I, Mason Bly, a native of the State of Virginia, and now a citizen of
Virginia, resident at Lebanon Church 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 E 11th Virginia Cavalry on or about the
5th day of April 1865, I was wounded in the battle of
Amelia Springs and that from the effects of such would I was disabled, as follows:
Shot in the left arm by a rifle bullet, which resulted in the loss of 3 inches of bone
from the arm and that by reason of such wound and disability I am now entitled to
receive, under said Act, the sum of Thirty 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. Forty five
2d. In what battle or combat, or under what circumstances was the applicant wounded? Ans.
In a fight by Cavalry over a wagon train near Amelia Springs, Amelia Co., Va.
3d. What was the precise nature of the wound received? Ans. Shot in left arm by
rifle bullet from which resulted loss of 3 inches of bone
4th. What limb, if any, did the applicant lose by reason of said wound? What eye, if any,
did he lose? Ans. no limb, but a portion of the bone of this arm.
5th. If no limb or eye was so lost, what is the precise nature of the disability occasioned
thereby? Ans. Inability to use the left arm for Physical labor
6th. Is it total?
(a) Is it partial? and, if so, to what extent does it disable him from manual labor? Ans.
It is partial, the loss of the bone makes the arm limber & there is no Strength in it.
Given under my hand this Sixth day of April 1888.
