I, Martin Silvious, a native of the State of Virginia, and now a citizen of Virginia, resident at Quicksburg in the county (or city) of Shenandoah in said State of Virginia, and who was a soldier from the State of Virginia, in the war between the United States and the Confederate States, do hereby apply for aid under the act of the General Assembly intitled "An act to give aid to soldiers, sailors, and marines of Virginia, maimed or disabled in the war between the States, and the widows of Virginia soldiers, sailors, and marines who lost their lives in said war in the military service." And I do solemnly swear that, while in the discharge of my duty in the service of the Confederate States, as a member of Company "G" 33rd Regt. on or about the 3 day of July, 1863, I was wounded in the battle of Gettysburg, Pa and that from the effects of such wound I was disabled, as follows: Shot in the groins, and from its effect am disabled from performing any manual labor and that by reason of such wound and disability I am now entitled to receive, under said Act, the sum of ______________ dollars annually. I further swear that I do not hold any national, State, or county office which pays me in salary or fees over three hundred dollars per annum; nor have I an income from any other source which amounts to three hundred dollars; nor do I own in my own right, nor does my wife own, property of the assessed value of more than one thousand dollars; nor do I receive aid or a pension from any other State or from the United States; and that I am not an inmate of any soldier's home.

I do further swear that the answers given to the following questions are true:

  1st.   What is the applicant's age?      Ans.   65

  2d.   In what battle or combat, or under what circumstances was the applicant wounded?      
Ans.   Battle of Gettysburg, In line of Battle

  3d.   What was the precise nature of the wound received?      Ans.   Shot in the groins

  4th.   What limb, if any, did the applicant lose by reason of said wound?   What eye, if any, did he lose?      
Ans.   none      none

  5th.   If no limb or eye was so lost, what is the precise nature of the disability occasioned thereby?      Ans.            

  6th.   Is it total?      No

    (a)   Is it partial? and, if so, to what extent does it disable him from manual labor?      
Ans.   Yes, can not do any Manual labor.

Given under my hand this 12 day of April 1897

I, E.D. Newman, Judge of the County Court for the County of Shenandoah, do certify that Martin Silvius, whose name is signed to the foregoing application personally appeared before me in open court, and, having the said application read and fully explained to him, as well as the statements and answers therein made, he, the said Martin Silvius made oath before me that the said statements and answers are true.

Given under my hand this 12 day of April 1897.

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