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[201]

Declaration of recruit.

I _________ desiring to Volunteer as a Soldier in the Army of the United States, for the term of three years, Do Declare, That I am ______ years and ______ months of age; That I have never been discharged from the United States service on account of disability or by sentence of a court-martial, or by order before the expiration of a term of enlistment; and I know of no impediment to my serving honestly and faithfully as a soldier for three years.

given at ______ The ______ day of ______ Witness: ______


Consent in case of minor.

I, _______ Do certify, That I am the father of _______ that the said _______ is _______ years of age; and I do hereby freely give my consent to his volunteering as a soldier in the Army of the United States for the period of three years.

given at _______ the _______ day of _______ 186__ . witness: _______


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