CIVIL WAR PENSION APPLICATION - ADDISON F. WORKMAN Contributed by: Charles V Tarlton [popeye@rjsonline.net] ************************************************************************ 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 organizations desiring to use this material, must obtain the written consent of the contributor, or the legal representative of the submitter, and contact the listed USGenWeb archivist with proof of this consent. The submitter has given permission to the USGenWeb Archives to store the file permanently for free access. http://www.usgwarchives.net *********************************************************************** Form No. 2 Application of Soldier, Sailor, or Marine for Disability by Reason of Disease or the Infirmities of Age I, Addison F. Workman, do hereby apply for aid under the act of the General Assembly of Virginia, approved April 2, 1902, entitled an Act to Aid the Citizens of Virginia who were disabled by wounds received during the war between 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 disease 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 services, 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 do solemnly swear that I am a citizen of the State of Virginia resided at Elkton in the County of Rockingham 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 preceeding 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 branch of service to which the applicant belonged, and the names of his immediate superior officers) Company E 14 NC R T Bennett Con(Colonel) W.T.Poole Captain and that I am now disabled by disease (here state the nature of the disease and the causes from which it resulted) 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 livelihood) ______ and that during the said war 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 Thirty 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 do I receive from any source whatever money or other means of support in value of 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 my wife, estate or property, either real, personal or mixed, either in fee or for life, of the numerated 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 last I am not an inmate of any soldiers' home, or of any other public institution; and I do further swear that the answers given to the following questions are true: 1. What is your age? Ans. 59 2. Where were you born? Ans. Chatham County North Carolina 3. How long have you resided in Virginia? Ans. Thirty Six years 4. How long have you resided in the city or county of your present residence? Ans. Thirty Six years 5. What is your usual and ordinary occupation for earning a livelihood? Ans. Farming 6. How long have you followed such occupation or employment? Ans. for Thirty years or more 7. Have you followed such occupation or employment, or any other occupation or employment, within the last two years? If so, state when and where, and the amount of your annual income from the same. Ans. R.F.D. Mail Carrier_? one Hundred per year 8. State specifically the nature of your disability or disease. Ans. From effects of M? and Rheumatism contracted while in service. 9. What were the causes which led to the disease which has resulted in your disability? Ans. 10. How long have you suffered from such disease, and when did you first become aware that you were afflicted with the same? Ans. 15 or 20 years 11. With what disease or sickness did you suffer during the time of your service? Ans.? and ? 12. Are you totally disabled because of such disease, or the infirmities of age, from following your usual and ordinary occupation or employment, or any other occupation or employment, by which to earn a livelihood? If not totally disabled thereby, but only partially, state the extent of your partial disability. Ans. Partially disiability 13. When and where did you enter the service of Virginia, or of the Confederate States? Ans. April 1862 NC June New Bern to Richmond 1862 14. In what command and service were you engaged during the war between the States? Ans. Ewell's command 15. How long were you in the service? Ans. 3 years 16. When did you leave the service, and under what circumstances? Ans. Taken prisoner at Petersburg Va discharged from prison June 1865 17. If suffering from disease, state what physician or physicians have attended you for the same. Ans. Dr J H Wolfe does 18. Give the names and addresses of two or more in the service of your command, if any such be living, and if not, so state. Ans. C(?) B. Carter only one I know of 19. Give here any other information you may possess relating to your service, or disability, that will support the justice of your claim for aid? Ans. 20. Is there any camp of Confederate Veterans in the city or county of your residence? Ans. S B G Camp 21. Is there any one living, the residence and address of whom is known 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. T. R. Williams Graham North Carolina Witness my hand this 7th day of March 1907 Addison F. Workman I, W. J. Rinkle, a Notary Public, in and for the County of Rockingham, in the State of Virginia, do certify that Addison F. Workman, whose name is signed to the foregoing application, personally appeared before me in my County aforesaid and having the aforesaid application read to him and fully explained, as well as the statements and answers therein made, the said Addison F. Workman made oath before me that the said statements and answers are true. Given under my hand this 7th day of March 1907 W J Rinkle NP (A) OATH OF RESIDENT WITNESSES We, H. B. C. Gentry and W. H. Miller , do solemnly swear that we are residents of the County of Rockingham , in the said State, and that we have known personally and well for 30 years Addison F. Workman, whose name is signed to the annexed application for aid under the act of the General Assembly of Virginia, approved April 2, 1902, and that the said Addison F. Workman 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 disability, and whether it is partial or total) partial disability for labor and that we verily believe the said applicant is justly entitled to aid under the said act, and that we have no personal interest in the allowance of the applicant's status. H. B. C. Gentry W. H. Miller Subscribed and sworn to before me, a Notary Public for the County of Rockingham, State of Virginia, this 7th day of March, 1907. W J Rinkle NP (B) AFFIDAVIT OF COMRADES We, C.B.Carter and , do solemnly swear that we are residents of the County of Moore , in the State of N.C., and that Addison F. Workman whose name is signed to the annexed application for aid under the act of the General Assembley of Virginia, approved April 2, 1902, is personnally well known to us, and that we have known him well for 40 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 Addison F. Workman who was also a soldier (sailor or marine) in the said service during the said war, was with us, members of (here state command and immediate superior officers thereof) Company E. 14 N.C. R. T. Bennett Colonel W. T. Poole Captain and that the said Addison F. Workman was a loyal and true soldier (sailor or marine) in the said service, and faithful 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. C. B. Carter Subscribed and sworn to before me, a Notary Public for the County of Moore, State of North Carolina this 1st day of June, 1907. My Commission Expires Jan. 28th, 190_ S. P. French Notary Public Note--If only one comrade is living whose residence and address is known to applicant, let him make the above affavit. If no such comrade is living whose address is known to 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 following affadavit: (C) AFFIDAVIT OF WITNESSES, NOT COMRADES We, T. R. Williams and , do solemnly swear that we are residents of the County of Alamance, in the State of N. C., and that we personally know, and are well aquainted with Addison F. Workman, whose name is signed to the annexed application, and who is applying for aid under the act of the General Assembly of Virginia, approved April 2, 1902, and that we have known the said applicant for 40 years, and that to our personal knowledge the said Addison F. Workman was a loyal and true soldier (sailor or marine), in the military (or naval) service of Virginia, or or of the Confederate States in the war between the States, and was faithful in the discharge of his duty, and that we verily believe he is disabled from the causes, and in the manner 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. T. R. Williams Suscribed and sworn to before me, a Notary Public, in and for the County of Alamance State of VirginiaNorth Carolina, this Second day of June, 1907. Comm. expires Dec. 27- 1905 H. M. Cates Notary Public Note--If no comrade in arms or other person who has knowledge of the service of the applicant and of the cause of his disability is living, whose residense is known to applicant, state that fact here. (D) CERTIFICATE OF PHYSICIAN I, H. H. Miller, a practicing physician in the Town of Elkton, in the State of Virginia, do certify that I am personally aquainted with Addison F. Workman, whose name is signed to the annexed application for aid under the act of the General Assembly of Virginia, approved April 2, 1902, and that from a personal examination of the said Addison F. Workman, as to the disability set forth in his application 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 occupation for a livelihood, or any other occupation for a livelihood, and if the disability be partial, to what extent the applicant is hindered thereby from pursuing such occupation as aforesaid) I certify I have examined Addison F. Workman and found him suffering from chronic Rheumatisms & kidney trouble 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 interest in the allowance of the applicant's status. Given under my hand, this 7th day of March, 1907. H. H. Miller M.D. (E) CERTIFICATE OF CAMP OF CONFEDERATE VETERANS The S. B. Gibbons Camp of Confederate Veterans of the Conf. of Rockingham, in the State of Virginia, hereby certifies that it has examined into the merits of the annexed application of Addison F. Workman for aid under the act of the General Assembly of Virginia, approved April 2, 1902, and being satisfied of the justice of his claim, hereby recommends the said Addison F. Workman for aid under the provisions of the said act, and that it has no personnal interest in the allowance of the applicant's claim. D H Lee Marty(?) Commander Note--If there is no camp of Confederate veterans in applicant's city or county, then the certificate 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, and , 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 examined into the merits of the annexed application of for aid under the act of the General Assembly of Virginia, approved April 2, 1902, and that we are satisfied of the justice of his claim, and recommend the said for aid under the provisions of the said act, and that we have no personal interest in the allowance of the applicant's claim. Given under our hands, this day of , 19 . (G) CERTIFICATE OF THE COMMISSIONER OF THE REVENUE I, E. L. Lambert, Commissioner of the revenue, in the Co. of Rockingham, in the State of Virginia, do certify that Addison F. Workman, or his wife, or his trustee, or his trustee for his wife, whose name is signed to the annexed application for aid under the act of the General Assembly of Virginia, approved April 2, 1902, is charged on the land and personal property books of the said County with estate, real, personal and mixed, of the assessed value of 170 dollars. Given under my hand, this 7 day of March, 1907. E. L. Lambert Approved Eno Thomas Chaney Rockingham County, No. 142 Name Addison F. Workman Post-office Elkton The Circuit Court of the county (or the corporation or Hastings Court of the city) of Rockingham from an examination of the within application of Addison F. Workman and of the affidavits and certificates therewith filed, and hereto annexed, and of such witnesses as were required and called by the court, being satisfied that the said application is supported by the affidavits and certificates, and oral testimony (if any oral testimony is required by the court) of persons of well-known reputation for truth, honesty and integrity, and that the claim of the said applicant is just, and in due form, doth certify the same to the Auditor of Public Accounts, this 15 day of January 1907 T.H. Haas Judge 15 Filed March 9/07 (D H T Mc Auly)(not sure) Clerk $ 15 Sep 3 1907 # 10142