Henry A. Bastin, Certificate of Disability for Discharge, 1863

ARMY OF THE UNITED STATES

CERTIFICATE OF DISABILITY FOR DISCHARGE

(To be used, in duplicate, in all cases of discharge on account of disability.)

Henry A Bastin Private of Captain Jas. E. Burtons Company, (H) of the thirty third Regiment of ["United States" lined out] Ind Vol's was enlisted by Jas E. Burton of the 33rd Regiment of Ind Vols at Paragon[,] Morgan County[,] Ind on the 23rd day of August 1861, to serve 3 years; he was born in Morgan County in the State of Indiana is Thirty years of age, 6 feet " inches high, Light complexion, Blue eyes, Light hair, and by occupation when enlisted a Farmer[.] During the last two months said soldier has been unfit for duty 60 days.

(Here consult directions on Form 12, p. 269, Medical Dept. Gen. Reg.)

STATION: [blank]

DATE: [blank]

James E Burton[,] Commanding Company.

I CERTIFY, that I have carefully examined the said Henry A Bastin Priv of Captain Jas. E. Burtons Company, and find him incapable of performing the duties of a soldier because of (Here consult par. 1134, p. 245, and directions on Form 12, p. 269, Med. Dept. Gen. Reg.) [?] in the left leg and shoulder, occasioned by a severe and long continued attack of Rheumatism, which not only disqualifies him from performing the duties of a soldier, but renders him unable to gain a subsistence by manual labor.. Degree of "Disability" three fourths

Jos. G. McPheeters[,] Surgeon.

3rd Div Army of Ky

DISCHARGED, this Eighth day of April 1863, at Indianapolis Indiana

I. S. Simonson

Col. W. S. A. Commanding the Post.

NOTE 1.- When a probable case for pension, special care must be taken to state the degree of disability.

Note 2.- The place where the soldier desires to be addressed may be here added.

Town- Martinsville County- Morgan State- Indiana

(DUPLICATES.)

(GOV. PRINT. OFF., Mar. 28, 1862.)

[written in upper left margin]

Appvd April 8th. 1863.

Thos C. Gatlin [?]

Surg M. P. & Med Director

Dept Ind.