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.)
Location Digitized	Erwin, Unicoi County, Tennessee
ID#	unic004
Digital type	Text
Copyright	No copyright - United States: http://rightsstatements.org/vocab/NoC-US/1.0/
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