Revolutionary War Pension and Bounty Land Warrant Application File S. 23,034, Jonathan Tyler, Continental (N.H.)

SERVICE
NUMBER
Continental (N.Y.) Tyler Jonathan
S 23034
CONTENTS

21599 New Hampshire
Jonathan Tyler Grafton in the State of N.H. he was a Private in the Company commanded by Captain M c Lean of the 1 st Reg t commanded by Col. Warren in the 1 st Vols. line for 10 months
Inscribed on the Roll of New Hampshire at the rate of 33 Dollars 33 Cents per annum to commence on the 4th day of March, 1831.
Certificate of Pension issued the 10 th day of Oct 1833 and Lieut. Jonathan Tyler Marshall N.H.
Arrears to the 4th of Sept 1833 $83.33 Semi-ant. allowance ending Sept 30, 1833 16.67 $100.00
{ Revolutionary Claim, } Act June 7, 1832. }
Recorded By W. Addison Clerk, Book 1 Vol. D 2 Page 123

24872 24722 Tyler Jonathan. Bliss N.H.
Private 10 March [Signature]
Jonathan Bliss Haverhill N.H.

WAR DEPARTMENT,
Pension Office,
183
Sir:
The evidence in support of your claim, under the act of June 7, 1832, has been examined, and the papers are herewith returned. The following is a statement of your case in a tabular form. On comparing these papers with the following rules, and the subjoined notes, you will readily perceive that objections exist, which must be removed, before a pension can be allowed. The notes and the regulations will shew what is necessary to be done. Those points to which your attention is more particularly directed, you will find marked in the margin with a brace, (thus: { ). You will, when you return your papers to this Department, send this printed letter with them; and you will, by complying with this request, greatly facilitate the investigation of your claim.
Statement, showing the Service of Jonathan Tyler. N.H.
   Period when the service was rendered. Duration of the claimant's service. Rank of the claimant. Names and rank of the Field officers under whom he served. Age at present, and place of abode when he entered the service. Proof by which the declaration is supported.   Years. Months. Days.     Dec. 1776 - 6 mo. 10 Private Col. M c Lean Warren G enl . Sullivan 80. born in Lebanon Entered at Grafton now Lives there 6 living witnesses one said he served till 1777 and was taken prisoner - The other states the same The witnesses are not Certified Credible Certificate of clergyman and a Citizen  
I am, respectfully,
Your obedient servant,
J. L. EDWARDS,
Commissioner of Pensions.

REGULATIONS UNDER THE ACT OF JUNE 7, 1832.
The following regulations have been adopted:
This law has been construed to extend, as well to the line, as to every branch of the Staff of the Army, and to include under the terms "Continental Line," "State troops," "militia," and "volunteers," all persons enlisted, drafted, or who volunteered and who were bound to military service, but not those who were occasionally employed with the army upon civil contracts, such as Clerks to Commissaries and to Store Keepers, &c., Teamsters, Boatmen, &c. Persons who served on board of private armed vessels are also excluded from the benefits of the law, as well as persons who turned out as patrols, or were engaged in guarding particular places at night, and were not recognized as being in actual military service.
Four general classes of cases are embraced in this law:
 1. The Regular Troops.  2. The State Troops, Militia, and Volunteers.  3. Persons employed in the Naval Service.  4. Indian Spies. 
As rolls of the regular troops in the Revolutionary War exist in this Department, all persons claiming the benefit of this law as officers, non-commissioned officers, musicians or privates, will, in the first instance, make application by transmitting the following declaration, which will be made before a Court of Record of the County where such applicant resides. And every Court having by law a seal and Clerk is considered a Court of Record.
DECLARATION,
In order to obtain the benefit of the Act of Congress of the 7th of June, 1832.
State, Territory, or District of } ss. County of }
On this day of personally appeared (a) before A. B. a resident (b) of in the county of and State, Territory or District of aged (c) years, who 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 enlisted in the Army of the United States in the year (d), with and served in the (e) regiment of the line, under the following named officers:
[Here set forth the names and rank of the Field and Company Officers; the time he left the service; (and if he served under more than one term of enlistment, he must specify the particular period, and rank and names of his officers; the town or county and State in which he resided when he entered the service; the battles, if any, in which he was engaged, and the country through which he marched. This form is to be varied so as to apply to the cases of officers and persons who belonged to the militia, volunteers, navy, &c.]
He hereby relinquishes every claim (f) whatever to a pension or an annuity, except the present, and he declares that his name is not on the Pension Roll of any Agency in any State, or (if any) only on that of the Agency in the State of
Sworn to and subscribed the day and year aforesaid.
A. B.
[And then will follow the certificate of the Court.]
And the said Court do hereby declare their opinion (g) that the above named applicant was a revolutionary soldier, and served as he states.
I of the Court of do hereby certify (h) that the foregoing contains the original proceedings of the said Court in the matter of the application of for a pension.
In testimony whereof, I have hereunto set my hand and seal of office (i) this day of &c.
If, on examination of the proper record, the names of applicants, making such declaration, cannot be found, they will produce such proof as the rule given in note (j) points out.
Every applicant who claims a pension by virtue of service in the State Troops, Volunteers or Militia, except those who belonged to the New Hampshire Militia and State Troops of Virginia, will make and subscribe a declaration similar to the foregoing, with the following additions, viz:
(k) We, A. B., a Clergyman, residing in the and C. D. residing in (the same) hereby certify, that we are well acquainted with , who has subscribed and sworn to the above declaration; that we believe him to be years of age; that he is reputed and believed, in the neighborhood where he resides, to have been a soldier of the Revolution, and that we concur in that opinion.
Sworn and subscribed the days and year aforesaid.
[And then will follow the certificate of the Court.]
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 above named applicant was a Revolutionary Soldier, and served as he states. And the Court further certifies, that it appears to them that A. B. who has signed the preceding certificate is a clergyman, resident in the and that C. D., who has also signed the same is a resident in the and is a credible person, and that their statement is entitled to credit.
I, Clerk of the Court of do hereby certify that the foregoing contains the original proceedings of the said Court, in the matter of the application of for a pension.
In testimony whereof, I have hereunto set my hand and seal of office, this day of &c.
Every applicant will produce the best proof in his power. This is the original discharge or commission; but if neither of these can be obtained, the party will so state under oath, and will then procure, if possible, the testimony of at least one credible witness, stating in detail his personal knowledge of the services of the applicant, and such circumstances connected therewith, as may have a tendency to throw light upon the transaction.
If such surviving witness cannot be found, the applicant will so state in his declaration, (l) and he will also, whether he produce such evidence or not, proceed to relate all the material facts, which can be useful in the investigation of his claim, and in the comparison of his narrative with the events of the period of his

alleged service, as they are known at the Department. A very full account of the services of each person will be indispensable to a favorable action upon his case. The facts stated will afford one of the principal means of corroborating the declaration of the applicant, if true, or of detecting the imposition, if one be attempted; and unless, therefore, these are amply and clearly set forth, no favorable decision can be expected. All applicants will appear before some Court of Record in the County in which they reside, and there subscribe and be sworn to, one of the declarations above provided, according to the nature of his case.
The Court will propound the following (m) interrogatories to all applicants for a pension, on account of service in the Militia, State troops, or Volunteers, except the Militia of New Hampshire and the State troops of Virginia.
 1. Where and in what year were you born?  2. Have you any record of your age, and if so, where is it?  3. Where were you living when called into service; where have you lived since the Revolutionary war, and where do you now live?  4. How were you called into service; were you drafted, did you volunteer, or were you a substitute? And if a substitute, for whom? 
5. State the names of some of the Regular Officers, who were with the troops, where you served; such Continental and Militia Regiments as you can recollect, and the general circumstances of your services.
 6. { To a Soldier. } Did you ever receive a discharge from the service, and if so, by whom was it given, and what has become of it?  { To an Officer. } Did you ever receive a commission, and if so, by whom was it signed, and what has become of it? 
7. State the names of persons to whom you are known in your present neighborhood, and who can testify as to your character for veracity, and their belief of your services as a soldier of the Revolution.
The Court will see that the answers to these questions are embodied in the declaration, and they are requested to annex their opinions of the truth of the statement of the applicant.
The applicant will further produce in Court, if the same can be done, in the opinion of the Court, without too much expense and inconvenience to him, two respectable persons—one of whom should be the nearest clergyman, if one lives in the immediate vicinity of such applicant, who can testify, from their acquaintance with him, that they believe he is of the age he represents, and that he is reputed and believed in the neighborhood to have been a Revolutionary soldier, and that they concur in that opinion. If one of these persons is a Clergyman, the Court will so certify, and they will also certify to the character and standing of other persons giving such certificates.
The traditional evidence of service is deemed very important, in the absence of any direct proof, except the declaration of the party. And the Courts are requested to be very particular in the enquiry whether the belief is general, and whether any doubts have ever existed upon the subject.
Applicants unable to appear in Court, by reason of bodily infirmity, may make the declaration before required, and submit to the examination, before a Judge or Justice of a Court of Record of the proper county, and the Judge or Justice will execute the duties, which the Court is herein requested to perform, and will also certify that the applicant cannot, from bodily infirmity, attend the Court.
Whenever any official act is required to be done by a Judge or Justice of a Court of Record, or by a Justice of the Peace, the certificate of the Secretary of State or Territory, or of the proper Clerk of the Court or County, under his seal of office, will be annexed, stating that such person is a Judge or Justice of a Court of Record, or a Justice of the Peace, and that the signature annexed is his genuine signature.
No payments can be made on account of the services of any person, who may have died before the taking effect of the act of June 7, 1832; and in case of death subsequent thereto, and before the declaration herein required is made, the parties interested will transmit such evidence as they can procure, taken and authenticated before a Court of Record, showing the services of the deceased, the period of his death, the opinion of the neighborhood respecting such services, the title of the claimant, and the opinion of the Court upon the whole matter.
[2] The declarant must appear in open Court, unless prevented from doing so by reason of bodily infirmity; in which case the declarant will follow the rule laid down for his guidance.
[3] The declarant must make his declaration in the county where he resides. If he should fail to do so, he must assign a sufficient reason for not conforming to the rule.
[c] The age of the claimant must invariably be mentioned.
[d] The declarant must mention the period or periods of the war when he served.
[e] Every continental officer or soldier must give the name of the Colonel under whom he served; otherwise a satisfactory examination of the claim cannot be had. Every claimant must state, with precision, the length of his service, and the different grades in which he served, in language so definite as to enable the Department to determine to what amount of pension he is entitled. In a case where the applicant cannot, by reason of the loss of memory, state precisely how long he served, he should amend his declaration by making an affidavit in the following words:
"Personally appeared before me, the undersigned, a Justice of the Peace, &c. A. B. who, being duly sworn, deposeth and saith, that, by reason of old age, and the consequent loss of memory, he cannot swear positively as to the precise length 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 _____ year _____ months, and _____ days, I served as a _____. For _____ months and _____ days, I served as a _____; and for such service I claim a pension."
It is important, in all cases, to determine with precision the period for which each applicant served, and the particular rank he held, as the law directs the pension to be paid according to the grade of the pensioner and the length of his service. The use of the phrase about three or four months , is too indefinite, and all such qualifying expressions are objectionable. Some persons who apply for pensions merely state that they served two years in the militia, &c. without specifying the tours, the names of the officers, and other particulars respecting their service. This form of a declaration is highly objectionable. It must, in every case, be clearly shown under what officers the applicant served; the duration of each term of engagement; the particular place or places where the service was performed; that the applicant served with an embodied corps called into service by competent authority; that he was either in the field or in garrison; and for the time during which the service was performed, he was not employed in any civil pursuit.
[f] The law makes the relinquishment indispensable.
[g] The opinion of the Court is always required.
[h] The Clerk must give his certificate in every case.
[i] The Clerk must affix his seal, and if it has no device or inscription by which it can be distinguished from any other seal, or if he has no public seal of office, the certificate of a Member of Congress, proving the official character and signature of the certifying officer, should accompany the papers.
Mode of authenticating papers.
In every instance where the certificate of the certifying officer who authenticates the papers is not written on the same sheet of paper which contains the affidavit, or other papers authenticated, the certificate must be attached thereto by a piece of tape or narrow ribbon, the ends of which must pass under the seal of office of the certifying officer, so as to prevent any paper from being improperly attached to the certificate.
Proof of Service.
[j] In a case where the name of the applicant is not found on the records of the Department, he must prove his service by two credible witnesses who are required to set forth in their affidavits the time of the claimant's entering the service, and the time and manner of his leaving the same, as well as the regiment, company, and line to which he belonged. The magistrate who may administer the oaths must certify to the credibility of the witnesses, and the official character and signature of the magistrate must be certified by the proper officer, under his seal of office.
[k] The notes from [a] to [i] are all equally applicable to the cases of Militia men, Volunteers and State Troops. The proof required by rule is note [j] applies to continental troops only.
[l] This traditional evidence is indispensable in militia cases.
[m] If a witness cannot be found, the declarant must state the fact.
[n] The answers to the interrogatories must all be written, and sent to the War Department, with the declaration.

Yours Truly
是年秋，余奉命出使英法，
24/9/99
七

State of New Hampshire } County of Grafton } ss.
On this eighteenth day of September in the year of our Lord one thousand eight hundred & thirty two personally appeared in open court before the Judge of the court of Probate now sitting at Hanover in said county Jonathan Tyler, a resident of Piermont in the county of Grafton & State of New Hampshire aged Eighty years who being first duly sworn according to law, took an oath making the following declarations, in order to obtain the benefit of the act of Congress passed January 2. 6. 1832.
That he entered the service of the United States under the following named officers, & served as herein stated, to wit:-
That he the said Jonathan Tyler some time in the month of December in the year of our Lord one thousand eight hundred & twenty six, the particular day of the month he is not able to name, at Piermont in said county of Grafton & State of New Hampshire, where he the said Tyler then & there resided, enlisted into the Company commanded by Captain M c Corne & Lieutenant Jonathan M c Corne, in Colonel Warner's Regiment for the term of three years. That immediately after his said enlistment he entered said Company in service of the United States - That he was stationed first at S i -conderoga & afterwards at Fort Independence both in the State of New York, & changed his enlistment from an enlistment for three years to an enlistment during the war - That he had continued in said service the term of eight months, when he was engaged in an action with the British force at Plattsburgh in said State of New York where & where he the said
• Tyler was taken prisoner by the said British force & was by them held in imprisonment for the term of two months thereafter & until he escaped from them, which he did - That from the treatment he received while imprisoned as a prisoner as aforesaid, he was greatly reduced & debilitated so that he found it necessary to return home which he did from the British quarters from which he escaped - That the time which he was in the service as aforesaid & the time he was detained as prisoner as aforesaid amounted in all to ten months - That he does not recollect the names of Companies or Regiments with which he served other than as named

above, or of officers with whom he served or whom he saw in said service except those named above & Generals Gates & Sullivan. That he has no documentary evidence of his said service & does not know of any person whose testimony he can procure to the same except the affidavits of Thomas Whipple & James Jenkins, which he cannot be taken some years since as said Jenkins was near his decease & said Whipple was absent in moving to a distant part of the country - that he was usually called at Roll Call by the name of Jonathan Sayler, but does not know how it was thus entered. That he the said Sylvester was born in Lebanon in the state of Connecticut on the first day of January in the year of our Lord one thousand seven hundred & fifty two - that he has no record of his age & knows of none - that at the time of his said enlistment he resided at the Pownal as he has stated above, & that he has resided there since the Revolution - that he had no written discharge from service - that he did not desert but in all respects behaved himself as a good soldier.
And the said Sylvester names Rev. Robert Blake & Richard Jones of said Pownal as his neighbors, who can testify to his character for veracity & their belief of his services as a soldier of the Revolution. And he hereby relinquishes every claim whatever to a pension or annuity except the present, & declares that his name is not on the Pension Roll of any state.
Jonathan his Sylvester Mark
Sworn to & subscribed the year & day first above

We Robert Blake residing in Pownall in the county of Grafton & state of New Hampshire & Richard Jerraps residing in said Pownall hereby certify that we are well acquainted with Jonathan Dyer who has subscribed & sworn to the above declaration - that we believe him to be eighty years of age - that he is respected & believed in the neighborhood where he resides, to have been an soldier of the Revolution, & that we concur in that opinion.
Sworn & subscribed the day & year aforesaid -
Robert Blake Richard Jerraps
And the said court do hereby declare their opinion after the investigation of the matter, & after perusing the interrogatories prescribed by the war department & that the above named applicant was a Revolutionary soldier & served as he states - And the court further certify that it appears to it that Robert Blake who has signed the foregoing certificate is a clergyman & that he & the said Richard Jerraps who has signed the same both are residents in Pownall Grafton county New Hampshire sane credible persons & that their statement is entitled to full credit thereof -
Edward Webber Judge of Probate
I Moses Dow Register of the said court of Probate do hereby certify that the foregoing contains the original proceedings of the said court in the matter of the application of Jonathan Dyer for a pension -
In testimony whereof I have hereunto set my hand & the seal of office, this 18 th day of September A.D. 1832
Moses Dow
Print

1740
Staten Island Deposition

Franklin County } 3 of Steven Jenkins State Vermont } so the Town County and State aforesaid being of Lanesburgh age do testify and say that Jonathan Taylor of Pownal Vermont, Franklin County and State of Vermont imprisoned inlisted for three years in Colonel Warner Regiment and in Capt. McCune's Compa- ny and continued in sd regiment until the Battle of Hubbardston in 1777 after this Battle he was missing and I supposed him either killed or taken prisoner as there were a num- ber of the regiment that was killed and taken in sd Battle.
Steven Jenkins his X mark
State of Vermont } Franklin County } 3
July 14 1828
Then Steven Jenkins personally appeared and and after being carefully examined and duly authorized made oath that the fore- going deposition by him subscribed contains the whole truth and nothing but the truth before me
Robert Gilmore Justice of Peace

State of Vermont Orange County Clerks office
I Harry Hale Clerk of the County Courts of Orange County, do hereby certify that at the time of taking the within depositions, Robert Gilmore, was a justice of the Peace, within and for the County of Orange, and as such, was authorized to administer oaths. I farther, believe the within writing profes- sing to be his signature is genuine.
In testimony whereof I hereunto set my hand, and seal of Office. this Eighth day of March A.D. 1833.
Harry Hale. Clerk;

Bradford Orange County } Thomas Whip State of Vermont } ple of the
Town County and State aforesaid being of Lawfull age do testify and say that Jon- athan Dyer of Piermont Grafton Coun- ty and State of New Hampshire enlisted for three years in Colonels Warrens Regiment and in Captain Mc Curres Compa- ny and continued in sd regiment untill the Battle of Hubbardston in 1777 after this Battle he was missing and I supposed him either killed or taken Prisoner as there was a number of this regiment that was killed and taken in sd Battle
I further Testify that many of this Regiments and I think the most of them enlist- ed during the war after they had served out their first term of three years Thomas Whipple
State of Vermont } July 12th 1822 Orange County ss } Then Thomas Whipple personally appeared and after being carefully examined and duly cautioned made solemn oath that the foregoing deposition by him subscribed contains the whole truth and nothing but the truth before me
Thomas Pabon Justice of Peace
I Thomas Pabon the above subscribing my oaths further certify that the above deposing Thomas Whipple is swar at the time of making the above affidavit a person of undoubted credibility & his testimony entitled to full belief
Thomas Pabon

We Ezra Bartlett & Benjamin Merrill both of Haverhill before say that we were personally acquainted with Thomas Whipple late of Bradford. Now as we understand he moved to Michigan, that he was a minister of the gospel - sustained in all respects so far as we know or believe an unimpeachable character - & that his testimony is entitled in our belief to full credit - once I then Mr. Merrill further testify that I can well understand the signature of the above named Thomas Whipple, & have no doubt that the written
Thomas Whipple Deacon
Grafton June 13-1833
Ezra Bartlett
Benj Merrill
I know the Hon. Ezra Bartlett & Benjamin Merrill Esq. the deponents above, who are known to me as trustworthy & credible persons. That the above certificate, made on the 13th day of June, 1833, was true, before me.
Saml Bliss Justice of the Peace
State of New Hampshire
Grafton June 15. 1833 I Stephen P. Webster Clerk of the court of Common Pleas in said county certify that Jonathan Bliss Esq. is a justice of the Peace in said county duly authorized to administer oaths, & that the signature to the above certificate is his -
In testimony whereof I have wrote out my hand & the seal of said court, this 15th day of June 1833 -
S. P. Webster Clerk

State of Vermont Orange County Clerks Office J. Harry Hale Clerk of the County Court of Orange County do hereby certify that Thomas Labor is, and was at the time of taking the within deposition, a justice of the Peace within and for the County of Orange aforesaid, and that I believe the writing professing to be his signature is genuine, and as a justice of the Peace aforesaid, he is, and was at the time, authorized to admin- ister oaths. In testimony whereof I hereunto set my hand, and seal of office this Eighth day of March A.D. 1833
Harry Hale, Clerk.

H. T.
Lowell March 24/197 Pension Bureau
Dear Sir
I would like to know of the military career of Jonathan Tyler. Born in Hebron, Connecticut, 1753, and died in Piqua W. H. 1848, was in the "Revolutionary war" I know. his Father's name was Daniel Tyler.

J. Hildreth born in 1745.
also. The military career of James Hildreth . His Father name was Oliver Hildreth and his Mother Anna Blaisdell, Hildreth, b
I wish to be a Daughter of the American Revolution and must be listed concerning my ancestors
Yours Truly Mrs. Geo. A. McIntosh
5 Wasp St Rowell Mass.
21699

Wm J. L. Edwards Court of Pensions

Waukesha W. H. Jan 15-1830
Wm J. L. Edwards Comm. of Papers - Sir
I return herewith the papers in the case of Jonathan Dyer, which were returned for the certificate of magistrates to the credibility of the witnesses. Thomas Whipple, one of the witnesses, is further of W. H. Jan. 1. Mr. Whipple left a representation in Congress from this state. He has now removed to Michigan, and is a person of unblemished integrity, as will fully appear from the certificates now attached to his affidavit. The other witness is now dead, & the magistrates before whom his affidavit was made is somewhat remote: but the testimony of both witnesses is the same same, & as the credibility of one of them is so fully sustained I have not supposed it necessary to go to the trouble of procuring a certificate in reference to the other. The second witness, Jenkins, was not a person of so much character as the first. His affidavit, however, was taken when he was on his death bed, & could have had no object to misrepresent -
Very Respectfully Yours &c.
Gov. Bliss

Rebolution
23084 INVALID.
File No. 23084
Jonathan Tyler Rev War
Act: June 7 th 32 nd
Index:—Vol. 2 , Page 427
[Arrangement of 1870.]

Apr 29. 1877 History to Mrs. Geo. A. McIntosh - 5- Harr st. Lowell - Mass
1927 May 12. Photos mounted W.A.W. De Boock U.S. Shipping Bldg. Long Beach

6769
3-2233
BUREAU OF PENSIONS
Finance Division
May 9, 1927
Chief Rev. War Section Division.
I have this day received from A. H. De Goosh cash No. for $1.20 requesting
photostat copy post office addresses as per letter herewith.
Handwritten notes: 1927 May 12, Photostat mailed, I have recd, and signature.
O. J. RANDALL Chief Finance Division.
Handwritten: cc. L, cc. 10
new & old wars section

7, 1927
Commissioner of Pensions
Sir:
I desire photo stat copies of five pages from Rev. War pension claim of Jonathan Tyler, S. 23034, and three pages from Rev. War pension claim of Levi Collins, S. 34708. (8 p.)
signed
W. D. Groves U.S. Shipping Board
Received payment May 7, 1927 One dollar, twenty cents
Margaret M. H. Finch Rev. & 1812 Wars Section

This job should refer to Requisition No.
14958
Duplicating, Addressograph, Photostat, and Blue Print Work.
DEPARTMENT OF THE INTERIOR WASHINGTON
Publications,
May 10, 1927
192
Please work specified below. Bureau ordering Pension
Deliver to Room No. 5033
(ALL COPY FOR DUPLICATING WORK SHOULD BE PLAIN AND WRITTEN IN ELITE TYPE, EXACTLY LINE FOR LINE AS IT IS TO APPEAR ON FINISHED JOB.)
Title and description of job photostat copies of 5 pages from the Rev. War pension claim, S. 23034, Jonathan Tyler
No. of copies 1 of each page Shall form be kept standing? days For further information see A. E. Wilson Room No. 5033 Phone No. 541
Approved: A. L. Lamborn
Chief Clerk of Bureau.
Room No. Phone No. A. E. Wilson Chief of Branch or Division.
NOTE: No order made "SPECIAL" unless statement showing necessity is written below and approved by Chief Clerk of Bureau ordering
CHECK WORK DESIRED
Duplicate
Multigraph single or double space? Facsimile signature?
Mimeograph one side or both sides? Facsimile signature?
Folding once or twice?
Assembling Once? Twice? Side? End?
Stapling
Electric typewriter Fill in addresses? Dated?
Addressograph from lists
  Envelopes, size Cards, size   Proof list Pay rolls   Labels (submit sample) Corrections   Fill in letters Tabulation sheets 
Photostat Size actual Official use? Repay? yes $ 0.75 Blue Print Size Official use? Repay? $
Remarks

NOTE: Routine changes of addresses may be made on this blank without formal reference through or initialing of chiefs of branches or chief clerks of bureaus.
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INDICATE BY AN X IN PROPER SQUARE ACTION TO BE TAKEN.
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