ADDITIONAL EVIDENCE
CLAIM OF Charles Claybaugh
Co H 46 Regt Iowa Infty Vols
AFFIDAVIT OF Dr. Wm Swich
Bancroft, Daviess Co, MO
NOV 10 1890 (Pension Office Stamp)
Filed By A. H. Burkeholder Atty
Trenton, MO
GENERAL AFFIDAVIT
State of Missouri
County of Daviess
In the matter of Charles Claybaugh's application for a Pension under Act of Congress approved June 27th 1890 as member Co H. 46 Regiment Iowa Vol Infty No. 804509.
ON THIS 23d day of July A. D. 1890, personally appeared before me a justice of the Peace in and for the aforesaid County duly authorized to administer oaths, William Swich MD aged 37 years, a resident of Bancroft in the County of Daviess and State of Missouri well known to me to be reputable and entitled to credit, and who being duly sworn, declared in relation to aforesaid case as follows:
I have treated Mr. Claybaugh for chronic Rheumatism. I have been acquainted with said soldier Chas Claybaugh for ten years and know that no time during my acquaintance has he been able to perform and manual labor.
And at times unable to walk without crutches and that he is now and has been suffering from a chronic disease and from my acquaintance with him I know that said chronic Rheumatism is not the result of any personal vicious habit.
His Post Office address is Bancroft, MO
He further declares that he has no interest in said case and is not concerned in its prosecution.
Wm Swich MD (signature)
STATE OF Missouri, COUNTY OF Daviess
Sworn to and subscribed before me this day by the above-named affiant, and I certify that I read said affidavit to said affiant, including the words affiant erased, and the words is added and acquainted him with its contents before he executed the same. I further certify that I am in nowise interested in said case, nor am I concerned in its prosecution; and that said affiant is personally known to me and that he is a credible person.
R. L. Greene (signature)
Portion of document hidden...
...so doing a justice of the Peace in and for said County and State, duly commissioned and sworn; that all his official acts are entitled to full faith and credit, and that his signature thereunto it genuine.
Witness my hand and seal of office, this 22d day of September, 1890.
S. C. Rowland (signature)
Clerk of the County Court
Affd of Co Recorder H. S. Carnes
for
Soldier Chas Claybaugh Co H 46th Regt Iowa Inf Volunteers
SEP 21 1895 (Pension Office Stamp)
SEP 23 1895 (Law Division Received Stamp)
Hugh S. Carnes,
Recorder,
Grundy County
Trenton, Mo Sept. 18th 1895
State of Missouri, County of Grundy
I H. S. Carnes of Grundy County Missouri being duly sworn hereby state upon oath that I have known Charles Claybaugh for about ten years -- I do not think he has during that time performed manual labor -- neither do I think he could have performed hard labor --
I regard his disability as not the result of vicious habits, as he is a temperate man -- This statement is composed and written by myself without the aid or assistance of any person.
H. S. Carnes (signature)
Subscribed and sworn to before me this 18th day of September 1895
Luther Collier (signature)
Notary Public
Inv. Ctf. 621,246
Soldier Application for Invalid Pension
Act June 17, 1890
Charles Claybaugh
Private Co H 46 Iowa Regt Vol Infantry
Trenton, MO
Date of Execution Sep 18/95
Restoration (in pencil)
SEP 21 1895 (Pension Office Stamp)
SEP 24 1895 (Record Received Stamp)
Filed by A. H. Burkeholder Atty
SEP 23 1895 (Law Division Received Stamp)
Declaration for Invalid Pension
State of Missouri County of Grundy
On this 18th day of September A. D. 1895 personally appeared before me clerk of the circuit court within and for the County and State aforesaid Charles Claybaugh aged 48 years a resident of the City of Trenton MO who being duly sworn according to law declares:
That he is the identical Charles Claybaugh who was enrolled as a private Company H 46 Regiment Iowa Volunteer Infantry in the war of the Rebellion and served at least ninety days and was honorably discharged at Davenport Iowa on the __ day of September 1864.
That he is unable to earn a support by manual labor by reason of suffering from Rheumatism with resulting disease of heart, Disease of the nervous system result of sun stroke, Varicocele of left side result of a fall and Chronic constipation all of a permanent character not the result of his own vicious habits and which incapacitate him from the performance of manual labor in such a degree as to render him unable to Earn a support.
That in September 1890 he applied for a pension under application no. 957669 and that pension certificate #621246 was issued to him July 11 1891 and applicant is informed and believes the same was cancelled on the __ day of ___ 1895 under notice of Jany 19 1895.
That he makes this Declaration for the purpose of being placed on the pension roll of the United States again under the provision of the Act of June 27th 1890. He duly appoints A. H. Burkeholder of Trenton MO his lawful attorney to prosecute his claim and agrees to pay him a fee of ten dollars if his pension is again granted to applicant.
His Post office address is Trenton MO
Charles Claybaugh (signature)
Wits:
W. H. Howsmon
E. M. Crawford
Also personally appeared E. M. Crawford, residing at Trenton MO and W. H. Howsmon, residing at Trenton MO, persons whom I certify to be respectable and entitled to credit, and who, being by me duly sworn, say they were present and saw Charles Claybaugh, the claimant, sign his name (or make his mark) to the foregoing declaration; that they have every reason to believe from the appearance of said claimant and their acquaintance with him for eight and eight years, respectively, that he is the identical person he represents himself to be; and that they have no interest in the prosecution of this claim.
E. M. Crawford (signature)
W. H. Howsmon (signature)
Sworn to and subscribed before me this 18th day of September, A. D. 1895 and I hereby certify that the contents of the above declaration, etc., were fully made known and explained to the applicant and witnesses before swearing; and that I have no interest, direct or indirect, in the prosection of this claim.
SEP 21 1895 (Pension Office Stamp)
A. U. Spickard (signature)
Clerk of the Circuit Court
Western Div.
Inv. Ctf. No. 621, 246
Charles Claybaugh
Co. H 46 Reg't Ia. Inf.
Department of the Interior
BUREAU OF PENSIONS
Washington, D. C., Sept. 20, 1897
SEP 28 1897 (Pension Office Stamp)
SIR: Will you kindly answer, at your earliest convenience, the questions enumerated below? The information is requested for future use, and it may be of great value to your family.
Very respectfully.
H. Ch?? Evans?? (signature stamp)
Commissioner
Mr. Charles Claybaugh, Trenton, Mo.
- Are you a married man? If so, please state your wife's full name, and her maiden name.
Answer: I am. Levena Z. Claybaugh -- Levena Z. Turk. - When, where, and by whom were you married?
Answer: Dec 3rd 1868 at Corydon Iowa, by Rev. _____ Pringle. - What records of marriage exists?
Answer: Marriage Certificate on record at Corydon Iowa. - Were you previously married?
Answer: No. - Have you any children living? If so, please state their names and the dates of their birth.
Answer: Yes. Laura G. born Sep 3 1869. Grace M. born Oct 3 1871. Ella M. born June 23rd 1874. Claude W. born Mch 13 1876. Bessie A. born Nov 19 1886.
Date of reply, Sep. 25, 1897
Charles Claybaugh (signature)
Additional Evidence
No. 621246
Chas Claybaugh
Co. H, 46 Reg't. Iowa Vols.
Nature of Claim Ori. Pension
FILED BY
A. H. Burkeholder
Trenton MO
GENERAL AFFIDAVIT
State of Missouri, County of Grundy
In the matter of Pension Claim No. 621.246 Chas Claybaugh Co H 46 Regt Iowa Inf
On this 3 day of December A. D., 1898, personally appeared before me, a Notary Public in and for the aforesaid County, duly authorized to administer oaths Charles Claybaugh aged 51 years, a resident of Trenton in the County of Grundy and State of Missouri whose Post-office address is Trenton Mo well known to me to be reputable and entitled to credit, and who, being duly sworn, declares in relation to the aforesaid case as follows:
In his own behalf and in reply to official letter Nov 19 1898 -- that the varicocele of left side was or is the result as he is informed of a fall or injury received by him in fall of 1885 -- the exact date not remembered.
That some 5 miles north of Bancroft MO while out driving by himself was thrown on the wheel and his ????? were ????? at above stated time and was headed for it by Dr. Swich of Bancroft MO.
Affiant further states that Dr. J. A. Asher of Trenton MO is and has been his family physician and who made an affd as to his Rheumatism ans disease of heart at the time his application was forwarded September 1895 and on account of the fact that he is now a member of the Trenton Medical Board he refususes to make an affd as called for but applicant submits affd of other parties in lieu of medical evidence.
Affiant further states that he was not in the Military or Naval service of the United States prior to May 28 1864 nor subsequent to Sep 23rd 1864.
Charles Claybaugh (signature)
State of Missouri, County of Grundy
Sworn to and subscribed before me this day by the above-named affiant, and I certify that I read said affidavit to said affiant and acquainted him with its contents before he executed the same. I further certify that I am in nowise interested in said case, nor am I concerned in its prosecution; and that said affiant is personally known to me and that his is a credible person.
W. A. McGrath (signature)
Notary Public
Comm. exp. July 27 1900
Additional Evidence
No. 621246
Charles Claybaugh
Co. H, 46 Reg't. Iowa Vols.
Nature of Claim Ori. Pension
FILED BY
A. H. Burkeholder
Trenton MO
GENERAL AFFIDAVIT
State of Missouri, County of Grundy
In the matter of Pension Claim No. 621.246 Chas Claybaugh Co H 46 Regt Iowa Inf
On this 3d day of December, A. D. 1898, personally appeared before me, a Notary Public in and for the aforesaid County, duly authorized to administer oaths, W. W. Barnes aged 53 years and Eli H. Turk aged 53 years, residents of Trenton in the County of Grundy and State of Missouri whose Post-office address is Trenton MO well known to me to be reputable and entitled to credit, and who, being duly sworn, declare in relation to the aforesaid case as follows:
That they have both been personally acquainted with applicant Chas Claybaugh for 25 years and that during all that time he has been a sober peaceable man of good habits.
That they cannot state the time and place or circumstances of the ????? either of his Rheumatism or varicocele but are satisfied that they are not the result of vicious personal habits as he is free of them.
They further state that they know the applicant has been incapacitated on account of said troubles from Earning a support by manual labor for over ten years.
JAN 30 1899 (Pension Office Stamp)
Their Post-office address is Trenton MO
They further declare that they have no interest in said case and are not concerned in its prosecution.
W. W. Barnes (signature)
Eli. H. Turk (signature)
State of Missouri, County of Grundy
Sworn to and subscribed before me this day by the above-named affiants and I certify that I read said affidavit to said affiants and acquainted them with its contents before they executed the same. I further certify that I am in nowise interested in said case, nor am I concerned in it prosecution; and that said affiants are personally known to me and that they are credible persons.
W. B????? (signature)
Notary Public
My term expires April 22 1899
CLAIM FOR INCREASE
Charles Claybaugh Applicant
Co H 46th
Reg't Iowa
Vols. Infantry
Certificate No. 621.246
FILED BY
John T. Cowhiall, Atty
Gatt MO
DECLARATION FOR INCREASE OF AN INVALID PENSION
State of Missouri, County of Grundy
On this 3d day of September, A. D., one thousand nine hundred and four, before me, a Notary Public in and for the County and State aforesaid, personally appeared Charles Claybaugh aged 57 years, a resident of Trenton, County of Grundy, State of Missouri, who, being duly sworn according to law, declares that he is a pensioner of the United States, enrolled at the Topeka Kansas Pension Agency, at the rate of Eight Dollars per month, under Certificate No. 621246, issued under Act of June 27, 1890, by reason of disability from Sun stroke and rheumatism and approtion of and disease of heart., having been in the Military service of the United States as a private in Co. H, 46th regt, Iowa Vols. Infantry.
That he believes himself to be entitled to an increase of pension on account of not being rated proportionately to the degree of his disability for manual labor arising from the above-named causes.
Application is also hereby made for pension under the provisions of the Act of June 27, 1890, as amended by act of May 9, 1900, on account of the following named NEW OR ADDITIONAL DISABILITIES, namely weakness of eyes, partial deafness of both ears, Lumbago, varicaelli of left side.
Total inability to perform any manual labor whatever, on account of above named disabilities, which are constantly increasing in severity and growing unease.
That said disabilities are not due to vicious habits, and are to the best of his knowledge and belief permanent.
He hereby appoints, with full power of substitution and revocation, John T. Cowhiall of Gatt, Grundy County Missouri, his true and lawful attorney to prosecute his claim, the fee (if pension be granted or on account of any one or more of the above-named new or additional disabilities) to be --------- Dollars, payable as provided by law.
That his post office address is Trenton, County of Grundy, State of Missouri. Box 186
Charles Claybaugh (signature)
SEP 6 1904 (Pension Office Stamp)
SEP 8 1904 (Pension Office Stamp)
Morgan Brown (signature)
C. E. Francis (signature)
Also personally appeared Morgan Brown, residing at Trenton MO, and C. E. Francis, residing at Trenton MO, persons whom I certify to be respectable and entitled to credit, and who being by me duly sworn, say that they were present and saw Charles Claybaugh the claimant, sign his name to the foregoing declaration; that they have every reason to believe from the appearance of said claimant and their acquaintance with him, that he is the identical person he represents himself to be; and that they have no interest in the prosecution of this claim.
Morgan Brown (signature)
C. E. Francis (signature)
Sworn to and Subscribed before me, this 3d day of September, 1904 and I hereby certify that the contents of the foregoing declaration, etc., were fully made known and explained to the applicant and witnesses before swearing; and that I have no interest, direct or indirect, in the prosecution of this claim; and that said affiants are personally known to me and that they are credible persons.
William H. McGrath (signature)
Notary Public
Comm. exp. July 22 1918
ADJUTANT GENERAL'S OFFICE
MAY 5 1909
28227783
WAR DEPARTMENT (stamp)
Department of the Interior
BUREAU OF PENSIONS
Washington, D. C. May 3, 1909
Respectfully referred to the Adjutant General, War Department, for the personal description of this soldier, at his enlistment.
Act of February 6, 1907
(1 enclosure)
MAY 3 1909 (Western Division Stamp)
Ct 621246
Charles Claybaugh
Pvt Co H 46 Iowa Vols
V. Warren (signature stamp) Commissioner
WAR DEPARTMENT,
THE ADJUTANT GENERAL'S OFFICE
WASHINGTON, MAY 5 1909
Respectfully returned to the Commissioner of Pensions, with the information that in the case of
Charles Claybaugh Co. H, 46th Reg't Iowa Inf. the records show personal description as follows: Age 18, height 5 feet, 6 inches, complexion Dark, eyes Dark, hair Dark, place of birth Fulton Co, Ill, occupation farmer.
MAY 6 1909 (Pension Office Stamp)
H. Ainsworth
The Adjutant General
CLAIM FOR PENSION
Certificate No. 621246
Name, Charles Claybaugh
Service, H. 46 Ia Inf.
APR 26 1909 (Pension Office Stamp)
APR 27 1909 (Pension Office Stamp)
DECLARATION FOR PENSION
State of Missouri
County of Grundy
On this 23rd day of April, A. D., one thousand nine hundred and nine, personally appeared before me, a Notary Public within and for the county and State aforesaid, Charles Claybaugh, who, being duly sworn according to law, declares that he is 62 years of age, and a resident of Trenton, county of Grundy, State of Missouri; and that he is the identical person who was ENROLLED at Davenort Iowa under the name of Charles Claybaugh, on the 28th day of May, 1864, as a private, in Co H 46 Regt Iowa Inft. in the service of the United States, in the Civil war, and was HONORABLY DISCHARGED at Davenport Iowa, on the 23rd day of September, 1864.
That he was not employed in the military or naval service of the United States otherwise than as stated above. That his personal description at enlistment was as follows: Height, 5 feet 6 inches; complexion, Dark; color of eyes, Dark; color of hair, Dark; that his occupation was Farmer; that he was born April 5th, 1847, at Lewiston State of Illinois.
That his several places of residence since leaving the service have been as follows: Corydon Iowa till 1870 and then at Trenton from 1870 to date.
That he is a pensioner. That he has heretofore applied for pension under Certificate #621246.
That he makes this declaration for the purpose of being placed on the pension roll of the United States under the provisions of the act of February 6, 1907.
That his post-office address is Trenton, county of Grundy, State of Missouri
Charles Claybaugh (signature)
Attest:- Luther Collier (signature)
- Lesley P. Robinson (signature)
Also personally appeared Luther Collier, residing in Trenton MO and Lesley P. Robinson, residing in Trenton MO, persons whom I certify to be respectable and entitled to credit, and who, being by me duly sworn, say that they were present and saw Charles Claybaugh, the claimant, sign his name (or make his mark) to the foregoing declaration; that they have every reason to believe, from the appearance of the claimant and their acquaintance with him of 12 years and 12 years, respectively, that he is the identical person he represents himself to be, and that they have no interest in the prosecution of this claim.
Luther Collier (signature) Lesley P. Robinson (signature)
APR 26 1909 (Pension Office Stamp)
Subscribed and sworn to before me this the 23rd day of April 1909, and I hereby certify that the contents of the above declaration, etc., were fully made known and explained to the applicant and witnesses before swearing; and that I have no interest, direct or indirect, in the prosecution of this claim.
A. H. Burkeholder (signature)
Notary Public
Comm. expires Jany 28, 1911
Validity accepted
S. A. Cuddy,
Chief, Law Division
(Pension Office Stamp)
CLAIM FOR PENSION
Certificate No. 621246
Name, Charles Claybaugh
Service, H 46 Iowa Inf
CIVIL WAR
JUN 20 1909
DIVISION
(Pension Office Stamp)
DECLARATION FOR PENSION
State of Kansas, County of Reno
On this 20 day of May, A. D., one thousand nine hundred and twelve, personally appeared before me, a Notary Public within and for the county and State aforesaid, Chas. Claybaugh who, being duly sworn according to law, declares that he is 65 years of age, and a resident of Nickerson, county of Reno, State of Kansas; and that he is the identical person who was ENROLLED at Corydon Iowa under the name Charles Claybaugh on the 28th day of April, 1864, as a Private, in Co. H 46th Iowa Infantry Vol in the service of the United States, in the Civil War, and was HONORABLY DISCHARGED at Davenport Ia, on the 23rd day of September, 1864.
That he was not employed in the military or naval service of the United States otherwise than as stated above. That his personal description at enlistment was as follows: Height, 5 feet 8 inches; complexion, dark; color of eyes, dark; color of hair, dark; that his occupation was Farmer; that he was born April 5th, 1847, at Lewistown, Fulton Co, Illinois.
That his several places of residence since leaving the service have been as follows: 6 yrs at Corydon Ia, 28 years at Trenton Mo, at Nickerson Kansas, since that time.
That he is a pensioner under certificate No. 621246.
That he makes this declaration for the purpose of being placed on the pension roll of the United States under the provisions of the act of May 11, 1912.
That his post-office address is Nickerson, county of Reno, State of Kansas.
Charles Claybaugh (signature)
Attest:- O. J. Windiate (signature)
Subscribed and sworn to before me this the 20th day of May 1912, and I hereby certify that the contents of the above declaration, etc., were fully made known and explained to the applicant and witnesses before swearing; and that I have no interest, direct or indirect, in the prosecution of this claim.
A. Hohngun (signature)
Notary Public
Comm. expires May 24, 1914
Validity accepted
S. A. Cuddy,
Chief, Law Division
(Pension Office Stamp)
MAY 23 1912 (Pension Office Stamp)
CONGRESSIONAL
MAY 23 1912
U S BUREAU OF PENSIONS
(Pension Office Stamp)
PENSIONER DROPPED
DEPARTMENT OF THE INTERIOR
U. S. Pension Agency
TOPEKA, KANS.
WASHINGTON, D. C.
FEB 21 1913
Certificate No 624246
Class INVALID
Pensioner Charles Claybaugh
Soldier
Service Pt H. 46 Ia V. I.
The Commissioner of Pensions.
SIR: I have the honor to report that the above-named pensioner who was last paid at $13, to NOV 4 1912, has been dropped because of DEATH 6 Jany 1913.
PM
Nickerson Kans
Very respectfully,
A. H. Thompson (signature stamp)
Disbursing Clerk
NOTE. -- Every name dropped to be thus reported at once, and when cause of dropping is death, state date of death when known.
And here concludes the Civil War pension file of Charles M. Claybaugh, my gg-grandfather.
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