I, John D. Combs, a native of the State of Virginia, and now a citizen of Virginia, resident at Carmel 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 entitled "An act to give aid to soldiers, sailors, and marines of Virginia, maimed or disabled in the war between the States, and to 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 G 33rd Va infantry, Stonewall Brigade on or about the 3^rd day of July 1863, I was wounded in the battle of Gettysburg and that from the effects of such would I was disabled, as follows: Struck in the leg by a shell taken prisoner by enemy, got scurvy & has been a running sore ever since and that by reason of such wound and disability I am now entitled to receive, under said Act, the sum of           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 accessed value of more than one thousand dollars; nor do I receive aid or a pension from any other State of from the United States; and that I am not an inmate of any soldiers' home.

I do further swear that the answers given to the following questions are true:

1st. What is applicant's age? Ans. 52

2d. In what battle or combat, or under what circumstances was the applicant wounded? Ans. Battle of Gettysburg

3d. What was the precise nature of the wound received? Ans. Wounded as stated above

4th. What limb, if any, did the applicant lose by reason of said wound? What eye, if any, did he lose? Ans.           

5th. If no limb or eye was so lost, what is the precise nature of the disability occasioned thereby? Ans. Fully equal to that, occasioned by loss of a leg, barely able to work less than most persons who have lost a leg

6th. Is it total?           

(a) Is it partial? and, if so, to what extent does it disable him from manual labor? Ans. See answer to Ques 5th

Given under my hand this 13^th day of April 1896.

I, E. D. Newman, Judge of the County Court for the County of Shenandoah, do certify that John D. Combs, whose name is signed to the foregoing application, personally appeared before me in open court, and, having the said application read and fully explained to him, as well as the statements and answers therein made, he the said John D. Combs made oath before me that the said statements and answers are true.

Given under my hand this 13^th day of April, 1896

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