John P. Newborn Civil War File

Scott County Arkansas
Civil War Pension Files
JOHN P. NEWBORN
Contributed by Delaine Edwards

Pictured above is John P. Newborn

DECLARATION FOR AN ORIGINAL INVALID PENSION

State of Arkansas}
County of Scott}ss
On this 23rd day of April A.D. one thousand eight hundred and ninety personally appeared before me, a Clerk of the Circuit Court the same being a Court of Record, within and for the County and State aforesaid, John P. Newbern aged 56 years, who, being duly sworn according to law, declares that he is the identical John P. Newbern who was enrolled on the [blank] day of January 1862, in company E of the 3 regiment of Ark. Cav. commanded by Robt. Wishard and was honorably discharged at Louisburg, Ark., on the 6 day of July 1865; that his personal description is as follows: Age, 56 years; height, 5 feet 10 inches; complexion red; hair, red or auburn; eyes, blue. That while a member of the organization aforesaid, in the service and in the line of his duty, at Lewisburg, in the State of Ark., on or about the [blank] day of [blank] 1864, he contracted general debility from exposure and hardships incident to the service. That he was treated in hospital as follows: [blank.] That he has not been employed in the military or naval service otherwise than stated above [blank.] That since leaving the service this applicant has resided in the [blank] of [blank] in the State of Ark., and his occupation has been that of a farmer. That prior to his entry into the service above-named, he was a man of good, sound physical health, being by occupation when enrolled a farmer. That he is now 2/3 disabled from obtaining his subsistence by manual labor, by reason of his disabilities, above described, incurred in the service of the United States; and he therefore makes this declaration for the purpose of being placed on the invalid roll of the United States. He hereby appoints, with full power of substitution and revocation, Charles & William B. King, of Washington, D.C., his true and lawful attorneys to prosecute his claim. That he has never received nor applied for a pension; that his residence is No. [blank] street, and that his post office address is: Parks Scott Co. Ark.
John P. (his x mark) Newbern
Witnesses
M.M. Beavers
J.M. Harvey

DEPARTMENT OF THE INTERIOR,
BUREAU OF PENSIONS,
Washington, D.C., Jan. 14, 1891
Inst. So? Div.
S.S.S. Ex'r.
No. 777198
John P. Newbern
Co. E, 3, Ark. Cav.
Sir:
It is alleged that John P. Newbern enlisted Jan. 14, 1862 and Served as a private in Co. E, 3 Reg't Ark. Cav. also as a [blank] in Co. [blank] Reg't [blank] and was discharged at Louisburg, Ark. July 6, 1865.
It is also alleged that while on duty at Louisburg, Ark., on or About [blank] 1864, he was disabled by exposure resulting in general Debility and was treated in hospitals of which the names, locations, and Dates of treatment are as follows: [blank.]
In case of the above-named soldier the War Department is requested to furnish an official statement of the enrollment, discharge, and record of service so far as the same may be applicable to the foregoing allegation together with full medical history. Please give the rank he held at the time he is claimed to have incurred the disability alleged, and if records show that he was not in line of duty during that period, let the fact be stated.
Very respectfully,
Green B. Raimy[?], Commissioner.
To Officer in Charge of the Record and Pension Division, War Department.

S O
S.S.S.
No. 77198
WAR DEPARTMENT
RECORD AND PENSION DIVISION.
Respectfully returned to the Commissioner of Pensions. John P. Newbern, Co. E, Reg't. 3, Ark. Cav. was enrolled Feb. 6, 1864 and M.O. With Co. June 30, 1865. From enrolment to Feb. 28, 1865 he held the Rank of Pvt & Corpl and during that period the rolls show him present. Other records furnish nothing additional bearing upon this case. The Medical records show him treated as follows: No record found.
By authority of the Secretary of War:
F.C. Ainsworth,
Captain and Ass't. Sugeon, U.S. Army.
Date Jan. 16, 1891.
(Commissioner of Pensions.)

GENERAL AFFIDAVIT

State of Arkansas,}
County of Scott} ss:
In the Pension Claim of John P. Newborn, Corporal, late of Co. E, 3rd Reg't Ark Cav Vols., personally came before me, a Clerk of the Circuit Court, in and for the aforesaid County and State, John P. Newborn, who, I hereby certify, is a respectable and credible person, and who, being duly sworn, declares in relation to the aforesaid claim as follows: When I was in the service aforesaid on the march from Little Rock to Camden, Ark. we were exposed to the inclemency of the weather for 18 days and nights, that the saddle was never taken from the horses. Before the march I had measles which resulted in a spinal affliction and was unable to stand such exposure and since that time I have always suffered with general debility. This affidavit was all written in my presence and from oral statements made by me on the 21st day of April 1894, at Waldron, Scott Co., Ark., to T.M. Duncan, Circuit Clerk, by whom the statement was written down and I was not aided or prompted by any written or printed statement or recital thereto or dictated by any other person and not attached hereto as an exhibit.
He further declares that his post office address is Boles, County of Scott, State of Arkansas, and that he is not interested in said claim or concerned in its prosecution.
John P. (his x mark) Newborn
Witnesses
S.K. Duncan
M.M. Beavers

GENERAL AFFIDAVIT

State of Arkansas, County of Scott, ss:
In the Invalid Pension Claim of John P. Newburn, Corporal, late of Co. E, (3) Reg't. Cavalry Ark. Vols., personally came before me, a Notary Public in and for the aforesaid County and State, John P. Newburn (claimant) who, I hereby certify, is a respectable and credible person, and who, being duly sworn, declares in relation to the aforesaid claim as follows: I went into the Confederate Service in the fall of 1862. I belonged to Captain Featherston's Co. 19 Regiment of Confederate Infantry, Dawson's Regiment. I remained in said army until I was taken a prisoner At the Arkansas post and in February I was exchanged and immediately I joined the United States Army in Co. E, (3) Regiment of Arkansas Cavalry volunteers. I joined said Co. on 6th day of February 1864 and was discharged from the service (30) day of June 1865 at Lewisburg, Ark. I first had the measles in Sept. 1863and I had the relapse in February 1864 after I had joined the Union Army. I had never got entirely well of the measles and my regimental surgeon said that the exposure I had in the force[d] march we had right after I joined the United States Army caused the relapse of the measles. This statement was made in my own words to Thomas J. Tate who wrote the same down for me. I made the same to him Before writing at his office on 25th day of March 1895 and I was not Aided or assisted by anyone in writing or words only of my own.
He further declares that his post office address is Parks P O County of Scott, State of Arkansas, and that he is interested in said Claim and concerned in its prosecution.
John P. (his x mark) Newburn
Witnesses
Sarah E. Martin
Zeke. Price

GENERAL AFFIDAVIT

State of Arkansas}
County of Scott} ss
In the matter of The Pension Claim of John P. Newborn of Co. E Third Regiment of Ark. Cav. Vol. personally came before me, a Justice of the Peace in and for aforesaid County and State Nazzary M. Mitchell aged 71 years, residing at Boles, Scott County, Arkansas well known to me to be reputable and entitled to credit, who having been duly sworn, declares in relation to the aforesaid case as follows: That I am personally acquainted with the above named John P. Newborn and have been every since the year 1859, and I have lived in 5 or 6 miles of him the greater portion of the time since, and I know that the said John P. Newborn never enlisted in the Rebel army until after the conscript law took effect, which as well as I remember was in June 1862. I was with John P. Newborn and we both were in the same company. John P. Newborn joined to evade the conscript law, and I know that John P. Newborn never enlisted in the Rebel army before that time.
This affidavit was written by E.L.E. Beauchamp from my oral statement to the said E.L.E. Beauchamp made on the 29 day of May 1897 and in making the same I did not use nor was not aided or prompted by any printed or written statement prepared or dictated by any other person.
I further declare that I have no interest in the case, and am not concerned in its prosecution.
Nazzary M. (his x mark) Mitchell
Witnesses
James C. Dooley
A.J. Wammack

GENERAL AFFIDAVIT

State of Arkansas}
County of Scott} SS
In the matter of the pension claim of John P. Newborn No. 777198 Of Co. E, Third Regiment of Ark. Cav. Vol. personally came before me, a Clerk Circuit Court in and for aforesaid County and State, John W. Stewart, aged 57 years, residing at Boles, Scott County, Ark., well known to me to be reputable and entitled to credit, who having been duly sworn, declares in relation to the aforesaid case as follows: That I am personally well acquainted with the above named John P. Newborn and have been every since the year 1858 and have lived in the same neighborhood with him from that time until the present and I know that the said John P. Newborn never enlisted in the rebel army until after what we knew and understood as the "Conscript Law" took effect, which as I now remember was some time in the summer of 1862.
This affidavit was written by S.K. Duncan Jr. from my oral statements to the said S.K. Duncan made on the 22 day of May 1897 and in making the same I did not use, nor was not aided or prompted by any printed or written statement prepared or dictated by any other person. I further declare that I have no interest in the case, and am not concerned in its prosecution.
John W. (his x mark) Stewart
Witnesses
L.L. Sims
W.T. Forrester

GENERAL AFFIDAVIT

State of Arkansas}
County of Scott} SS
In the matter of the pension claim No. 777198 of John P. Newborn of Co. E, 3rd Regt. Ark. Cav. personally came before me, a Justice of the Peace in and for aforesaid County and State, L.K. Robertson aged 55 years, residing at Parks, Ark. well known to me to be reputable and entitled to credit, who having been duly sworn, declares in relation to the aforesaid case as follows: Have known J.P. Newborn since 1869 with exception of 1874 & 75 as his family physician. Have treated him in several spells of sickness & one of sunstroke which left the old man in a state of general debility from which he has not fully recovered. Owing to which I believe him to be entitled to pension.
This affidavit was written by L.K. Robertson at Parks on this 11 day of Sept. 1900. My Postoffice address is Parks, Scott Co., Arkansas.
I further declare that I have no interest in the case, and am not concerned in its prosecution.
Lucien K. Robertson

GENERAL AFFIDAVIT

State of Arkansas}
County of Scott} SS
In the matter of the Pension Claim No. 777198 of John P. Newborn, Co. E 3rd Regt. Ark. Cav. personally came before me, a Justice of the Peace in and for aforesaid County and State John P. Newborn aged 66 years, Residing at Parks Scott Ark, well known to me to be reputable and entitled to credit, who having been duly sworn, declares in relation to the aforesaid case as follows: In regard to the evidence in my case I was never treated in hospital. I was treated by one of my Regimental doctors. His name was Thomas and as to his whereabouts I don't know. I contracted my disability while on the march from Little Rock Arkansas to Camden Arkansas and was treated by my Regimental doctor Thomas at the same time I contracted my disability about the month of April 1864.
This affidavit was written by W.R. Hawkins from my John P. Newborn own dictation made to him in my presence at Parks on this 11th day of September 1900. My Postoffice address is Parks Scott Co, Arkansas. I further declare that I have no interest in the case, and am not concerned in its prosecution.
John P. (his x mark) Newborn
Witnesses
Mattie J. Hawkins
John J. Hawkins

GENERAL AFFIDAVIT

State of Ark}
County of Scott} SS
In the matter of the Pension Claim No. 777198 of John P. Newborn Co E 3rd Regt Ark Cav, personally came before me, a Justice of the Peace in And for aforesaid County and State John L. Worsham, aged 70 years, residing at Cedar Creek Ark well known to me to be reputable and entitled to credit, who having been duly sworn, declares in relation to the aforesaid case as follows: I was well acquainted with John P. Newborn. I was first duty Sergeant in Co. E, 3rd Regt. Ark. Cav. and know that he was a member of aforesaid Co. was a faithful soldier on all occasions and at all times and by reason of his age taken with the exposure of army life has rendered him unable to make a support for himself and family by manual labor.
This affidavit was written by James G. Sanders from my oral Statement made to him [by] myself in person at Cedar Creek on this 5 day of Oct 1900 and in making the same I do so from my personal knowledge. My Postoffice address is Cedar Creek Scott Co Ark. I further declare that I have no interest in the case, and am not concerned in its prosecution.
John L. Worsham

GENERAL AFFIDAVIT

State of Arkansas}
County of Scott} SS
In the matter of the Pension Claim No. 777198 of John P. Newborn Co. E, 3rd Regt. Ark. Cav. personally came before me, a Justice of the Peace In and for aforesaid County and State, John P. Newborn, claimant, 65 years, residing at Parks, Ark., well known to me to be reputable and entitled to credit, who having been duly sworn, declares in relation to the aforesaid case as follows: That I respectfully ask to have my claim for pension under the act of June 27, 1890 taken up and acted upon with view towards completion as I am unable to furnish the evidence required to establish my claim under the general laws. I gave Power of Attorney to R.D. McKnight in June last authorizing him to take up my claim and prosecute it under the Act of June 27, 1890 and I respectfully ask that he be recognized as my attorney to prosecute my claim under act June 27, 1890 and that he be furnished the status of said claim as soon as practicable.
This affidavit was written by W.R. Hawkins from his oral statement Made to me by him at Parks, Ark. on this 18 day of October 1900. My Postoffice address is Parks, Scott Co., Ark.
John P. (his x mark) Newborn
Witnesses
Mary M. Hawkins
Mattie J. Hawkins

GENERAL AFFIDAVIT

State of Arkansas}
County of Scott} SS
In the matter of the Pension Claim No. 777198 of John P. Newborn, Co. E, 3rd Ark. Cav. personally came before me, a Justice of the Peace in and for aforesaid County and State, John P. Newborn claimant, 66 years, residing at Parks, Ark. well known to me to be reputable and entitled to credit, who having been duly sworn, declares in relation to the aforesaid case as follows: While on force[d] march from Little Rock Ark. to Camden Ark. [illegible] I contracted measles while on the march & from exposure incidental to force[d] march, wet weather &c. I relapsed & measles settled in spinal column from which I have suffered every since. I have suffered at times since with anul fistula, I suppose caused from same. These troubles were not caused from vicious habits.
This affidavit was written by L.K. Robertson from my own statement Made to him in my presence at Parks on this 28 day of Nov. 1900 and in making the same I was not dictated to or influenced in any way. My Postoffice address is Parks, Ark.
John P. (his x mark) Newborn
Witnesses
Carr Allen
Lucien K. Robertson

SO Division.
Inv ??? No. 777198
John P. Newman [sic]
Co. E - 3 Reg't. Ark. Vol. Cav.
DEPARTMENT OF THE INTERIOR,
BUREAU OF PENSIONS,
Washington, D.C. Nov. 5, 1902
Sir: To aid this Bureau in preventing any one falsely personating you, or otherwise committing fraud in your name, or on account of your service, you are required to answer fully the questions enumerated below.
Very respectfully,
J.L. Davenport, Acting Commissioner.

John P. Newman [sic]
Parks, Scott Co, Ark.
1. When were you born? Answer. 1834
2. Where were you born? Answer. Marion County Tennessee
3. When did you enlist? Answer. 6th of February 1864
4. Where did you enlist? Answer. Little Rock, Ark.
5. Where had you lived before you enlisted? Answer. Parks, Ark.
6. What was your post-office address at enlistment? Answer. Parks, Ark.
7. What was your occupation at enlistment? Answer. Farmer
8. When were you discharged? Answer. 30th day of June 1865
9. Where were you discharged? Answer. Lewisburg, Ark.
10. Where have you lived since discharge? Give dates, as nearly as possible, of any changes of residence. Answer. Parks, Ark.
11. What is your present occupation? Answer. Farmer
12. What is your height? Answer. 5 feet 8 inches. Your weight? 156 lbs. The color of your eyes? Hazel. The color of your hair? Light. Your complexion? Fair. Are there any permanent marks or scars on your person? If so, describe them. [Blank]
13. What is your full name? Please write it on the line below, in ink, in the manner in which you are accustomed to sign it, in the presence of two witnesses who can write.
John Pinkney (his x mark) Newburn
Witnesses: Richard Burruss
C.P. Burruss
Date: Novr. 11th, 1902

Act of February 6, 1907
DECLARATION FOR PENSION

State of Arkansas}
County of Scott} ss
On this 16 day of April A.D. one thousand nine hundred and 7 Personally Appeared before me, a Justice of the Peace within and for the county and State aforesaid, John P. Newbern, who, being duly sworn according to law, Declares that he is 73 years of age, and resident of Parks county of Scott, State of Arkansas; and that he is the identical person who was enrolled at Little Rock under the name of John P. Newbern, on the 6 day of January 1863 as a Private, in 3 Arkansas Cavalry Company E in the service of the United States, in the Civil war, and was honorably discharged at Louisburg, on the 30 day of June 1865. That he also served [blank.] That he has not been employed in the military or naval service of the United States except as stated above. That his personal description at enlistment was as follows: Height, 5 feet 8 inches; complexion, dark; color of eyes, Hazel; color of hair, light; that his occupation was Farmer; that he was born [blank] 1833 at Marion County Tennessee. That his several places of residence since leaving the service have been as follows: I have bin in Scott Ark all the time.
That he is a pensioner by Certificate No. [blank] at $12 per month. That he has heretofore applied for pension, Claim No. [blank.]
That he makes this declaration for the purpose of being placed on The pension roll of the United States under the provisions of the act of February 6, 1907, and any amendments thereof.
He hereby appoints, with full power of substitution, W.H. Wills, of Washington, D.C., his successors or legal representatives, his true and lawful attorney to prosecute his claim under said law; and he requests and directs that he be allowed and paid, upon the issuance of a certificate, or thereafter, such fee or compensation as may be hereafter provided by law or ruling.
That his post-office is Parks county of Scott State of Arkansas.
John P. (his x mark) Newbern
Attest: J.L. Hansard
William N. Morris
Also personally appeared John P. Newbern [sic] residing in Parks and Nelson N. Morris residing in Parks, persons whom I certify to be respectable and entitled to credit, and who, being by me duly sworn, say that they were present and saw John P. Newbern, the claimant, sign his name (or make his mark) to the foregoing declaration; that they have every reason to believe, from the appearance of the claimant and their acquaintance with him of 10 years and 1 years, respectively, that he is the identical person he represents himself to be, and that they have no interest in the prosecution of this claim.
J.L. Hansard
Nellson N. Morris
Subscribed and sworn to before me this 17 day of April A.D. 1907 and I hereby certify that the contents of the above declaration, etc., were fully made known and explained to the applicant and witnesses before swearing, including the words "the claimant was born," erased, and the words "in Marion County Tennessee," added; and that I have no interest, direct or indirect, in the prosecution of this claim.
W.H. Hansard
Justice of the Peace
I hereby certify that I have filled out what you wanted.
W.H. Hansard, Justice of the Peace. (My name is on file. My address is Parks, Ark.)

Drop Order and Report.
DEPARTMENT OF THE INTERIOR,
BUREAU OF PENSIONS,
Finance Division.
Washington, D.C., Mar 29 1911
John P. Newbern, Pentioner
Certificate number 1,060,575
Act February 6 1907
E 3 Ark Cav
U.S. Pension Agent, Knoxville
Sir: You are hereby directed to drop from the roll the name of the above Described pensioner who died Mar. 16, 1911.
J.L. Davenport, Commissioner
REPORT
Commissioner of Pensions.
Sir: The name of the above described pensioner, who was last paid at $15 per month to 4 Feb 1911, has this day been dropped from the roll of this agency.
Wm. Reed[?]
U.S. Pension Agent.
Mch. 30, 1911

DECLARATION FOR WIDOW'S PENSION

State of Arkansas}
County of Scott} ss:
On this 4 day of April A.D. one thousand nine hundred and 11 personally appeared before me, a notary public within and for the county and State aforesaid, Mandy Newbern, aged 77 years, a resident of Parks, county of Scott, State of Arkansas, who, being duly sworn according to law, makes the following declaration in order to obtain pension under the provisions of the Act of Congress approved April 19, 1908.
That she is the widow of John P. Newbern, who was enrolled under The Name John P. Newbern, at Lewisburg Ark [sic] on the [illegible] day of Feb. 1864 as a Corpl in Co E, 3rd Ark Cav and honorably discharged 30 day of June, 1865, having served ninety days or more during the late civil war.
That he also served [blank.] That he was not in the military or naval service of the United States otherwise than as stated above. That she was married under the name of Mandy Kilburn to said soldier at Lawrence Co, Tenn. on the 5 day of July 1855, by L. Vandiver; that there was no legal barrier to the marriage; that she had not been previously married; that the soldier had not been previously married, and that neither she nor said soldier married otherwise than as stated above.
That the said soldier died March 15, 1911 at Parks, Scott Co, Ark; that she was not divorced from him, and that she has not remarried since his death.
That the said soldier left the following named children who are now living and under sixteen years of age, to wit: [blank.]
That her post-office address is Parks, county of Scott, State of Arkansas.
Mandy (her x mark) Newbern
Attest: John W. Herrin
Lucien K. Robertson
Also appeared Jno. W. Herrin, residing in Park[s], Ark, and Lucien K. Robertson, residing in Parks, Ark, persons whom I certify to be respectable and entitled to credit, and who, being by me duly sworn, say they were present and saw Mandy Newbern, the claimant, sign her name (or make her mark) to the foregoing declaration; that they have every reason to believe, from the appearance of said claimant and their acquaintance with her of 20 years and 40 years, respectively, that she is the identical person she represents herself to be, and that they have no interest in the prosecution of this claim.
John W. Herrin
Lucien K. Robertson
Subscribed and sworn to before me this 4 day of April A.D. 1911; and I hereby certify that the contents of the above declaration, etc., were fully made known and explained to the applicant and witnesses before swearing, including the words [blank] erased, and the words [blank] added; and that I have no interest, direct or indirect, in the prosecution of this claim.
George W. Swain,
Notary Public

1855 July 5th No.280
Pinkney Newburn
To
Amanda Kilburn
State of Tennessee Lawrence County.
I, N.B. Simms clerk of said Lawrence County, do hereby certify that the foregoing is a full, true, and perfect copy of issuance of marriage license to Pinkney Newburn and Amanda Kilburn as appears of record now on file in my office.
Witness my hand and seal, at office in Lawrenceburg Tennessee, this the 20 day of May 1911.
N.B. Simms
County Court Clerk

GENERAL AFFIDAVIT

In the matter of Mandy Newbern, widow of John P. Newbern - E - 3 Ark Cav personally appeared before me a Notary Public in and for the State and County hereinafter named duly authorized to administer oaths L.K. Robertson aged 65 years, whose Post Office is Parks Ark. and B.W. Duncan, aged 38 years, whose Post Office address is Parks Ark. who, being duly sworn, declared in relation to aforesaid case as follows: I, L.K. Robertson have been acquainted with Amanda Newborn for 40 years & know her to be the wife of Jno. P. Newbern, Dec. I have been his family physician during that time. My partner was called to see him at the time of his death, I didn't see him after death.
I, B.W. Duncan of the firm of Robertson & Duncan was called to Jno. P. Newbern at the time of his death. He was dead when I arrived. I only Knew Jno. P. & Amanda Newborn about three years & knew them as man & wife. He died on 15 of March 1911.
[Stamped Aug 10 1911.]

State of Ark.
County of Scott.
In the matter of Mandy Newbern Wid of John P. Newbern, Co E, 3 Ark Vol Cav, I, John W. Herrin, age 54 years, Post office Parks Scott Co Ark being duly sworn, declare in relation to the aforesaid case I have been acquainted with Mandy Newbern wid of John P Newbern of Co E, 3 Ark Vol Cav since the close of the Civil War and have been acquainted and associated with him since 1881 until he died and they lived as man and wife during that time and raised a large family.
John W. Herrin
He further declares that he has no interest in said case and not Interested in its prosecution and not related to the applicant.
Sworn and subscribed this said affidavit was read to affiant before Execution and have no interest therein and said affiant known to be a Credible Person. Witness my hand and official seal this 5 day of Sept. 1911.
George W. Swain
Notary Public

APPLICATION FOR A NEW CERTIFICATE

State of Arkansas, County of Scott, ss:
On this 4 day of March 1912, before me, a Notary Public for said county, Appeared Amanda Newbern who on oath declares she is 78 years old, and the widow of John P. Newbern who belonged to Company E, 3 Regiment Ark. Cavalry in the service of the United States; that she received a pension certificate numbered [blank] and dated [blank] that she was last paid at the Knoxville Agency, to the 4th of Nov, 1911 that she has not bartered, sold, or pledged her pension certificate or any interest therein; but that on or about Jan, 1912, at or near It was lost and can't be found I don't know how it got missplaced I can't find it and I don't know the number of the lost certificate and I have made a thorough search for the lost voucher & certificate.
My post-office address is Parks Scott Co Arkansas.
Amanda (her x mark) Newbern
Also personally appeared [blank] who on oath declares that he well knows Amanda Newbern, who has executed the foregoing affidavit, to be the identical person named herein.
John W. Herrin
Subscribed and sworn to before me the day and year aforesaid, the contents being first made known, and I certify that the affiants are persons of veracity.
George W. Swain
Notary Public

BUREAU OF PENSIONS
Office of the Disbursing Clerk,
Feb. 13, 1914
To the Chief, Finance Division:
You are hereby notified that check No. 3699325, for $36# dated Feb 4, 1914, in favor of Amanda Newbern Ctf. No. 729807, Class Act of April 19, 1908 Section 5 has been returned to this office by the Postmaster at Parks Ark., with the information that the pensioner died Jan. 1, 1914, and said Check has this day been canceled.
Very respectfully,
Guy O. Taylor,
Disbursing Clerk.