The State of Ohio, Lake County

On this twenty-first day of May in the year of Our Lord one thousand eight hundred and forty-nine personally appeared before me the undersigned a justice of the peace for the county and state above mentioned Anna Webb who being duly sworn according to law declares:

that she is the mother of Charles Webb who was a soldier in the United States service-that said Charles Webb enlisted into said service at the City of New York as she is informed and believes, on or about the seventh day of May in the year one thousand eight hundred and forty five, for the period of five years;

that soon after, he was transferred to Fort Jessup and became a private in Company F of the Third Regiment of Infantry;

that he accompanied said Regiment to Texas and thence to the Rio Grande and died at Camp near Monteray, Mexico on the twenty second day of October in the year one thousand eight hundred and forty-six, as she is informed, and she begs leave to refer to the dispatches and reports of his commandant in the Office of the Adjutant General of the United States for greater certainty;

that the said Charles Webb left no widow or child, and was never married;

that her husband James Webb, and father of the said Charles Webb died at Mayfield in the County of Cuyahoga in the state of Ohio about the sixth day of February in the year one thousand eight hundred and thirty-five;

that she, the said Anna Webb makes this declaration for the purpose of obtaining the benefit of the provisions made by the Act of Congress passed February 11, 1847 and in order to obtain the bounty lands due on account of the services of her son the said Charles Webb and;

that she has never before made any application for said bounty lands.

Anna (her mark) Webb.

Sworn to and subscribed on this day and year first above written before me Lewis Miller Justice of the Peace.