This was one of the pages included in the pension packet for Mathilda Jane {Brittain} Sanchez-Tereso, widow of 1st Lt Frederick Sanchez-Tereso of F Co. of the Iowa 33rd Infantry Regiment during the Civil War.
He died in 1882. She apparently needed an affidavit about the births of her youngest children.
GENERAL AFFIDAVIT
STATE OF Iowa
County of Keokuk} SS.
In the matter of the claim of Matilda J. widow of Frederick Sanchez Tereso 1st Lieut, Company F of the 33rd Regiment, Iowa Inft Vols. Personally came before me, a_____ in and for aforesaid County and State, Dr. J. D Henry Town and Citizens of Martinsburg County of Keokuk State of Iowa well known to be reputable and entitled to credit, and who being duly sworn, declare in relation to the aforesaid case as follows:
That he well knew the above named claimant her Husband the above named Soldier and that they had born unto them during wedlock the following named children to wit:
Theodore S. who was born on the 11th day of November 1872 and George O. who was born on the 1st day of July 1875.
That affients? knowledge of the above facts is from being the attending Physician their attended the above named claimant in her _______at the date of each of the above named Births and Personal Knowledge of the Same.
We further declare that we have no interest in said case and not concerned in its prosecution and not related to said applicant.
J.D. Henry, MD
{On the next page (not shown) the document is signed and dated 16 Aug 1882.}
