 |
William T. Rouse Declaration for Original Invalid Pension
TO BE EXECUTED BEFORE A COURT OF RECORD OR SOME OFFICER THEREOF HAVING CUSTODY OF ITS SEAL
State of West Virginia } SS.
Cabell County,
On this 14th day of July , A. D. one thousand eight hundred and seventy nine
personally appeared before me, a Clerk of the County Court , a court of
record within and for the County and State aforesaid, William T. Rouse aged
52 years, a resident of the Tp of Unio n county of
Cabell , State of West Virginia who, being duly sworn according to law, declares
that he is the identical William T. Rouse
who was
ENROLLED on
the 8th day of August , 1862 , in Company A of the 14 Regiment
of Kentucky Vol Inftry commanded by Capt R. Thomas .
and
was honorably DISCHARGED at Lexington Ky on the 6th day
of August , 1865 ;
that his personal description is as follows: Age, 35 years ; height
5 feet 9 inches; complexion, DK; hair, DK ; eyes, Blue .
Here state name or nature of disease, or location of wound or injury. If disabled by disease, state fully its causes; if by wound or injury, the precise manner in which received.
That while a member of the organization aforesaid, in the services and in the line of his duty at Pogues Crossing,
Licking River, in the State of Kentucky on or about the 4th day
of November , 1862, he was ruptured by his horse .
falling with him & on him in a ditch, being pursued by the enemy while seeking information within their
lines by order of Maj Genl Gordon Granger.
And also contracted inflammatory Rheumatism
from exposure from which he is now totally
disabled.
That he was ^ not treated in hospitals as follows: Here state the names or numbers, and localities of all the hospitals in which treated, and dates for the following reasons,
That at the time Of receiving the above injuries he could procure temporary
of treatment.
releif from surgeons in his field & did not wish to be
discharged for his disability before the close of the war.
That he has not been employed in the military or naval service otherwise than as stated above.
HERE state what
The service was, whether prior or subsequent to that stated above, and the dates at which it began and ended.
That since leaving the service this applicant has resided in the ^ at Lesages of Cabell Co
in the State of West Virginia , and his occupation has been that of a farmer .
That prior to his entry into service above named he was a man of good, sound, physical health , being when
enrolled a Weaver . That he is now totally disabled from obtaining his subsistence by
manual labor by reason of his injuries, above described , received in the service of the United States ; and he there-
fore makes this declaration for the purposes of being placed on invalid pension roll of the United States.
He hereby appoints, will full power of substitution and revocation,
..
of
. State of
.., his true and lawful attorney
four years ^ ago applied through Ewing of Catlettsburg KY office
to prosecute his claim.
That he has
.received
. applied for a Pension. That his
for pension but had never been able to hear from it.
POST OFFICE ADDRESS is Lesages county of Cabell .
State of West Virginia .
Claimants signature,
William T. Rouse
ATTEST:
F. E. Lesage
Wash. Jefferson
Transcription by: Robert Trowbridge
|