Revolutionary War Pension and Bounty Land Warrant Application File S. 22150, Jacob Burkhart, Penn.
Page 1

Penn    Burkhart, Jacob   S22150
            Burkehart
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Per letter 9 July 32
to Pen Agt and to
Danl Wigand  15 July
35
18560 18,540
Pennsylvania
Jacob  * Berkehart
of Somerset in the state of Pennsylvainia
who was a Prt Corpl in the Company commanded 
by Captain Knowl of the Regt commanded 
by P. Lutz in the Pa. Mn:
line for     Corp
2"21 Pr
* Burkhart
Inscribed on the Roll of Pennsylvania
at the rate of 36 dollars 31 cents per annum
to commence on the 4th day of March, 1834.
Certificate of Pension issued the 18 day of Sept 1833 and
Charles Ogden, Somerset Pa.
Arrears to the 4th of Sept 1933.  $90.77
Semi  allowance ending 4 March 34.  18.15
$108.92
Revolutionary Claim,
Act June 7, 1832.
Recorded by W. L. Williams Clerk
Book E Vol. 5 Page 4
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Declaration in order to obtain the benefit of the
act of Congress of the 7th of June 1832.
State of Pennsylvania
County of Somerset
   On the fourth day of September A.D.
eighteen hundred and thirty two personally
appeared before the Judges of the court of
Common Pleas of the said county and 
commonwealth Jacob Burkhart a resident
of the township of Allegheny in the county
and commonwealth aforesaid aged seventy
four years, who after being first duly sworn
according to law, doth, on his oath, make
the following declaration, in order to obtain
the benefit of the provision made by the 
act of Congress passed June 7th 1832.  That
he was born in the town of Reading in the county of Berks and state of Pennsylvania
on the 8th day of May A.D. 1758. where he
resided until enlisted in the army of the
United States on the _ day of June
seventeen hundred & seventy six in the
company commanded by Captain Jacob
Krowl (or Croul) under Major Bird, in the
regiment of Colonel Lutz in that part of
the army of the revolution under the
command of General Sterling.  That he
marched through Trenton, Princeton,
Brunswick, Amboy, ? ?, to 
New York and from thence to Long Island
where on the 27th day of August 1776 he
was taken prisoner by the enemy on
Hatbush bottom, at the battle of Long
Island.  That he remained in captivity five months & 2 weeks from the said 27th day of
August 1776 when he was released on parol.
That he was not exchanged for about one year
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after which exchange he entered the continental
army as a militia man, having been
drafted in May A.D. 1778 under Captain
Ream and Major Carrigher.  that he marched
to Newtown in Jersey- crossing the river
Deleware - that he continued in the service
about two months at that time - 
that in the autumn of 1778 he served a
further tour of duty as a substitute for
one - Faler under Captain Scober in the
State of New Jersey of three weeks  - that after the expiration of the three several 
periods of service he returned to Reading
where he remained until the year
A.D. 1785 when he removed with his
family to the place where he now
resides and where he has resided
ever since - He hereby relinquishes every
claim to a pension or annuity, except
the present, and he declares that his 
name is not on the pension roll
of any agency in any state.
Sworn to and subscribed,
the day and year aforesaid
C. Forward P?
Jacob ?
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Pennsylvania
Somerset County  On the fifth day of December in the year of our Lord eighteen hundred & thirty one personally appeared in open Court of Common Pleas in the for said County Jacob Burkhart resident in said county of Somerset, aged seventy three years, who being first duly sworn according to law doth on his oath make the following declaration in order to obtain the provision made by the acts of Congress of the 18th March 1818 and 1st May 1820.  Viz "I entered the Public Service of my County by enlisting in the Fown of Reading, Berks County, & State of Pennsylvania in the month of June seventeen hundred & seventy six. in the Company commanded by Captain Jacob Krowl (or Croul) under Major Bird, in the regiment of Cob. Lutz in that part of the army of the Revolution under the command of General Sterling - that I served in the army from the period of my enlistment until the 27th day of August 1776 at which time I was taken prisoner by the enemy on Flat Bush bottom at the battle of Long Island - that I remained in captivity five months & two weeks, when I was released on parole - That I was exchanged about on year after my release after which exchange I entered the Continental army under Cap. Ream & Major Canigher and continued in the service two months - and that subsequently I served a short campaign in New Jersey under Major Udree - that I was a non commissioned officer  (Viz 2d Corporal) during part of the time I served in the army of the revolution.  And in pursuance of the act of Congress of 1st May 1820 I do solemnly swear that I was a resident Citizen of the United states on the 18th day of March 1818 and that I have not since that time by gift, sale, or in any manner whatever, disposed of my property or any part thereof with intent thereby so to diminish it, as to bring my self within the provision of an act of Congress entitled an act to provide for certain persons engaged in the land & naval Service of the United States in the revolutionary war passed on the 18th day of March 1818 and that I have not, nor has any person in trust for me any property or securities, contracts or debts due to me nor have
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any income other than what is contained in the schedule hereto annexed & by me subscribed.
Sworn to & declared before the Honbl Alexander Thompson Esquire President of the Cort of Common Pleas of Somerset Count and Henry Black & John Kurtz Esquires associate Judges of said Court in open Court holden this 5th day of December A.D. 1831. | Jacob Burkhart
C. Forward
Prothy
Schedule of all the property now owned by declarant
1 horse of the value of $30.
5 sheep "                          5.
2 cows "                          16.
2 Yearlings "                     8.
2 Stoves "                        25.
1 Weavers Loom "           10.
1 Axe "                               1.
1 Old Wagon "                 20.
167 1/2 acres of land on 
the Alleghany Mountain 200.
                                        ----
                                      $315.
                                       -----
One Windmill                      9.
                                       ------
                                      $324.
Declarant has pursued farming many years - but from want of means- old age & bodily infirmity (being severely ruptured) is unable longer to pursue it or any other business to obtain a living - Declarants wife is also very old, frail, & infirm having been the mother of twenty seven children since her marriage with declarant.
Jacob Burkhart
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Pennsylvania
Somerset County Pct Upon the foregoing declaration of Jacob Burkhart being made in open court the undersigned Judges of said Court state that it is our opinion that the total amount in value of property of the said Jacob Burkhart exhibited in the aforesaid schedule is three hundred & twenty four dollars, and the value of his yearly income from the land mentioned in the schedule aforesaid is twenty dollars - we having examined other testimony to corroborate the declaration of the said Jacob Burkhart -
A Thomson
Henry Black
John Kurtz
Pennsylvania Somerset County
I Chauncey Forward Prothonotary of the Court of COmmon Pleas in and for said County do hereby certify that the foregoing is a true copy of the Original Declaration of Jacob Burkhard a soldier of the war of the Revolution as filed among the Records of said Court the 5th day of December A. D. 1831
for C. Forward Prothy
Saml. Glessner
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Somerset Penn December 7th 1831
Hon. Lewis McLean
Secy of Treasury
D Sir
I have enclosed my Declaration for the purposes of having my name placed on the pension list- I have furnished all the proof at present in my power of my Revolutionary Services. but I feel confidant that the records in the War office will contain evidence of my having served in the army- My name may have been written on the army rolls Jacob Burket - or Burget- or Burkhart which last made is the correct manner of spelling it.
You will be pleased to forward my pension directed to me at Somerset Penn
Very respectfully
Jacob Burkhart
by C. Ogle
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Date ?
October 3-1934-
Mrs Fay P Swanbom                      Jacob Burkhart
Crete, Nebraska.                            S. 22150

{handwritten}
Initials BA.J. ILL
should have been on orig

Dear Madam:
Reference is made to your letter in which you designate the following named Revolutionary War soldiers as those whose records you desire, Jacob Burkhart, George Burkhart, Sebastian Burkhart, John Harger, and John Adams and his son, Robert, of or near Alexandria, Virginia.
A search of the Revolutionary War records fails to show claims for pension on file based upon service of John or Robert Adams as described by you, or of any John Harger or Sebastian Burkhart; similar spellings of the surnames have been used in the search.  As previously stated, the record of George Burghart (Burkhart), R. 1402, which was furnished you is that of the only soldier with that name found on the Revolutionary War records of this office.  The record of Jacob Burkhart is given herein as found in the papers on file in his claim for pension S. 32150, based upon his service in the Revolutionary War.
Jacob Burkhart was born May 8, 1758, in Reading Berks County, Pennsylvania; the names of his parents are not shown.
While a resident of reading, Pennsylvania, he enlisted sometime in June 1778, served as corporal in Captain Crowle's company, Colonel Lutz' Pennsylvania regiment, was in the battle of Long Island, was taken prisoner on August 27, 1778, was held five months and two weeks, and was then released on parole and, in about a year, was exchanged.  He enlisted sometime in May 1778, and served two months as private in Captain Rheam's company, under major Carrigher in the Pennsylvania troops; he enlisted in the fall of 1778, and served three weeks as private in Captain Seeber's company under Major Udree.
The soldier resided in Reading, Pennsylvania, until 1785, then

{handwritten in margin}
Omitted the Jacob Crowl, as there is no Jacob in Pa or Hert. but Capt. George Crowle & Col. Nicholas Lutz are both shown in Hert. as prisoners at batt Long Island.
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moved to Allegheny Township, Somerset County, Pennsylvania.

He was allowed pension on his application executed September 4, 1832, at which time he resided in Allegheny Township, Somerset County, Pennsylvania: he had resided there ever since he moved from Reading, Pennsylvania.

In 1831, the soldier referred to his wife as the mother of twenty-seven children since their marriage, but he did not give her name, nor are the names of any children shown.

In 1831, John Burkhart, soldier’s brother, was a resident of Somerset County, Pennsylvania: he was born August 11, 1756.

Very truly yours,

A.D. HILLER
Assistant to Administrator.
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Resolution
22150
INVALID.
File No. 22150
Jacob Burkhart
Corp Rev War
Act: June 7th [?]
Index: -Vol. 2, Page 57
(Arrangement of 1870.)
May 18, 1917 Sent to Miss Amelia Staacke. CW
1934 Oct 3 Sent to Mrs. Fay P. Swanbom. Ill
Page 12

22.068
Jacob Bouckhart
Act 18 March 1818.
Q.
Pennsylvania
Rejected Revolutionary claim
See letter
16 Feb. 1832 to claimant 
Somerset, Pa
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State of Pennsylvania
Somerset county
Personally appeared before the honorable John Kurtz Esquire one of the judges of the court of Common pleas of said county and state. Peter Troutman whose deposition taken on the 18th day of April 1833 before Jacob Schneider Esquire is hereto attached and who are his solemn oath duly administered doth now depose and say in addition and amendment to his said former deposition that he [illegible] that. Jacob Burkhart (whose declaration and deposition are also hereto annexed) did serve in the Revolutionary Army in the manner stated by the Jacob Burkhart in the deposition of the said Jacob Burkhart [illegible] that this Jacob Burkhart did serve in the said [illegible] for seven months and two weeks as a Corporal and for two months and three weeks as a Private. 
Sworn and Subscribed
17th day of July 1833
John Kurtz
Peter Trautman
I John Kurtz one of the judges of the court of common pleas in and for Somerset county in the state of Pennsylvania do by these presents certify that I am well acquainted with Peter Trautman who made the above deposition and that the said Peter Trautman is a credible person and a man of integrity and that his statements are entitled to credit. In testimony whereof I have hereto set my hand the day and year aforesaid. John Kurtz
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Pennsylvania
Somerset County Sct
Channey Farrand Prothonotary
of the court of common pleas
of the County of Somerset
aforesaid do by these presents
Certify that John Kurtz Esquire
before whom the foregoing
affidavit of Peter [?]
was made & the signer of the
within certificate was at the time
of the said acts &
now is one of the
Judges of the said court of
Common pleas of said county
duly commissioned & sworn,
to all whose official
acts as such
due faith credit ought of right to
to given - In testimony whereof
I have hereto set my hand
seal of office this
23rd - July 1833.
C Forward
Prothy
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22.068
Declaration of Jacob Burkhart a soldier in the Army of the Revolution and proof of service
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Pennsylvania
Somerset County Sct
Personally appeared before the subscriber
one of the Commonwealths Justices of the
peace in & for the said county of Somerset ┃
John Burkhart a credible witness, who
on his solemn oath duly administered doth
say and depose that Jacob Burkhart by whom
the foregoing and annexed declaration was
made & subscribed is the brother of this
deponent. That deponent was seventy five
years of age on the eleventh day of August
last past and doth know that the said
Jacob Burkhart did serve in the army of
the Revolution in manner as stated in
the said declaration of the said Jacob
Burkhart
Sworn & Subscribed
Before 5th Nov 1831
George Flickinger
John Burkhart

Pennsylvania
Somerset County Sct


I Chamney Forward Esquire Recorder of
Deeds & commissions in & for said County
do hereby certify that George Flickinger
Esquire before whom the above
affidavit was made, was at the time of taking the said affidavit & now is an acting
Justice of the Peace in & for said county - to
all whose official acts as such due forth &
credit is, & ought of right to be given-
In testimony whereof I have hereto set my hand
& seal of office this fifth day of December 1831
C Forward Record Prothy
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Somerset County
Pennsylvania Sct
I Chamney Forward Esquire Prothe
notary of the court of common
pleas of Somerset County afore
said do hereby certify, that ┃ the
foregoing contains the
original proceedings of the
said court in the matter ┃
of the application of Jacob Burkhart for
a pension - In testimony whereof I
have hereunto set my hand & seal
of Office this 4th day of September 1832.
C. Forward
Prothy
S
N
We George Plats & Joseph Cochran
residents of the township of Allegheny in
the county of Somerset & commonwealth
of Pennsylvania hereby certify
that we
are well acquainted with Jacob Burkhart ┃
who has subscribed and sworn to the
foregoing declaration - that we believe
him to be seventy four years of age;
that he is reputed & believed in the
neighbourhood where he resides to have
been a soldier of the revolution and that
we concur in that opinion -
Sworn & subscribed
the day & year aforesaid
4th Sep. 1832 - in
open court -
C Forward Prothy
---
George Platz
           his
Joseph X Cochran
           mark
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And the said court do hereby declare their opinion after the investigation of the matter and after putting the interrogatories prescribed by the war department that the said Jacob Burkhart served in the Revolutionary Army as he stated and the court further certifies that the said Georg Plotz and Joseph Cachemann who have signed the foregoing deposition reside in the said township of Allegheny in the county of Somerset aforesaid and that they are credible persons and that their statements are entitled to credit. 
J. Chauncey Howard [illegible] of the said court do certify that the foregoing contains the original proceedings of the said court in the matter of the application of Jacob Burkhart
In testimony whereof I have hereto set my hand and seal of office this 4th Sep 1832.
C. Forwards, Protty

Declaration of Jacob Burkhart in order to obtain the benefit of the act of Congress passed June 4th 1832.

11686
[illegible] 
7 mons 14 days

Charles Ogle, Sommerset, Penna
Page 19

Respectfully referred to the Hon Secretary of War
Trs. Scpt. 12 Dec 1831
Rejected 15 Feb 1832

Dec 13 1831
[Stamped] Free P.O.
Hon Louis McLane
Secretary of Treasury [illegible]
Washington —
Page 20

Pennsylvania, Somerset county
Personally appeared before the subscriber a Justice of the Peace in and for said county Peter Troutman a credible witness aged about seventy six years who on his oath duly administered doth say and depose that he is well acquainted with Jacob Burkhart of Allegheny township in the county aforesaid that deposeth was well acquainted with the said Jacob Burkhart during the Revolutionary War that deposent was well acquainted with the said  Jacob Burkhart during the Revolutionary War-- that deponent knows that the said Jacob Burkhart enlisted in the Army of the United States in the summer of seventeen hundred & seventy six under Captain Jacob Krowl & Major Bird in  the regiment commanded by Colonel Lutz under General Resling [?]; That deponent knows that the said Jacob Burkhart was taken prisoner by the British at the battle of Long Island; That deponent further knows that the said Jacob Burkhart was drafted in seventeen hundred & seventy eight under Captain Mean [?] & Major Carrigher [?]-- and that he marched to New Jersey & served out his tour of two months and further saith not
Sworn & subscribed April 18th 1833 Before 
Jacob Schneider
Peter Troutman [?]
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Pennsylvania, Somerset County
Personally appeared before the undersigned a justice of the peace in and for the county aforesaid Jacob Burkhart who being duly sworn deposeth and saith that by reason of old age and the consequent lapse of memory he cannot swear positively as to the precise length of time of his service but according to the best of his recollection he served not less than the periods mentioned below and in the following grades: for seven months and two weeks as a Corporal; for two months and three weeks, I served as a private; and that I was on parole one year after my release as a prisoner by the enemy; deponent further states as the reason why he did not procure the certificate of a clergyman to his declaration that there is no clergyman resident within the township in which deponent lives. Sworn and subscribed April 22, 1833 
George Pile 
Jacob [illegible]
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Pennsylvania, Somerset County, 
I, Chauncey Howard, Esquire, 
[illegible] of the court of [illegible] in and for said county do hereby certify that Jacob Schneider Y George Pile Esquire before whose the foregoing depositions were taken respectively were at the time of taking such depositions & now are acting Justices of the Peace in and for said county to all whose official oaths as such due faith & credit ought of right to be given -- the said Jacob Schneider & George Pile Esquire having been[illegible] & duly commissioned & sworn as such 
In testimony serving
I have hereunto set my hand & seal of office this 4th May A.D. 1833.
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St. Peter, Minnesota, 12 May 1917
Rec sec 21
Sir: 
Will you please send me copies of the pension records of the following Rev. Soldiers: Jacob Burkhart, (S 22100) a Rev. soldier from Pa, enlisted at Reading, Pa, June 1776, was captured at R.I.
James Smith, a Rev. soldier from Pa., His pension certificate is no. 8420 so a county history state no such no. on file or any James Smith.
Thanking you
Very truly
Mrs. Amelia Staacke
St. Peter, Minnesota
See letter calling for more data [illegible] slip of James Smith
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Dr. E. E. Swanbom, Dentist, Crete, Nebraska
March 25, 1934
U.S. Department of the Interior
Bureau of Pensions
Washington, D.C.
Dear Sir:
Was a pension ever granted to the following and if so will you give me a copy of their application as to birth, where, etc? 
1. George Burckhart of Washington Co., Md. Page 19 Rev. Record of Md. 
2. Also Jacob Bowman of same place. Should come from Lancaster.
3. John Harrison who married Elizabeth Roe probably served from Va Militia or N.J. or Pa. 
died Pa near Pittsburgh, I believe (1813-1819).
4) Charles Nelson who married Chaney Carver resided Friends Creek, Macon Co., Illinois, where he received [a] land grant for fighting in [the] War of 1812. Probably from Pa. 
5) Have you a pension of a Jacob perhaps in War of 1812; Bauman or Bowman or Brawand or Broward, Brand, or Brandt; fought probably Lancaster Co, Pa.; 
perhaps died Stark Co, Ohio, around 1826 or 1828. Carlisle, Pa. 
6) John Stair--who died May 17, 1787, probably served from Elizabeth N.J.
Page 25

Stair
Dr. E. E. Swanbom, Dentist, Crete, Nebraska
on N.Y. supposed to be John "Earl of Stair" Scotch. Thought to have married a Miss Bickel. Was a William Stair or Sterling or Stirling or perhaps name might be Stiers of N.Y.
Hunterdon Co., N. Jersey.
Left minor children Jacob born 1784
(7) Jacob Stair b 1784- 1812 { John Stair d 1787, Pa. & Miss Bickel (?){ William Stair or perhaps Sterling
I find a notation in "Pa Rev Soldiers on Phila & Lancaster Turnpike
Look in either Philadelphia Lancaster Counties ([where] they lived ) {John Stairs, Dan Bickley

I would like a pension record of a Stahl, Stall, Stall who died Pa, I think, Do not know his first name. It may be Augustus Stahl but not sure. I do know the...
Page 26

Dr. E. E. Swanbom, Dentist, Crete, Nebraska
for certain his wife was Elizabeth last name unknown born 1752 died 1829 Wayne Co Ohio, Had daughter Anna who married Jacob Stair (1784).
I find a Frederick Stolle 1776 discharged at Trenton, N.J. Jan 17, 1781 resided in Northampton Co., Pa 1818.
Adam Hall "Pa in Revolution"
Jacob Stall Lancaster Co Pa
William Stall
Adam Stoll
John Styers (Stier)? Stair (?)
John Stahl Union Co 1825
Berks Co Pa in Rev {Adam Stiell, Jacob Stahle
Adam Stall Schuykill Co in 1829
Leonard Stahl
George Stall, Pa & N.Y. )look up_ Be sure to look up
I would like data concerning the 
Jacob May in Col. Anthony Waynes division
John May (Capt John Lacey Co) Private
Jacob May (Capt John Laceys Co) Pa.
Page 27

Dr. E. E. Swanbom, Dentist, Crete, Nebraska
probably for York Co, Pa, was their ever a Jacob May who served from Md? I know he might be from there because my Jacob (Born 1790) hauled grain to Baltimore during the war of 1812. May came from Oakwood, Md (they moved to Oakwood, Ohio & Wayne Co) Oakwood Md is in Cecil Co, Md.
Any information you can give me will be much appreciated.
Yours truly,
Dr. Elmer E. Swanbom
From bible: "Jacob Stair was a native of Lebanon Co, Pa as was also his father William Stair and his grandfather was a native of Scotland. William Stair married a Miss Bickle, Jacob was only child born to this marriage mother
died & William remarried
(over)
Page 28

Will you particularly look up
a William Sterling or Stirling
who was from N.Y. but
lived in Cumberland Co., Pa and then to Bedford County?
From Sterling genealogy
Page 29

Crete, Neb
Sep 1, 1934
Dear Sir:
Thanks!
Referring to your letter of Aug 20,
1) In book "Bedford & Somerset Co., Pa, Vol. II, St Paul Library" Jacob Burkhart (Berkhart) at Reading (Berks Co. Pa., June 1776 made claim for pension, father [of] 27 children by 1 wife: resided in Allegheny township (probably Allegheny Co. now). Would like record of & if George Burkhart Harlan County Ky can be his son.
2) There was in 1781, a Geo Burqet [or Burget] of Washington Co, Pa; any pension
3) 1797 George Burkhart in Washington Co, Va, any pension (?)
4) 1771 John Harger -not as of Bot Co- in Botetourt County, Va. Any pension?
5) Any pension of Sebastian Burgetl, Washington Pa. I am gathering together all Burkhart data I can with the intention of publishing it. There are no genealogies & books in that name & in as much as
Page 30

they rendered meritorious service to the U.S. 
I have been collecting data; would like to have had all Burkhart pension records from your office but suppose after paying $110.00 taxes one is presuming to ask anything in return, that perhaps sounds unkind but I do not feel that I am begging, however, I do thank you for your letter and your kind answer. I would like to know if a Rev. Frank John Adams. D.D. who married Janet Pampbell or his son Robert Adams ever received pension? Of or near Alexandria, Va. 
Thanking you, I am, 
Yours truly,
Mrs. Fay Provant Swanbom, Crete, Nebr.
Page 31

In reply to your request of ....received...for a statement of the military history of Jacob Burkhart, of Pennsylvania, a soldier of the Revolutionary War, you will find below the desired information as contained in his (or his widow's) application for pension on file in this Bureau. served as Corpl under Captain Jacob Croul or Krowl, and Colonel Lutz Dates of enlistment or appointment: June 1776 and on Aug 27, 1776 at battle of Long Island was taken prisoner released on parole after a captivity of  5 months 2 weeks and exchanged one year later.
Also enlisted or appointed: May 1778 for 2 months as Private under Captain Ream and Col Major Barrigher and
in Fall 1778 for 3 weeks as Private under Captain Scober and Colonel Major Udree 

Battles engaged in Long Island
Residence of soldier at enlistment, Reading, Berks County, Pennsylvania
Date of application for pension: Dec. 5, 1831, His claim was al-

Residence at date of application: Allegheny Twp, Somerset Co., PA
Age at date of application: born in Reading, PA, May 8, 1758.

Remarks: In 1831 Soldier stated that his wife was "old, frail and infirm, having been the mother of twenty seven children since her marriage with declarant." Names of wife and children not given. 
Respectfully, Commissioner
Page 32

August 20, 1934
xxxxxxxxxxxxxxx
BA-J/MMHF:MLB


Dr. E. E. Swanbom 
Crete, Nebraska

Dear Sir:

Reference is made to your letter in which you request the records of a large number of soldiers who served in the Revolutionary War, with the surnames Burckhart, Bouman (Bowman), Harrison, Nelson, Stair, Stahl (Stall, etc.), Sterling, May, etc.

Because of the great demand for Revolutionary War data and the limited clerical force available for furnishing such information, it has not been possible to make a series of investigations and reports pertaining to soldiers of that war, for one person.

If you will designate one or two of your ancestors in whom you are most interested who served in that war, and give their full names, a search of the records will be made and a report furnished. Please give, also, as much as possible of the following data as a means of identifying the record:  approximates of birth and death, places of residence at enlistment and after service and given name of widow.

Very truly yours

A.D. Hiller
Assistant to Administrator