The Rhode-Island Republican. [volume] (Newport, R.I.) 1809-1841, 1828-07-03
Newport, Thursday Morning, July B. 1928.

uu 1'AoAAhASS ONAy
Ger or Soldier whose attorney he is.
IL is requested that all letters TO the Se-
sretary of the Treasury, IN the subject.
nav be endorsed on The cover, "ReSolu-
.ionary Claims" RICHARD RUSH.
| "a.
Form of Declaration 10 Be made by ihe
ofcers.
For tho purpose of obtaining the bene-
fits of an act, entitled "kn act for the re.
lief of certain surviving officers and sol
! iiers of the Army of the Ssevointion,n ap.
proved on the 18th of MeA isso, L----of
-, in the county cf---F jnthe State OF
-, do hereby declare h.d was an off.
Ger in the Continental Line Of The Army
of the Revolution, and served as such,
there insert, TO the end c. the war, or (as
The case may be- to the time when the ar
rangement of the Army provided by the
resolves Of Congress of the 81 and Ylst of
October, 1880, was carried into effect, and
was reduced under that arrangement at
which poriod was ---- in the - reg.
iment of the - line.
| And | also declare, that afterwards re.
ceiyed a certificate Commonly called a
communication certi6cate) for sum equal
to the amount Of FIVE years. full pay; which
sum was offered by the resolve of Con
gross, of the 22d of March, 1853, instead
of the half pay for life, to which was en-
titled under the resolve of the 2lst Of Oc-
tober, 1880.
And do further declare, that have re-
ceived Of the United States, as a pension.
or, since the 3D. day OF March, 1896, Here
insert, No money, or, (ss the case may be)
that have received, as a pensioner Of the
United States, since the Sd day of March.
1928, the sum of - dollars, paid to me
by the agent for paying pensions in the
State OF -.
Signed]
Before me, -, here insert, Justice Of
the Peace, or other magistrate, duly en-
powered TO administer oaihs, in the coun.
ty OF -, in the State of -, personally
appeared, this day.. - and -, Of the
said county, who did, severally, make oath,
| that - by whom the foregoing declara.
and believed 20 have been an officer in the
Army Of the Revolution, in manner as
therein stated
Witness my hand, this - day Of,
in the year -
T., Clerk Of the Court Of the County
Of, in the State o., 10 hereby GER
tify, that -, before whom the foregoing
affidavits were sworn, was, - the ting, o
- there insert, Justice Of the Peace, or
other magistrate, daily empowered 20 ad-
minister oaths, and duly empowered to
administer oaths.
In testimony Whereof ] have hereunto
set my hand, and affixed the seal Of
LIS the said Court, this day OF >,
in the year
Form Of Declaration 10 be made by The
non commissioned Officers, .Nusieians,
and Pripates.
| For the purpose Of obtaining the benefit
of''An act for the relief Of fcertaip surviving
officers and soldiers Of the Army of the
Revolution" approved on the 18th of May,
1923, Of in the County of,
in the State Of do hereby declare that
] enlisted in the Continental Line of the
Army of the Revolution, for and during the
war, and continued in its service until It's
termination; ut which period was a Ser
geant, Corporal, musician, or Private, as
the case may bel in Captain 3 Com
pany. in the regiment ofthe line.
And also declare that afterwards reed
a certificate for the reward Of eighty dolls.
to which was entitled, under resolve of
Congress, passed the 18th Of May, l77S.
And | further declare that was not, on
the fifteenth day of March, 1898, on the
Pension List ofthe United States.
[Signedl
Before me, there insert either q JUS
tice Of the Peace or other magistrate, duly
empowered TO administer oathsJ in the
County Of in the State Of per-
sonally appeared, this day and {,
Of the said County, who did severally make
oath that by whom the foregoing de-
claraton was subscribed, is generally re-
puted and believed to have been an officer
in the Army Of the Revolution, in manner
as therein stated.
Witness my hand, this day Of in
the year
fSignedl
I Clerk Of the Court oftbe County
Of in the State Of do certify, that
l--before whom the foregoing sfiidsyits
were sworn, was, at the times Justice
oftho Peace, or us the case may be, and
duly empowered to administer oaths.
In testimony whereof. have hereunto
set my hand, and affixed the seal Of
[L.s.lthe said Court, this day OF
in the year :,
[Signcdl
Form ofd POuer Of .7t'orney.