Revolutionary War Pension and Bounty Land Warrant Application File S. 16911, for Jacob Koon, New York

SERVICE
New York
Koon, Jacob
NUMBER
S.116911
CONTENTS
barred

New York N o 24.921
Jacob Koon of Seneca Co. in the State of N. York who was a Private in the _____ commanded by Captain _____ of the Regt. commanded by Col. Livingston in the N.Y. line for 7 months & 10 days
Inscribed on the Roll of New York at the rate of 24 Dollars 43 Cents per annum to commence on the 14th day of March, 1831.
Certificate of Pension issued the 20. th day of March 1834 and sent to Hon. N. Walsley N. B.
Arrears to the 14th of March 1834 73.29 Semi-ant. allowance ending 4th Sep. " 12.21 $ 85.50
{ Revolutionary Claim, } { Act June 7, 1832. }
Recorded by D. Brown Clerk Book E. Vol. 4 Page 92
Date of death not in @ 1 mile, Seneca

28. 209.
Jacob Koon
New York
Return of
Admitted
Private ymo & 10 days
Hon. N. Halsey H.R.
J. Lewis
Orisk
Seneca County
N. York

WAR DEPARTMENT,
Pension Office,
18 Nov. 1833
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 subjjoined 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.
A Statement, shewing the Service of Jacob Hoov
   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.     May 1777 priv Capt. Shults Col Livingston 74 years Livingston Traditionary and a living Witness   1778. 1. " Capt. Rockafellow Same Col Marion   1 10. " Capt. Rouse Gen. Schuyler   3  
I am, respectfully,
Your obedient servant,
JAMES L. EDWARDS,
Commissioner of Pensions.
Services as a Teamster not provided for by the Act of the 7th June 1832.

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) _____, who has 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 inquiry 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.
[a] 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.
[b] 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 in 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.

28 209
In the matter of the application of Jacob soon for a Pension
Orick
11. 209 7. 10
from J. Ferris Orick

Declaration in order to obtain the benefit of the Act of Congress passed June 7 th 1832
State of New York
County of Seneca ss: On this third day of October 1833, personally appeared in open Court before the judges of the Court of Common Pleas of the County of Seneca, the said Court now sitting Jacob Koon of the Town of Romulus in the said County of Seneca and State of New York aged seventy four years and upwards who being first duly sworn according to law, doth on his oath make the following declaration in order to obtain the benefit of the Act of Congress passed June 7 th 1832.
That he entered the service of the United States as a private in the militia under the following named officers and served as herein stated
That Deponent in the month of May 1777 as deponent believes that to be the Year but is not certain enlisted as a private under Captain Shutt in Col. Livingston Regiment in a Company of Pioneers, the duty performed was to disarm the Tories and stand guard remained in this Company until about the first or second day of December in the same year and then was discharged, this duty was done in Livingston Manor Columbia County in the State of New York.
That Deponent in the month of July 1778 but is not certain as to the year, was drafted, and went out as a private in the militia, under Captain Philip Hackapell in Col. Livingston Regiment and went to a place called Still Water on the North River after remaining out one month was discharged and returned home, was living at Livingston Manor when drafted & went out.
That at the time Washington with his Army lay at Fishkill in what year deponent cannot say, Deponent was drafted with his Team and went to Fishkill near

6. under Captain Benedict in Col. Livingston Regiment Deponent's duty was to team provisions & provender for the Army, remained there one month and then was discharged
Deponent says that in the Month of May does not recollect the year he went out into service as a Substitute, under one Captain Row, who was a captain that Commanded the Company who came from about twenty miles below where Deponent lived in Livingston Manor, the Captain received this Deponent into his Company as a substi- tute for the man whom the Captain then discharged the man was an entire stranger to this Deponent and Deponent never knew his name if he did hear his name mentioned then he has forgot it, after the Company arrived at Saratoga to which place they were ordered, the Company was placed under our Captain Gansvoort in Col. Schuyler or Genl. Schuyler Regiment or Brigade, remained at Sar- atoga one month, and ten days was discharged and went home
Deponent also says he was drafted and his team and went to Saratoga, when he arrived there was placed under one Captain Gansvoort in Col. or Genl. Schuyler Regiment or Brigade remained there one month before he was discharged, Deponent says he does not know what year it was, but it was at the time the Battle was there, thinks it was in the fall of the year, deponent was drafted at Livingston Manor and went out every time from that place, it was the place of Deponent's residence at that time,
Deponent says that the Militia Company he belonged in when at home was commanded by one Captain Jacob Shaver, in Col. Livingston Regiment in Livingston Manor, and this Deponent says that the whole Company was ordered out by Col. Livingston to stand Guard at different places in the said Manor Accordingly Captain Shaver divided off his men and

1 placed guards at different posts, one Company of them at Jacob Hous, another at Simons Hous, another at Henry Stevens and another at John Putterberrys, Deponent says he was in this duty or service three months before he was discharged and was one of the Company who served at those posts, but Deponent says he cannot tell what year it was in the duty was to stand guard.
12. 10 5 7. 10 Deponent says that he General Washington and General Schuyler he served under both of them, and when Deponent was at Fishkill Genl Washington gave Deponent a handful of peaches as he was riding along past Deponents wagon, and saw him about every when Deponent was at Fishkill.
Deponent hereby relinquishes every claim 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.
To the interrogatories propounded by the said Court to the said applicant for a pension as prescribed by the War Department.
1. Says he was born in the town of Johnstown in Livingstons Manor in the State of New York in the month of December in the year 1759. 2. Deponent says, that he lived in Livingston Manor during the Revolutionary War, that he remained in said Livingston Manor until he was about forty five years of age, that he has lived in Seneca County for the last seven years, and for about three years last in the town of Romulus in said County where he now resides - 3. Has a record of his age at home in his prayer book 4. 5 & 6 th set forth above 7. He is known by Genl John De Mott P. M. Lodi Abraham Living Esq of Ovid Jehiel H. Halsey Esq. of Ovid late

Member of Congress, who all can testify to Deponent's Character for truth and veracity, and of their belief of Deponent's Services as a Soldier of the Revolution
That he knows of no person who can testify to his Services, (and he has made diligent search) except John Garrison, whose deposition is herewith annexed
And Deponent further says, that he never received a written discharge from any of his Officers for his said Services, and that during said Services he was not employed in any civil pursuit, Sworn to and subscribed his by making his mark Jacob X Hoon because he does not know his mark how to write, in Open Court
State of New York
County of Seneca } ss: We Peter Coombs,
John Garrison, a Clergyman of the town of
Brick in the County of Seneca and State of
New York, and Peter Coombs Esq. of the same
place hereby certify that we are well acquainted
with Jacob Hoon who has subscribed and sworn to the above
declaration, that we believe him to be seventy
four years of age, that he is reputed and
believed in the neighbourhood where he resides to
have been a Soldier of the Revolution, and that
we concur in that opinion this John X Garrison Can make not due
Sworn to and subscribed this third day of October 1833.
Peter Coombs
in Open Court.
Debra Murphy Clk
And the said Court do hereby declare their Opinion after the investigation of the matter, and after putting the interrogatories as prescribed by the War Department, that

The above named Jacob Hoon the above Applicant was a Revolutionary Soldier and served as he states
And the Court further certify that it appears to them that Peter Coombes John Garrison who has signed the preceding Certificate is a Clergyman residing in the town of Ovid in the County of Seneca and State of New York and that John Garrison who has also signed the same is a resident of the said town of Ovid in the said County of Seneca and State of New York and is a credible person and that their statement is entitled to credit,
I Seba Murphy Clerk of the County of Seneca and also of the said Court of Common Pleas of said County do hereby certify, that the foregoing contains the original proceedings of the said Court in the matter of the application of Jacob Hoon for a Pension.
In testimony whereof I have hereunto set my hand and affixed the Seal of said County the third day of October 1823. Seba Murphy Clk.

State of New York
County of Seneca § ss: John Garrison of the Town of Ovid in the County of Seneca and State of New York being duly sworn according to law doth depose and say that he was born and brought up in the same neighbourhood with Jacob Hoon the within named Applicant for a pension that this Deponent was well acquainted with him when a boy and that acquaintance has continued until the present time, and also that this Deponent was acquainted with him during the Revolutionary war, and this Deponent also says that he knew that the said Jacob Hoon enlisted as a private under Captain Shute in Livingston Manor during the war to disarm the Tories, that the said company was called rangers and was in Col. Livingston Regiment and as near as Deponent can recollect should say he must have been out about seven months
Deponent also says that he knows that the said Jacob Hoon was drafted with team and went to Fishkill while Washington's Army lay there, as he Deponent was told by his Hoon's father at the time which Deponent then and now thinks was true, as Deponent knows that he was absent at the time, and was also told so at the time by others that he had gone to Fishkill under a draft with his team, Hoon was absent one month or more
Deponent also says that the said Jacob went to Saratoga as a substitute under Captain Proff as he was informed at the time by the neighbors & which Deponent believes was true, as deponent was absent he should think as much as forty days, that the relation given to deponent at the time corresponds with the said Jacob Hoon's Statement in the within declaration
And Deponent also says that he was knowing himself to the said Jacob Hoon being drafted with his team and going to Saratoga, that it was at the time Burgoyne was taken, that he was absent as much as a month or more before he returned home
And Deponent further says that he knows

That the said Jacob Hoon 1 belonged in Capt Jacob Spevers Company when he was at home, and that they were placed on guard at Simon Hoon's at Jacob Hoon's at Harry Stevens and at John Patten- berrys. That the Company remained on this duty Deponent should say three months, and that it was ordered by Col. Livingston, and this Deponent says that he knows that the said Jacob Hoon was one of the soldiers that was on this duty.
and further Deponent says not. sworn to and his mark made John his X Garrison (because he cannot write by reason) Mark of old age, this 3 rd day of Jan 18 th See 1833. before me, in Open court - Seba Murphy CLK.
Thomas Lounsbury Pastor of the Presbyterian Church in Ovid do hereby certify that I am well acquainted with Jacob Hoon who has subscribed and sworn to the above Declaration. That I believe him to be seventy four years of age as he has above stated, that he is reputed and believed in the neighbourhood where he resides to have been a soldier of the Revolution and that I concur in that opinion
Thos Lounsbury
State of New York
Seneca County ss Jacob Hoon being duly sworn deposes & says that he never received any pay or compensation for his services as set forth above in his declaration when he was out under a draft with his team sworn & subscribed this 5 th of his December 1833 before me Jacob X Hoon Josiah Ferris Mark Master in Chancery

Whereas the Congress of the United States did on the 7th of June 1832, pass a law allowing pensions to be granted to all officers & soldiers for services rendered by them during the Revolution war
And whereas Jacob Koon has made application for a pension under the said act, for services rendered in the capacity of Sergeant as a private and also as a Skirmisher by him during and in the Revolutionary war
And whereas it appears no provision was made by the said act for those who served as teamsters
And whereas it also appears that a pension will be granted the said Koon for seven months and ten days services as a private in the Revolution war (as appears by a letter received from J. D. Edwards Esq. Comr of Pensions dated Dec 19th, 1833.) provided the said Koon release all claims for any other services except the seven months & ten days services as a private
And whereas in consideration of the premises I the said Jacob Koon do hereby release unto the Government of the United States all and all manner of claims whatsoever to a pension for all and every such services rendered by me during the Revolution war except seven months and ten days services as a private on condition that a pension be granted me for such last mentioned services, witness my hand and seal
Dated Jan'y. 7 th 1834
James Foster d. p.
his mark Jacob Koon
Sussex County ss. On this 14 th day of Jan'y 1834 personally appeared before me Jacob Koon to me well known and acknowledged the execution of James Foster Justice of the Peace the above in my act and seal

The within name Jacob Koon does not write his name for want of sufficient learning he never having had sufficient education to enable him to write Jan. 14 th 1834 James Foster Atty. of Pease
I hereby release all claim to a Pension for all services rendered by me during the Revolutionary War, except for seven months & ten days services as a private in the Militia value Recd Dated 14 th 1834 Jacob Koon B. F. Ferris his Atty.

J. C. Edwards Esq.
In if the within is not satisfactory to you that Mr Hoon has released all claim to a Pension. Except the 7 mo. & 10 days mentioned, the Clerks Certificat. that James Fortin is a justice of the Peace will be forwarded with the Papers of Luke P. Court Abraham Low & Richard Huff (of the fact) within 2 or 3 days. Dated 1/2 Jan 4, 1834 Yours &c. J Ferris
Hoon Release

16911 INVALID.
File No. 16911
John N. ... 10 ...
Act: ...
Index:—Vol. 1 , Page 211
[Arrangement of 1870.]
1926. Sept. 27. photo mailed to Leon C. Hills

3-2233
BUREAU OF PENSIONS
Finance Division
..... Sept. 21..... 1926
Chief..... Rev. War. Sect. Division.
I have this day received from
..... Leon C. Willis.....
..... cash..... No.....
for $..... 1.75....., requesting
photostat copy post office addresses } as per
letter herewith.
1926 Sept. 27 Copies mailed & Finance Div. Prof. aw
O. J. RANDALL.....
Chief Finance Division.
56-6 L

Ans September 21, 1926
To Commissioner of Pensions Interior Department Washington, D. C.
Sir:
I desire photostat copy of ten pages, certified, from Revolutionary War pension claim of Jacob Koon, S. 16911.
OK Received payment $1.75 September 21, 1926
W. C. Stokes
Rev. & 1812 Wars Section
Leon C. Hills 232 Maple Ave Takoma Park Washington D.C.
(OVER)

Refer to Requisition No.
9543
Addressograph, Photostat, and Blue Print Work.
DEPARTMENT OF THE INTERIOR WASHINGTON
Division of Publications, Room G 127. Please furnish work specified below.
September 22, 1928
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 10 pages from the Revolutionary War pension claim, S. 16991, of Jacob Koon.
No. of copies 10  each Shall form be kept standing? no days
For further information see A. E. Wilson Room No. 5033 Phone No. 541
Approved: [Signature] Chief Clerk of Bureau. 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 Stapling Once? Twice? Side? End?
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 
all copies trimmed to size of largest
Photostat x Size actual , Official use? Repay? $ 1.50 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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(Date)
INDICATE BY AN X IN PROPER SQUARE ACTION TO BE TAKEN.
Make new addressograph plate Change present addressograph plate Destroy present addressograph plate
On list.....
as follows:
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Should read        1 ..... 2 ..... 3 ..... 4 ..... 5 .....
FOR USE OF DUPLICATING AND ADDRESSING SECTION
ADDRESSOGRAPH
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