WIDOW'S CLAIM FOR PENSION.
State of Tennissee | SS.
County of Shelby
ON THIS 16 day of August, 1867, personally appeared before me, a Law Court Clerk of a Court of Record in and for the County and State aforesaid, Mary Rollins a resident of Memphis in the County of Shelby and State of Tennissee aged 30 years, who, being duly sworn, makes the following declaration, in order to obtain the Pension provided by the Act of Congress approved July 14, 1862; That she is the widow of Calvin Rollins who was a Corporal in Company A commanded by Capt. Charles Epeneter in the 7 Regiment of U,S,C,H, Artillery afterward changed to the 11" U.S.C. Infantry in the War of 1861; that her maiden name was Mary Warren and that she was married to said Calvin Rollins on or about the 10 day of November 1859, at Corinth in the County of Tishomingo and State of Mississippi, by George Peters Colored Preacher and that she knows of no record evidence of said marriage that they were married during slavery and according to its usages and customs no record was kept and no certificate of marriage were given them by said Colored Preacher.
SHE FURTHER DECLARES that said Calvin Rollins her husband, died in the service of the United States as aforesaid at Fort Pillow in the State of Tennissee on or about the 12th day of April 1864, of wounds received in action at Fort Pillow Tenn. She also declares that she has remained a widow ever since the death of said Calvin Rollins and that she has not in any manner been engaged in, or aided or abetted, the rebellion in the United States; and she hereby appoints Justus I. McCarty of Washington D. C. as her lawful Attorney, with power of substitution, and authorizes him to present and prosecute this claim, and to receive her pension certificates. The following [left blank] the name [left blank] date [left blank] of birth and place [left blank] of residence of all the children of her deceased husband who were under sixteen years of age at the time of his death she also declares that her witnesses were members of the same company and saw said Calvin Rollins fall and die during the action of Fort Pillow. That she cannot get a certificate from the officers of the company as they are gone to parts unknown to her.
My Post Office address is Lock Box 126 Memphis Tennessee. That the above has been red over to me and fully explained and that I understand its contence before making my Mark
Signature of Claimant: Mary Rollins
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ALSO PERSONALLY APPEARED before me, Odell Smith and Frank Hogans residents of Memphis Shelby County, and State of Tennissee, to me well known as credible persons, who being duly sworn, declare, that they were present and saw said Mary Rollins sign her name to the foregoing declaration, and that they have every reason to believe, from the appearance of said applicant, and their acquaintance with her, that she is the identical person she represents herself to be, and know that said deceased recognized said applicant as his lawful wife, and that she was so recognized by the community in which they resided; and that they have no interest, direct or indirect, in the prosecution of this claim.
Witnesses. Odell Smith
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Sworn and subscribed to before me, this 16 day of August 1867; and I hereby certify that I have no interest, direct or indirect, in the prosecution of this claim. And that the contents of the above was made known and explained to applicant and witnesses before signing.
(Official Signature:) [illegible]
Law Court Clerk