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To the honorable County Court of Stone County sitting as a Pension Board
The undersigned as the widow of an ex-Confederate Soldier, hereby applies for a pension under the provisions of an act of the General Assembly of the State of Arkansas, entitled An Act For The Relief Of Certain Soldiers Of The Late War Between The States, approved April 1, 1891, upon the following grounds, that she is a bona fide resident of the state of Arkansas, and has been for more than twelve months next before the filing of this application. That she is the widow of Henry Roberts, who enlisted as a Soldier in the State of Arkansas during the war between the States in Company F of the 21st Regiment of Arkansas Infantry, and continued in the service of the State of Arkansas or the Confederate States of America until some time in January 1863, and died in the service of the Confederate States. That she has remained a widow since the death of her said husband, is now indigent and incapacitated for manual labor by reason of the infirmities of age and being _(word not clear)_. That she is not receiving any aid from the State or from the United States on said account under any other Statute, and therefore makes application for relief under the act of aforesaid.
Jane (her X mark) Roberts
State of Arkansas, County of Stone
Personally came before me R.
N. Broyles and Jackson Gowers, two credible witnesses who
make oath and say that they verily believe the applicant to be the
identical person named in the application and that the facts stated
in the application are true.
Subscribed and sworn to before me this 6th day of April 1892.
J. L. Patterson, J. P.
R. M. Broyles
Jackson (his X mark) Gower
State of Arkansas, County of Stone
I, Jane Roberts, do
solemnly swear that I am the widow of Henry Roberts, who
served as a soldier in the Army (or sailor in the Navy) of the
Confederate States, being a member of Shalas (number of Regiment or
name of Colonel) Regiment of Infantry from the State of Arkansas, or
a member of the crew of the ship called (left blank): That he was
honorably discharged (paroled or
released) from such service on or about the 1 day of February 1863,
and did not desert the same: That I do not own property, real or
personal, or both, or money or _(word not clear)_ in action in excess
of value of $400.00 (exclusive of household goods and wearing
apparel), nor have I conveyed title to any property to enable me to
draw a pension, and that I am not in receipt of any income, annuity,
pension or wages for any services, the emoluments of an office, in
excess of $150.00 per year: That my said husband died in the service
in February 1863, and that I have not since remarried, so help me God.
Jane (her X mark) Roberts
Subscribed and sworn to before me this 22nd day of June, 1901.
W. L. Smith, J. P.