Suwannee County FlArchives Military Records.....ADAMS, David 1907 Civilwar - Pension Co. B 40th Regt. NC ************************************************ 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 http://www.genrecords.net/emailregistry/vols/00022.html#0005485 February 7, 2009, 4:07 pm FLORIDA CONFEDERATE PENSION APPLICATION FILES PENSION APPLICATION A06045: Surname: ADAMS Given Names: David Service Unit: North Carolina Reference: Wife’s Name: Application County & Year: Suwannee Co 1907 Page 001 A6045 Page 002 Soldier’s Pension Claim Under The Act Of 1909 (Form A.) State of Florida} County of Suwannee} On this 16th day of July, A. D. One Thousand Nine Hundred and Nine personally appeared before me, Clerk Circuit Court in and for the county and State aforesaid, David Adams who, being duly sworn according to law, declares that he is 62 years of age, having been born on the 22nd day of September 1846, in the county of Bufort, in the State of North Carolina. That he is a bona fide citizen of the county of Suwannee, State of Florida. That he has resided in the State of Florida continuously since the …..day of…., 1869. That he is the identical person who enlisted at Fort Holmes, N. C., under the name of David Adams, on the……day of…………., 1863, in Company B, Regiment 40th of the State of North Carolina 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 and who was honorably discharged at Kinston, N. C., in the State of North Carolina on the……day of…………., 1865, on account of close of war. (Here state fully any other military service performed by the applicant.) ……………………………………………………………………………………………………………………………………………………………………………………………… (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 in the year 186….., and did not desert the service of the Confederate States 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 at Kinston, North Carolina, Page 003 at the close of the war. 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 near Dowling Park, Fla………………… $1800.00 Cattle, horses and other live stock…………………………….. $ 200.00 Personal property……………………………………………… $ 50.00 Stocks…………………………………………………………. $………. Bonds………………………………………………………….. $………. Mortgages, notes and other securities..on above land………… $………. Total…………………… $2050.00 That I have heretofore been granted a pension from the State of Florida under pension certificate No. 5527, at the rate of $100. per annum. (Here state any disabilities, physical and mental.) Old age, rheumatism, and exzema (sic) of right leg. (Here state any wounds received, or loss of limbs and eyesight.) ……………………………………………………………………………………………… That my postoffice address is Dowling Park, County of Suwannee, State of Florida. David his X mark Adams (Claimants must sign name in full.) Attest: (1) G. H. Ballentine (2) J. A. McLeod Sworn and subscribed before me this 16th 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. J. W. Bryson Clerk Circuit Court Page 004 (Form B.) State of Florida} County of Suwannee} We, the undersigned citizens of………………..County, State of Florida, do hereby certify that we personally know David Adams, 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.) G. H. Ballentine J. A. McLeod Sworn and subscribed before me, this 16th day of July, 1909. J. W. Bryson Clerk Circuit Court (Form C.) Physician’s Affidavit State of Florida} County of Suwannee} Before me personally came W. C. White, 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 David Adams 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.) him of advanced years, that he has rheumatism and bad varicose ulcer of right leg. This deponent further says that the said……………………………..is permanently parshally (sic) disabled by reason of such age, rheumatism and sore leg from earning a livelihood for himself by manual labor. (Please note carefully resolution below before certifying to total disability.) W. C. White Physician Sworn and subscribed before me, this 16th day of July, A. D. 1909. J. W. Bryson Clerk Circuit Court 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 005 Report of County Commissioners We, the undersigned, County Commissioners in and for the County of Suwannee, Florida, do hereby report that at a meeting of the Board of County Commissioners held this day, the foregoing application of David Adams 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 4th day of August, A. D. 1909. (1) A. M. Moseley, Chairman (2) H. A. Thompson (3) J. J. Owens (4) J. W. Carver (5) M. J. Cheshire, County Commissioners. By the County Commissioners. Attest: J. W. Bryson Clerk Circuit Court Note – All blanks must be filled out. All information required must be fully and accurately given. Pension No. 6045 Act of 1913 Former Claim No. 5527 Application No. 13852 Pensioner No. 1363 Claim For Pension By David Adams Of Dowling Park Postoffice Suwannee County Late Of B Company 40th N. C. Regiment Filed In Pension Department Aug 7 1909 Approved Aug 27 1909 With pay from Jul 1 1909 At the rate of $120 per annum ……………………………… Secretary of Board Filed In Comptroller’s Office ………………….., 19…… Capital Pub. Co., State Printer Tallahassee, Florida 120 Page 006 Application For Pension Under Laws Of Florida (Form A.) For Use Of Applicant For Pension I, David Adams, 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) Confederate Army service of (State whether Confederate States or this State) Confederate Army 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 such 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.) Unable to work and support my family, and owing to Rheumatism can only do only very light work. Am (61) sixty one years age. I enlisted 25th Aug 1863 and was a private in Co B. 40th Regt North Carolina, & was honorably discharged from the service, owing to the surrender of Gen’l Jos. E. Johnson, on, or about the 26th of April 1865. 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 27th day of July, A. D. 1907. David his X mark Adams Witness: Macon Bonner Capt. Co. B, 40th N.C. Troops Washington, N. C. Page 007 (Form B) State of Florida North Carolina} Beaufort County} On this 27th day of July, A. D. 1907, before me Geo. A. Paul Dept. 0 Clerk of the Circuit Superior Court in and for said County and State, personally came David Adams, 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? David Adams, [Live Oak] Suwannee County, Florida. 2. In what State and County were you born and when? Sept 1846 Beaufort County State of North Carolina. 3. How long have you been a citizen of the State of Florida? Thirty five years. 4. When and where and in what organization did you enlist during the war between the States? Aug 25th [25th] 1863 Fort Holmes Baldhead Island NC. Co. B. 40th Regt. N. C. Troops. 5. Give the name of your Captain at time of your enlistment. Capt. William H. Garpp. 6. Give the name of your Captain at time of your discharge from service. Capt. Macon Bonner. 7. Give the name of your Battalion or Regimental Commander both at time of your enlistment and discharge from service. [Independent Co. Capt. W. H.] Co. B. 40th Regt. N. C. Troops Col. J. J. Hedrick. 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 008 12. Describe the wound and state how it affects you. ……………………………………. David his X mark Adams Applicant Sworn to and subscribed before me this 27th day of July, A. D. 1907. Geo. A. Paul, Deputy Clerk Circuit Superior Court Beaufort County North Carolina David his X mark Adams Sworn to and subscribed before me this Aug 5th 1907 J. W. Bryson Clerk Circuit Court (Form C) Affidavit To Be Made By Commissioned Officer State of North Carolina} County of Beaufort} Before me personally came Macon Bonner, who being duly sworn deposes and says, that he was a Commissioned Officer in the (Here state name of Organization) Confederate Army Co. B. 40th Regt. N. C. Troops, the organization to which the within named applicant for pension under the laws of [Florida] North Carolina belonged and in which he served during the war between the States. This deponent further says that the said David Adams rendered faithful service as a Confederate soldier or sailor during the war between the States, and that the disabilities claimed by the said David Adams to exist, does in fact exist and the same prevents him permanently from gaining a livelihood. Macon Bonner, Capt. Late of Co. B. 40th Regt. North Carolina Troops Sworn to and subscribed before me this 27th day of July, A. D. 1907. Geo. A. Paul Deputy Clerk Superior Court Beaufort County, N. C. (This affidavit to be made by one who was a Commissioned Officer, and the blanks must be filled out). (Form D.) State of …………….} County of…………..} Before me personally came ………………………………and……………………….., who being by me first duly sworn, depose and say, each for himself, that he is a citizen of the County of………………………., in the State of Floriad (sic), and that he was a solider of…………………………..regiment in the service of the Page 009 Confederate States during the war between the States, and that said………………..was a member of said regiment; that he is acquainted with…………………….., the applicant in the foregoing petition for a pension; that he knows that the said………………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 those deponents being further sworn true answer to make to the following questions, deposes each for himself and answers as follows: 1. Where do you reside?……………………………………………………………….. 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? ……………… ……………………………………………………………………………………………… 3. To what military organization did the within named applicant belong during the war between the States? ………………………………………………………………………. 4. Did he render the service to the Confederate States during the war, as claimed in the foregoing answers by him? ………………………………………………………………. 5. Where were you when your organization surrendered? ……………………………… 6. Was the applicant present? ……………………………………………………………. 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 010 10. What is the applicant’s occupation and physical condition? …………………………. 1 ………………………………………. 2 ………………………………………. 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 Florida} County of Suwanne} Before me personally came J. S. Mikell, who being by me first duly sworn, deposes and says, that he is the Adjutant of Camp Joseph E. Finnegan No. 1514, of the United Confederate Veterans of the County of Suwannee in the State of Florida. That he knows David Adams, 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 is a member in good standing of Camp Joseph E. Finnegan No. 1514 of the United Confederate Veterans. The Adjutant will please state here any proof in his knowledge or possession favorable to the applicant. ………………………………………………………………………………. ……………………………………………………………………………………………… J. S. Mikell Adjutant Camp 1514 ……………United Confederate Veterans Sworn to and subscribed before me this 3 day of Sept., A. D. 1907. J. W. Bryson Clerk Circuit Court By W. W. Hawkins, D.C. Page 011 (Form F) Physician’s Affidavit State of Florida} County of Suwannee} Before me personally came J. M. Price, 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 David Adams, 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.) Applicant suffers from varicose condition of veins of left leg and also suffers from Rheumatism in same leg. This deponent further says that the said David Adams is permanently …………… disabled by reason of such condition of leg 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 “by manual labor.”) J. M. Price Physician Sworn to and subscribed before me this 5th day of August, A. D. 1907. J. W. Bryson Clerk Circuit Court By W. W. Hawkins, D.C. 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, except Form “C” unknown, and that the said applicant David Adams 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 Suwannee County, this 5th day of August, A. D. 1907. J. W. Bryson Clerk Circuit Court Page 012 Report of County Commissioners We, the undersigned, County Commissioners in and for Suwannee County, Florida, do hereby report that at a meeting of the Board of County Commissioners held this 6th day of August, 1907, the foregoing application of David Adams for pension under the laws of Florida, was 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 6th day of August, A. D. 1907. 1. W. H. Tison 2. J. H. Grant 3. J. J. Dunpey 4. J. C. Davis 5. M. L. Burnett County Commissioners By the County Commissioners. Attest: J. W. Bryson 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 out. 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 013 9832 5527 Claim For Pension By 100 David Adams Of Suwannee Co. Late Of Co. B Company 40th N. C. Regiment Filed In Pension Department Sep 9 1907 Approved Dec 28 1907 With pay from Sept 9 1907 At the rate of $100.00 per annum Jefferson Bell Secretary of Board Filed In Comptroller’s Office ………………….., 19…… 100 Additional Comments: NOTE: Words in [] are lined through in original. File at: http://files.usgwarchives.net/fl/suwannee/military/civilwar/pensions/adams596gmt.txt This file has been created by a form at http://www.genrecords.org/flfiles/ File size: 20.0 Kb