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�[typed form with handwritten insertions] STATE OF MAINE. Hancock[handwritten] ss....At a Circuit Court of Common Pleas for the third[handwritten] Eastern Circuit, begun and holden at Catine[handwritten] within and for the County of Hancock[handwritten] on the second Tuesday of July[handwritten] being the eleventh[handwritten] day of July[handwritten] and by adjournment [blank space] from day to day, on the fifteen[handwritten] day of said month[handwritten] in the year of our Lord one thousand eight hundred and twenty, before the Honorable William Crosby and James Campbell[handwritten] Judges of said Court.

ON this fifteenth[handwritten] day of July[handwritten] in the year 1820, personally appeared in open Court[handwritten] the same proceeding according to the course of the common law, having jurisdiction unlimited in amount, keeping a record of their proceedings, and having "the power of fine and imprisonment," and being a Court of Record for said Circuit, Thomas Kench[handwritten] aged seventy three[handwritten] years, resident in Brooksville[handwritten] in said Circuit, who being first duly sworn according to law, doth on his oath declare that he served in the Revolutionary War as follows, viz. as a Private[handwritten] in the company commanded by Capt. Burbeck[handwritten] in the Regiment commanded by Colonel Crane[handwritten] in the line of [stricken] Artillery[handwritten] on the Continental Establishment, as is more particularly mentioned and described in his original declaration, made on the thirtieth[handwritten] day of April[handwritten] A.D. 1818, and on which said declaration his Certificate of Pension, numbered 13.601[handwritten] was granted. And I 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 18th day of March, 1818: 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; that my occupation and ability to pursue the same, together with the number and other particulars of my family, are in fact and in truth as is particularly described on the back hereof, also subscribed by me. Thomas Kench[signature]

Sworn to and declared on the 15th[handwritten] day of July[handwritten] A.D. 1820. BEFORE Wm Crosby & James Campbell[handwritten] Judges of the said Court. attest Mason Shaw Clerk

SCHEDULE of the real and personal estate, (necessary clothing and bedding excepted) belonging to me the subscriber, viz: 1 cow 15$ 1 steer 12$ 1 Calf 2$ Pig 4$ $33.00 ax 4/6 Hoe 1/6 Iron Pot 6/ Tea Kettle 3/ 2.50 3 chairs + 2 Benches 6/ Spinning Wheel 6/ 2.00 Cups Bowls + Crockery ware 12/ 2.00 Pails Tubs + wooden ward 12/ 2.00 Chest 3/ Fish + Potatoes 9/ 2.00 Knifes + sundry small articles Kitchen Furniture 3.00 $46.50

Thomas Kench[signature]

SCHEDULE of the family residing with me Thomas Kench who, by occupation am a Farmer which I am unable to pursue by reason of Rheumatism of a chronic nature and debility being unable to walk without crutches

NAMES. AGES. Capacity of each to contribute to their support. Wife Mary 55 Small being weakly + sick Wm Kench 23 common ability Joseph Kench 20 Insane[underlined] + very weakly Lucy Kench 16 common ability Stephen Kench 13 Ditto (Daughters children) - Husband Dead John Ross 8 one half Emeline Ross 5 nothing Thomas Ross 3 Ditto

Thomas Kench[signature]