Marion County FlArchives Military Records.....ZETROUER, James C. 1905
Civilwar - Pension Co. C 7th Regt. FL Inf
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FLORIDA CONFEDERATE PENSION APPLICATION FILES

PENSION APPLICATION A05056:

Surname:  ZETROUER

Given Names:  James C.

Service Unit:  7th Regt Inf

Reference:

Wife’s Name:

Application County & Year:  Marion Co 1905

Page 001

A5056

Page 002

APPLICATION FOR PENSION
Under Laws Of Florida

(Form A.)
For Use Of Applicant For Pension

I, James C. Zetrouer, do hereby make application to the State Board of Pensions, for
a pension to be granted to me under the laws of the State of Florida, upon the
following grounds:

I enlisted and served in the (Naval or Military) Military service of 7th Fla Co. C.
during the war between the States of the United States, and that I did not desert
the Confederate or State service; that I was a bona-fide citizen of this State on
the 1st day of January A. D., 1885, and have been continuously since a citizen of
the State of Florida, and that I

(Here state fully the disability under which the applicant claims a pension, whether
he lost in service a limb or limbs, eye or yes, or whether he is permanently
disabled by reason of wounds received in service, or disease, to gain a livelihood
by manual labor, or whether he is over 65 years of age, and is by reason of age,
incapable of providing a living for himself.)

This pensioner is (illegible word) on account of being over 65 yrs of age.

I further represent to the State Board of Pensions, that neither I nor my wife, own
property, real and personal, or real and personal to the value of eight hundred
dollars, that I am not enabled by any lawful means to earn a livelihood for myself,
nor am I in a position to do so, nor have I an income from any source sufficient for
my support, nor have I purposely disposed of property with the object of availing
myself of the benefits of the provisions of the law providing annuities for disabled
soldiers and sailors of the State of Florida.

In Witness Whereof, I have hereunto set my hand this 1st day of December, A. D.
1905.

James C. Zetrouer

Page 003

(Form B.)

State of Florida}
Marion County}

On this 1st day of December, A. D. 1905, before me S. T. Sistrunk Clerk of the
Circuit Court in and for said County and State, personally came James C. Zetrouer,
who being by me first duly sworn deposes and says, that the statements made in the
foregoing application for a pension in his own behalf are true.

This deponent further says, that the answers written herein to the following
questions, numbered from 1 to 26 are true:

1.  What is your full name, and where do you reside?  James C. Zetrouer – near
Central Fla.

2.  In what state and county were you born and when?  Was born Nov. 8th, 1831.  In
Chatham County Georgia.

3.  How long have you been a citizen of the State of Florida?  Since 1852.

4.  When and where and in what organization did you enlist during the war between
the States?  I enlisted in 7th Fla Reg. at Gainesville, Fla.

5.  Give the name of your Captain at the time of your enlistment.  Capt. Dudley.

6.  Give the name of your Captain at time of your discharge from service.  I was not
discharged but captured at Missionary Ridge under Capt. Jones who was killed.

7.  Give the name of your Battalion or Regimental Commander both at time of your
enlistment and discharge from service.  7th Fla. Reg.  Gen Bullock was my Col. when
captured – Perry the Col. when enlisted.
8.  If you enlisted in the navy give name of your Commanding officer, date of
enlistment and place of service.  ……………………………………………………………………..

9.  If discharged prior to the termination of the war, state place and cause of
discharge.  I was exchanged by parole & during that Lee surrendered.  I did not get
a discharge.

10.  If you lost an eye or limb during your service in the war, state when and where
and in what engagement you sustained such injury.    Did not.

11.  If you received a wound during your service in the war, which permanently
disables you, state when and where you received the wound.  Did not.

12.  Described the wound and state how it affects you.    Not wounded.

Page 004

13.  How many acres of land owned by you or your wife, or that is held in trust for
the benefit of either of you, and in what counties is it located?  160 acres in
Marion County (This is principally swamp ponds - & has but little value).

14.  Describe the personal property owned by you or your wife, or held for you or
your wife’s benefit.  (This kind of property means all kinds of property not
included in the term lands).  We have 30 head of scrub cattle, 10 head hogs, 3 head
prarie (sic) ponies one stove up other other (sic) ruptured; one fairly good pony.

15.  Have you or your wife any income from any source?  If so, what amount yearly? 
No.

16.  Have you sold, given away, or transferred for any consideration within the past
two years, any property, real or personal? I sold five beef cattle & one horse.

17.  If in answer to question 16 you say yes, describe the property real and
personal, give value, and name of person to whom transferred and date of transfer. 
I sold horse to Collerd (sic) man named Ezett and the cattle to Mr. Powell.

18.  Are you now engaged in any vocation?  If so, what?  I am farming for a living.

19.  What has been your vocation for the past two years?  Farming.

20.  How much can you earn (gross) per annum by your own exertions or labor?  Very
little.

21.  Do you receive a pension from the United States or any other State?   No.

22.  Have you any sons or daughters?  Yes – 6.

23.  If so, how many, and are they able financially to provide for your support?  I
have six – they have families of their own can’t support me.

24.  Have you ever made an application for a pension before, either to the United
States Government, to this or any other State?   No.

25.  If so, when and where and upon grounds did you make such application?  Made
none.

26.  Are you now living with any of your children?  If so, is he or she able to
provide for your support?   No.

James C. Zetrouer
Applicant

Sworn to and subscribed before me this the 1st day of Dec., A. D. 1905.

S. T. Sistrunk
Clerk Circuit Court Marion County.

Page 005

(Form C.)

Affidavit To Be Made By Commissioned Officer

State of…………….}
County of………….}

Before me personally came…………………………………., who being duly sworn deposes and says, that
he was a Commissioned Officer in the………………..(here state name of Organization) the
organization to which the within named applicant for pension under the laws of
Florida belonged and in which he served during the war between the States.  This
deponent further says that the said……………………rendered faithful service as a
Confederate soldier or sailor during the war between the States, and that the
disability claimed by the said………………….to exist, does in fact exist and the same
prevents him permanently from gaining a livelihood.

…………………………………………
Late of…………………………………
…………………………………………

Sworn to and subscribed before me this………….day of……………..A.D. 19……

(This affidavit to be made by one who was a Commissioned Officer, and the blanks
must be filled out).

(Form D.)

State of Florida}
County of Alachua}

Before me personally came H. C. Denton and James F. McKinstry who being by me first
duly sworn, depose and say, each for himself, that he is a citizen of the County of
Alachua in the State of Florida, and that he was a soldier of Seventh Florida
regiment in the service of the Confederate States, and that said J. C. Zetrouer was
a member of said regiment; that he is acquainted with J. C. Zetrouer, the applicant
named in the foregoing petition for a pension; that he knows that the said J. C.
Zetrouer rendered the service as soldier or sailor for the Confederate States during
the war between the States as set forth in the foregoing petition for a pension. 
That he did not desert the Confederate army, and that the disability claimed by him
to exist, does in fact exist and prevents him from earning a livelihood for himself,
and these deponents being further sworn true answers to make to the following
questions, deposes each for himself and answers as follows:

1.  Where do you reside?  Gainesville, Fla.

Page 006

2.  Are you acquainted with the within named applicant for a pension, if so, what is
his name?  Where does he reside?  And how long has he resided in this State?  Yes,
J. C. Zetrouer, Flemington, Fla., Seventy three years.

3.  To what military organization did the within named applicant belong during the
war between the States?  Seventh Florida Regiment.

4.  Did he render the service to the Confederate States during the war, as claimed
in the foregoing answers by him?  Yes.

5.  Where were you when your organization surrendered?  At home on furlough.

6.  Was the applicant present?   No.

7.  If not, where was he?  And why was he not present?  The applicant was also at
home on furlough.

8.  When did he leave the Command?  For what cause?  He was prisoner of war at Rock
Island, Ill.

9.  What is the nature and character of the applicant’s wounds or disease?  By
reason of age.

10.  What is the applicant’s occupation and physical condition?  He is a farmer.

11.  Who composes the family of the applicant?  What is their earning capacity?  He
has six children.

12.  What property, effects or income has the applicant?  He has a small farm, & no
income.

H. C. Denton
James F. McKinstry
Witnesses

Sworn to and subscribed before me this 25th day of Nov. A. D. 1905.

D. R. Zetrouer
Notary Public
My Commission expires Feb. 20, 1906

Page 007

(Form E)

Affidavit for Adjutant of a Camp of United Confederate Veterans

State of Florida}
County of Alachua}

Before me personally came John C. McGrew, who being by me first duly sworn, deposes
and says, that he is the Adjutant of Camp Stonewall No. 1438 U.C.V. of the United
Confederate Veterans of the County of Alachua in the State of Florida. That he knows
J. C. Zetrouer the within named applicant for pension under the laws of Florida,
that the said applicant was a soldier or sailor in the service of the Confederate
States during the war between the States, and that he rendered faithful service, did
not desert the Confederate army, that he is a member in good standing of Camp
Stonewall [Camp] No. 1438 of the United Confederate Veterans.  This deponent further
says that the said J. C. Zetrouer is disabled reason of by (sic) of extreme age to
support himself by manual labor & from earning a livelihood for himself.

John C. McGrew
Adjutant Camp Stonewall
No. 1438 United Confederate Veterans

Sworn to and subscribed before me this 25th day of Nov. A. D. 1905.

D. R. Zetrouer
Notary Public
My Commission expires Feb. 20, 1906

(Form F)

Physician’s Affidavit

State of Florida}
County of Alachua}

Before me personally came L. Montgomery, M. D., who being duly sworn, deposes and
says, that he is a physician, that he is a resident of the State and County
aforesaid, that he personally knows J. C. Zetrouer, the applicant named in the
foregoing application for a pension.  This deponent further says that he has
carefully examined the said applicant’s physical condition and finds:

(Here state nature, character and extent of wounds, disease or disability)

The applicant has reached the age of seventy four and is laboring under the
necessary infirmities due to such an advanced age.

This deponent further says that the said J. C. Zetrouer is permanently disabled by
reason of such age from earning a livelihood for himself [by manual labor.]

(If the application for pension is based upon age, strike from the above last line
the words “by manual labor.”)

L. Montgomery
Physician

Sworn to and subscribed before me this 22nd day of November A. D. 1905.

H. L. Montgomery, Notary Public
Commission expires 6/13/1908.

Page 008

Certificate of Clerk Circuit Court

I certify that the above affidavits are genuine; that all of the affiants are
persons of trustworthy character, and their statements are entitled to full faith
and credit; that the attesting officers are duly authorized to administer oaths;
that their signatures are genuine, and that the said applicant James C. Zetrouer is
a bona-fide resident and citizen of the State of Florida.

In Witness Whereof, I have hereunto set my hand and affixed the seal of the Circuit
Court for Marion County, this 4th day of December A. D. 1905.

S. T. Sistrunk
Clerk Circuit Court

Report of County Commissioners

We, the undersigned County Commissioners in and for Marion County, Florida, do
hereby report that at a meeting of the Board of County Commissioners held this 4th
day of December, 1905, the foregoing application of J. C. Zetrouer, for a pension
under the laws of Florida was by us investigated; that we are satisfied that the
representations made in the petition and affidavits are true and that a pension
should be granted to the applicant.

Witness our hands this 4th day of December A. D. 1905.

1.  H. W. Long, Chairman
2.  N. A. Fort
3.  C. W. Turner
4.  Jno. L. Edwards
5.  ……………………….
County Commissioners

By the County Commissioners.  Attest:

S. T. Sistrunk
Clerk Circuit Court

Note

1.  Before any questions are answered the officer will swear the applicant or
witness in the following words or to the like effect:  “You do solemnly swear that
you will make true answers to the questions asked you, and the evidence you shall
give shall be the whole truth, so help you God.”

2.  Additional affidavits may be attached if blank spaces are insufficient.

3.  The blanks must be filled.  The information required must be accurately and
fully given

4.  Forms “A” and “B” must be filled out by Applicant; “C” by Commissioned Officer;
“D” by two soldiers or citizens of the County; “E” by Adjutant of Camp United
Confederate Veterans; “F” by physician.

5.  It is not necessary to fill out each form lettered “C,” “D” and “E,” one of them
must be filled out.  Either one will suffice.

Page 009

7346
3686
3686
Claim For Pension
By
James C. Zetrouer
Of       120
Alachua Co.
Late Of
“C” Company
Seventh Fla. Regiment
Filed In Executive Department
Dec. 12th, 1905 
Approved
March 1st, 1906
B. N. Mathis
Acting Secretary of Board
Filed In Comptroller’s Office
120.00………19…..
I. B. Hilson, State Printer, Tallahassee
Pay from Mch 1st 1906
$96.00 annum.

Page 010

Application For Pension
Under Laws of Florida

(Form A)
For Use Of Applicant For Pension

I, ………………………………………, do hereby make application to the State Board of Pensions, for a
pension to be granted to me under the act of 1907, Chapter 5600 of the Laws of the
State of Florida, upon the following grounds:

I enlisted and served in the (Naval or Military)…………………………..service of (State
whether Confederate States or this State)……………………………………………during the war between the
States of the United States, and that I did not desert the Confederate or State
service; that I was a bona-fide citizen of this State for ten years prior to the
date of this application and have been continuously since a citizen of the State of
Florida, and that I (Here state fully the disability under which the applicant
claims a pension, whether he lost in service a limb or limbs, eye or eyes, or
whether he is permanently disabled by reason of wounds received in service, or
disease to gain a livelihood by manual labor, or whether he is over 60 years of age
and is by reason of age incapable of providing a living for himself)

To the State Board of Pensions this is to certify that I have been drawing a pension
for the past year, but on account of age being 76 years old and permanent disability
from disease as certified by Dr. George S. Means, I do hereby apply to your
Honorable Board for an increase of my pension.

I further represent to the State Board of Pensions that I am not receiving a pension
from any other State.

In Witness Whereof, I have hereunto set my hand this 20 day of April A. D. 1908.

James C. Zetrouer
Postoffice Micanopy Fla

Witenss:

J. O. Turnipseed
G. W. Bullock

Page 011

12.  What is the applicant’s occupation and physical condition?………………………

1……………………………………..
Late of Co………, Regt…………….

2……………………………………..
Late of Co……….., Regt……………
Witnesses

Sworn to and subscribed before me this……….day of………….A. D. 19…..

(Form E)

Affidavit for Adjutant of a Camp of United Confederate Veterans

State of…………………..}
County of………………..}

Before me personally came…………………….., who being by me duly sworn, deposes and says,
that he is the Adjutant of Camp…………………of the United Confederate Veterans of the
County of……………in the State of………………..  That he knows ……………….the within named
applicant for pension under the laws of Florida, that he knows of his own knowledge
and by documentary proof submitted to the Camp on application for membership, that
the said applicant was a soldier or sailor in the service of the Confederate States
during the war between the States, that he did not desert the same, and that he is a
member in good standing of Camp………….of the United Confederate Veterans.
………………………………………………………………………………………………………………………………………………………………………………………………

……………………………………..
Adjutant Camp……………………..
………United Confederate Veterans

Sworn to and subscribed before me this…….day of…………….A. D. 19…….

3686
J. C. Zetrouer
Micanopy
$120.00

Page 012

(Form B)

State of Florida}
……….County}

On this……..day of……………………, A. D. 19….., before me………………….Clerk of the Circuit Court
in and for said County and State, personally came…………………., who being by me first
duly sworn deposes and says, that the statements made in the foregoing application
for a pension in his own behalf are true.

This deponent further says, that the answers written herein to the following
questions, numbered 1 to 12 inclusive, are true:

1.  What is your full name, and where do you reside?…………………………………..

2.  In what State and County were you born and when?……………………………….

3.  How long have you been a citizen of the State of Florida?………………………….

4.  When and where and in what organization did you enlist during the war between
the States?……………………………………………………………………………………

5.  Give the name of your Captain at time of your enlistment. ………………………….

6.  Give the name of your Captain at time of your discharge from service. …………….

7.  Give the name of your battalion or regimental commander both at time of your
enlistment and discharge from service. ………………………………………………….

8.  If you enlisted in the navy give name of your commanding officer, date of
enlistment and place of service. ……………………………………………………………………..

9.  If discharged prior to the termination of the war, state place and cause of
discharge.
……………………………………………………………………………………………

10.  If you lost an eye or limb during your service in the war, state when and where
and in what engagement you sustained such injury. …………………………………………….

11.  If you received a wound during your service in the war, which permanently
disables you, state when and where you received the wound. …………………………………….

Page 013

(Form F)

Physician’s Affidavit

State of Florida}
County of Marion}

Before me personally came Dr. George S. Means, who being duly sworn, deposes and
says, that he is a physician, that he is a resident of the State and County
aforesaid, that he personally knows Mr. J. C. Zetrouer, the applicant named in the
foregoing application for a pension. This deponent further says that he has
carefully examined the said applicant’s physical condition and finds:

(Here state nature, character and extent of wounds, disease or disability.)

After careful examination of Mr. J. C. Zetrouer (who is applying herewith for
increase of pension) I consider him totally unable to make a living by manual labor.
 He is suffering from valvulor disease of heart and general arteries sclerosis. 

This deponent further says that the said J. C. Zetrouer is permanently……..disabled
by reason of such Disability from earning a livelihood for himself by manual labor.

(Add “and totally,” if the facts are such as to warrant such statement.)

(If the application for pension is based upon age, strike from the above last line
the words “by manual labor.”)

Geo. S. Means, M.D.
Physician

Sworn to and subscribed before me this 20 day of April A. D. 1908.

J. O. Turnipseed
Justice Peace

Certificate of Clerk of the Circuit Court

I certify that the above affidavits are genuine; that all of the affiants are
persons of trustworthy character and their statements are entitled to full faith and
credit; that the attesting officers are duly authorized to administer oaths; that
their signatures are genuine, and that the said applicant………………………is a bona-fide
resident and citizen of the State of Florida.

In Witness Whereof, I have hereunto set my hand and affixed the seal of the Circuit
Court for………..County, this………day of…………….A. D. 19……..

………………………………
Clerk Circuit Court

Page 014

Soldier’s Pension Claim
Under The Act Of 1909

(Form A.)

State of Florida}
County of Marion}

On this 27 day of July A. D. One Thousand Nine Hundred and Nine personally appeared
before me, a Notary Public in and for the county and State aforesaid James C.
Zetrouer who being duly sworn according to law, declares that he is 77 years of age,
having been born on the 8 day of Nov., 1831, in the county of Chatham in the State
of Georgia.  That he is a bona fide citizen of the county of Marion, State of
Florida.  That he has resided in the State of Florida continuously since the…..day
of………, 1833.

That he is the identical person who enlisted at Gainesville Fla., under the name of
James C. Zetrouer, on the 12th day of March, 1862, in Company C, Regiment 7th of the
State of Florida in the service of the (Here state whether the service claimed was
in the Confederate States Army or in the service of a State.) Confederate States
Army and who was honorably discharged at Richmond by parole, in the State of
Virginia, on the…..day of April, 1865, on account of parole.

(Here state fully any other military service performed by the applicant.)

Was captured at Missionary Ridge on the 25th of November, 1863, taken to Rock Island
prison, taken from Rock Island prison in April 1865 and delivered within the
Confederate lines in James River, under parole.

(Here give date and place of capture, imprisonment, exchange or parole.)
………………………………………………………………………………………………………………………………………………………………………………………………

That I served faithfully until captured honorably discharged from the service of the
Confederate Army in the year 1865 and did not desert the service of the Confederate
Army nor take the oath of allegiance to the United States until after the surrender
of the Confederate Armies.

(Here state whereabouts at close of Civil War.)

That I was on my road from Rock Island Prison to Gainesville Fla.

Page 015

………………………………………………………………………………………………………………………………………………………………………………………………

That I do not own property, including real estate, personal property, stocks, bonds,
mortgages or other collateral securities of any kind in this or any other State, nor
does my wife own with me jointly or separately, property to exceed in value the sum
of five thousand dollars.

That the following is a true and correct statement of all the property owned by me
or by my wife, jointly and separately in this or any other State:

Real estate, located at or near Flemington			$1000.00
Cattle, horses and other live stock				$  350.00
Personal property						$    25.00
Stocks			None					$……….
Bonds			None					$……….
Mortgages, stocks and other securities	None			$……….
						Total		$1375.00

That I have heretofore been granted a pension from the State of Florida under
pension certificate No. 3686, at the rate of $120.00 per annum.

(Here state any disabilities, physical or mental.)
………………………………………………………………………………………………………………………………………………………………………………………………

(Here state any wounds received, or loss of limbs and eyesight.)
………………………………………………………………………………………………………………………………………………………………………………………………

That my postoffice address is Micanopy, County of Alachua, State of Florida.

James C. Zetrouer
(Claimants must sign name in full.)

Attest:

(1)  C. B. Ayer
(2)  J. B. Walkup

Sworn and subscribed before me, this 27th day of July, A. D. 1909; and I hereby
certify that the above declaration, etc., were fully made known and explained to the
applicant before swearing, and that I have no interest, direct or indirect, in the
prosecution of this claim.

S. H. Gaitskill
Notary Public
My Commission Expires
Dec. 11th 1909

Page 016

(Form B.)

State of Florida}
County of Marion}

We, the undersigned citizens of Marion County, State of Florida, do hereby certify
that we personally know James C. Zetrouer, who is an applicant for a pension under
the laws of Florida, and that from our own personal knowledge, and from the best
information available, we believe that the applicant does not own property
(including the property of his wife) to exceed in value the sum of $5,000, and that
the statements made by him relative to the value of his property are true and
correct.

(To be signed by two citizens.)

C. B. Ayer
J. B. Walkup

Sworn and subscribed before me this 27th day of July, 1909.

S. H. Gaitskill
Notary Public
My Commission Expires
Dec. 11th 1909

(Form C.)

Physician’s Affidavit

State of Florida}
County of Marion}

Before me personally came Dr. Adam Clark Walkup who being duly sworn, deposes and
says that he is a physician; that he is a resident of the State and County
aforesaid; that he personally knows James C. Zetrouer the applicant named in the
foregoing application for a pension.  This deponent further says that he has
carefully examined the said applicant’s physical condition and finds:

(Here state nature, character and extent of wounds, disease or disability.  Please
avoid technical terms.)

That he is ruptured on the right side and has a valvulular (sic) disease of the
heart.

This deponent further says that the said James C. Zetrouer is permanently……disabled
by reason of such diseases from earning a livelihood for himself by manual labor.

(Please note carefully resolution below before certifying to total disability.)

A. C. Walkup M.D.
Physician

Sworn and subscribed before me, this 27th day of July, A. D. 1909.

S. H. Gaitskill
Notary Public

At a meeting of the State Board of Pensions held July 10th, 1907, at which the
Governor, Comptroller and Treasurer were present, the following resolution was
adopted:

Resolved:  That persons entitled to Pensions under the Laws of Florida, who apply
for the amount allowed in cases of total disability, must submit the affidavit of a
reputable physician stating specifically the personal ailment and conditions that
render the applicant entirely helpless and incapacitated, physically or mentally,
for any work or business.

Page 017

Report of County Commissioners

We, the undersigned, County Commissioners in and for the County of Marion, Florida,
do hereby report that at a meeting of the Board of County Commissioners held this
day, the foregoing application of James C. Zetrouer for a pension under the Laws of
Florida, was investigated by us; that we are satisfied that the applicant does not
own property (including the property of his wife) to exceed the value of $5,000, and
that the representations made in the petition and affidavits are true, and that a
pension should be granted to the applicant.

Witness our hands this 3rd day of August, A. D. 1909.

(1) Geo MacKay, Chairman
(2) J. M. Mathews
(3) W. J. Crosby
(4) M. M. Proctor
(5) N. A. Fort
County Commissioners

By the County Commissioner.  Attest:

S. T. Sistrunk
Clerk Circuit Court

Note – All blanks must be filled out.  All information required must be fully and
accurately given.

Pension No. 5056
Act of 1913
Former Claim No. 3686
Application No. 14788
Pensioner No. 343
Claim For Pension
By
James C. Zetrouer
Of
Micanopy Postoffice
………………County
Late Of
C Company
7th Fla Regiment
Filed In Pension Department
Aug 7 1909
Approved
Aug 21 1909
With pay from Jul 1 1909
At the rate of $120 per annum
$150 per annum from 
Jan 1 – 12
……………………………
Secretary of Board
Filed In Comptroller’s Office
…………………., 19….
Capital Pub. Co., State Printer
Tallahassee, Florida

Page 018

Application For Increase of Pension
Under The Laws Of Florida

I, James C. Zetrouer Pensioner No. 343 of the State of Florida under the laws of
Florida do hereby make application to the State Board of Pensions for an increase in
pension allowed me at the rate of $150.xx per annum.

I am unable on account of the disabilities shown below and by attached affidavit of
a reputable physician, to earn a livelihood by manual labor.

(Here state fully and plainly the disability from which the applicant for increase
is suffering, state any loss of limbs or eyesight and give age.  Please avoid the
use of technical terms.)

Age being 86 (sic) years old.  Hernia and infirmities.

In witness whereof I have hereunto set my hand this 29 day of December A. D. 1911.

James C. Zetrouer
Address Micanopy Fla

Witness
S. H. Winges
M. S. Cheves

Physicians Affidavit

State of Florida}
County of Alachua}

Before me personally came J. F. McKinstry Sr and J. F. McKinstry Jr, who being duly
sworn, deposes and says, that he is a physician, that he is a resident of the State
and County aforesaid, that he personally knows James C. Zetrouer the applicant named
in the foregoing application for a pension.  This deponent further says that he has
carefully examined the said applicant’s physical condition and finds:

(Here state nature, character and extent of wounds, disease or disability.  Please
avoid technical terms)

Incapacity incident to age (80 years)
Hernia Double infirmities

This deponent further says that the said James C. Zetrouer is permanently and
totally disabled by reason of such Hernia and infirmities from earning a livelihood
for himself by manual labor.

J. F. McKinstry Sr Physician
J. F. McKinstry Jr Physician

Sworn to and subscribed to before me this 29 day of December A. D. 1911.

S. H. Winges
Clerk Cir Court

Note – All persons entitled to Pensions under the Laws of Florida who apply for the
amount allowed in cases of total disability must submit the affidavits of two
reputable physicians stating specifically the personal ailment and conditions that
render the applicant entirely helpless and incapacitated, physically or mentally,
for any work or business.

Page 019

343
J. C. Zetrouer
$150.00 per annum
from January 1, 1912
(K)


Additional Comments:
NOTE: Words in [] are lined through in original.

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