Santa Rosa County FlArchives Military Records.....POLK, Robert A. 1907 Civilwar - Pension 1st Regt Inf ************************************************ Copyright. All rights reserved. http://www.usgwarchives.net/copyright.htm http://www.usgwarchives.net/fl/flfiles.htm ************************************************ File contributed for use in USGenWeb Archives by: Jimmy R. Polk Nascar3Fan@aol.com May 6, 2007, 10:20 am Pension Application A06239 FLORIDA CONFEDERATE PENSION APPLICATION FILES Surname: POLK Given names: Robert A. Service Unit: 1st Regt Inf Reference: Wife’s name: Application County & Year: Santa Rosa Co 1907 Page 001 A6239 Page 002 APPLICATION FOR INCREASE IN PENSION UNDER THE LAWS OF FLORIDA The Honorable Board of Pensions I, Robt. A. Polk Pensioner No. 2170 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 $150.00 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.) The applicant is suffering from Rheumatism and Chronic Brights Disease, and my eyesight is failing. I the applicant was sixty-nine years of age March 29th, 1912. Did (sic) Did not lose any limbs. In witness whereof I have hereunto set my hand this 15th day of June, A.D. 1912. Robert A. Polk Address: Jay, Florida Witness: J. T. Nowling L. G. Hudson PHYSICIANS AFFIDAVIT STATE OF FLORIDA County of Santa Rosa Before me personally came James G. Thames and Zeblon V. Johnston, who being duly sworn, deposes and says, that they are physicians; that they are residents of the State and County aforesaid, that they personally knows (sic) Robt. A. Polk the applicant named in the foregoing application for a pension. The deponents further says (sic) that they have 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) The applicant is suffering from Rheumatism and Chronic Brights disease, and his eyesights (sic) is failing. The deponent further says that the said Robt. A. Polk is permanently disabled by reason of such diseases from earning a livelihood for himself by manual labor. J. G. Thames, Physician Zeblon V. Johnson, Physician Sworn to and subscribed to before me this 15th day of June A.D. 1912. E. M. Magaha, Notary Public (Notary Seal affixed to document) My Commission expires Feby. 17th, 1916. NOTE: All persons entitled to Pensions under the Laws of Florida who apply for the amount allowed in case of total disability must submit affidavits 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 003 2170 $120 per annum from April 1st, 1912. Page 004 SOLDIER’S PENSION CLAIM UNDER THE ACT OF 1909 (FORM A.) State of Florida County of Santa Rosa On this 24 day of July, A.D. One Thousand Nine Hundred and Nine personally appeared before me, a Justice of the Peace in and for the county and State aforesaid, Robert A. Polk who, being duly sworn according to law, declares that he is 67 years of age, having been born on the 29 day of March 1841, in the county of Pike, in the State of Ala. That he is a bona fide citizen of the county of Santa Rosa, State of Florida. That he has resided in the State of Florida continuously since the – day of Nov., 1855. That he is the identical person who enlisted at Milton, Fla. Under the name of Robert A. Polk, on the – day of June, 1862, in Company F, First Florida Regiment, of the State of Florida, in the service of the Confederate States Army (Here state whether the service claimed was in the Confederate States Army or in the service of a State.) and who was HONORABLY DISCHARGED at Bentonville, N. C., in the State of N. C., on the – day of May, 1865, on account of War being at an end. (Here state fully any other military service performed by the applicant.) NONE (Here give date and place of capture, imprisonment, exchange or parole.)……………………………………………… That I served faithfully until HONORABLY DISCHARGED from the service of the Confederate States Army in the year 1865, and did not desert the service of the Confederate States 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 (sic) Bentonville, N.C. Page 005 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 Jay, Fla. In Sec. 24 Township five R 29 West. Containing 160 A. $400.00 Cattle, horses and other live stock 2 head horses 6 head cattle $142.00 Personal property $100.00 Stocks NONE Bonds NONE Mortgages, notes and other securities None Total $642.00 That I have heretofore applied for a pension from the State of Florida and refer to Claim N. 5062 for the proof contained therein at the rate of $100.00 per annum (Here state any disabilities, physical or mental.) NONE (Here state any wounds received, or loss of limbs and eyesight.) NONE That my postoffice address is Jay, County of Santa Rosa, State of Florida. Robert A. Polk (Claimant must sign name in full.) Attest: (1) Edward V. McCaskill (2) William M. (his X mark) Polk Sworn and subscribed before me, this 24 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. E. M. Magaha, Justice of the Peace (Seal of Justice No. 3 affixed to this document) Page 006 (FORM B.) STATE OF FLORIDA County of Santa Rosa We, the undersigned citizens of Santa Rosa County, State of Florida, do hereby certify that we personally know Robert A. Polk, 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. Edward V. McCaskill (To be signed by two citizens.) William M. (his X mark) Polk Sworn and subscribed before me, this 24 day of July A.D. 1909. E. M. Magaha, J.P. (FORM C.) PHYSICIAN’S AFFIDAVIT NOTE: This form has been left blank in its entirety. Page 007 (FORM D.) AFFIDAVIT TO BE MADE BY A COMMISSIONED OFFICER NOTE: This form has been left blank in its entirety – has large X marked across form. (FORM E.) AFFIDAVIT TO BE MADE BY COMRADE NOTE: This form has been left blank in its entirety – has large X marked across form. Page 008 (FORM F.) AFFIDAVIT TO BE MADE BY COMRADE NOTE: This form has been left blank in its entirety – has large X marked across form. Page 009 NOTE: This page has been left blank in its entirety – has large X marked across page. Page 010 REPORT OF COUNTY COMMISSIONERS We, the undersigned, County Commissioners in and for the County of Santa Rosa, Florida, do hereby report that at a meeting of the Board of County Commissioners held this day, the foregoing application of Robert A. Polk 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 3 day of August, A. D. 19……. (1) I. Tomasello, Chairman (2) Counts Jernigan (3) J. A. Hart (4) J. B. Norul (5) J. W. Baggett, Jr., County Commissioners By the County Commissioners. Attest: H. W. Thompson, Clerk Circuit Court By L. S. Thompson, D.C. NOTE—All blanks must be filled out. All information required must be fully and accurately given. Page 011 6239 Former Claim No. 5062 Application No. 15969 Pensioner No. 2170 CLAIM FOR PENSION BY ROBERT A. POLK Of Jay, Fla Postoffice Santa Rosa County Late Of F Company 1st Fla Regiment FILED IN PENSION DEPARTMENT Aug 16 1909 APPROVED Aug 31 1909 With pay from Jul 1 1909 At the rate of $100 per annum …………………………Secretary of Board $120 from 4-1-12 FILED IN COMPTROLLER’S OFFICE ………………………19….. Page 012 APPLICATION FOR PENSION UNDER LAWS OF FLORIDA (FORM A) FOR USE OF APPLICANT FOR PENSION I, R. A. Polk, 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: Enlisted and served in the Military service of the Confederate States 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 am over 60 years. (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.) ……………………………………………………………………………………………………………. 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 9th day of July A.D. 1907. R. A. Polk Witness: L. C. Golson M. C. Neuman Page 013 (FORM B) STATE OF FLORIDA Santa Rosa County On this 9th day of July A. D. 1907, before me L. C. Golson Clerk of the Circuit Court in and for said County and State, personally came R. A. Polk, 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 12 inclusive are true: 1. What is your full name, and where do you reside? Robert A. Polk, Cora, Santa Rosa Co., Fla. 2. In what State and County were you born and when? Pike Co. Ala, Mch 29, 1843 3. How long have you been a citizen of the State of Florida? Since 1858. 4. When and where and in what organization did you enlist during the war between the States? Spring of 1862, Milton, Fla., Co F 1st Fla. Inf. 5. Give the name of your Captain at time of your enlistment. Capt. John Walston. 6. Give the name of your Captain at time of your discharge from service. Capt. Coleman. 7. Give the name of your Battalion or Regimental Commander both at time of your enlistment and discharge from service. Gen. Miller = at at (sic) close. Stovall Brig – Breckenridge Div. Hardee’s Corp. 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 014 12. Describe the wound and state how it affects you………………………………………. R. A. Polk, Applicant Sworn to and subscribed before me this the 9th day of July A.D. 1907. L. C. Golson, Clerk Circuit Court, Santa Rosa County. (FORM C) AFFIDAVIT TO BE MADE BY COMMISSIONED OFFICER Note: This affidavit left blank in its entirety. (FORM D) State of Florida County of Santa Rosa Before me personally came W. M. Polk and E. V. McCaskill, who being by me first duly sworn, depose and say, each for himself, that he is a citizen of the County of Santa Rosa, in the State of Florida, and that he was a soldier of Co. F. 1st Fla. Inf. Regiment in the service of the Page 015 Confederate States during the war between the States, and that said R. A. Polk was a member of said regiment; that he is acquainted with R. A. Polk, the applicant named in the foregoing petition for a pension; that he knows that the said R. A. Polk rendered the service as a 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 answer to make to the following questions, deposes each for himself and answers as follows: 1. Where do reside? Santa Rosa 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 – R. A. Polk, Santa Rosa Co., Fla. Since 1858 – (E. V. McCaskill) 45 or 50 years 3. To what military organization did the within named applicant belong during the war between the States? Co. F. 1st Fla Inf. 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? (W. M. Polk) Greensborough, N.C. (and E. V. McCaskill) in Rock Island Prison. 6. Was the applicant present? Yes 7. If not, where was he? And why was he not present? ……………………….. 8. When did he leave the Command? For what cause? ………………………… 9. What is the nature and character of the applicant’s wounds or disease? ……………………….. Page 016 10. What is the applicant’s occupation and physical condition? ……………………………. W. M. Polk E. V. McCaskill, Witnesses Sworn to and subscribed before me this 9 day of July A. D. 1907 L. C. Golson, Clerk Ct (sic) Ct (sic) (FORM E) AFFIDAVIT FOR ADJUTANT OF A CAMP OF UNITED CONFEDERATE VETERANS Note: This form left blank in its entirety. Page 017 (FORM F) PHYSICIAN’S AFFIDAVIT Note: This form left blank in its entirety. 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 R. A. Polk is a bona fide resident and citizen of the State of Florida. In witness Whereof, I have hereunto set my hand affixed the seal of the Circuit Court for Santa Rosa County, this 9 day of July, A.D. 1907. L. C. Golson, Clerk Circuit Court Page 018 REPORT OF COUNTY COMMISSIONERS We, the undersigned, County Commissioners in and for Santa Rosa County, Florida, do hereby report that at a meeting of the Board of County Commissioners held this 13th day of July, 1907, the foregoing application of R. A. Polk for 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 13th day of July, A. D. 1907. 1. I. Tomasello 2. Counts Jernigan 3. John L. Williams 4. W. D. Holland 5. ………………………… County Commissioners By the County Commissioners. Attest: L. C. Golson, 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. 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 019 8697 5062 CLAIM FOR PENSION BY 100 R. A. Polk Of Cora, Fla Late of Co. “F” Company 1st Fla. Inf. Regiment FILED IN PENSION DEPARTMENT Aug 5 1907 APPROVED Dec 21 1907 With pay from Aug 5 1907 At the rate of $100.00 per annum Jefferson Bell, Secretary of Board FILED IN COMPTROLLER’S OFFICE …………………… 19.. File at: http://files.usgwarchives.net/fl/santarosa/military/civilwar/pensions/polk19gmt.txt This file has been created by a form at http://www.genrecords.org/flfiles/ File size: 18.1 Kb