Scott County Arkansas
Civil War Pension Applications
GEORGE W. McCLAIN
Contributed by Carrie Moos
Note: George W. McClain was closely related to John McClain, whose
Pension file I have also contributed. George was probably a brother
or a nephew to John and they served together in the same Regiment,
were listed together on the Scott County census in 1850 in the
household of Anna McClain & were living next door to one another
in 1870. George married Martha S.A. McClain, who was the daughter of
John Lenore and Hannah (Clubb) McClain of Yell County, Arkansas. If
you have information about either of these McClain families, please
contact me at moos@worldnet.att.net.
Carrie Moos
Certificate #736367
SOLDIER'S PENSION CLAIM
[Undated, but stamped at Pension Office 19 March 1891]
State of Arkansas, County of Hot Spring, SS:
Mr. George W. McClain, being duly sworn, says:
My Post Office Address is Magnet, Arkansas
My occupation is that of Farmer. I was born in Scott Co., Arkansas
on the 3 day of August 1845.
My personal description is as follows: Height 5 feet 4 inches;
complexion light; color of hair light and of eyes Blue. I am married;
my wife's name is Martha A. McClain.
My places of residence since the war have been: from about 1865 to
about 1866, in Yell County, State of Arkansas, my P.O. address being
Rover; from about 1866 to about 1882, in Scott County, State of
Arkansas my P.O. address being Park; from about 1882 to about 1888
in Garland County, State of Arkansas, my P.O. address being
Arkinville[?] from 1888 to 1891 Hot Spring Co., Ark.
The following is a full and complete statement of all the
service ever rendered by me in the military or naval service of
the United States: I enlisted at Little Rock, Arkansas on the 23
day of December 1863, to serve three years, in Company E of the
3rd Regiment of Ark. Cav. Vols., and was honorably discharged
therefrom at Lewisburg, Ark. on the 30 day of June 1865.
I now have the following injuries, diseases or disabilities,
each of which was caused or incurred as stated opposite thereto
and neither of which is the result of vicious habits on my part:
Rheumatism, caused by exposure during the war at Lewisburg, about
January 1864.
Rupture, caused by strain at Garland Co. about 1884.
Each of said disabilities is permanent in character, and
they incapacitate me for manual labor in such a degree as to render
me unable to earn a support.
I hereby claim pension under the law of June, 1890, hereon
printed, and, revoking all other powers of attorney, I appoint
Robt. A. Burton, Washington, D.C., my attorney with full power of
substitution, to prosecute this claim.
George W. (his X mark) McClain
Witness:
S.B. Holiman
Jesa R. Allbritton
MILITARY SERVICE
Name of Soldier: George W. McClain
So. Div.
Bureau of Pensions,
No. 1007262
July 10, 1891
Sir:
It is alleged that the above named man enlisted Dec. 23, 1863
and served as a pri. in Co. E, 3 Reg't. Ark. Cav. and was discharged
at Lewisburg, Ark. on June 30, 1865.
The War Department will please furnish an official statement
in this case, showing date of enrollment and date and mode of
termination of service.
Very respectfully,
Andrew Davidson, Acting Commissioner
War Department,
Record and Pension Division
Jul. 11, 1891
Respectfully returned to the Commissioner of Pensions.
The rolls show that George W. McClain mentioned in the
preceding indorsement, was enrolled Dec. 23, 1863 and M.O. with Co.
June 30, 1865.
By authority of the Secretary of War.
F.C. Ainsworth
George W. McClaine, Co. E, 3 Reg't. Arkansas Cav. appears on Company
Descriptive Book of the organization named above. Description:
Age 18 years; height 5 feet 6 inches Complexion light Eyes blue;
hair light
Where born Yell Co., Ark.
Occupation Farmer
Enlistment:
When Dec 23, 1863
Where Yell Co., Ark.
By whom Lt. Boles; term 3 y'rs.
George W. McClane, Pvt., Co. E, 3 Reg't. Arkansas Cavalry appears
on Company Muster Roll for Oct. 30 to Dec. 31, 1863
Joined for duty and enrolled:
When Dec. 23, 1863
Where Yell Co., Ark.
Period 3 years
Present or Absent: Present
Valuation of horse equipments, $25.00
Remarks: Pay due for use & risk of horse & horse equipment from
Dec. 23, 63 to Dec. 31, 63.
(Mustered in Dec. 30, '63 Little Rock)
George W. McClane, Pvt., Co. E, 3 Reg't. Arkansas Cavalry appears
on Company Muster Roll for Jan. & Feb. 1864.
Joined for duty and enrolled:
When Dec. 23, 1863
Where Scott Co., Ark.
Period 3 years
Present or Absent: Present
Valuation of horse equipments: $26.61
Remarks: Pay due for use & risk of horse & horse equipments from
Dec. 23, '63 to Feb. 29, '64
George W. McClane, Pvt., Co. E, 3 Reg't. Arkansas Cavalry appears
on Company Muster Roll for Mar. & Apr. 1864.
Joined for duty and enrolled:
When Dec. 23, 1863
Where Scott Co., Ark.
Period 3 years
Present or Absent: Absent
Valuation of horse equipments: $26.61
Remarks: Detached service Little Rock Mar. 23, 1864. Horse given
out & left for want of forage.
Pay due for use & risk of horse & horse equipments from Dec. 23,
'63 to Apr. 30, '64
George W. McClane, Pvt., Co. E, 3 Reg't. Arkansas Cavalry appears
on Company Muster Roll for May & June 1864.
Joined for duty and enrolled:
When Dec. 23, 1863
Where Scott Co., Ark.
Period 3 years
Present or Absent: Present
Valuation of horse equipments: $26.61
Remarks: Pay due for use and risk of horse & horse equipments
from Dec. 23, '63 to June 30, '64
George W. McClane, Pvt., Co. E, 3 Reg't. Arkansas Cavalry appears
on Company Muster Roll for 30 Apl. to 31 Aug. 1864.
Joined for duty and enrolled:
When Dec. 23, 1863
Where Scott Co., Ark.
Period 3 years
Present or Absent: Present
Valuation of horse equipments: $26.61
Remarks: Pay due for use and risk of horse & horse equipments
from Dec. 23, '63 to Aug. 31, '64. Stop canteen & Haversack,
sling & swivel.
George W. McClane, Pvt., Co. E, 3 Reg't. Arkansas Cavalry appears
on Company Muster Roll for Sept. & Oct. 1864.
Joined for duty and enrolled:
When Dec. 23, 1863
Where Scott Co., Ark.
Period 3 years
Present or Absent: Absent
Valuation of horse equipments: $26.61
Remarks: Pay due for horse & equipments from Dec. 23, '63 to June
19, '64. Absent without leave.
George W. McClane, Pvt., Co. E, 3 Reg't. Arkansas Cavalry appears
on Company Muster Roll for Nov. & Dec. 1864.
Joined for duty and enrolled:
When Dec. 23, 1863
Where Scott Co., Ark.
Period 3 years
Present or Absent: [Blank]
Valuation of horse equipments: $26.61
Remarks: Pay due for horse and horse equipments from Dec. 23, '63
to June 19, '64
George W. McClane, Pvt., Co. E, 3 Reg't. Arkansas Cavalry appears
on Company Muster Roll for Jan. & Feb. 1865.
Joined for duty and enrolled:
When Dec. 23, 1863
Where Scott Co., Ark.
Period 3 years
Present or Absent: Present
Valuation of horse equipments: $26.61
Remarks: Pay due for use & risk of horse & horse equipments from
Dec. 23, '63 to June 19, '64
George W. McClane, Pvt., Co. E, 3 Reg't. Arkansas Cavalry appears
on Company Muster Roll for Mch. & Apl. 1865.
Joined for duty and enrolled:
When Dec. 23, 1863
Where Scott Co., Ark.
Period 3 years
Present or Absent: Present
Valuation of horse equipments: [Blank]
G.W. McClane
Co. E, 3 Reg't. Arkansas Cavalry appears on Returns as follows:
Sept. and Oct. 1864
Absent without leave since Sept. 8, '64
George W. McClane, Pvt., Co. E, 3 Reg't. Arkansas Cavalry.
Age 18 years.
Appears on Co. Muster-out Roll, dated Lewisburg, Ark. June 30, 1865
Muster-out to date June 30, 1865
Last paid to Feb. 28, 1865
Clothing account:
Last settled Dec. 31, 1864; drawn since $53.07
Due U.S. for arms, equipments, &c, $1.02
" " " " ordnance, $8.00
Remarks: Stop for canteen 65 cents, 1 can, screw driver 37 cents.
3d ARKANSAS CAVALRY
General Notation
War Department,
Adjutant General's Office,
Washington, D.C., September 2, 1873.
The private horses of the enlisted men of this regiment were
purchased by the Government under S.O. No.162, Head Quarters
Department of Arkansas, July 12, 1864, on or about October 1, 1864.
GENERAL AFFIDAVIT
State of Arkansas, County of Hot Spring, SS:
In the matter of Pension Claim No. 1007262 of George W. McClain
On this 12 day of February A.D. 1892 personally appeared
before me a Notary Public in and for the aforesaid County duly
authorized to administer oaths, George W. McClain, aged 46 years,
a resident of Magnet in the County of Hot Spring and State of
Arkansas whose Post Office address is Magnet, Arkansas, well known
to me to be reputable and entitled to credit, and who, being duly
sworn, declared in relation to aforesaid case as follows:
That I am the identical person who has filed Pension Claim
No. 1007262 and in addition to the causes alleged therein for
pension states that in the fall of the year 1865 I contracted
Ichetis[?] or swelling of the testicles, that said cause of
disability is not alleged in my former declaration heretofore
filed under the act of June 20, 1890 and that such disability
is not due to vicious habits and is to the best of my knowledge
and belief of a permanent character.
George W. (his X mark) McClain
Witnesses
J.L. Hardwick
M.H. Doty
Department of the Interior,
Bureau of Pensions,
Washington, D.C., July 16, 1894
Respectfully referred to the Chief of the Record and Pension
Office, War Department, requesting a full military and medical
history of the soldier.
Please examine all records likely to afford any information
as to diseases, wounds, or injuries incurred by him while in the
service. No other reports on file.
Cert. No. 736367
Name: George W. McClain, Co. E, 3 Reg't. Ark. Vol. Cav.
Record and Pension Office,
War Department.
Respectfully returned to the Commissioner of Pension.
George W. McClane, Co. E, 3 Reg't. Ark. Cav. was enrolled Decr. 23,
1863 and M.O. June 30, 1865. The name George W. McClain has not
been found on the rolls of Co. E, 3rd Regt. Ark. Cav.
From Dec. 23 1863 to June 30, 1865 he held the rank of Privt. and
during that period the rolls show him present except as follows:
Apr 30/64 Detached Serv. Little Rock. Mar. 23, 1864 - Oct. 31/64
"Absent without leave since Sep. 8/64 - Dec. 31/64 Pres. or Abs.
Not stated.
The medical records show him treated as follows: No record found.
NEIGHBOR'S AFFIDAVIT
[Undated but stamped 22 September 1894]
State of Arkansas, County of Garland, SS:
In the Pension Claim No. 736367 of George W. McClain late private
Co. E, 3 Reg't. Ark. Cav. Vols., personally came before me, a
Notary Public in and for the aforesaid County and State Robert L.
Kimzey, who I hereby certify is a respectable and credible person,
who, being duly sworn, declares in relation to the aforesaid claim
that his age is 28 years, and that he has known the above-named
soldier since 1884, that he first saw said soldier after his
discharge from the military service of the United States on or
about the [blank] day of August 1884 at Scott Co., Ark., and his
physical condition is as follows:
His left arm is stiff at the elbow, and almost entirely
useless from rheumatism and he is ruptured in the right side all
of which renders him almost totally unable to perform manual labor
and his condition now is and has been for years past incapacitates
him from manual labor to earn a living. I know these facts from
being a neighbor to him and seeing him almost daily, and have
labored together and that this statement is written by J.H.
Scroggins, notary public, at his office in the Gould Block,
Hot Springs, Arkansas at my request and from my oral statements
made to him and he [is] writing them down in my presence without
any written or printed statement or [word] furnished by anyone and
from facts as I know them from understanding and memory above.
He further declares that his post-office address is Magnett,
County of Hot Spring, State of Arkansas and that he is not
interested in said claim or concerned in its prosecution.
Robt. L. Kimzey
Department of the Interior,
Bureau of Pensions,
Washington, D.C., January 15, 1898.
Certificate No. 736367
Name: George W. McClain
Sir:
In forwarding to the pension agent the executed voucher for
your next quarterly payment please favor me by returning this
circular to him with replies to the questions enumerated below.
Very respectfully, M. Clay Evans
George W. McClain
Jessieville, Garland Co., Ark.
First. Are you married? If so, please state your wife's full name
and her maiden name.
Answer: Yes, Martey McLane
Second. When, where, and by whom were you married?
Answer: Louisburg, Conway Co., Ark., Rev. [illegible]
Third. What record of marriage exists?
Answer: August 3, 1865
Fourth. Were you previously married? If so, please state the name
of your former wife and the date and place of her death or divorce.
Answer: No
Fifth. Have you any children living? If so, please state their names
and the dates of their birth.
Answer: Yes, Frank McClain, March 17, 1879, Sarah McClain, August
28, 1874.
Geo. W. McClain
Date of reply, August 3, 1898.
GENERAL AFFIDAVIT
[Undated, stamped 31 August 1899]
State of Arkansas, County of Garland, SS:
Personally appeared George W. McClain, aged 55 years of Hot
Springs P.O., County of Garland, State of Arkansas who, being duly
sworn upon his oath declares as follows:
I am the claimant in Application No. [blank] for increase of
Invalid Pension the disability of vericocele[?] that I am claiming
increase for existed when I made my application for Pension under
Law of '90 yet this disability was incurred in the line of duty
during my service but the only comrades that knew when, where and
under what circumstances the disability was incurred having died,
they all died before 1890, their names were John McClain, Joseph
Bance[?], John Hawkins, the two first named belonged to my Company,
John Hawkins belonged to a Battery. I showed them my injury after
we returned off the Camden (Ark.) raid in Jan. 1864 it was done
during the 21 days of continuous riding, raiding & fighting. I am
unable to furnish any evidence of any comrade that knew of this
injury as I do not recollect of any other comrade now living that
I showed this injury to.
GENERAL AFFIDAVIT
[Undated, stamped 30 September 1899]
State of Arkansas, County of Garland, SS:
In the matter of pension claim for increase of George W.
McClain late of Co. E, 3rd Arkansas Cavalry.
Personally came before me, a Notary Public in and for the
aforesaid County and State, George H. Berry, aged 55 years and
Michael Archer, aged 68 years, citizens of the town of Hot Springs,
County of Garland, State of Arkansas, well known to me to be
reputable and entitled to credit, and who, being duly sworn,
declare in relation to aforesaid case as follows:
We are personally acquainted with George W. McClain and have
been for the last seven or eight years. During said time he has
suffered with hernia, rheumatism, neuralgia and scurvey. His left
arm is atrophied so it is not more than half as large as the right
arm and it appears to have but very little strength in it. He
appears to suffer also with a disease of the stomach and chronic
diarrhea which confines him to his bed a considerable portion of
the time. He is to the best of our knowledge permanently disabled
from earning a support by manual labor and said injuries we do not
think are the result of vicious habits. We gain our information by
being well acquainted with him and living near him and seeing him
almost daily for years. He is disabled more or less from work all
the time but some of the time entirely and part of the time he can
go around and do light work. We further declare that we have no
interest in said claim and we are not concerned in its prosecution.
George H. Berry
Michael Archer
DROP ORDER AND REPORT
Department of the Interior,
Bureau of Pensions,
Finance Division.
Washington, D.C., Sep. 15, 1905
George W. McClain, Certificate #736367
Invalid Class
Co. E, 3 Ark. Cav.
U.S. Pension Agent, Knoxville
Sir:
You are hereby directed to drop from the roll the name of
the above described pensioner who died July 5, 1905.
WIDOW'S APPLICATION FOR ACCRUED PENSION
State of Arkansas, County of Garland, SS:
On this 8 day of August, 1905, personally appeared Martha
S.A. McClain, who being duly sworn, declares that she is the
lawful widow of George W. McClain, deceased; that he died on the
5th day of July, 1905, that he had been granted a pension by
Certificate No. 736367 which is herewith returned; that he had
been paid the pension by the Pension Agent at Knoxville up to the
4 day of May 1905, after which date he had not been employed or
paid in the Army, Navy, or Marine service of the United States,
except Co. E, 3 Ark. Cav; that she was married to the said
George W. McClain on the 3 day of August 1865 at Lewisburg,
in the State of Arkansas; that her name before said marriage
was Martha S.A. McClain; that she had not been previously married;
that her husband had not been previously married; that she hereby
makes application for the pension which had accrued on aforesaid
certificate to the date of death; and that her residence is P.O.
Box 341, City of Hot Springs, County of Garland, State of Arkansas
and her Post-Office address is given above.
She hereby appoints herself, of Hot Springs, Ark., her attorney
to prosecute this claim and directs that [blank] be paid the
legal fee.
Martha (her X mark) S.A. McClain
Witness to mark:
E.A. Nickels
Maud M. Kimzey
Also personally appeared Maud M. Kimzey, residing at Hot
Springs, Ark. and George H. Berry, residing at Hot Springs, Ark.,
who, being duly sworn, say that they were present and saw Martha
S.A. McClain sign her name (make her mark) to the foregoing
declaration; that they know her to be the lawful widow of
George W. McClain, who died on the 5 day of July 1905, and
that their means of knowledge that said parties were husband
and wife, and that the husband died on the said date, are as
follows:
We were well acquainted with deceased soldier during his
life time and attended his funeral and know that they were husband
& wife & know that they lived together as husband & wife to date
of soldier's death.
Maud M. Kimzey
Geo. H. Berry
DECLARATION FOR WIDOW'S PENSION
State of Arkansas, County of Garland, SS:
On this 8 day of August, A.D. one thousand nine hundred
and five personally appeared before me, a Notary Public within
and for the County and State aforesaid, Martha S.A. McClain,
aged 63 years, a resident of Hot Springs, Ark., County of Garland,
State of Arkansas, who, being duly sworn according to law, makes
the following declaration in order to obtain pension under the
provisions of the Act of Congress approved June 27, 1890, as
amended by the Act of May 9, 1900.
That she is the widow of George W. McClain who was enrolled
under the name of George W. McClain at [blank] on the 15 day of
October 1863 as a Private in Co. E, 3 Ark. Cav. Vols. and honorably
discharged June 30, 1865, having served ninety days or more during
the late war of the rebellion. That the soldier was not in the
military or naval service of the United States except as stated
above. No other service.
That she was married under the name of Martha S.A. McClain
to said soldier George W. McClain on the 3 day of August 1865 by
Rev. Moring; that there was no legal barrier to the marriage; that
she had not been previously married; that the soldier had not been
previously married.
That the said soldier died July 5, 1905 at Hot Springs, Ark;
that she was not divorced from him; that she has not remarried
since his death; and that she is without other means of support
than her daily labor and an actual net income not exceeding two
hundred and fifty dollars per year.
That the said soldier left the following-named children
who are now living and under sixteen years of age, to wit:
No children under 16 years of age now living.
That she has not heretofore applied for pension.
That she hereby appoints herself of Hot Springs, Ark. her
true and lawful attorney to prosecute this claim. That her post-
office address is P.O. Box 34, Hot Springs, Ark.
Martha (her X mark) S.A. McClain
Witnesses
Geo. H. Berry
Maud M. Kinzey
GENERAL AFFIDAVIT
State of Arkansas, County of Garland, SS:
In the matter of claim for Pension Martha S.A. McClain
widow of Geo. W. McClain, Co. E, 3 Ark. Cav.
On this 14 day of August, A.D. 1905, personally appeared
before me a Notary Public in and for the aforesaid County, duly
authorized to administer oaths Martha S.A. McClain, aged 63 years,
a resident of Hot Springs, Ark., in the county of Garland and
State of Arkansas well known to be reputable and entitled to
credit, and who, being duly sworn, declared in relation to
aforesaid case as follows:
I am the claimant in above entitled claim and am the widow
of Geo. W. McClain who served as Private in Co. E, 3 Ark. Vol.
Cav. who died at Hot Springs, Ark. on the 5 day of July 1905. I
lived with soldier to day of his death we were married on the 3
day of Aug. 1865 by Rev. A. Moring in Conway County Arkansas. I
have no one legally bound for my support. I own no real or personal
property. I have no money in bank. I have no stocks, bonds or other
evidences of indebtedness. I have no income from any source whatever.
I am unable to see to walk without the aid of another person, being
almost totally blind which prevents me from earning a support by my
own labor. I have not remarried. I ask that my claim be put in the
hands of a special examiner to visit Conway County & procure
evidence of my marriage. I have written to the parties who were
present but they have not responded.
Martha (her X mark) S.A. McClain
Witnesses
E.A. Nickels, Jr.
S.F. Shockley
GENERAL AFFIDAVIT
State of Arkansas, County of Scott, SS:
In the matter of Martha S.A. McClain, widow of George W.
McClain, No.736367 Co. E, 3d Ark. Cav.
On this 17 day of August, A.D. 1905, personally appeared
before me, S.G. Ray a Justice of the Peace in and for the aforesaid
County, duly authorized to administer oaths Nannie Hinton, aged 73
years, a resident of Blansett Township in the County of Scott and
State of Ark. whose Post-office address is Blanset and Misaniah Lovett,
aged 53 years, a resident of Blansett Township, in the County of Scott
and State of Arkansas, whose Post-office address is Blansett, Scott
Co., Ark. well known to be reputable and entitled to credit, and who,
being duly sworn, declared in relation to aforesaid case as follows:
I have known Martha S.A. McClain who is now the widow of
George W. McClain, Dec'd. When I first became acquainted with her
she was about 20 or 21 years of age. She had never been married until
she married the soldier George W. McClain, deceased, who I have
known ever since he was a child and know that he never was married
until he married Martha S.A. McClain. That was her name before she
married her husband of the same name, they was no relation before
they married and I Misaniah Lovett corroborate all the facts set
forth in the affidavit of Mrs. Nannie Hinton. I knew both the parties
named above Martha S.A. McClain I also knew the soldier George W.
McClain deceased before they were married and know that neither of
them were married before they married each other. Mrs. Nannie
Hinton partly raised Geo. W. McClain deceased from a child.
We further declare that we have no interest in said case
and are not concerned in its prosecution.
Nannie Hinton
Misaniah Lovett
NEIGHBOR'S AFFIDAVIT
State of Arkansas, County of Garland, SS:
In the matter of the application for pension Claim of
Martha S.A. McClain, widow of George W. McClain.
On this 9th day of April A.D. 1906 personally appeared
before me a Notary Public in and for the aforesaid County, duly
authorized to administer oats, Martha S.A. McClain, aged 64 years,
a resident of Garland County and State of Arkansas whose Post-
Office address is Genl. Del., Hot Springs, Ark. [and] J.L. May
aged 58 years, a resident of Hot Springs in the County of Garland
and State of Ark. whose Post-Office address is Hot Springs, Genl.
Del. 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:
I am the claimant and have furnished the affidavits of
Nancy Hinton and Mrs. Blanset Lovitt also Dr. Thompson the physician
that attended on him during his last illness. He my husband the
soldier died on the 5th day of July 1905 & buried on the 8th. Now
I am dependent upon charity for my support and am living at the
residence of a neighbor. I am unable to see & can only walk by the
aid of another person & I ask that my claim be made special and
placed in the hands of a Special Examiner with instructions to
close it up at once. I can be found at East end of Silver (no number)
Street at the residence of J.L. May within city limits.
I, J.L. May, being duly sworn say I am acquainted with the
claimant, Martha S.A. McClain. I fully corroborate her statement as
to having no one to depend upon for support, her daughter moved away
and left her at my house about six weeks ago. She has no real or
personal property of any value. She is an object of charity no one
is legally bound for her support. She would be in the poor house or
county farm if some of the neighbors did not give her shelter. She
has to be led about as she is almost totally blind. Her son is
somewhere in California. She has not attorney of record and her
case should be looked after & made special by the govt. She is
64 years old & blind & a pauper.
Martha (her X mark) S.A. McClain
J.L. May
Witnesses
E.A. Nickels
L.J. May
State of Arkansas, County of Garland
Sworn to and subscribed before me this day by the above-
named affiant, and I certify that I read said affidavit to said
affiant and acquainted her & him with its contents before they
executed the same. I further certify that I am in nowise interested
in said case, nor am I concerned in its prosecution; and that said
affiants are personally known to me and that they are credible persons.
E.A. Nickels, Notary Public
APPLICATION FOR REIMBURSEMENT
State of Arizona, County of Maricopa, SS:
On this 13th day of November A.D. 1928, before me, the
undersigned, personally appeared Mrs. Sadie Cranford, aged 53 years,
a resident of Phoenix, County of Maricopa, State of Arizona, who
makes the following declaration as an application for, and claim is
hereby made for, reimbursement from the accrued pension for expenses
paid (or obligations incurred) in the last sickness and burial of
Martha S.A. McClain, who was a pensioner of the United States by
certificate No. 610744 and who died July 24, 1928 at Phoenix, Arizona
and was buried at Phoenix, Arizona.
That the answers to questions propounded below are full,
complete, and truthful to the best of my knowledge, information
and belief, and that no evidence necessary to a proper adjustment
of all claims against the accrued pension is suppressed or withheld.
1. What was the full name of the deceased pensioner? Martha Sarah
Ann McClain
2. In what capacity was decedent pensioned? Widow
3. [Not applicable]
4. Did pensioner leave a child under 16 years of age? No
5. Is any such child still living? -----
6. Were any sick or death benefits paid on pensioner's account? If so,
give name of society and amount paid: First Baptist Church of Phoenix
gave $21.00
7. Was there insurance (life, accident or health) in force on life
of pensioner at time of death? No
8. If so, give the name of each company in which a policy was carried
and the amount in which each policy was written. ------
9, 10, 11, 12 [Not applicable]
13. Is there an executor or administrator, or will application be
made for appointment of any person as administrator? No
14. Did the deceased pensioner leave any money, real estate, or
personal property? No
15, 16, 17 [Not applicable]
18. Did pensioner leave an unindorsed pension check? No
19. What was your relation to the deceased pensioner? Daughter
20. Are you married? No (widow)
21. What was the cause of pensioner's death? Pneumonia
22. When did the pensioner's last sickness begin? July 21, 1928
23. From what date did the pensioner become so ill as to require
the regular and daily attendance of another person constantly
until death? Was helpless invalid for about 13 months before death.
24. Give the name and post office address of each physician who
attended the pensioner during last sickness. Dr. Couch, Phoenix, Arizona
25. State the names of the persons by whom the pensioner was nursed
during the last sickness. Myself (Mrs. Sadie Cranford)
26. Where did the pensioner live during last sickness? Phoenix, Arizona.
27. Has there been paid, or will application be made for payment
to you or any other person, any part of the expenses of the pensioner's
last sickness and burial by any State, county, or municipal
corporation? No
The following is a complete statement of all the expenses of the last
sickness and burial of said deceased pensioner:
Dr. Garland B. Couch, Physician, Not Paid, $54.00
J.T. Whitney, Undertaker, $91.00, Paid $31.00
Total $145.00
That of the above mentioned expenses this claimant has paid,
or guaranteed the payment of, the following items: has paid $31.00
to undertaker and has guaranteed payment of all remaining bills.
Mrs. Sadie Cranford
Route 1, Box 404
Phoenix, Arizona
Also appeared Mistress Tryphena A. Vaughn and Mrs. L.P. Smith
who, being duly sworn, make the following statement, each for himself,
that they know the claimant herein and that their answers to the
following questions are true:
1. Did pensioner (if a soldier or sailor) leave a widow or a minor
child under age of sixteen years surviving? No
2. When did the pensioner die? July 24, 1928
3. Did pensioner leave any property? No
4. Our means of knowledge of the above statements made by us are:
We knew the deceased for 2 years and Mrs. Vaughn lived across the
street from her during that time. Mrs. Smith lived about 2 blocks
away.
Mrs. Tryphena A. Vaughn, P.O. Address Phoenix, Arizona
Mrs. L.P. Smith, P.O. Address Phoenix, Arizona
Subscribed and sworn to before me, this 14th day of November
A.D. 1928; and I certify that the contents of the foregoing
application were fully made known and explained to the claimant
and witnesses before swearing, that I have no interest, direct or
indirect, in the prosecution of this claim, and I further certify
that the reputation for credibility of the witnesses whose signatures
appear above is good.
Marcia Davenport, Notary Public, Phoenix, Arizona
STATEMENT OF ATTENDING PHYSICIANS
Give pensioner's name in full: Martha S.A. McClain
Give date of commencement of pensioner's last sickness: July 20th 1928
Give date of pensioner's death: July 24th 1928
From what date did the pensioner require the regular and daily
attendance of another person constantly until death? July 19th 1928
to July 24
During what period did you attend the pensioner? From Jany. 10th
1928 to July 24 1928
State nature of disease from which pensioner died: Pneumonia
Give name of any other physician who attended the pensioner in
last sickness: [Illegible]
Does your bill include a charge for all medicine furnished the
pensioner during last sickness? Yes
Has your bill been paid; if so, by whom? No
Give the name of each person who acted as nurse, and mention any
other facts within your knowledge which would be helpful in
adjusting this claim for reimbursement: Sadie Cranford, daughter
of patient.
I certify that the foregoing statement is correct.
Garland B. Couch
11-10-1928
Return to Scott County Civil War Records