8

Reproduced at the National Archives

(3-145 a.)

S.

Act of June 27, 1890

cae
933739
Topeka

INVALID PENSION

Claimant, Newton Jackson [illeg] 1159.255
P.O., Santa Fe
County, Santa Fe
State, New Mex
Rank, Private
Company, "D".
Regiment, 18. U.S. C. Voldorf
Rate, $8, per month, commencing July 6 - 1894
Disabled by Rupture of right side (complicated)

DROPPED

RECOGNIZED ATTORNEY.

Name, Cyrus Bussey [sp?]
P.O., Washington DC
Fee, $10.00 Agent to pay.
Articles filed, [checkmark], 189 .

APPROVALS.

Submitted for Ademission May 18, 1897, Buekley M L, Examiner
Approved for Hernia at sie

Approved for
Rupture of right side $8
(complicated)
Hayes J. ZT. Rand Staples
Medical Referee.

May 21, 1897. MeSeccend [sp?] May 28, 1897
not now pensioned under other laws. Last paid to ___, 189 , at $ ___
Pensioned from ___, 18___, at $ ___, for ___

SERVICE SHOWN BY RECORD.
Enlisted March 17, 1964 adn honorably discharged Feby. 21, 1866
Reinlisted ___, 18 __, ____honorably discharged ____, 18__
Declaration filed July 6, 1894, alleges permanent disability, not due to vicious habits,
fromj Hernia or rupture of the bowels

Client signs by mark WMC