ACT OF JUNE 27, 1890

SOLDIER'S APPLICATION
Name David G. Cooper
Service Co. "E", 4th Regt
Tenn Cav Vol
Address:
Cleveland
Bradley Co.
Tennessee

Filed By
W. F. Duncan
Chatata, Tenn.

DECLARATION FOR INVALID PENSION.
ACT OF JUNE, 27, 1890.

State of Tennessee County of Bradley , SS:

On this 4 day of June A.D. one thousand eight hundred and ninety 1 personally appeared before me, a
Clerk of Court, within and for the county of Bradley, State of Tennessee, who being duly sworn
according to law. declares that he is the identical David G. Cooper who was enrolled on the 13th
day of February, 1863 in Company E 4th Regt Tennessee Cav Vol in the service of the United States
in the War of the Rebellion, and served at least ninety days, and was honorably discharged at
Nashville Tenn on the 12th day of July 1865. That he is now unable to earn a support by manual
labor by reason of Disease of Lungs contracted at Louisville Ky Winter of 1863 and 1864 and
Pneumonia disease of at Decatar Ala Summer 1864 and diarrhea contracted Mobile Ala in the
spring of 1865

That said disabilities are not due to his vicious habits and are to the best of his knowledge and belief
permanent; that he has - applied for pension under application No. 749272; that he is a persioner
under Certificate No. ------- Never belonged to Military Service before July 12th 1865. That he
makes this declaration for the purpose of being placed on the pension roll of the United States
under the provision of the Act of June 27, 1890.

He hereby appoints with full power of substitution and revocation William F. Duncan of Chatata State of
Tennessee. his true and lawful attorney to prosecute his claim and to receive therefor a fee of ten
dollars; That his Post Office Address is Cleveland county of Bradley State of Tennessee.

D G Cooper
Claimant's Signature
Attest. J.T. Duncan


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