Hillsborough County, Florida
Confederate Home Applications


Application for Membership

To The Florida Confederate Home.



State of Florida,
Hillsborough County,

Before me a Justice of the Peace in and for the State of Florida at Large, personally appeared J. Hill Jones to me well known, who, being by me duly sworn, makes the following statement:

My name is J. Hill Jones, I am 79 years of age, I reside in Hillborough County, State of Florida, I enlisted on the 11 day of Sept 1861, in Captain R. W. Lites Company, 19th S. C. Regiment and served faithfully in the Confederate Army until 9th day of Apr 1865 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 Nov 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.) Old age and no employment by which I can make support and that I am not addicted to the use of intoxicants.
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
16 day of Nov, 1914.
R. E. Davis
Justice of the Peace

J. Hill Jones (his signature)



State of Florida,
Hillsborough County,

Before me, a Notary Public in and for the State of Florida at Large, personally appeared who being duly sworn says that the is well acquainted with the above named _________________________________that he the said_____________________________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
_____day of ______, 19__.


PHYSICIAN'S AFFIDAVIT



State of Florida,
Hillsborough County,

Before me, a Justice of the Peace in and for the State of Florida at Large, personally appeared William H. Mudge, who being duly sworn says that he is a practicing physician duly authorized under the laws of Florida; that he has carefully examined J. Hill Jones the above-named applicant for admission to the Confederate Home and finds him to be (Here particularly describe his physical condition) Debility from old age: otherwise in good health and that he is of sound mind and not demented, and that he is not afflicted with any repulsive or infectious disease that would jeopardize others in consequence whereof he is physically disabled from earning a living.

Sworn to and subscribed before me this
16 day of Nov, 1914.
R. E. Davis
Justice of the Peace

William H. Mudge (his signature)


As soon as there is a vacancy admit bearer. Approved Nov 18 1914.



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