HomeMy WebLinkAbout1862.03.2 - 3 Mar 1862/~+ l
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UNDI~;~.~ THE ACT (~F AS~I~:MB1,1~ OF THI; l~~'rH P~1~' OF IIAl~. l~fil.
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Volunteer's Frame ~~ ` j ////~ ~ .~ ~ ~~ ~ ~~ ~ .~-
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Flusband or Son `/ '~
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Residence of Applicant
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Occupation and 1[ealth t ~ , ~ ~- ~ , ~ /~ Q~~/'~~,
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When and how Employed ~~ _ - ~/~.~~ ~~~~~, ; ~~1 ~~ ~'~
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harried or Sinn~le ~ t ,: ~, ; f `
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Ii'' 1\~iarrierl, hrnv man}- in the Family ~ ~/~, ~ ~1 ~ ~~
Number o~ Children at I~nme under 12 vears ~~~°` ~ ~~.~~
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l~Then the Volunteer was lJnrolled andltustered into Service v~~ - ~_s ~ l~ G
Tn what Company, &c. ~~~ / ' ~T ~--"u' ~`'`-~~ a~'~'~
What Position in the Company l~c,lnnteer h~Lis ~-7-~- ~~~-~
What Assistance, if any received from other sources L -~~ ~z_-~ ,
~l'he abrn~~~ na~nt•d Applicant ~~ ~ ~ .~~ ,nr `~•~ _ . ~~~,
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being dn1~- ~~ ~r ~ ~ry~~ ) deposes, that the above facts are true.
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