| Child's Name: | Potter, Rosa Charlotte |
|---|---|
| Child's Residence: | Newark, Licking Co., OH |
| Child's Birthdate: | 11 Apr 1875 |
| Child's Birthplace: | Brown Co., IN |
| Father's Name: | Charles E. Potter |
| Father's Residence: | Needmore, Brown Co., IN |
| Father's Death Date: | Alive at time of application |
| Location Father's Death: | |
| Father's Cause of Death: | |
| Mother's Name | Rachel Potter |
| Mother's Residence: | |
| Mother's Death Date: | Unknown, deceased at time of application |
| Location Mother's Death: | |
| Mother's Cause of Death: | |
| Father's Occupation: | Common laborer |
| Father's Military Service: | 17th Indiana Volunteer Infantry, Company A |
| Father's Disability: | Varicocele of left side |
| Pension Information: | Father $2/month |
| Father's Military Discharge: | Yes, date unknown |
| Child's Custody / Guardian: | Childrens Home, Newark, Licking Co., OH |
| OSSO Application Date: | 23 Mar 1885 |
| Other Notes: | Father is listed as guardian on application. |
| Reference Number: | 2634 |
Link to this record: greenelibraryresource.info/osso.php?id=2651