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| 1 | Title: | Original claim: declaration in order to be placed on the pension list under the act of the 18th March, 1818 | |
| Creator: | United States War Department. | ||
| United States Pension Bureau. | |||
| Publication: | |||
| Notes: | "County of [blank] ss. On this [blank] day of [blank] 182[blank], personally appeared in open court..." | ||
| Call #: | O.404 | ||
| Extent: | 1 sheet ([2] pages) ; 34 x 43 cm, folded to 34 x 22 cm | ||
| Subjects: | Military pensions -- Law and legislation -- United States | Broadsides | Blank forms | ||
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