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1Title:  Original claim: declaration in order to be placed on the pension list under the act of the 18th March, 1818    
 Creator:  United States War Department. 
 United States Pension Bureau.
 Publication:   
 Notes:  "County of [blank] ss. On this [blank] day of [blank] 182[blank], personally appeared in open court..." 
 Call #:  O.404 
 Extent:  1 sheet ([2] pages) ; 34 x 43 cm, folded to 34 x 22 cm 
 Subjects:  Military pensions -- Law and legislation -- United States | Broadsides | Blank forms
 
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