Balaam Bolin, Affidavit to accompany Surgeon's Certificate for Furlough

Balaam Bolin, Affidavit to accompany Surgeon's Certificate for Furlough

 

(SEE FOOT NOTE.)

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State of Indiana

County of Morgan } ss:

In the claim of Bolam Bolin on this 4 day of July 1877, personally appeared before me, a Noty Public in and for the county and State aforesaid Bolaam Bolin of Martinsville P. O., in the County of Morgan and State of Indiana who, being duly sworn according to law, on oath declare as follows: That he w late a member of Company B Reg't, 67 Vols., and ranked as [blank] [form wording lined out from here to signature]

That he has made due and dilligent Search to find his Surgeon of the regiment & has failed to find him & he herewith presents the Furlough given to him in 1862 & prays the same be be accepted in lieu of a Surgeons Certificate

Balaam Bolin

 

Subscribed and sworn to before me, this 4th day of July 1877, and I certify that the part whose name appears signed to the foregoing affidavit the person he represents himself to be, and good and credible witness, and that the contents of the foregoing affidavit were duly read and fully made known to affiant before making oath to the same, and that I have no interest in this matter.

Official Signature, Richard T. Goode

NP

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F It is preferable that his SHOULD BE EXECUTED BEFORE CLERK OF COURT; but if before a Justice of the Peace or Notary Public, HAVE CLERK OF COURT ATTACH CERTIFICATE OF OFFICIAL CAPACITY of each J. P. or N. P. in all cases. When complete, return to F. H. FITZGERALD, Indianapolis, Ind., P. O. Box 54.

 

 Transcription by John C. Hepner, 1999.

 

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