Contributed by: Jo Huettl

SOLDIER’S APPLICATION FOR PENSION
STATE OF NORTH CAROLINA
County of Jones

On this 5th day of July, A. D., 1909, personally appeared before me J. B. Collins, 
C.S.C. in and for the State and county aforesaid, William S. Cox, age 66 years, 
and a resident at Trenton postoffice,  in said county and State, and who, being duly 
sworn, makes the following declaration in order to obtain the pension under the 
provisions of an act entitled, “An act for the relief of certain Confederate Soldiers, 
Sailors and Widows,” ratified March 8, 1907; that he is the identical William S. Cox 
who enlisted in Co LT, C1 Reg N.C. State Troops on or about the __ day of ___, 1862, 
to service in the armies of the late Confederate States, and that while in said service 
at _________, in the State of _________, on or about the _____ day of ________ 186_, 
he received a wound or wounds, etc.

(Applicant will here state the nature and extent of his wounds and disability, so that a 
proper classification can be made under the new Pension Law passed by the General 
Assembly of 1907.  Read said section of said law carefully, and to accomplish the 
classification therein called for let statement here as to nature and extent of wounds, 
disability, etc., be very full and explicit).

He states that on account of his age together with rheumatism he is three fourths 
disabled to perform manual labor.

He further states that he is, and has been for twelve months immediately preceding 
this Application for Pension, a bona fide resident of North Carolina; that he holds no 
office under the United States, or under any State or county, from which he is receiving 
the sum of three hundred dollars as fees or as salary annually; that he is not worth in his 
own right, or the right of his wife, property at its assessed value for taxation to the 
amount of five hundred dollars ($500), nor has he disposed of property of such value 
by gift or voluntary conveyance since the 11th of March, 1885, and that he is not 
receiving any aid from the State of North Carolina or under any other statute providing 
for the relief of the maimed and blind soldiers of the State.

Sworn and subscribed to before me this 5 day of July, 1909

(signed) J B Collins  Signature of C. S. C.

(signed) W S Cox   Signature of Applicant.

Also personally appeared before Edward Wood, who resides at Kinston postoffice in 
Lenoir county and State, a person whom I know to be respectable and entitled to 
credit, and being by me duly sworn, says he is acquainted with Wm S Cox, the 
applicant for pension, and has every reason to believe that he is the identical person 
he represents himself to be, and that the facts set forth in this affidavit are correct to 
the best of his knowledge and belief, and that he has no interest, direct or indirect, in 
this claim.

Sworn and subscribed to before me this 5 day of July, 1909

(signed) J B Collins  Signature of C. S. C.

(signed) Edward Wood  Signature of Witness.

Also personally appeared before me D. H. G. Monk a physician in good standing in 
the said county and State, and being duly sworn, says that he has carefully and 
thoroughly examined WS Cox, the applicant for pension, and finds such disability for 
manual (end of this page JH)


(This page was not filled in except at the bottom where it is signed-JH)

STATE OF NORTH CAROLINA

_______COUNTY.

To the Auditor of the State of North Carolina

We certify that we have carefully examined the application of ________ for pension 
under the provisions of an act entitled “An act for the relief of certain Confederate 
Soldiers, Sailors and Widows,” ratified March 8 1907, and the proofs filed in support 
thereof; that we are satisfied the said __________ is the identical person who enlisted 
in Company ________, Regiment of _________ Troops, on or about the ___ day 
of  _____ 186_, and who was disabled in a manner and to the extent stated in the 
foregoing certificates of himself and physician in consequence of a wound received 
in battle on or about the ___day of __________, 186_, and we certify the following 
allegations set forth in his application to be true, namely:  That he is, and has been 
for twelve months immediately preceding this Application for Pension, a bona fide 
resident of North Carolina; that he holds no office under the United States, or under 
any State or county, from which he is receiving the sum of three hundred dollars as 
fees or as salary annually; that he is not worth in his own right, or the right of his 
wife, property at its assessed value for taxation to the amount of five hundred dollars 
($500), nor has he disposed of property of such value by gift or voluntary conveyance 
since the 11th of March, 1885, and that he is not receiving aid from any other source 
from the State of North Carolina, and therefore his application is correct and just under 
the act.

(SEAL) _______________________
Clerk Superior Count.

(IMPRESS COUNTY SEAL HERE).

(DIS is written before the typed word Approved –JH)

Dis-Approved:

(signed) JW Wooten
(signed) TM Dixon  County Pension Board
(signed) W. C. Kinsey





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