The Cass County Republican. [volume] (Dowagiac, Mich.) 18??-1880, 1863-10-22

Form 80.
Certificate that the person liable Il
draft as the father Of nsotherless chi
dreas, sl'ader IL gears of ooe. deDen
dent on his labor for support.
the subscriber, being lisbl
| TO draft into the service of the United Sto,os
hereby make affidavit that am the father 81
motheress child
under IL years of age. and dependent on NV ,abo,
for support. my '"'o
We, the subscribers, and
of hereby certify that '''
Is iatner OF motherless children un
der II years of age, and dependent on his labor Dol
for support.
49,. I.
Personally appeared before me, the above.
oath that the above certificate is correct and true to
the best of their knowledge and belief. -
s'.s..... ..........
Do.od Justice of the Peace.
Da aft THIS day
NorE.-The first certificate must he signed nv
the person claiming exemption. and the second nv
mo respectable persons (heads of familles) resi-
uens In tine same town. county, or district with the
person Ior who exemption is claimed
Form SO.
certificate Of exemption ON account of
s''s"atddIe'aess of age.
county, State of bor;nc hoo,,
uaa ear under the provisions of an act of Com
gress for enrolling and calling ont the na,;ouaI
FORCES, &C., approved March 5, 1868. as liable 70
perform military duty in the service of tho GIn;,aJ
- nerepy certify that am not legally subject
W T spch liability, and for the following reason:
years of age.
$500. .....,
We, the subscribers, and
OF the town, county and State above mentioned
nerepy certify that the above statement of
age is correct and true to the host of
our knowledge and belief VIC oes' vi
''''''''..
,omaS sonaiiy appeared before me. the above
MADE oath that the above certificates are correct
and true to the best of their knowIedga and 10
ief o"ieuse anu De
Dated =, Justice Of the Peace.
this day of 1s6 (
NoTE.-The certificate in regard To ooe :, all
asses where practicable, to be signed by the ma
ents OF the person claiming exemption and the
equlrements specified in the regulation are to
e alluded to- The blank space in the certi6cate |
indicate the age of the person Is to be filed az
ollows: " 'o niieu DIS
Il, mhat am 'uNDER TWENTY years of age.
That am "ovER THIRTY-FIvE'' wears of soo |
AND MARRIED." "Se'
mat am oVER FoRTY-FIyE" years of aoe az
oraing to the facts in the case
NOTE In case the certificate is not si,,ned nv
ne parents, the fact of age must be certified tn nv
"o respectable persons (heads of families) res; |
ent In the same town. county or district with the
erson lot whom exemption is claimed and the
equlrements OF paragraph 81, Regulations. &c |
lust be complied with W.
Each person signing any of the foregoing GER
ncates must be sworn and it must so anne.r q, | 6
ne face of the certificate Pf0"' y" :
NO certificate of physician or surgeon will he
scelved In support of any point in the claims of
rai'eu men Ior exemption from military service
account OF physical disability unless the facts
nd statements therein set forth are affirmed or
worn to before civil magistrate competant to )
minister oaths and further said certificate must
'ate nat the physician surgeon is a graduate
ON some regularly constituted medical celle0e q
nd has diploma from said college And further g
le civil ofhcer administering the oath must certify
lat the physician or surgeon is at the present | r
me respectable practitioner
X. G. DENISON,
Capt and Provost Marshal, I'd Dist, Mich.
ORRIN L. WEIGH,
Com'r Board Enrolment, I'd Dict, Mich
ID. U. HITCHCOCK,
surgeon Board Enrolment, I'd Dist, Mich. In