.MTU0.MjExMA

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� [the following is a pre-printed form with handwritten insertions, strikes, and entries]

STATE OF MAINE Hancock[handwritten] ss At a Circuit Court of Common Pleas for the third[handwritten] Eastern Circuit, begun and holden at Castine[handwritten] within and for the County of Hancock[handwritten] on the third Tuesday[handwritten] being the twenty first[handwritten] day of November[handwritten] and by adjournment [blank] from day to day[stricken] on the 22nd[handwritten] day of November[handwritten] in the year of our Lord one thousand eight hundred and twenty before the Honorable William Crosby + James Campbell[handwritten] Judge of said Court

On this twenty second[handwritten] day of November[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, Moses Black of Sedgwick[handwritten] ages sixty nine[handwritten] years, resident in Sedgwick[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. Porter etc[handwritten] in the Regiment commanded by Colonel Tupper etc[handwritten] in the line of the State of Massachusetts[handwritten] on the Continental Establishment as is more particularly mentioned and declared in his original declaration, made on the sixteenth[handwritten] day of April[handwritten] A.D. 1818[handwritten] and on which said declaration his Certificate of Pension numbered 9.170[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;