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� [the following is a pre-printed form with handwritten insertions, oaths, schedules, deletions, and insertions] STATE OF MAINE [HEADER] COUNTY OF PENOBSCOT, ss. At a [handwritten] Circuit Court of Common Pleas begun and holden at Bangor in and for the county of Penobscot on the fourth Tuesday of June A.D. 1820 [handwritten insertion]

On this 27th [handwritten] day of June [handwritten] in the year of our Lord eighteen hundred and twenty, personally appeared in open court, being a court of record within and for said County and State of Maine, having the power of fine and imprisonment [handwritten insertion] established by a law of the Commonwealth of Massachusetts, made and passed on the eleventh [stricken] twenty first [handwritten] day of June A.D. 1811, and recognized by the Constitution of the State of Maine, Charles Crosby [handwritten] aged sixty six [handwritten] years, resident in Exeter [handwritten], in said county of Penobscot, who being first duly sworn according to law, doth, on his oath, declare that he served in the Revolutionary War as follows: [handwritten] Viz.-- in the company commanded by Captain Caswell Olney and Colonel Daniel Hitchcock and Jeremy Olney during the year 1776 in the Rhode Island Line upon the Continental Establishment - On the first of January 1777 I again enlisted for three years and served the company commanded by Captain Caswell Olney and in the Regiment commanded by Colonel Jeremy Olney in the Rhode Island Line upon the Continental Establishment and at the culmination of that time was honourably discharged -- In April 1781 I again enlisted and served under the same line under the same officers as previously mentioned until December 1783 when I received my final discharge -- All which is fully put forth in my original declaration on the 14th day of April 1818 on which my certificate of pension numbered 9.168 was granted

[below handwritten Schedule is looped to the second side of the page under the Schedules]

Schedule of the family residing with me Charles Crosby who am by occupation an husbandman which I am unable to pursue by reason of the infirmities of years -- My wife Mary aged 70 years and very infirm My grandchild Simon Stone aged 4 years Charles Crosby

And I Charles Crosby [handwritten] do solemnly swear that I was a resident citizen of the United States on the 18th day of March 1818; and that I have not since that time by gift, sale, or in any manner disposed of my property, or any part thereof, with intent thereby so to diminish it as to bring myself within the provisions of an Act of Congress, entitled "An Act to provide for certain persons engaged in the land and naval service of the United States, in the Revolutionary War," passed on the eighteenth day of March, one thousand eight hundred and eighteen; and that I have not, nor has any person in trust for me, any property or securities, contracts, or debts due to me; nor have I any income other than what is contained in the schedule hereto annexed, and by me subscribed. Viz. Charles Crosby

[handwritten] Real estate - None Personal estate - 3 swine 5 Knives + forks - 1 Iron Pot + Kettle cups + saucers Charles Crosby

Sworn to and declared on the twenty seventh day of June A.D. 1820 before the Court Att. Thos Cobb Clerk

[following is stricken by pre-printed form] I, THOMAS COBB, Clerk of the Circuit Court of Common Pleas, for the Third Eastern Circuit in the County of Penbscot and State of Maine, do hereby certify that the foregoing [blank] and the schedule thereto annexed, are truly copied from the records of the said Court: And I do further certify, that it is the opinion of the said Court, that the total amount of the property exhibited in the aforesaid schedule is twenty eight [handwritten] dollars and ---- cents. IN TESTIMONY WHEREOF, I have hereunto set my hand and affixed the seal of the Court on this [blank] day of [blank] A.D. 1820 Clerk of the said Court for the County of Penobscot

[handwritten] Penobscot Ss. C.C.C. Pleas at Bangor June Term A.D. 1820 And now it is the opinion of the court that the total value of the property exhibited in the aforesaid Schedule is twenty eight dollars. Att. Thos Cobb Clerk