The following revised set of forms having been established at the
Treasury Department of the United States, for the future govern-
ment of it’s Agents in paying the United States Pensioners: and
instructions having been issued, that all Vouchers not made out
in strict conformity thereto, will be rejected at that Depart-
ment. Notice is hereby given to the Pensioners, on the Roll of
the South-Carolina Agency, that in all cases, the subjoined Forms
must be rigidly and literally adhered to, and that the order of
the several documents composing the perfect Voucher, must be
uniform, to facilitate their investigation. Printed blanks for
the purpose, will always be furnished, at the Bank, on applic-
tion being made for them.
Office, Bank United States, Charleston,}
1st February 1827 }
THE following order will be observed in the several Documents
composing the Voucher.
State of South–Carolina, } ss
York District }
Be it known, that before me, James Mckee a Justice of the
Peace, in and for the District aforesaid, personally appeared
Robert Mursh and made oath, in due form of law that he is the
identical Robert Mursh, named in an original certificate in his
possession, of which (I certify) the following is a true copy:
(here insert a copy of his certificate of pension)
War Department
Revolutionary Claim
I certify that in conformity with the Law of the United
States of the 18th of March 1818—Robert Mursh late a private
in the Army of the Revolution is inscribed on the
Pension list Roll of the South Carolina Agency at
the rate of eight dollars per month to commence on the
Seventeenth day of August One Thousand Eight Hundred and Eighteen.
given at the War Office, of the United States this Fifth day
Of March One Thousand Eight Hundred and Nineteen. C Calhoun
Secretary of War
Entitled to a pension of 8 dollars per month, on account of wounds
and disabilities received, or of services rendered to the United
States during the Revolutionary War, that he served in Captain
Moselys, Company of Continental Co. in the Virginia
Regiment; that he now resides in York District S. Carolina and has
resided there for the space of 5 years past: and that previous
thereto, he resided in Lancaster District So. Carolina and
in Virginia Sworn and Subscribed this Ninth
Day of March 1827
Before me. Robert Mursh
James McKee L.U.
Note—The above deposition must be signed by the Deponent.
This blank must be filled with the amount to which the pensioner
is now entitled, which in some cases varies from that in the
original certificate.