Scott County Arkansas
Civil War Pension Files
JOHN P.
NEWBORN
Contributed by Carolyn Hanna
Pictured above is John P. Newborn
DECLARATION FOR AN ORIGINAL INVALID PENSION
State of
Arkansas}
County of Scott}ss
On this 23rd day of April A.D. one thousand
eight hundred and ninety personally appeared before me, a Clerk of the Circuit
Court the same being a Court of Record, within and for the County and State
aforesaid, John P. Newbern aged 56 years, who, being duly sworn according to
law, declares that he is the identical John P. Newbern who was enrolled on the
[blank] day of January 1862, in company E of the 3 regiment of Ark. Cav.
commanded by Robt. Wishard and was honorably discharged at Louisburg, Ark., on
the 6 day of July 1865; that his personal description is as follows: Age, 56
years; height, 5 feet 10 inches; complexion red; hair, red or auburn; eyes,
blue. That while a member of the organization aforesaid, in the service and in
the line of his duty, at Lewisburg, in the State of Ark., on or about the
[blank] day of [blank] 1864, he contracted general debility from exposure and
hardships incident to the service. That he was treated in hospital as follows:
[blank.] That he has not been employed in the military or naval service
otherwise than stated above [blank.] That since leaving the service this
applicant has resided in the [blank] of [blank] in the State of Ark., and his
occupation has been that of a farmer. That prior to his entry into the service
above-named, he was a man of good, sound physical health, being by occupation
when enrolled a farmer. That he is now 2/3 disabled from obtaining his
subsistence by manual labor, by reason of his disabilities, above described,
incurred in the service of the United States; and he therefore makes this
declaration for the purpose of being placed on the invalid roll of the United
States. He hereby appoints, with full power of substitution and revocation,
Charles & William B. King, of Washington, D.C., his true and lawful
attorneys to prosecute his claim. That he has never received nor applied for a
pension; that his residence is No. [blank] street, and that his post office
address is: Parks Scott Co. Ark.
John P. (his x mark)
Newbern
Witnesses
M.M. Beavers
J.M. Harvey
DEPARTMENT OF THE INTERIOR,
BUREAU OF PENSIONS,
Washington, D.C.,
Jan. 14, 1891
Inst. So? Div.
S.S.S. Ex'r.
No. 777198
John P.
Newbern
Co. E, 3, Ark. Cav.
Sir:
It is alleged that John P. Newbern
enlisted Jan. 14, 1862 and Served as a private in Co. E, 3 Reg't Ark. Cav. also
as a [blank] in Co. [blank] Reg't [blank] and was discharged at Louisburg, Ark.
July 6, 1865.
It is also alleged that while on duty at Louisburg, Ark., on or
About [blank] 1864, he was disabled by exposure resulting in general Debility
and was treated in hospitals of which the names, locations, and Dates of
treatment are as follows: [blank.]
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 respectfully,
Green B. Raimy[?], Commissioner.
To Officer
in Charge of the Record and Pension Division, War Department.
S O
S.S.S.
No. 77198
WAR DEPARTMENT
RECORD AND PENSION
DIVISION.
Respectfully returned to the Commissioner of Pensions. John P.
Newbern, Co. E, Reg't. 3, Ark. Cav. was enrolled Feb. 6, 1864 and M.O. With Co.
June 30, 1865. From enrolment to Feb. 28, 1865 he held the Rank of Pvt &
Corpl and during that period the rolls show him present. Other records furnish
nothing additional bearing upon this case. The Medical records show him treated
as follows: No record found.
By authority of the Secretary of War:
F.C.
Ainsworth,
Captain and Ass't. Sugeon, U.S. Army.
Date Jan. 16,
1891.
(Commissioner of Pensions.)
GENERAL AFFIDAVIT
State of Arkansas,}
County of
Scott} ss:
In the Pension Claim of John P. Newborn, Corporal, late of Co. E,
3rd Reg't Ark Cav Vols., personally came before me, a Clerk of the Circuit
Court, in and for the aforesaid County and State, John P. Newborn, who, I hereby
certify, is a respectable and credible person, and who, being duly sworn,
declares in relation to the aforesaid claim as follows: When I was in the
service aforesaid on the march from Little Rock to Camden, Ark. we were exposed
to the inclemency of the weather for 18 days and nights, that the saddle was
never taken from the horses. Before the march I had measles which resulted in a
spinal affliction and was unable to stand such exposure and since that time I
have always suffered with general debility. This affidavit was all written in my
presence and from oral statements made by me on the 21st day of April 1894, at
Waldron, Scott Co., Ark., to T.M. Duncan, Circuit Clerk, by whom the statement
was written down and I was not aided or prompted by any written or printed
statement or recital thereto or dictated by any other person and not attached
hereto as an exhibit.
He further declares that his post office address is
Boles, County of Scott, State of Arkansas, and that he is not interested in said
claim or concerned in its prosecution.
John P. (his x mark)
Newborn
Witnesses
S.K. Duncan
M.M. Beavers
GENERAL AFFIDAVIT
State of Arkansas, County of Scott,
ss:
In the Invalid Pension Claim of John P. Newburn, Corporal, late of Co. E,
(3) Reg't. Cavalry Ark. Vols., personally came before me, a Notary Public in and
for the aforesaid County and State, John P. Newburn (claimant) who, I hereby
certify, is a respectable and credible person, and who, being duly sworn,
declares in relation to the aforesaid claim as follows: I went into the
Confederate Service in the fall of 1862. I belonged to Captain Featherston's Co.
19 Regiment of Confederate Infantry, Dawson's Regiment. I remained in said army
until I was taken a prisoner At the Arkansas post and in February I was
exchanged and immediately I joined the United States Army in Co. E, (3) Regiment
of Arkansas Cavalry volunteers. I joined said Co. on 6th day of February 1864
and was discharged from the service (30) day of June 1865 at Lewisburg, Ark. I
first had the measles in Sept. 1863and I had the relapse in February 1864 after
I had joined the Union Army. I had never got entirely well of the measles and my
regimental surgeon said that the exposure I had in the force[d] march we had
right after I joined the United States Army caused the relapse of the measles.
This statement was made in my own words to Thomas J. Tate who wrote the same
down for me. I made the same to him Before writing at his office on 25th day of
March 1895 and I was not Aided or assisted by anyone in writing or words only of
my own.
He further declares that his post office address is Parks P O County
of Scott, State of Arkansas, and that he is interested in said Claim and
concerned in its prosecution.
John P. (his x mark)
Newburn
Witnesses
Sarah E. Martin
Zeke. Price
GENERAL AFFIDAVIT
State of Arkansas}
County of
Scott} ss
In the matter of The Pension Claim of John P. Newborn of Co. E
Third Regiment of Ark. Cav. Vol. personally came before me, a Justice of the
Peace in and for aforesaid County and State Nazzary M. Mitchell aged 71 years,
residing at Boles, Scott County, Arkansas well known to me to be reputable and
entitled to credit, who having been duly sworn, declares in relation to the
aforesaid case as follows: That I am personally acquainted with the above named
John P. Newborn and have been every since the year 1859, and I have lived in 5
or 6 miles of him the greater portion of the time since, and I know that the
said John P. Newborn never enlisted in the Rebel army until after the conscript
law took effect, which as well as I remember was in June 1862. I was with John
P. Newborn and we both were in the same company. John P. Newborn joined to evade
the conscript law, and I know that John P. Newborn never enlisted in the Rebel
army before that time.
This affidavit was written by E.L.E. Beauchamp from my
oral statement to the said E.L.E. Beauchamp made on the 29 day of May 1897 and
in making the same I did not use nor was not aided or prompted by any printed or
written statement prepared or dictated by any other person.
I further declare
that I have no interest in the case, and am not concerned in its
prosecution.
Nazzary M. (his x mark) Mitchell
Witnesses
James C.
Dooley
A.J. Wammack
GENERAL AFFIDAVIT
State of Arkansas}
County of
Scott} SS
In the matter of the pension claim of John P. Newborn No. 777198 Of
Co. E, Third Regiment of Ark. Cav. Vol. personally came before me, a Clerk
Circuit Court in and for aforesaid County and State, John W. Stewart, aged 57
years, residing at Boles, Scott County, Ark., well known to me to be reputable
and entitled to credit, who having been duly sworn, declares in relation to the
aforesaid case as follows: That I am personally well acquainted with the above
named John P. Newborn and have been every since the year 1858 and have lived in
the same neighborhood with him from that time until the present and I know that
the said John P. Newborn never enlisted in the rebel army until after what we
knew and understood as the "Conscript Law" took effect, which as I now remember
was some time in the summer of 1862.
This affidavit was written by S.K.
Duncan Jr. from my oral statements to the said S.K. Duncan made on the 22 day of
May 1897 and in making the same I did not use, nor was not aided or prompted by
any printed or written statement prepared or dictated by any other person. I
further declare that I have no interest in the case, and am not concerned in its
prosecution.
John W. (his x mark) Stewart
Witnesses
L.L. Sims
W.T.
Forrester
GENERAL AFFIDAVIT
State of Arkansas}
County of
Scott} SS
In the matter of the pension claim No. 777198 of John P. Newborn of
Co. E, 3rd Regt. Ark. Cav. personally came before me, a Justice of the Peace in
and for aforesaid County and State, L.K. Robertson aged 55 years, residing at
Parks, Ark. well known to me to be reputable and entitled to credit, who having
been duly sworn, declares in relation to the aforesaid case as follows: Have
known J.P. Newborn since 1869 with exception of 1874 & 75 as his family
physician. Have treated him in several spells of sickness & one of sunstroke
which left the old man in a state of general debility from which he has not
fully recovered. Owing to which I believe him to be entitled to pension.
This
affidavit was written by L.K. Robertson at Parks on this 11 day of Sept. 1900.
My Postoffice address is Parks, Scott Co., Arkansas.
I further declare that I
have no interest in the case, and am not concerned in its prosecution.
Lucien
K. Robertson
GENERAL AFFIDAVIT
State of Arkansas}
County of
Scott} SS
In the matter of the Pension Claim No. 777198 of John P. Newborn,
Co. E 3rd Regt. Ark. Cav. personally came before me, a Justice of the Peace in
and for aforesaid County and State John P. Newborn aged 66 years, Residing at
Parks Scott Ark, well known to me to be reputable and entitled to credit, who
having been duly sworn, declares in relation to the aforesaid case as follows:
In regard to the evidence in my case I was never treated in hospital. I was
treated by one of my Regimental doctors. His name was Thomas and as to his
whereabouts I don't know. I contracted my disability while on the march from
Little Rock Arkansas to Camden Arkansas and was treated by my Regimental doctor
Thomas at the same time I contracted my disability about the month of April
1864.
This affidavit was written by W.R. Hawkins from my John P. Newborn own
dictation made to him in my presence at Parks on this 11th day of September
1900. My Postoffice address is Parks Scott Co, Arkansas. I further declare that
I have no interest in the case, and am not concerned in its prosecution.
John
P. (his x mark) Newborn
Witnesses
Mattie J. Hawkins
John J. Hawkins
GENERAL AFFIDAVIT
State of Ark}
County of Scott}
SS
In the matter of the Pension Claim No. 777198 of John P. Newborn Co E 3rd
Regt Ark Cav, personally came before me, a Justice of the Peace in And for
aforesaid County and State John L. Worsham, aged 70 years, residing at Cedar
Creek Ark well known to me to be reputable and entitled to credit, who having
been duly sworn, declares in relation to the aforesaid case as follows: I was
well acquainted with John P. Newborn. I was first duty Sergeant in Co. E, 3rd
Regt. Ark. Cav. and know that he was a member of aforesaid Co. was a faithful
soldier on all occasions and at all times and by reason of his age taken with
the exposure of army life has rendered him unable to make a support for himself
and family by manual labor.
This affidavit was written by James G. Sanders
from my oral Statement made to him [by] myself in person at Cedar Creek on this
5 day of Oct 1900 and in making the same I do so from my personal knowledge. My
Postoffice address is Cedar Creek Scott Co Ark. I further declare that I have no
interest in the case, and am not concerned in its prosecution.
John L.
Worsham
GENERAL AFFIDAVIT
State of Arkansas}
County of
Scott} SS
In the matter of the Pension Claim No. 777198 of John P. Newborn
Co. E, 3rd Regt. Ark. Cav. personally came before me, a Justice of the Peace In
and for aforesaid County and State, John P. Newborn, claimant, 65 years,
residing at Parks, Ark., well known to me to be reputable and entitled to
credit, who having been duly sworn, declares in relation to the aforesaid case
as follows: That I respectfully ask to have my claim for pension under the act
of June 27, 1890 taken up and acted upon with view towards completion as I am
unable to furnish the evidence required to establish my claim under the general
laws. I gave Power of Attorney to R.D. McKnight in June last authorizing him to
take up my claim and prosecute it under the Act of June 27, 1890 and I
respectfully ask that he be recognized as my attorney to prosecute my claim
under act June 27, 1890 and that he be furnished the status of said claim as
soon as practicable.
This affidavit was written by W.R. Hawkins from his oral
statement Made to me by him at Parks, Ark. on this 18 day of October 1900. My
Postoffice address is Parks, Scott Co., Ark.
John P. (his x mark)
Newborn
Witnesses
Mary M. Hawkins
Mattie J. Hawkins
GENERAL AFFIDAVIT
State of Arkansas}
County of
Scott} SS
In the matter of the Pension Claim No. 777198 of John P. Newborn,
Co. E, 3rd Ark. Cav. personally came before me, a Justice of the Peace in and
for aforesaid County and State, John P. Newborn claimant, 66 years, residing at
Parks, Ark. well known to me to be reputable and entitled to credit, who having
been duly sworn, declares in relation to the aforesaid case as follows: While on
force[d] march from Little Rock Ark. to Camden Ark. [illegible] I contracted
measles while on the march & from exposure incidental to force[d] march, wet
weather &c. I relapsed & measles settled in spinal column from which I
have suffered every since. I have suffered at times since with anul fistula, I
suppose caused from same. These troubles were not caused from vicious
habits.
This affidavit was written by L.K. Robertson from my own statement
Made to him in my presence at Parks on this 28 day of Nov. 1900 and in making
the same I was not dictated to or influenced in any way. My Postoffice address
is Parks, Ark.
John P. (his x mark) Newborn
Witnesses
Carr
Allen
Lucien K. Robertson
SO Division.
Inv ??? No. 777198
John P. Newman [sic]
Co. E - 3
Reg't. Ark. Vol. Cav.
DEPARTMENT OF THE INTERIOR,
BUREAU OF
PENSIONS,
Washington, D.C. Nov. 5, 1902
Sir: To aid this Bureau in
preventing any one falsely personating you, or otherwise committing fraud in
your name, or on account of your service, you are required to answer fully the
questions enumerated below.
Very respectfully,
J.L. Davenport, Acting
Commissioner.
John P. Newman [sic]
Parks, Scott Co, Ark.
1. When were you born?
Answer. 1834
2. Where were you born? Answer. Marion County Tennessee
3.
When did you enlist? Answer. 6th of February 1864
4. Where did you enlist?
Answer. Little Rock, Ark.
5. Where had you lived before you enlisted? Answer.
Parks, Ark.
6. What was your post-office address at enlistment? Answer.
Parks, Ark.
7. What was your occupation at enlistment? Answer. Farmer
8.
When were you discharged? Answer. 30th day of June 1865
9. Where were you
discharged? Answer. Lewisburg, Ark.
10. Where have you lived since discharge?
Give dates, as nearly as possible, of any changes of residence. Answer. Parks,
Ark.
11. What is your present occupation? Answer. Farmer
12. What is your
height? Answer. 5 feet 8 inches. Your weight? 156 lbs. The color of your eyes?
Hazel. The color of your hair? Light. Your complexion? Fair. Are there any
permanent marks or scars on your person? If so, describe them. [Blank]
13.
What is your full name? Please write it on the line below, in ink, in the manner
in which you are accustomed to sign it, in the presence of two witnesses who can
write.
John Pinkney (his x mark) Newburn
Witnesses: Richard
Burruss
C.P. Burruss
Date: Novr. 11th, 1902
Act of February 6, 1907
DECLARATION FOR
PENSION
State of Arkansas}
County of Scott} ss
On this 16 day of
April A.D. one thousand nine hundred and 7 Personally Appeared before me, a
Justice of the Peace within and for the county and State aforesaid, John P.
Newbern, who, being duly sworn according to law, Declares that he is 73 years of
age, and resident of Parks county of Scott, State of Arkansas; and that he is
the identical person who was enrolled at Little Rock under the name of John P.
Newbern, on the 6 day of January 1863 as a Private, in 3 Arkansas Cavalry
Company E in the service of the United States, in the Civil war, and was
honorably discharged at Louisburg, on the 30 day of June 1865. That he also
served [blank.] That he has not been employed in the military or naval service
of the United States except as stated above. That his personal description at
enlistment was as follows: Height, 5 feet 8 inches; complexion, dark; color of
eyes, Hazel; color of hair, light; that his occupation was Farmer; that he was
born [blank] 1833 at Marion County Tennessee. That his several places of
residence since leaving the service have been as follows: I have bin in Scott
Ark all the time.
That he is a pensioner by Certificate No. [blank] at $12
per month. That he has heretofore applied for pension, Claim No.
[blank.]
That he makes this declaration for the purpose of being placed on
The pension roll of the United States under the provisions of the act of
February 6, 1907, and any amendments thereof.
He hereby appoints, with full
power of substitution, W.H. Wills, of Washington, D.C., his successors or legal
representatives, his true and lawful attorney to prosecute his claim under said
law; and he requests and directs that he be allowed and paid, upon the issuance
of a certificate, or thereafter, such fee or compensation as may be hereafter
provided by law or ruling.
That his post-office is Parks county of Scott
State of Arkansas.
John P. (his x mark) Newbern
Attest: J.L.
Hansard
William N. Morris
Also personally appeared John P. Newbern [sic]
residing in Parks and Nelson N. Morris residing in Parks, persons whom I certify
to be respectable and entitled to credit, and who, being by me duly sworn, say
that they were present and saw John P. Newbern, the claimant, sign his name (or
make his mark) to the foregoing declaration; that they have every reason to
believe, from the appearance of the claimant and their acquaintance with him of
10 years and 1 years, respectively, that he is the identical person he
represents himself to be, and that they have no interest in the prosecution of
this claim.
J.L. Hansard
Nellson N. Morris
Subscribed and sworn to
before me this 17 day of April A.D. 1907 and I hereby certify that the contents
of the above declaration, etc., were fully made known and explained to the
applicant and witnesses before swearing, including the words "the claimant was
born," erased, and the words "in Marion County Tennessee," added; and that I
have no interest, direct or indirect, in the prosecution of this claim.
W.H.
Hansard
Justice of the Peace
I hereby certify that I have filled out what
you wanted.
W.H. Hansard, Justice of the Peace. (My name is on file. My
address is Parks, Ark.)
Drop Order and Report.
DEPARTMENT OF THE INTERIOR,
BUREAU OF
PENSIONS,
Finance Division.
Washington, D.C., Mar 29 1911
John P.
Newbern, Pentioner
Certificate number 1,060,575
Act February 6 1907
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 Mar. 16,
1911.
J.L. Davenport, Commissioner
REPORT
Commissioner of
Pensions.
Sir: The name of the above described pensioner, who was last paid
at $15 per month to 4 Feb 1911, has this day been dropped from the roll of this
agency.
Wm. Reed[?]
U.S. Pension Agent.
Mch. 30, 1911
DECLARATION FOR WIDOW'S PENSION
State of
Arkansas}
County of Scott} ss:
On this 4 day of April A.D. one thousand
nine hundred and 11 personally appeared before me, a notary public within and
for the county and State aforesaid, Mandy Newbern, aged 77 years, a resident of
Parks, county of Scott, 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 April 19, 1908.
That she is the
widow of John P. Newbern, who was enrolled under The Name John P. Newbern, at
Lewisburg Ark [sic] on the [illegible] day of Feb. 1864 as a Corpl in Co E, 3rd
Ark Cav and honorably discharged 30 day of June, 1865, having served ninety days
or more during the late civil war.
That he also served [blank.] That he was
not in the military or naval service of the United States otherwise than as
stated above. That she was married under the name of Mandy Kilburn to said
soldier at Lawrence Co, Tenn. on the 5 day of July 1855, by L. Vandiver; that
there was no legal barrier to the marriage; that she had not been previously
married; that the soldier had not been previously married, and that neither she
nor said soldier married otherwise than as stated above.
That the said
soldier died March 15, 1911 at Parks, Scott Co, Ark; that she was not divorced
from him, and that she has not remarried since his death.
That the said
soldier left the following named children who are now living and under sixteen
years of age, to wit: [blank.]
That her post-office address is Parks, county
of Scott, State of Arkansas.
Mandy (her x mark) Newbern
Attest: John W.
Herrin
Lucien K. Robertson
Also appeared Jno. W. Herrin, residing in
Park[s], Ark, and Lucien K. Robertson, residing in Parks, Ark, persons whom I
certify to be respectable and entitled to credit, and who, being by me duly
sworn, say they were present and saw Mandy Newbern, the claimant, sign her name
(or make her mark) to the foregoing declaration; that they have every reason to
believe, from the appearance of said claimant and their acquaintance with her of
20 years and 40 years, respectively, that she is the identical person she
represents herself to be, and that they have no interest in the prosecution of
this claim.
John W. Herrin
Lucien K. Robertson
Subscribed and sworn to
before me this 4 day of April A.D. 1911; and I hereby certify that the contents
of the above declaration, etc., were fully made known and explained to the
applicant and witnesses before swearing, including the words [blank] erased, and
the words [blank] added; and that I have no interest, direct or indirect, in the
prosecution of this claim.
George W. Swain,
Notary Public
1855 July 5th No.280
Pinkney Newburn
To
Amanda Kilburn
State
of Tennessee Lawrence County.
I, N.B. Simms clerk of said Lawrence County, do
hereby certify that the foregoing is a full, true, and perfect copy of issuance
of marriage license to Pinkney Newburn and Amanda Kilburn as appears of record
now on file in my office.
Witness my hand and seal, at office in Lawrenceburg
Tennessee, this the 20 day of May 1911.
N.B. Simms
County Court Clerk
GENERAL AFFIDAVIT
In the matter of Mandy Newbern,
widow of John P. Newbern - E - 3 Ark Cav personally appeared before me a Notary
Public in and for the State and County hereinafter named duly authorized to
administer oaths L.K. Robertson aged 65 years, whose Post Office is Parks Ark.
and B.W. Duncan, aged 38 years, whose Post Office address is Parks Ark. who,
being duly sworn, declared in relation to aforesaid case as follows: I, L.K.
Robertson have been acquainted with Amanda Newborn for 40 years & know her
to be the wife of Jno. P. Newbern, Dec. I have been his family physician during
that time. My partner was called to see him at the time of his death, I didn't
see him after death.
I, B.W. Duncan of the firm of Robertson & Duncan was
called to Jno. P. Newbern at the time of his death. He was dead when I arrived.
I only Knew Jno. P. & Amanda Newborn about three years & knew them as
man & wife. He died on 15 of March 1911.
[Stamped Aug 10 1911.]
State of Ark.
County of Scott.
In the matter of Mandy Newbern Wid
of John P. Newbern, Co E, 3 Ark Vol Cav, I, John W. Herrin, age 54 years, Post
office Parks Scott Co Ark being duly sworn, declare in relation to the aforesaid
case I have been acquainted with Mandy Newbern wid of John P Newbern of Co E, 3
Ark Vol Cav since the close of the Civil War and have been acquainted and
associated with him since 1881 until he died and they lived as man and wife
during that time and raised a large family.
John W. Herrin
He further
declares that he has no interest in said case and not Interested in its
prosecution and not related to the applicant.
Sworn and subscribed this said
affidavit was read to affiant before Execution and have no interest therein and
said affiant known to be a Credible Person. Witness my hand and official seal
this 5 day of Sept. 1911.
George W. Swain
Notary Public
APPLICATION FOR A NEW CERTIFICATE
State of Arkansas,
County of Scott, ss:
On this 4 day of March 1912, before me, a Notary Public
for said county, Appeared Amanda Newbern who on oath declares she is 78 years
old, and the widow of John P. Newbern who belonged to Company E, 3 Regiment Ark.
Cavalry in the service of the United States; that she received a pension
certificate numbered [blank] and dated [blank] that she was last paid at the
Knoxville Agency, to the 4th of Nov, 1911 that she has not bartered, sold, or
pledged her pension certificate or any interest therein; but that on or about
Jan, 1912, at or near It was lost and can't be found I don't know how it got
missplaced I can't find it and I don't know the number of the lost certificate
and I have made a thorough search for the lost voucher & certificate.
My
post-office address is Parks Scott Co Arkansas.
Amanda (her x mark)
Newbern
Also personally appeared [blank] who on oath declares that he well
knows Amanda Newbern, who has executed the foregoing affidavit, to be the
identical person named herein.
John W. Herrin
Subscribed and sworn to
before me the day and year aforesaid, the contents being first made known, and I
certify that the affiants are persons of veracity.
George W. Swain
Notary
Public
BUREAU OF PENSIONS
Office of the Disbursing Clerk,
Feb. 13,
1914
To the Chief, Finance Division:
You are hereby notified that check
No. 3699325, for $36# dated Feb 4, 1914, in favor of Amanda Newbern Ctf. No.
729807, Class Act of April 19, 1908 Section 5 has been returned to this office
by the Postmaster at Parks Ark., with the information that the pensioner died
Jan. 1, 1914, and said Check has this day been canceled.
Very
respectfully,
Guy O. Taylor,
Disbursing Clerk.
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