AuthorUnited States. War Department.
TitleOriginal claim : declaration in order to be placed on the pension list under the act of the 18th March, 1818.
Published[place of publication not identified] : [United States War Department], [182-]
Description1 sheet ([2] pages) ; 34 x 43 cm, folded to 34 x 22 cm
General Note"County of [blank] ss. On this [blank] day of [blank] 182[blank], personally appeared in open court..."
SubjectsBlank forms.
Broadsides.
Military pensions -- Law and legislation -- United States.
OrganizationsUnited States. Pension Bureau.
Call Number/Copies 
 WRHS Research Library: O 404
CA-1601937 c.1: Broadsides [status: NON-CIRCULATING]
[Record 41586]