GO THE OFFIGERS AND MEMBERS Post No. Dep't of G.A.R. / have the honor to make application for membership in Past No. of Grand Army of the Republic, basing my application on the following facts: / am 62 years of age, and TOYOR born in newburgh State of maine . NOT residing at N. E.D. Inb Disney State of maine by occupation of farmer / served during the late rebellion rus follows: First enlisted aug. 5th 1862 as Private in Co. B 11th Regiment maine Columbia for the period of 3 years,and NEW discharged therefrom and Corp at Richmond Va on the twelf it day of June 1865. by reason of General order 1 also re-enlisted 18 as in C. Regiment and NYAN discharged therefrom an at on the day of 18 by PERSON of / have necer borne arms against the United States, and have never been concleted by Court Martial of Descrition nor of any other infamons crime. / have not $ made precious application for membership to the Grand Armey of the Republic and filed the NATURE with Post No. Department of CARE the day of 18 (Signature) John & Smith Residence, No. Street, - / ON honor recommend to the favorable consideration of the Post believing the foregoing statements to be true in every respect Enclosed in proposition for, $ in (To be signed by Compacto of the Port) Nove If any details herein required - writted be trabsed before being reported - by the Contribue I If other they - - - add 2 is this is do are application write the word "one" - this SOMICT. (oram)