Widow's Pension Form Dropping Martha Hodges from Pension Rolls, April 9, 1886

(3—128.)

WIDOW'S PENSION.

Claimant Martha Hodges Soldier Harrison Hodges
P. O. Memphis Rank Prvt, Co. "A"
County Shelby, State Tenn Regiment 11th U.S.C.T.

Rate, $ [left blank] per month, commencing [left blank], 18  , and two dollars a month additional for each child, as follows:

[section left blank]

Payments on all former certificates covering any portion of same time to be deducted.

All pension to terminate [left blank], 18  , date of [left blank]

RECOGNIZED ATTORNEY

Name [left blank] Fee $ [left blank]. Agent [left blank] to pay.
P. O. [left blank] Articles filed [left blank], 18  .

APPROVALS:

Submitted for DropApl 9, 1886Y W Galbraith Spl, Examiner. M. J. B.