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 William L. Fulton to me well known, who, being by me duly sworn, makes the following statement:

My name is Wm. L. Fulton, I am sixty-three years of age, I reside in Hillsborough County, State of Florida, I enlisted on the _____day of January 1862, in Captain B. S. Seriven, "B" Company, 20th Ga. Cav. Regiment and served faithfully in the Confederate Army until April 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 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.) rhuematism.
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
30th day of July, 1909.
D. C. McMullen, Notary Public.

W. L. Fulton (his signature)



State of Florida,
Pinellas 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,
Pinellas County,

Before me, a Notary Public in and for the State of Florida at Large, personally appeared Wm. E. Wills, who being duly sworn says that he is a practicing physician duly authorized under the laws of Florida; that he has carefully examined W. L. Fulton the above-named applicant for admission to the Confederate Home and finds him to be (Here particularly describe his physical condition) Rhuematism and is helpless in consequence whereof he is physically disabled from earning a living.

Sworn to and subscribed before me this
31st day of July, 1909.
D. C. McMullen, Notary Public

Wm. E. Wells, M. D. (his signature)


Approved July 31, 1909



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