This transcription in Word Rich Text Format

Transcribed by Ronda J. Snider, 2002

No corrections to spelling or punctuation were made.

[ ] = added by me; ? not sure of transcription; bold = names & dates; bold italics = signature

Box #37983

Cert #306230

Polly Sims

wid

[page 2 of file]

{stamp}

Department of the Interior Pension Office

June 21, 1867

Bible Record

Births

Zachariah Sims Pension File, Item I: Bible Record

[page 3 of file]

I John H. Liseuby [or Lisueby? or Lisenby?] Clerk of the

Circuit Court of Green County State

of Missouri do certify that I have

carefully examined the family rec=

ord of Mrs. Polly Sims, that I be=

lieve the same to be genuine, that

it is contained in a book - the Holy

Bible, and printed in the year A. D.

1850, and that the said record as

far as __tates [states?] to the birth of her

children is as follows - which is an

exact copy of the same-

            Hannah J. Sims was born September 26, 1855

            Nancy E. Sims was born March 16^th 1857

            Mary Martha Sims was born the 24 of July 1859.

            Zaechariah Segle Sims was born January the 6^th 1862.

            Rachel Clemintine Sims was born Aug 10^th A D 1865

and I further certify that I have

no interest whatever in the prosecu=

tion of this claim.

            In testimony whereof I have hereto Set my

            hand & affixed the Seal of Said court

            this May 27, 1867

                                    John W. Lisen__ [Lisenby?] Clk

Zachariah Sims Pension File, Item 2: Death Record, part 1

[page 4 of file]

                                    GENERAL AFFIDAVIT.

Before executing this affidavit the claimant is requested to read carefully the instructions, and conform thereto in every particular, so far as the facts will allow. Published by Charles & William B. King, No 906, F Street, Washington, D. C.

State of Missouri }

County of Wright } ss:

        In the Pension Claim of Polly Sims, widow of Zacharias Sims late of Co. [blank] Reg't [blank] Vols., personally came before me, a Notary Public, in and for the aforesaid County and State, Robert F. Beesley, who, I hereby certify, is a respectable and credible person, and who, being duly sworn, declares in relation to the aforesaid claim, as follows:

I have examined the Family Bible Record

and find in the death Record that Zacharias

Sims died September 9^th 1866. The appearance

of the writing shows that it is of long standing

the ink turning to yellowish collor and I

believe the Record is genuine. The Bible

was printed in the year 1848.

        He further declares that his post office is Mountain Grove, County of Wright, State of Missouri, and that he is not interested in said claim or concerned in its prosecution.

{stamped: US Pension Office Aug 19, 1889}

Zachariah Sims Pension File, Item 2: Death Record, part 2

[page 5 of file]

        Sworn to and subscribed before me this day, by the above-named affiant; and I certify that the foregoing affidavit was read over to said affiant, and its contents fully explained before execution. I am in nowise interested in this claim nor am I concerned in its prosecution.

        Witness my hand and official seal, this 9 day of August, 1889

                                                                    Frank W. Newkirk

                                                                    Notary Public

                                                                    Commission expires May 10, 1893

{stamped by Charles & Wm B. King, Washington, D. C. Aug. 18, 1889}

Zachariah Sims Pension File, Item 3: Marriage Record

[page 6 of file]

Record

Marriage

{stamped by Department of Interior Pension Office June 21, 1867}

[page 7 of file]

State of Missouri}

County of Lawrence}

                                    I, Burrow Buckner

a regularly Ordained Minister of the

Gospel of the United Baptist Denomi-

nation, do hereby certify that I did

solemnise the rights of matrimony between

Zachariah Sims & Polly Milburn, on

the 22^nd day of December A D 1854

                                    Burrow Buckner

Filed for Record and Recorded

    Feby 20^th 1855

State of Missouri}

County of Lawrence} SS

                                        I Henry C. Sollar [?]

Clerk of the Circuit Court and Exofficis

Recorder for said County certify that

the foregoing is a true copy of the marriage

certificate in the Cause therein mentioned,

as the same now appears of Record in

my Office.

        Witness my hand and the seal

        of said Court hereto offixed at

        office in Mount Vernon this

        15^th day of May AD 1867

                            Henry C. Sollar [?] Clerk

Zachariah Sims Pension File, Item 4

[page 8 of file]

GENERAL AFFIDAVIT.

Before executing this affidavit the claimant is requested to read carefully the instruction, and conform thereto in every particular, so far as the facts will allow. 

Published by Charles & William B. King, No 906 F Street, Washington, D. C.

{stamped by Pension Office Aug 6, 1889}

State of Kansas}

County of Bourbon} ss:

        In the Pension Claim of Polly Sims widay of Zachariah Sims, late of Co. F. Reg't 24 Mo Inf Vols., personally came before me, a Notary Public, in and for the aforesaid County and State, Joseph. R. Smith, who, I hereby certify, is a respectable and credible person, and who, being duly sworn, declares in relation to the aforesaid claim, as follows:

That he was presant when

Zachariah Sims died states that he cant

give the day of the month but knows

that it was in the month of September

1866 he knows from the following reasons

that he had his corn cut up at the date

of Said Sims death and just about

the same time Dr Hiram Parks went

away. Parks being the Doctor that treated

Said Sims

        He further declares that his post office address is Xenia, County of Bourbon, State of Kansas, and the he is not interested in said claim or concerned in its prosecution.

                                                                                                        J. R. Smith

[page 9 of file]

    Sworn to and subscribed before me this day, by the above-named affiant; and I certify that the foregoing affidavit was read over to said affiant, and its contents fully explained before execution. I am in nowise interested in this claim nor am I concerned in its prosecution.

    Witness my hand and official seal, this 7^th day of June, 1889

                                                                                    C [or G] J. Abbey

                                                                                    Notary Public

                                                                                    Com Exp Apr 22^nd 1890

I have an oath of

office on file at

Pension Office Washington D. C.

{stamped by Charles & Wm B. King, Washington, D. C. July 31, 1889}

Zachariah Sims Pension File, Item 5, part 1

[page 10 of file]

GENERAL AFFIDAVIT.

Before executing this affidavit the claimant is requested to read carefully the instruction, and conform thereto in every particular, so far as the facts will allow. 

Published by Charles & William B. King, No 906 F Street, Washington, D. C.

State of Missouri}

County of Wright} ss:

    In the Pension Claim of Polly Sims, widow of Zacharias Sims, late of Co. [blank] Reg't [blank] Vols., personally came before me, a Notary Public, in and for the aforesaid County and State, H. L. Leach, who, I hereby certify, is a respectable and credible person, and who, being duly sworn, declares in relation to the aforesaid claim, as follows:

I have examined the Family Bible

and find in the death record that Zachariah

Sims died September 9^th 1866, The Bible

was printed in 1848, and from all

appearance the writing is of long

standing and genuine-

 

{stamped by U S Pension Office Aug 28, 1889}

    He further declares that his post office address is Mountain Grove, County of Wright, State of Missouri, and that he is not interested in said claim or concerned in its prosecution.

                                                                   H. L. Leach

[page 11 of file]

    Sworn to and subscribed before me this day, by the above-named affiant; and I certify that the foregoing affidavit was read over to said affiant, and its contents fully explained before execution. I am in nowise interested in this claim nor am I concerned in its prosecution. and further certify, that I have compared the copy, as stated in this affidavit, with original family Bible Record, and find it to be true and correct.

    Witness my hand and official seal, this 9 day of August, 1889

                                                                            Frank W. Newkirk

                                                                            Notary Public

                                                                            Commission expires May 10, 1893

{stamped by Charles & Wm B. King, Washington D. C. Aug 13 & 26, 1889}

Claim of 

Polly Sims, widow of 

Zachariah Sims

Co. F- 24th Mo. Inf.

For Pension No. 148904

Affidavit of H. L. Leach

Filed by 

Charles & William B. King, 

Attorneys for Claimant, 

No. 906 F Street, Box 593, 

Washington, D. C. 

Zachariah Sims Pension File, Item 6, part 1

[page 12 of file]

GENERAL AFFIDAVIT.

Before executing this affidavit the claimant is requested to read carefully the instruction, and conform thereto in every particular, so far as the facts will allow. 

Published by Charles & William B. King, No 906 F Street, Washington, D. C.

State of Missouri}

County of Wright} ss:

    In the Pension Claim of Zacharias Sims, late of Co. [blank] Reg't [blank] Vols., personally came before me, a Notary Public, in and for the aforesaid County and State, Thomas Lane jr, who, I hereby certify, is a respectable and credible person, and who, being duly sworn, declares in relation to the aforesaid claim, as follows:

I have examined the Family Bible and

find in the death record that Zacharia Sims

died Sept 9^th 1866. The Bible was

printed in 1848 and from all appearance

the writing of the death record is

of long standing and genuine

{stamped by U S Pension Office Aug 19, 1889}

    He further declares that his post office address is Mountain Grove, County of Wright, State of Missouri, and that he is not interested in said claim or concerned in its prosecution.

                                                                                        Thomas Lane Jr

[page 13 of file]

    Sworn to and subscribed before me this day, by the above-named affiant; and I certify that the foregoing affidavit was read over to said affiant, and its contents fully explained before execution. I am in nowise interested in this claim nor am I concerned in its prosecution.

[note in margin, different handwriting?] He state that you (the Notary) have examined & compared Copy & Orig Record

    Witness my hand and official seal, this 5 day of August, 1889

                                                                                        Frank W Newkirk

                                                                                        Notary Public

                                                                                        Commission expires May 10, 1893

{stamped by Charles & Wm B. King, Washington, D. C. Aug 13, 1889}

[page 14 of file] 

BIRTH AFFIDAVIT.

    To be executed by a physician, nurse or other person, not related to the soldier, in attendance upon his wife at the birth of his child.

    The marginal instructions are to be carefully read before filling in the affidavit and the affidavit is to be returned to Charles & William B. King, No. 906, F Street, Washington, D. C. as soon as executed.

State of Kansas}

County of Bourbon} ss

    In the pension claim of Polley Sims widow of Zacariah Sims of Co. F, 24 Reg't, Mo Inft Vols., personally came before me, a Notary Public in and for the aforesaid County and State, Elizabeth Stevenson and Martha R. Smith, who I hereby certify, is a respectable and credible persons and who, being duly sworn, declares in relation to the aforesaid claim that their ages are 47 and 50 years, respectively, and that they was well acquainted with the family of the above-named soldier during his life-time; that on the [blank] day we think Sep, 1865, at Xenia, State of Kansas, the wife of soldier was confined and gave birth to a girl child which was subsequently named Clementina

        The said affiant Elizabeth Stevenson

States that She acted in the capacity of

midwife at the birth of Said child and

that the Said Martha R Smith acted as

nurse washed and dressed Said babe

        We the above affiants fix said

date from the following occurance Said

Martha. A. Smith formerly Martha A. Vansickle

was married to E. R. Smith June 2^nd prior

to the birth of this said child

    They further declares that their post-office address is Xenia, County of Bourbon, State of Kansas, and that he is not interested in said claim or concerned in its prosecution.

                                                                        Elizabeth Stevenson

[page 15 of file]

    Sworn to and subscribed before me this day, by the above-named affiant; and I certify that I read the foregoing affidavit to said affiant and acquainted him with its contents before he executed the same. I am in nowise interested in this claim nor am I concerned in its prosecution.

    Witness my hand and seal, this 7^th day of June, 1889

                                                                        G. [?] J. Abbey

                                                                        Notary Public

                                                                        Com exp Apr 22^nd 1890

{stamped by Charles & Wm B. King, Washington D. C. Jun 28, 1889}

[page 16 of file]

INDEX

TO SPECIAL EXAMINER'S REPORT.

Claim of Polly Sims No. 148904

[page 17 of file]

DEPARTMENT OF THE INTERIOR

OFFICE OF SPECIAL EXAMINER U. S. BUREAU OF PENSIONS

At Mountain Grove, Mo.

NOTICE OF SPECIAL EXAMINATION.

Case of Polly Sims, No. 148904

To             "         "     , Claimant:

    You are hereby notified that, by order of the Commissioner of Pensions, the undersigned will, on the 18^th day of Mch, A. D. 1890, and continuing thereafter as long as may be necessary, at Mountain Grove, County of Wright and State of Mo, and elsewhere if necessary, conduct a special examination of the aforesaid pension claim at which time and place all material witnesses will be heard.

    And you are further notified that you have the privilege of being present, in person or by attorney, during said special examination, and of cross-examining said witnesses and of introducing any material evidence on your own behalf, if you so desire.

Norman E. Ives

Special Examiner.

I acknowledge service of copy of above notice this 18^th day of Mch, 1890

and desire the examination to begin at once.

Pa. 2.                                                               Polly Sims

[page 18 of file]

                                              Mountain Grove Mo.

                                              March 19^th 1890

Sir:

        I have the honor to return with this report

the papers in pension claim No 148904 of Polly

Sims, as widow of Zachariah Sims, late a

private in Co. F. 24^th Regt. - Mo. Inft.-

        Alleges as basis of claim, that the soldier died

Sept. 9^th 1866, of "chronic diarrhera a disease

contracted while a member of said company."

        The case was referred for "Special Examination

to determine whether soldier was free from the

fatal disease epilepsy at date of his enlistment,

and incidentally to corroborate proof as to dates

of birth of children, and continued widowhood

of claimant." -

        The claimant was given due notice of the

time and place the examination of the claim

wuld [would] be commenced, - all her rights and privliges [privileges]

were fully explained and made known to her,

she waived representation by an attorney and notice

of further examination. -

        The claim seems to be one of merit, but I

cannot understand why the claimant was not

required, or called upon to prove her claim as alleged,

I cannot find that she ever alleged that the

soldiers death was due to epilipsy [epilepsy].

        I think there can be no question as to the

exact date of the birth of the children and of

the claimants continued widowhood. -

        I examined the family bible which is a very

[page 19 of file]

old and much worn book, published 1848

and the entries of births and deaths recorded

therein have an appearance of having been

made co temporaneous with the events recorded

therein. -

        I recommend further examination to determine

question of prior simiduess [? symptoms?] as follows:

George Serift [?]             Muscogee, Creek Nation, Indian Ter.

Isaac Fulton                    Kenton, Christian Co. Mo.

        {Hummell,                         "             "          "     "

        {or Ummell

John Redfien[?]                       "             "          "     "

Hal Gray                                    "              "          "     "

George Care [?]                       "              "          "     "

        Deponent - James Andrews advised me that

George Serift - above named, had told him that he

knew and had seen the claimants husband

have fits prior to his army service, one time in

particular, when they were working in the harvest

field. His testimony should be secured first

and date for further examination upon the same

point called for. -                         Very Respectfully

                                                      Norman E. Ives

                                                      Special Exr.

Hon. Commin'. of Pensions,

        Thr'o. [?] Col. Grimawalt. [?] Supg. Exr.

                Washington D. C.

4/20-90. This case could have been sent to

Muscogee Ind. Ter. first.

[page 20 of file]

BIRTH AFFIDAVIT.

    To be executed by a physician, nurse or other person, not related to the soldier, in attendance upon his wife at the birth of his child.

    The marginal instructions are to be carefully read before filling in the affidavit and the affidavit is to be returned to Charles & William B. King, No. 906, F Street, Washington, D. C. as soon as executed.

State of Missouri}

County of Wright} ss.

            In the pension claim of Polly Sims [blank] Co [blank] Reg't [blank] Vols., personally came before me, a Notary Public in and for the aforesaid County and State, Henry L. Leach, who, I hereby certify, is a respectable and credible person, and who, being duly sworn, declares in relation to the aforesaid claim that his age is 43 years, and that he is well acquainted with the family of the above-named soldier, and has been for 17 year.

The family record shows that

on the 26^th day of September 1855 a Female child was

born, and Named Hanah J Sims. Another

Female child was born the 16^th day of March 1857

named Nancy E. Sims. On the 24 day of July 1859 a

Female Name Mary M. Sims. Another born Male on the

6^th day of January 1862

Named Zachariah S. Sims. Another birth a

Female born 9^th day of August 1865 Name

Rachael C Sims. I came In possesion of the

above by taken them from the family records. and

also by the statements of Polly Sims. I have lived

by the Sims since 1871 have enumerated them

for school purposes. Also have their names and ages

on my school register as was given years ago.

        He further declares that his post-office address is Mt. Grove, County of Wright, State of Missouri, and that he is not interested in said claim or concerned in its prosecution.

H. L. Leach

[page 21 of file]

        Sworn to and subscribed before me this day, by the above-named affiant; and I certify that I read the foregoing affidavit to said affiant and acquainted him with its contents before he executed the same. I am in nowise interested in this claim nor am I concerned in its prosecution.  I have been acquainted with the witness for at least ten years, and is respected in this community a straight upright man.

        Witness my hand and seal, this 29 day of June, 1889

Frank W. Newkirk

                                                                        Notary Public

                                                                        Commission expires May 10, 1893

{stamped by U S Pension Office Jul 15 [?] 1889

Zachariah Sims Pension File, Item 12, part 1

[page 22 of file]

GENERAL AFFIDAVIT.

Before executing his affidavit the claimant is requested to read carefully the instruction, and conform thereto in every particular, so far as the facts will allow.

Published by Charles & William B. King, No 906, F Street, Washington, D. C.

State of Missouri}

County of Wright} ss:

        In the Pension Claim of Polly Sims, widow of Zacharias Sim[s] [original paper torn] late of Co. F Reg't 24 Mo Inf Vols., personally came before me, a Notary Public, in and for the aforesaid County and State, A. H. Hand, who, I hereby certify, is a respectable and credible person, and who, being duly sworn, declares in relation to the aforesaid claim, as follows:

I have examined the family Bible and find, that

the same was printed in 1848, and believe

that the entries of Family Record are genuine

as the writings show old, the ink turning yellow collor.

The ages of children are set down as follows:

Hannah J. Sims was born               September 26 1855

Nancy E. Sims was born                  March 16 1857

Mary Martha Sims was born            July 24 1859

Zacharias Segel Sims was born      January 6 1862

Rachel Clementin Sims was born    August 10 1865

    He further declares that his post office address is Mountain Grove, County of Wright, State of Missouri, and that he is not interested in said claim or concerned in its prosecution.

[page 23 of file]

    Sworn to and subscribed before me this day, by the above-named affiant; and I certify that the following affidavit was read over to said affiant, and its contents fully explained before execution. I am in nowise interested in this claim nor am I concerned in its prosecution.

    Witness my hand and official seal, this 27 day of July, 1889

                                                                            Frank W. Newkirk

                                                                            Notary Public

                                                                            Commission expires May 10, 1893

{stamped by Charles & William B. King, Washington D. C. July 31, 1889}

{stamped by U S Pension Office Aug-6, 1889}

Zachariah Sims Pension File, Item 13, part 1

[page 24 of file]

GENERAL AFFIDAVIT.

Before executing his affidavit the claimant is requested to read carefully the instruction, and conform thereto in every particular, so far as the facts will allow.

Published by Charles & William B. King, No 906, F Street, Washington, D. C.

State of Missouri}

County of Wright} ss:

        In the Pension Claim of Polly Sims, widow of Zacharias Sims, late of Co. [blank] Reg't [blank] Vols., personally came before me, a Notary Public, in and for the aforesaid County and State, R. F. Beesley, who I hereby certify, is a respectable and credible person, and who, being duly sworn, declares in relation to the aforesaid claim, as follows:

I have examined The Family Bible Record and

in the Birth Record the name and age of the

children of Zacharias and Polly Sims - recorded as

follow: Hanah J. Sims was born September 26, 1855

Nancy E. Sims was born March 16, 1857, Mary

Martha Sims was born July 24, 1859, Zacharias

S. Sims was born January 6, 1862, Rachel

Clementine Sims was born August 10, 1865.

I believe the entranie [?] of Record is genuine by

different writing and fading of the ink. The

Bible was printed in the year 1848

        He further declares that his post office is Mountain Grove, County of Wright, State of Missouri, and that he is not interested in said claim or concerned in its prosecution.

                                                                                                        R. F. Beesley

[page 25 of file]

        Sworn to and subscribed before me this day, by the above-named affiant; and I certify that the foregoing affidavit was read over to said affiant, and its contents fully explained before execution. I am in nowise interested in this claim nor am I concerned in its prosecution.

                                    And I further certify that I

have examined and compared the affidavit with

original Family Bible Record and find the

same to be true and correct.

Witness my hand and official seal, this 9 day of August, 1889

Frank W. Newkirk

Notary Public

Commission expires May 10, 1893

{stamped by Charles & Wm B King, Washington, D. C. Aug 26, 1889}

{stamped by U S Pension Office Aug 28, 1889}

[page 26 of file]

GENERAL AFFIDAVIT.

Before executing his affidavit the claimant is requested to read carefully the instruction, and conform thereto in every particular, so far as the facts will allow.

Published by Charles & William B. King, No 906, F Street, Washington, D. C.

State of Missouri}

County of Wright} ss:

        In the Pension Claim of Polly Sims, widow of Zach. Sims, late of Co. [blank] Reg't [blank] Vols., personally came before me, a Notary Public, in and for the aforesaid County and State, Henry L. Leach, who I hereby certify, is a respectable and credible person, and who, being duly sworn, declares in relation to the aforesaid claim, as follows:

That the record of the family Bible shows that

Hanah J. Sims was born Sept. 26^th 1855, That

Nancy E. Sims, was born March 16^th 1857. That

Mary M. Sims was born July 24^th 1859, That

Zachariah S. Sims was born January 6^th 1862, That

Rachel C. Sims was born August 10^th 1865, and

from the appearance of the record it appears

to be genuine, as It has been written with

different kinds of Ink and by different pen-

man and the book being published In 1848.

        He further declares that his post office address is Mountain Grove, County of Wright, State of Missouri, and that he is not interested in said claim or concerned in its prosecution.

                                                                                        Henry L. Leach

{stamped by U S Pension Office Aug 19, 1889}

[page 27 of file]

        Sworn to and subscribed before me this day, by the above-named affiant; and I certify that the foregoing affidavit was read over to said affiant, and its contents fully explained before execution. I am in nowise interested in this claim nor am I concerned in its prosecution.

        Witness my hand and official seal, this 9 day of August, 1889

Frank W. Newkirk

Notary Public

Commission expires May 10, 1893

{stamped by Charles & Wm B King, Washington, D. C. Aug 13, 1889}

[page 28 of file]

GENERAL AFFIDAVIT.

Before executing his affidavit the claimant is requested to read carefully the instruction, and conform thereto in every particular, so far as the facts will allow.

Published by Charles & William B. King, No 906, F Street, Washington, D. C.

State of Missouri}

County of Wright} ss:

        In the Pension Claim of Polly Sims, widow of Zacharras Sims, late of Co. [blank] Reg't [blank] Vols., personally came before me, a Notary Public, in and for the aforesaid County and State, H. L. Leach, who, I hereby certify, is a respectable and credible person, and who, being duly sworn declares in relation to the aforesaid claim as follows:

That Mary M. Sims, Died November 6^th

1884, as shown on record.

{stamped by U S Pension Office Aug 28, 1889}

        He further declares that his post office address is Mountain Grove, County of Wright, State of Missouri, and that he is not interested in said claim or concerned in its prosecution.

                                                                            H. L. Leach

[page 29 of file]

        Sworn to and subscribed before me this day, by the above-named affiant; and I certify that the foregoing affidavit was read over to said affiant, and its contents fully explained before execution. I am in nowise interested in this claim nor am I concerned in its prosecution.

And further certify, that I

have compared the copy, as state in this affidavit

with the original Bible record, and find it to be

correct.

        Witness my hand and official seal, this 9 day of August, 1889

Frank W. Newkirk

Notary Public

Commission expires May 10, 1893

{stamped by Charles & Wm B. King, Washington, D. C. Aug 13 & Aug 26, 1889}

[page 30 of file]

GENERAL AFFIDAVIT.

Before executing his affidavit the claimant is requested to read carefully the instruction, and conform thereto in every particular, so far as the facts will allow.

Published by Charles & William B. King, No 906, F Street, Washington, D. C.

State of Missouri}

County of Wright} ss:

    In the Pension Claim of Polly Sims, widow of Zacharias Sims, late of Co. [blank] Reg't [blank] Vols., personally came before me, a Notary Public, in and for the aforesaid County and State, Thomas Lane jr, who, I hereby certify, is a respectable and credible person, and who, being duly sworn, declares in relation to the aforesaid claim, as follows:

In family Bible, in death record,

find Mary M. Sims died November

6^th 1884

    He further declares that his post office address is Mountain Grove, County of Wright, State of Missouri, and that he is not interested in said claim or concerned in its prosecution.

                                                    Thomas Jane Jr-

[page 31 of file]

    Sworn to and subscribed before me this day, by the above-named affiant; and I certify that the foregoing affidavit was read over to said affiant, and its contents fully explained before execution. I am in nowise interested in this claim nor am I concerned in its prosecution.

    Witness my hand and official seal, this 9 day of August, 1889

Frank W. Newkirk

Notary Public

Commission expires May 10, 1893

{stamped by Charles & Wm B King, Washington, D. C. Aug 13, 1889}

[page 32 of file]

GENERAL AFFIDAVIT.

Before executing his affidavit the claimant is requested to read carefully the instruction, and conform thereto in every particular, so far as the facts will allow.

Published by Charles & William B. King, No 906, F Street, Washington, D. C.

State of Missouri}

County of Wright} ss:

    In the Pension Claim of Zacharias Sims, late of Co. [blank] Reg't [blank] Vols., personally came before me, a Notary Public, in and for the aforesaid County and State, Brown Wyatt, who, I hereby certify, is a respectable and credible person, and who, being duly sworn, declares in relation to the aforesaid claim, as follows:

[widowhood written in margin]

I have been acquainted with Polly Sims, widow

of Zacharias Sims since 1867 and know that

she is the widow of Zacharias Sims and has not

been remarried since the death of her husband

Zacharias Sims

{stamped by U S Pension Office Aug 19, 1889}

    He further declares that his post office address is Mountain Grove, County of Wright, State of Missouri, and that he is not interested in said claim or concerned in its prosecution.

                                                                                            Brown Wyatt

[page 33 of file]

    Sworn to and subscribed before me this day, by the above-named affiant; and I certify that the foregoing affidavit was read over to said affiant, and its contents fully explained before execution. I am in nowise interested in this claim nor am I concerned in its prosecution.

    Witness my hand and official seal, this 5 day of August, 1889

Frank W. Newkirk

Notary Public

Commission expires May 10, 1893

{stamped by Charles & Wm B King, Washington, D. C. Aug 13, 1889}

Zachariah Sims Pension File Transcription, page 2