I, Elcaina Coffman, a native of the State of Virginia, and now a citizen of Virginia, resident
at Mt. Clifton in the county (or city) of Shenandoah in said State of Virginia, and who was a
soldier from the State of Virginia, in the war between the United States and the Confederate
States, do hereby apply for aid under the act of the General Assembly intitled "An act to give
aid to soldiers, sailors, and marines of Virginia, maimed or disabled in the war between the
States, and the widows of Virginia soldiers, sailors, and marines who lost their lives in said
war in the military service." And I do solemnly swear that, while in the discharge of my duty
in the service of the Confederate States, as a member of Company C of the 7th Virginia Cavalry, A. N. V. on or about
the 3 day of May, 1864, I was wounded in the battle of Wilderness and that from the
effects of such wound I was disabled, as follows: in arm shoulder & breast, and that by reason of such wound and disability I
am now entitled to receive, under said Act, the sum of fifteen dollars annually. I
further swear that I do not hold any national, State, or county office which pays me in salary
or fees over three hundred dollars per annum; nor have I an income from any other source which
amounts to three hundred dollars; nor do I own in my own right, nor does my wife own, property
of the assessed value of more than one thousand dollars; nor do I receive aid or a pension from
any other State or from the United States; and that I am not an inmate of any soldier's home.
I do further swear that the answers given to the following questions are true:
1st. What is applicant's age? Ans. Forty Nine
2d. In what battle or combat, or under what circumstances was the applicant wounded? Ans.
Wilderness
3d. What was the precise nature of the wound received? Ans. Struck about right nipple,
passed through carring away front of shoulder blade
4th. What limb, if any, did the applicant lose by reason of said wound? What eye, if any,
did he lose? Ans. Partial use right arm
5th. If no limb or eye was so lost, what is the precise nature of the disability occasioned
thereby? Ans. right arm partial disability
6th. Is it total? Partial
(a) Is it partial? and, if so, to what extent does it disable him from manual labor? Ans.
Yes
Given under my hand this 9th day of April 1888.
