David Smith Hepner, Pension File, Affidavit, David Clark
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No. 345.741
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ADDITIONAL EVIDENCE.
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In Claim for
Orig.-Inv. Pension
David - S. Hepner
Co. D. 29. Ind. Vols.
Affidavit of
[blank]
No. 345.741
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Filed by
T. W. Tallmadge
Washington
DC.
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TEXT:
GENERAL AFFIDAVIT
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Note:-The affiants should state how they gain a knowledge of the facts to which they testify.
STATE OF Iowa
COUNTY OF Cedar}ss.
In the matter of David S. Hepner
ON THIS 10 day of March A. D. 1880, personally appeared before me a Notary Public in and for the aforesaid County, duly authorized to administer oaths[,] David Clark[,] aged 32 years, a resident of Tipton in the County of Cedar, and State of Iowa, whose Post Office address is Tipton Cedar Co. Iowa ["and ... address is" information for a second affiant lined out] well known to me to be reputable and entitled to credit, and who being duly sworn, declare in relation to aforesaid case, as follows[:]
I am personally acquainted with David S. Hepner, have known him for several years, have worked with him during the last three years, and I know that he is afflicted with the chronic Diarrhea and has been so afflicted for the past 3 years[.] that he is at least one half disabled from obtaining subsistence by manual labor. My knowledge is derived from my acquaintance with him & from having worked in same field with him at different times during the past 3 years.
I further declare that I have no interest in said case, and I am not concerned in its prosecution.
[signature] David Clark
State of Iowa, County of Cedar, ss:
Sworn to and subscribed before me this day by the above-named affiant and I certify that I read the 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 he is a credible person.
H. R. Porter
Notary Public
Cedar Co. Iowa
Note:-This should be sworn to before a CLERK OF COURT, NOTARY PUBLIC, or JUSTICE OF THE PEACE. If before a JUSTICE or NOTARY, then CLERK OF COUNTY COURT, must add his certificate of Official character hereon, and not on a separate slip of paper.
I certify that H R Porter, Esq., who hath signed his name to the foregoing declaration and affidavit was at the time of so doing a Notary Public 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 is genuine.
Witness my hand and seal of office, this 26 day of Apl 1880.
T. C. Prescott
Clerik of the District Court
[stamped received] JUN 15 1880, DEPARTMENT OF THE INTERIOR, PENSION OFFICE
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Transcription by John C. Hepner, 1999.