I CERTIFY, on honor, that William H Thaworth a Private of [crossed out: Captain] Lieut G Black Company (H) of the 91st Regiment of Infantry PV Volunteers, of the State of Pennsylvania, born in Philadelphia, State of Pennsylvania, aged 29 years; 5 feet 5 inches high: Dark complexion, Grey eyes, Brown hair, and by occupation a butcher, having joined the company on its original organization at Philadelphia --, and enrolled in it at the muster into the service of the United States at Philadelphia -- on the Eighth day of November, 1861, (or was mustered in service as a recruit, by Lieut George Black, at Philadelphia, on the Eighth day of November, 1861, to serve in the Regiment) for the term of three years: and having served honestly and faithfully with his Company in Camp and Barracks to the present date, is now entitled to discharge by reason of Imperfect Vision Surgeons certificate ['Surgeons certificate' is much lighter than the rest]
The said William H Thaworth was last paid by Paymaster Major Brown to include the 28th day of February, 1862, and has pay due him from that time to the present date, [crossed-out: 'and also pay for the use of his horse, (having been mounted during the time,)'] and he is entitled to pay and subsistence for traveling to place of enrolment and whatever other allowances are authorized to volunteer soldiers, or militia, so discharged. He has received forty-two [?] 30/100 ($42.30) dollars advanced by the United States on account of clothing.
There is to be stopped from him, on account of the State of ---, or other authorities, for clothing, &c., received on entering service, [blank] dollars; [crossed out: 'also, for expenses of subsistence for traveling from place of enrolment to the place of rendezvous, amounting to'] -- dollars; and on account of the United States for extra clothing received in kind from [blank] and for other stoppages, viz: [blank] amounting to [blank] dollars; and he has been subsisted for traveling to his place of enrolment, up to the [blank] 186[blank].
He is indebted to [blank], Sutler, [blank] dollars.
GIVEN in duplicate, at [illegible], this [illegible] day of [illegible], 1862.
[illegible] Commanding Company H| DOLLARS. | CENTS. | |
For pay from 1 of March, 1862, to 5 of May, 1862, being 2 months 5 days, at 13 dollars per month . . . | 28 | 16 |
For retained pay due . . . . | ||
For pay for traveling from Alexandria, the place of my discharge, to Philadelphia, the place of my residence, 136 miles, at twenty miles per day, equal to 6 days, at 13 dollars per month . . . | 2 | 60 |
For subsistence for traveling as above, 6 days, at 50 cents per ration or day . . . | 3 | 00 |
For clothing not drawn . . . | 20 | 47 |
Amount . . . | 54 | 23 |
Deduct for Army Asylum . . . | ||
Deduct for clothing withdrawn . . . | 42 | 30 |
Balance due . . . . | 11 | 93 |
RECEIVED of Maj D M Cline [??], Paymaster U.S. Army, this 6 day of May, 1862 Eleven dollars and ninety three cents, in full of the above account.
(SIGNED IN DUPLICATE.)