The Portland daily press., 1863-07-28
Form 90.
Certificate o. Parent thar he or she desires one .,

iFtm the oItIailouc Oh Inc act OF congress
rolling and calling out the national Forces &c, APP
proved March g. 1868.
We. the subscribers. do hereby. certify that tho
pendent ON the labor of sons for support.
.s.sssss.ss..s......
Personally appeared before me the above-named
and and
are correct and true, to the best Of their knowledge
and belief.
-. ...-....l.....-
Justice Of the Peace.
pa ssis q, dsyof ,ss
NOTE 1.-The first certificate must be signed by the
parent making the election, and the second by two
respectable citizens fheads of famcs) residents of
the town. county. district in which the persons
reside. and sworn TO before magistrate. In case tho
father Is deceased the certificate to be signed by
the mother, and the fact Of the fathers death is TO
be stated BY the persons certifying.
NorE 2-This certificate is TO be used only in cases
wherc the labor Of the person claiming exemption is
actually necessary for the support OF the persons de-
pendent on him. The exemption does not apply in
port and the necessary business collecting the In
come can be transacted BY agents. trustees, or tho
FORK n.
Certificate that te person liable 70 dra is the only
brother Of chiid or children dependent his ID
Dor for support. ,ss.a tr.l
into the service Of the United stAssc Esfcby make
affidavit that am the only brof1 II
mother and dependent on my labor 81 support Ssr nor
ittl a 4aG '''.''.'-'.... 49,
We, the subscribers, and
residents Of county. state
Is liable TO draft. Is tie only brother Of
under u years Of age, having neither father nor
mother, and dependent on hislabor for support
M9at ...-.........-....
Personally appeared before me. the above named
80. and .s and severally made oath
best of their knowledge and belief .f
..-.........-.......
Dated at 4 l1
NOTE l-Ihis certificate b to DO used only in eases
where the labor Of the person claiming exemption Is
actually necessary for the support The persons de-
cases where there Is sufficient property 10 Weld sup
port, and the necessary business be transacted
for collecting the income BY agents, trustees tho
NorE 2s-The first certificate must be signed BY tho
person claiming exemption, and the second by two
respectable persons heads Of in tho
same town. county, or district with the person for
whom exemption is claimed.
FORM Is.
Certificate that tro members OF thefamiy Of the per-
son liable 70 dratt are already ., ne nuitarv SER
rice Of the UHifed States.
We, the subscribers. and
" hereby certify that two members i.. Of the
family aud household of county and
State above mentioned in the military service OF
the United states as non-commissioned officers. mu-
sicians, or priyates- ff
m t fiI
Personally appeared before me. the abose-named
and and seyerally made oath that the
above certificate Is correct and true TO the best Of
their knowledge and belief.
....................
Justice of the Pence
Dated at a =,
NorK This is only intended to apply where the
members OF the family claiming exemption reside in
the same family II any of the members reside else
where and haze goneno the military service Of the
United States. no exemption ON that account DO
claimed.
Norx a-Thi. certificate must be signed by one of
the parents, a there be any II not by two respec
table persons hcads OF failies resident in the same
town, county. district with the person for whom
exemption Is claimed. ts
FORK No. %.
Certificate at the person liable 10 are 10 the SatA-
er u mofheriess Children. under II years u age.
dependent on his labor for support
1, the subscriber, being liable 10 dram
into the service OF the United States hereby make
affidavit that am the father Of motherless
child under u years Of age, and dependent on
my labor for support.
We. the subscribers, and res
ber ess eertirvtbst ''I Y ,b sas moth,
eress children under i2 years Of age, and dependent
on his labor Tor support.
Personally appeared before me, the ssoss-na@ss
that the above certificate i correct and true \, sha
best Of their knowledge and belief.
-...................
Justice Of the Peace.
s Of TINS ,ls Ssay
NorE.--The first certificate must he signed by the
respectable persons (heads q familes) resident in
the same town, county, district with the person
for whom exemption Is claimed.
FoRm 90.
Certificate Of Exemption account Of uasrisa5is-
:, ness Of age
Of having been enrolled under the proyi-
sions Of act Of Congress "for enrolling and call
1868 as liable to perform military duty In the service
Of the United States, hereby certify that am not
legally subject to such liability, and for the fow
That lam years Of age.
We, the subscribers, and of
the town. county and State above mentioned, here
by certify that the above statement OF =
age Is correct and true to the best Of our knowledge
....-..............
Personally appeared before me, the abeeve-namsd
and and sesefally
made oath that the above certificates are correct and
true, 10 the best Of their knowledge and belief
m ...s--s-'''''''-'''-
JustiosQr ths Fsaos.
Dated at 4
This day Of $50 :,
NorE The certificate in regard % age Is, In ali
cases where practicable b. he signed ~ The parents
Of the person claiming exemption, and the rclsire-
mcnts specified Ia the regulations 10 he adhered
Co. The blank space in the certificate % Indicate the
age 81 the person i 10 be hllci a. follows
That I am '.under twenty" years of age.
That am ''oyer thirty 1--we" years of agc, "nnd
rfed~
That am 'over forty-avc" years Of age, according
10 the farts IN the
NorE Ain case the certificate Il not signed BY
the parents the fact OF age must be certified % by
two respectable persons (hcNs o. nmilies) resident
in the same town, eounty or district with the per-
son fcr whom exemption y claimed and the require
ment. O. paragraph g.. Resulaticnss Se-, must be
Blank forms be sbtAined by application TO this
ONCE
Substitutes must be presented 70 the Board Of I'm
rolmcnt for examination BY them. and " aecepted,
the drafted man viii receive certificate OF non
liability frpm the Board.
Comnussfion has been fixed by the Secretary Of
War q san. That amount paid 10 NafhanieiJ Mill
or OF this city Collector Of Internal Revenue. will
entsle the drafted man 10 two .dupicafe receipts.
One receipts 20 be kept the other presented
10 the Board OF Enrolment will entifie the holder 90
4 certifraie OF non liabity from the Board.
Per order Board o. Enronent