The daily republic. [volume] (Washington, D.C.) 1853-1853, 1853-07-27

specify IL; If no soritien discAarge recsioed.
state the fact and The rsason.l
And further depOse that ! now reside al
and am employed as
(To be signed by claimnnt.)
Sworn to and subscribed before me this
day of 80 ,A.D.l8 And certify that
to my knowledge the statement Of deponent in re-
knovisds &c Of dsponent being derived from lhere
The magistrate soin state iohether from personal &C
q,.aintance, or o1ersoi,e] And also certify that
the above named deponent appears to be about the
are stated by him; that he is about feet
inches in height; of complex
"a ITO be signed by authenticating offcer.)
! There should follow receipt and acknowledge
ment of receipt, as in form IL mQ & @
cEarIrIcArE OF IDENTIFY FROM A coMMIssIoHED
g-@OR WARRANT OFFICER OF THE NAVY,
(Which ,pil be required in ALL cases tuhers the dis
~ charge is lost or mlSldid s
certify that ;, who signed the forego-i
ing receipt in duplicate in my presence, is the
identical who served on board the United
States shin which served in the Pacific
years and who was discharged from
the said ship on or about
Is that the person of the said is well
known and fully. identified by me as the present
claimant for extra pay. ~
ITO be signed by commissioned or warrant Of
icer of the navy, subjoining bis rank.)
Dated 10
Where the discharge has been filed in any Office
of the Government, copy thereof, certified by the
head of such office, must be furnished, and claim
ant will make oath, in addition to the matter re-
quired in the last form for affidavit OF claimant,
that he is unable TO procure such certificate from
commissioned or warrant officer OF the navy,
and then the evidence of two witnesses may be re-
ceived, as provided for when the discharge is pre-
scented, emitting in the affidavit the words in re-
gard to the discharge.
Form of certificate from, a commissioned or
soarrant officer required for an enlisted per-
SON on board a uessel Of the United States at
the date Of his applicationf for ertra pay.
lin this case the oath of identity may be omit
certify that the following receipt in duplicate
was signed in my presence BY s5sssg whose
person ia we'll known to me; and the said
did afix to the original thereof his discharge as
from the United States ship !,
and know him to be the identical person named
in said discharge; and further certify that the
said Is borne at this date
on board of this vessel
Dated on board the United States ship j,
this aa day of 1876
ITO be signed by the officer, subjoining his
rank.)
form IL -g f
Where person as above has no discharge in
possessions the certifying officer will make his
tifcate as is prescribed for officers in form II, for
such purpose, adding thereto the claimant's repre-
senation to his failure to have said certihcate
of discharge in his possession.
Nv.
When the extra pay is due to person deceased,
it will be paid to his legal Representative, made
such by letters testamentary or OF administrations
Such letters, duly granted, copies thereof duly
au thenticated by the clerk proper officer OF the
probate court, or other court having jurisdiction
in the CASE and which granted the original letters
will be required with the duplicate receipts, the
certificate of the magistrate in other cases, and
the following oath of identity: g@
Form of Oath Of Identity by administrator, &C.
| L., of in the county of
State of depose and say
that I am the identical named in the ac-
companying letters of administration. Cor letters
testamentary, or copy Of letters, &C., as the case
that said letters are unrevoked, and now in full
force and effect; that the said was at the
time Of his death legal re resident OF and I'm;
he was the identical person who served by that
name on board the United States ship ,
on the coast of California, in the years gga
,pas il, the service Of the United States not at the
fine Of his DEATH on or about the Gay OF
due under the provisions of the act OF Congress OF
| .,
p'' 90 80 = : = (Admini,trator or Erecutor.)
STATE OF }s,.
| County Of M
Personally appeared before mo in
and for the State and county aforesaid duly quail
fed to adminieter oaths, who signed the
foregoing deposition in my presence, and made
| oath to the truth of the same.
| And certify that know the said deponent to be
the administrators named in the accompanying let
ters of administration.
/ Witness my hand this DAY Oh F..
| A. d. 1876
(Ju.tice of the Peace, or other Magistrate.)
Han executor or administrator desires to be paid
third party ne Of Se
ing to the forms (V) hereafter prescribed, max
| ing the necessary changes.
j IF the dccedcnt was discharged previous to hi'
DEATH his discharge, if left with his effects, mus
be filed, and the administrator or executor mus
add to his deposition, "and further depose tina
the saids on whose account claim extra
pay, was the identical named in the Ger
,;ficate of discharge dated Is anC
signed by which is herewith surren
dered.'
If the certificate of discharge cannot be found
the administrator or executor will state the fact IN
hia deposition, and that duo search and inquiry
have been made for it among the effects OF the de
cedent If the administrator or executor nave any
information in regard to the sale, transfer arena
ton or transmission of the discharge, he Will STATE
ali the facts in relation thereto that may hav'
. come to his knowledge.
r V.
I When claimant desires to be paid through
third marty, he must execute power of attorne,
antially in the following form, to accompan,
the other necessary papers;
l. hereby appoint my attorney
for me and in my name to demand and receiv
from the Navy Agent at Washington, d. c., o
other proper officer Of the United States, the ex,r
= pay due me under the act of Congress entities
U San act making appropriations for the naval ser
vice for the year ending June 30, 1856 >" approve
iS5 amounting to dollar
n and cents, nsa from -