TO ALL WHOM IT MAY CONCERN:

KNOW YE, That Company, (-) rolled on the

to serve

[Coat of Arms.]

a

Regiment of

day of

of Captain VOLUNTEERS, who was enone thousand eight hundred and years, or during the war, is hereby DISCHARGED

day of

186-,

(No objection to his being re-enlisted

was born in
feet inches high;

in the State of

; is

complexion,

hair; and by occupation, when enrolled, a

this

day of

*This sentence will be erased should there be anything in the conduct or physical condition of the soldier rendering him unfit for the army.

in the year one thousand eight hundred personally appeared before me, the undersigned, a Justice of the Peace for the county and above mentioned,

who, being duly sworn according to law, declares that he is

Sworn and subscribed before me the day and year above written.

I CERTIFY that before whom the above affidavit purports to have been made, is a Justice of the Peace duly authorized to administer oaths, and that the above is his signature.

IN WITNESS WHEREOF I have hereunto set my hand and affixed [L. S.] my official seal, this in the year

at

day of

in the State of

Clerk of the

†This is not to be filled up at the time of discharge, but only when the identity of the bearer of the discharge, with the person named in it, is called in question.

5

186, by virtue of a commission (or appointment) issued by the Governor of the State of

186

bearing date

and received by me on or before the

day of

186 ; (that I have been borne on the Rolls, Returns, and Reports of the said Regiment as a from the 186 to 186 ;) that a va

day of

day of

the cancy existed in the grade to which I was commissioned (or appointed) at the time of the receipt of such commission, (or appointment,) caused by the

of

and that I have made every effort to be mustered into the

day of

service of the United States as a
said Regiment since the
186 without success till the present time: So help me God.
Sworn to and subscribed before me,

in the

I,

the

Regiment of

commanding Volun

teers aforesaid, do solemnly swear that the statement and dates above set forth are correct, to the best of my knowledge and belief: So help me God.

*This paragraph, or part of it, as the case may be, will be erased when not required. NOTE 1.-This affidavit should be pasted to the muster-in roll to which it belongs. NOTE 2.-The oath may be administered by the adjutant of a regiment, detachment, or post, a judge advocate or recorder of a court-martial, or by a civil magistrate. NOTE 3.-The mustering officer will require each candidate for muster into service to exhibit his commission (or appointment) from the governor of the State to which the regiment into which he desires to be mustered belongs. No muster will be recognized if made to cover a period in which the officer is borne on the rolls and returns of his regiment as of an inferior grade, or beyond the date of the receipt of his commission (or appointment) from the governor of the State. If an officer is taken up on a muster-roll as of any grade before being mustered into service in that grade, after the promulgation of General Orders No. 48, of 1863, it is a false muster on the part of the officer making it, and will not be recognized at the Adjutant General's office or by the mustering officer, but will be immediately reported to the Adjutant General.