Mrs. Annie Bass, Widow's Application for Pension 
Rapides Parish Louisiana
Submitted by Chere Lee
Date: March 24, 2012

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State of Louisiana
Parish of Rapides

I, Miss Annie Bass, whose Post Office address
is Forest Hill, do hereby certify that I am the identical
person to whom a pension was granted by the Pension Board
of the State of Louisiana, as shown by my application finally
numbered 6947, that my circumstances and physical condition
have not materially improved since I obtained the pension, 
that I now make application for the quarterly allowance for
the quarter ending June 30, 1915, amounting to $24.00, and 
for that purpose I do hereby authorize PAUL CAPDEVIELLE, 
Auditor of Public Accounts, to forward to me, at the above
address, a check to cover said allowance, and this shall be
his authority for so doing.

Sworn to and subscribed before me on this
the 1st day of July 1915
Mrs. Annie Bass [her mark] PENSIONER
L.H. Mizell  Justice of Peace