing, including the words
Q b=r=: erased, and the words r r r n n T m . .^. added; and that I
have no interest, direct or indirect, in the prosecution of this claim.
I cx
-^^^aD
/ A 4 (SignatjjseK
[L. S.]
~*~^
^—\ . (Official
l u m a a i character)
cnaracter)
_ (Poston^osaddrr"
(Post office address of officer) 8—6211
4fi
Ida C. Martin file; WC-408623; Veterans Administration, Group 15 (Washington: National Archives)
T H E STATE OF KANSAS.
ADJUTANT GENERAL'S OFFICE.
Zf
Timlejt. //( a-U / 7 .18#C
31 i i c r t b u <8iei'tit|Jt That it appears from the records on file in this office, that
\^i/^nt4M/..
Ws. 18 at ^^^.d^.?.y:.4......^<S:±X^M/. d[g...£?^-:<^rd4S.
7f 7)—
*>y. and mustered into the U. S. service as
-^ct&i^uJ^.. in Gompany Regiment Kansas Volunteers,
.&<&/%&-. ,mr^rt<<.'^L.
£&*:...
/
that the following remarhs appear on the nwster-out roll, d,ated_ 2h^. 2.1. i8.U
J?—
YtttiJ...
/
^^..^.kX.^^dii^..tkM^...^.in,. OA. *i4t£&tU&JZ& •7u -«&aaj ££&&£..
..«,, />
— 7 7'
id '•w.twz.sL. 1te>cJ'.....£U}. (i l&d/Z&L
l.U±(ff/MJs7~.AdAdjutant General.
Ida C. Martin file; WC-408623; Veterans Administration, Group 15 (Washington: National Archives)
(3-060.)
£&^£__.Mr.
Mo. 'ki&Lii* BUREAU OR PENSIONS,
and was treated in hospitals of which the names, locations, and dates of treatment are as follows:
In case of the above-named soldier the War Department is requested to furnish an official statement of the
enrollment, discharge, and record of service so far as the same may be applicable to the foregoing allegation,
together with full medical history. Please give the rank he held at the time he is claimed to have incurred the
disability alleged, and if records show that he was not in line of duty during that period, let the fact be stated.
Very respectfullj,
Ct Commissioner.
The Officer in Charge of the
Record and Pension Division,
War Department.
O 2
19413 b—50 m
h&V/ (3—060.)
t • .
.
Ida C. Martinfile;WC-408623; Veterans Administration, Group 15 (Washington: National Archives)
DROP REPORT—PENSIONER
IDA C MARTIN
ATCKISOIT KAKS
4086 23 JU1JE W.ID
315 NORTH TERRACE
Cert. No.
Pensioner
• Soldier ...,
Service ....
Class
Remarks
m.A 1932
-DEG'4 1932
ACCOUNTING DIVISION
NOV.18.132 193
The name of the above-described pensioner
cause of \AJjr.l.£tJL*.