CULPEPER COUNTY, VA - CONFEDERATE PENSION APPLICATION: A.M. KILBY File submitted for use in the USGenWeb Archives by: Scott Harlow http://www.usgenweb.org ******************************************************** USGENWEB ARCHIVES NOTICE: These electronic pages may NOT be reproduced in any format for profit or presentation by any other organization or persons. Persons or organizat- ions desiring to use this material, must obtain the writ- ten consent of the contributor, or the legal representat- ive of the submitter, and contact the listed USGenWeb ar- chivist with proof of this consent. The submitter has given permission to the USGenWeb Archives to store the file permanently for free access. ******************************************************** Library of Virginia Image222 FORM 2 APPLICATION of Disabled Soldier, Sailor or Marine for Disability by Reason of Disease or the Imfirmities of Age. I, "A M KILBY", do hereby apply for aid under the act of the General Assembly, approved April 2, 1902, entitled an act to aid the citizens of Virginia who were disabled by wounds received during the war between the States while serving as soldiers, sailors, or marines of Virginia and such as served during the said war as soldiers sailors, or marines of Virginia, who are now disabled by diseases contracted during the war, or by the infirmities of age, and the widows of soldiers, sailors,or marines of Virginia who lost their lives in said service, or whose death resulted from wounds received or disease contracted in said service and providing penalties for violating the provisions of this act, and I solemnly swear that I am a citizen of the State of Virginia resident at Clarkson, in the County of Culpeper in the said state and that I have been an actual resident of the said State for two years, and of the said city (or county) for one year next preceding the date of this application, and that I was a soldier (or sailor or marine) of the State of Virginia in the war between the United States and the Confederate States, as a member of (here state specifically the command and the branch of service to which the applicant belonged, and the names of his immediate superior officers) "Co. B 13th Va. Infantry Capt. Z. T. Ross Col. James Walker" and that I am now disabled by disease" ( here state the nature of the disease and the causes from which it resulted "Dyspepsia and stomach trouble resulting from prison fare" and that from the effects of such disease I am now permanently disabled from following my usual and ordinary occupation or any other occupation for a livelihood" (In the case of disability from the infirmities of age, strike out all relating to disability by disease, and then proceed as follows) and that I am now suffering from the infirmities of age, and permanently incapacitated thereby from following my usual and ordinary occupation, or any other occupation, for a livelihood (here state specifically the nature and character of the disability which prevents the applicant from following any occupation for a livlihood "I was partially incapacitated from following my occupation" and that during the said was I was loyal and true to my duty, and never at any time deserted my command or voluntarily abandoned my post of duty in the said service and that by reason of such disability I am now entitled to receive under the said act the sum of "Fifteen" dollars annually. And I do further swear that I do not hold any national, State, city or county office which pays me in salary or fees one hundred and fifty dollars per annum; nor have I an income from any other employment or any source whatever which amounts to one hundred and fifty dolllars per annum; nor do I receive from any source whatever money or other means of support amounting in value to the sum of one hundred and fifty dollars per annum; nor do I own in my own right, nor does any one hold in trust for my benefit or use, nor does my wife own, nor does any one hold in trust for the benefit of my wife, estate or property either real, personal or mixed either in fee or for life, of the assessed value of five hundred dollars; nor do I receive any aid or pension from any other State,or from the United States, or from any other source, and that I am not an inmate of any Soldiers' Home, or any other public instituition; and I do further swear that the answers given to the following questions are true: 1. What is your age? Ans: 57 years 2. Where were you born? Ans: Culpeper Co. Va. 3. How long have your resided in Virginia? Ans: 57 yrs 4. How long have your resided in the city or county of your present residence? Ans: -blank------" 5. What is your usual and ordinary occupation for earning a livelihood? Ans: Wheelwright 6. How long have you followed such occupation or employment? Ans: 12 yrs 7. Have you followed such occupation and employ- ment, or any other occupation or employment, within the the past two years? If so state when and where, and the amount of your annual income from the same. Ans: No 8. State specifically the nature of your dis- ability pr disease. Ans: Dyspepsia 9. What were the causes which led to the dis- ease which has resulted in your disabil- ity? Ans: ..illegible..illegible..illegible.. in prison." 10. How long have you suffered from such dis- ease, and when did you first become aware that you were afflicted with the same? Ans: 55 yrs 11. With what disease or sickness did you suffer during the time of your service? Ans: illegible 12. Are you totally disabled because of such dis- ease, or the infirmities of age, from follow- ing your usual and ordinary occupation or em- ployment, or any other occupation or employ- ment, by which to earn a livelihood? If not tot- ally disabled thereby, but only partially, state the extent of your partial disability. Ans: I am only partially disabled. 13. When and where did you enter the service of Virg- inia, or of the Confederate States? Ans: Illeg- ible...illegible...1865. 14. In what command and service were you engaged dur- ing the war between the States? Ans: 13th Va. Inf- antry Co B 15. How long were you in the service? Ans: three months 16. When did your leave the service, and under what cir- cumstances? Ans: Captured and released at close of the war. 17. If suffering from disease, state what physician or physicians attended you for the same. Ans: J B Bold- ridge. 18. Give the names and addreses of two or more in the service of your command, if any such be living, and if not, so state. Ans: A[ndrew] T[homas] Kilby Wm Jackson 19. Give here any other information you may possess rel- ating to your service, or disability, that will sup- port the justice of your claim for aid? A T Kilby Clarkson, Va ...............illegible. 20. Is there any camp of Confederate Veterans in the city or county of your residence? Ans: A P Hill #2 21. Is there any one living the residence and address of whom to you, either comrade or otherwise, who has knowledge of your service, and of the cause of your disability? If so or not, state. Ans: A T Kilby Clarkson, Va Wm. Colvin Winfrey, Va Witness my hand this 23rd day of March 1903 A M Kilby I, jos R Corbin a Justice of the peace, in and for the county of Culpeper, in the State of Virginia, do certify that A M Kilby, whose name is signed to the foregoing application, personally appeared before me in my county aforesaid and having the aforesaid ap- plication read to him and fully explained, as well as the statements and answers therein made, the said A M Kilby made oath before me that the said statements and answers are true. Given under my hand this 23rd day of March 1903 Jos R Corbin JP (A) Oath of Resident Witnesses We, J W Rosson and A T Kilby do solemnly swear that we are residents of the county of Culpeper in the said State, and that we have known personally and well for fifteen years A M Kilby whose name issigned in the an- nexed application for aid under the act of the General Asembly of Virginia, approved April 2, 1902, and that the said A M Kilby is a resident of the said county (or city) and is a man of good reputation for truth and honesty, and that we have read the annexed application and the answers to the questions therein propounded, made by the said applicant, and verily believe that the said applicant has been truthful in the said statements and answers, and that from our personal knowledge the applicant is disabled (state the character of the dis- ability, and whether it is partial or total) " Partial by reason of dyspepsia and stomach trouble" and that we verily believe that said applicant is fully entitled to aid under the said act, and that we have no personal in- terest in the allowance of the applicants claim. J W Rosson A T Kilby Subscribed and sworn to before me, a Justice of the peace for the county of Culpeper, State of Virginia, this 23rd day of March 1903 Joseph R. Corbin, JP (B) Affidavit of Comrades I, A T Kilby and ...blank... do solemnly swear that we are residents of the county of Culpeper, in the State of Virginia, and that A M Kilby whose name is signed in to the annexed application for aid under the act of the General Assembly of Virginia, approved April 2, 1902, is personally known to us, and that we/I have known him for 50 years, and that we were soldiers (sailors or marines) in the military (or naval) service of Virginia, or of the Confederate States, during the war between the United States and the Confederate States, and that the said A M Kilby who was also a soldier (sailor or marine) in the said service during the war, was, with us, members of (here state command and immediate superior officers there- of) Co. B 13th Va Infantry Capt A T Ross Col. James Walker and that the said A M Kilby was a loyal and true soldier (sailor or marine) in the said service, and faith- ful in the discharge of his duties, and that we verily believe he is disabled from the causes and in the manner in his application stated, and that his claim is just, and that we have no personal interest in the allowance of his claim under the said act. Subscribed and sworn to before me a Justice of the Peace for the County of Culpeper, State of Virginia, this 23rd day of March 1903. Note: If only one comrade is living, whose residence and address is known to applicant, let him make the ab- bove affidavit. If no such comrade is living whose address is known to the applicant, then let one or more reputable persons who have personal knowledge of the service of the applicant and of cause of his disability, make the folliwing affidavit: (C) Affidavit of Witnesses Not Comrades We, J W Rosson and A T Kilby, do solemnly swear that we are residents of the County of Culpeper, in the State of Virginia, and that we personally know, and are well acquainted with A M Kilby, whose name is signed to the annexed application, and who is applying for aid under the act of the General Assembly, app- roved April 2, 1902, and that we have known the said applicant for ...illegible... years, and that to our personal knowledge the said A M Kilby as a loyal and true soldier (sailor or marine), in the military (or naval) service of Virginia, or of the Confederate States in the war between the States, and was faith= ful in the discharge of his duty, and that we verily believe he is disabled from the causes, and in the man- ner in his application set forth, and that his claim is just, and that we have no personal interest in the allowance of his claim under the said act. J W Rosson A T Kilby Subscribed and sworn to before me, a Justice of the Peace in and for the County of Culpeper, State of Virginia, this 2..illegible..day of March 1903. Note--If no comrade in arms or other person who has knowledge of the services of the applicant and of the disability is living, whose residence is known to ap- plicant, state that fact here. (D) Certificate of Physician I, John B Boldridge, a practicing physician in the county of Culpeper, in the State of Virginia, do certify that I am personally acquainted with A M Kilby, whose name is assigned to the annexed app- lication for aid under the act of the General As- sembly of Virginia, approved April 2, 1902, and that from a personal examination of the said A M Kilby, as to the disability set forth in hs app- lication and the cause thereof, I am clearly of the opinion that he is disabled by reason of (here state specifically the nature of the disability and the cause thereof, and if such disability be total, whether the applicant is deprived thereby of all ability to pursue his usual and ordinary occupat- ion for a livlihood, or any occupation for a livli- hood, and if this disability be partial, to what extent the applicant is hindered thereby from pur- suing such occupation as aforesaid)... "the said applicant is disabled to about half his capacity from a chronic dispepsia and an ..unstable... illegible...system ...due to insufficient and inappropriate food during a long confinement in prison at Point Lookout during the civil war..." and that I verily believe his disability is wholly due to causes assigned in the said application, and that he is entitled to aid under the provisions of the said act, and that I have no personal in- terest in the allowance of the applilcant's claim. Given under my hand this 21st day of March 1903. John B Boldridge (E) Certificate of Camp of Confederate Veterans The A P Hill No2 Camp of Confederate Veterans of the County of Culpeper in the State of Virginia, here certifies that it has examined into the merits of the annexed application of A M Kilby for aid un- act act of the General Assembly of Virginia, app- roved April 2, 1902, and being satisfied of the justice of his claim, hereby recommends the said A M Kilby for aid under the provisions of the said act, and that it has no personal interest in the allowance of the applicant's claim. J M Beckham Commander Note- If there be no camp of Confederate Veterans in applicaant's city or county, then the certification of two ex-Confederate soldiers, well known and of good reputation residing in said city or county, must be obtained, as follows: (F) Certificate of Ex-Confederate Soldiers We, ...blank... and ...blank..., of the ...... of ........., State of Virginia, do certify that we were soldiers (sailors or marines) of Virginia in the war between the States, and that we have ex- amined into the merits of the annexed application of ...blank... for aid under the act of the Gen- eral Assembly of Virginia, approved April 2, 1902, and that we are satisfied of the justice of his claim and recommend the same for aid under the pro- visions of the said act, and that we have no inter- est in the allowance of the applicant's claim. Given under our hands, this ...day of..., 19... -------------- -------------- (G) I, Russell H. Yowell, Commissioner of the revenue in the county of Culpeper in the State of Virg- inia, do certify that A M Kilby, or his wife, or his trustee, or trustee for his wife, whose name is signed to the annexed application for aid under the act of the General Assembly of Virginia, ap- proved April 2, 1902, is charged on the land and property books of the said County with estate, real, personal and mixed, of the assessed value of seventy five dollars. Given under my hand, this 24 day of March 1903. Russell H Yowell [The veteran whose name is signed to the above application was Ansylem Marion 'Brag' Kilby, great uncle of the transcriber.]