State of Illinois
County of Jo Daviess
Personally appeared August Wierich M.O.
of Galena whom I certify to be respectable and entitled to credit, and who being by me first fuly sworn, according to law, does depose and say that he is fourty [sic] two years of age;
"been practicing physician for twenty two years. Was not acquianted with Souldier [sic] before Enlistment. My first treatment of Claimant was in March 1866. My [father?] [___ ______] treated [____] previously [___ ____ __ _____] after discharge from service. By above stated way, first treatment began in March 1866. I diagnosed his disease then as Chronic Bronchitus and prescribed for the [____] in March 1866. Continued treatment until 1870. The [Prov_____t] symptoms [presenting?] was Cough, [Expe___] [a___] with slight [dyspnea?]. Soldiers physical condition at the time of treatment was bad. Emaciation and debility were pronounced. I prescribed for him at my office, at first weekly then monthly as above Stated from March 1866 to about the same time in 1870. As soldier always paid for the medicenes received it is [__][p___ible] to give dates of prescriptions. Judging by my observations of Soldier during treatment I think that he was unable to perform manual labor for about 1/3 of the time during Each year.
and that his Post Office address is Galena County of Jo Daviess State of Illinois and he further says that his knowledge of the above facts is obtained from the following source, viz.: _________personal observation________ and that he has no interest in the prosecution of this claim.
TWO WITNESSES REQUIRED WHEN MARK IS MADE
// }________August Wierich
// }
Sworn to and subscribed before me this 9th day of May A.D. 1887 and that I hereby certify that I have no interest nor concern in the prosecution of said claim, and that I read the foregoing to deponent, and that he has subscribed and sworn to the same with a full knowledge of its contents.
Sam E. Ryan
Justice of the Peace