Title	Confederate medical discharge, "Form for Retiring a Soldier"
Description	This form belonged to I. W. Payne, who served as a private in Co. H, 1st Regiment of Virginia Infantry. The form was signed by three surgeons (Provisional Army of the Confederate States) at the Chimborazo Hospital. Payne had worked as a farmer and was from Orange County, Virginia. He was 5'7" and had dark eyes and dark hair.
Date	1864 December 23
Place of original	Richmond (Va.)
ID#	unic004
Digital type	Text
Copyright	No copyright - United States: http://rightsstatements.org/vocab/NoC-US/1.0/
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Location Digitized	Erwin, Unicoi County, Tennessee