We, S.R. Feely, and P.J. Campbell, do solemnly swear that we are residents of the County of Shenandoah, in the State of Virginia and that we have known personally and well for 30 years the applicant whose name is signed to the foregoing application for aid under the act of the General Assembly of Virginia, approved April 2, 1903, as amended, and that the said applicant is a resident of the said city or county and is a man of good reputation for truth and honesty, and that we have read the foregoing application and the answers to the questions therein propounded, made by the said applicant and verily believe that the said applicant has been truthful in the said statements and answers, and that from our personal knowledge, the applicant is disabled, as stated in answers to questions 17 and 18, and we verily believe the said applicant is justly entitled to aid under the said act, and that we have no personal interest in the allowance of the applicant's claim.
A signature made by X mark is not valid unless attended by a witness.
Subscribed and sworn to before me, a Notary Public in and for the County of Shenandoah State of Virginia, this 26 day of September 1914.
We, D.M. Pingley, and John E. Feely do solemnly swear that we are residents of the County of Shenandoah, in the State of Virginia and that the applicant whose name is signed to the foregoing application for aid under the act of the General Assembly of Virginia, approved April 2, 1902, as amended. Is personally well known to us, and that we have known him ______ years, and that we were soldiers (sailors or marines) in the military (or naval) service of Virginia, or of the Confederate States, during the war between the United States and the Confederate States, during the war between the United States and the Confederate States, and that the said applicant who was also a soldier (sailor or marine) in the said service during the said war, was, with us, members of the same command and that the said applicant was a true and loyal soldier (sailor or marine) in the service, and was faithful in the discharge of his duty and that we verily believe he is disabled from the causes and in the manner in his application stated and that his claim is just and that we have no personal interest in the allowance of his claim under the said act.
A signature made by X mark is not valid unless attended by a witness.
Subscribed and sworn to before me, a Notary Public
in and for the County of Shenandoah, State of Va. this
26 day of Sept 1914
I, Samuel S. Snarr, a practicing physician in the County of Shenandoah in the State of Virginia do certify that I am personally acquainted with the applicant, and that from a personal examination of him, I am clearly of the opinion that he is disabled by reason of (physician will here state SPECIFICALLY the nature of the disability and the cause thereof, and if such disability is total, whether the applicant is deprived thereby of all ability to pursue his usual and ordinary occupation, or any other occupation for a livelihood, and if the disability be partial, to what extent the applicant is hindered thereby from pursuing such occupation as aforesaid. If the physician considers the disability total, he will, in addition to the cause disclosed by the examination, repeat the language underscored above) Chronic rheumatism and Mitral insufficiency caused by exposure. The applicant is deprived, thereby of all ability to pursue his usual & ordinary occupation or any other occupation for a livelihood and that I have no personal interest in the allowance of the applicant's claim.
Given under my hand this 26 day of Sept. 1918
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