I think I received a discharge when I was in Col Wiliams Regt., but [?] discharge was burnt in my Fathers [?] which was destroyed by fire - I do not recollect whither I [?] discharge for my other services - I am now sixty seven years of age having been born May 23d 1765 - I have no record of my age - when I first entered the service I lived in Washington [?] [?] Revolutionary War I lived in [?] Vt. Three years in Oxford N.H. about ten years in Charlestown N. H. eight years and since that time I have lived peacefully in Vermont, having lived in Burlington for the past ten years with the exception of the last six months, when I have [?] at Colchester - my whole services is twenty two months
He hereby relinquishes every claim whatever to a Pension or annuity except the present, and declares that his name is not on the Pension Roll of the agency of any State.
his
Jeremiah + Fisher
Mark
Sworn to and Subscribed}the day and year aforesaid,}
with N. [Bruaswell?]
Before
Nathan Bruaswell
And the said Court do hereby declare their opinion after the investigation of the matter and after putting the Interrogatories prescribed by the War Department, that the above named applicant was a Revolutionary Soldier and served as he states,-And the Court further certify, that it appears to them, that
William Seymour, Elisha Barstow Theodore Cott in and Joseiah Adems
Who have signed the annexed certificate and who are residents of the town of Burlington are credible persons and that their statement is entitled to credit.
STATE OF VERMONT,
CHITTENDEN COUNTY
Attest
El Brocklen} Judges of Chittenden
John VanSuckland} County Board
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