(3-125.)

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ORIGINAL INVALID CLAIM.

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Soldier, Balaam Bolin

P.O., Martinsville

County, Morgan

State, Ind.

Rank, Private

Company, "B."

Regiment, 67" Ind. Vols.

Rate, $4 per month, commencing May 7^th 1863.

Pensioned for Chronic diarrhoea

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RECOGNIZED ATTORNEY:

Name, R. H. Fitzgerald

P.O., Indianapolis Ind.

Fee $25, Agent [blank] to pay.

Articles filed May 1^st, 1877.

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APPROVALS:

Submitted for Admission, Apr. 8", 1884, D T Kirby, Examiner.

Disabled by Chronic diarrhoea and resuts [initialed] JEC

Approved for Chronic Diarrhoea

By order Chief of Board as to continuance -

Loughan

May 24, 1884, [blank (name above probably belongs in this space] Legal Reviewer.

Approved for Chronic diarrhaea

1/2

May 27^th, 1884, I B Hook, Medical Reviewer.

[initialed] P.H.C.

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IMPORTANT DATES:

Enlisted Aug. 12", 1862.

Mustered Aug. 19", 1862.

Discharged May 6", 1863.

Declaration filed Dec. 17", 1875.

[blank] service from [blank] [18[blank], to [blank], 18[blank], in [blank].

Not in service since May 6^th, 1863.

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BASIS OF CLAIM.

Alleges chronic diarrhoea and heart disease contracted in Kentucky in Sept. 1862.

Claimant writes.

[written in upper left corner] 267 380 Indianapolis