Hillsborough County, Florida
Confederate Home Applications


Application for Membership

To The Florida Confederate Home.



State of Florida,
Hillsborough County,

Before me a Notary Public in and for the State of Florida at Large, personally appeared George Cribb to me well known, who, being by me duly sworn, makes the following statement:

My name is George Cribb, I am Sixty seven years of age, I reside in Hillsborough County, State of Florida, I enlisted on the Fall day of 1861, in Captain N. Dixon's A. Company, 26th Georgia Regiment and served faithfully in the Confederate Army until Summer of 1863, transferred to Navy. I never deserted said service and never served against the Confederate States and I have not taken the Oath of Allegiance to the United States before April, 1865. I am, and have been a bonifide resident of the State of Florida ever since January 1, 1893. I have no means of support and am physically disabled from making a living by reason of (Here state fully cause of disability.)Having Epilepsey and apploplexy.
Wherefore I make application for admission as a beneficiary of the Confederate Home, located at Jacksonville, Florida, and I agree to observe all the rules prescribed by the authorities in charge of said Home.

Sworn to and subscribed before me this
10th day of Oct., 1910.
Thos. E. Jackson
My commission expires Nov. 13, 1911.

George Cribb (his signature)


State of Florida,
Hillsborough County,

Before me, a Notary Public in and for the State of Florida at Large, personally appeared Nicholas Dixon who being duly sworn says that the is well acquainted with the above named George Cribb that he the said George Cribb served faithfully in the Confederate Army and did not desert said service. That he has no means of support, and deponent believes him to be physically disabled from making a living.

Sworn to and subscribed before me this
11th day of Oct., 1910.
Thos. E. Jackson
My commission expires
Nov. 13, 1911.

N. Dixon (his signature)
Capt Co A 26th Geo Reg
Confederate States Army.

PHYSICIAN'S AFFIDAVIT



State of Florida,
Hillsborough County,

Before me, a Notary Public in and for the State of Florida at Large, personally appeared Dr. J. E. Smoak, who being duly sworn says that he is a practicing physician duly authorized under the laws of Florida; that he has carefully examined George Cribb the above-named applicant for admission to the Confederate Home and finds him to be (Here particularly describe his physical condition) Helpless & unable to do any work to support himself. He has had Epilepsy & Apoplexy in consequence whereof he is physically disabled from earning a living.

Sworn to and subscribed before me this
10th day of Oct, 1910.
Thos. E. Jackson
My commission expires
Nov. 13, 1911

J. E. Smoak, M. D. (his signature)


Approved Dec. 31, 1910.



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