Orting, Wash. May 31, 1909. I hereby make application for admission into the State Soldiers Home at Orting. I am unable to support myself, and desire the benefit of the home for the following reasons: Rupture and Weak Heart. I am receiving a pension of $12.00 per month through the San Francisco Agency, Certificate No. 979,198. Full name: Andrew J. Foster. Place of birth: McMinn Co. Tenn. Date of birth: Feb 15, 1842. Occupation: Farmer. Married, widower or single: Married. Number of children with ages: 7, none under legal age. Name and P.O. address of nearest relative: Mrs. Vida McElroy, North Bend, Wash. Present residence of applicant: North Bend, Wash. Resided in State of Washington since: 1890. Mustered into service of the United States one time, honorably discharged. When and where enlisted: Aug. 19, 62, Ft. Scott, Kans. Co. A. 2 Kans Battery. Signed Andrew J. Foster, Applicant.

Sworn before D.Fu. Ravens, Notary Public, State of Washington, residing at Orting, May 31, 1909. Certificate of Surgeon of State Soldiers Home: I have carefully examined Andrew J. Foster, an applicant for admission to the State Soldiers Home, and hereby certify that he is not physically able to procure the means sufficient for his comfortable support and necessary care and attendance, and rate the degree of his disability at 7/8. The character of his disability is: Rupture, disturbed mind, weak heart. His present condition is: able to remain in quarters. Signed A. Osburn, Surgeon State Soldiers Home. Recommended for admittance by J.W. Gillman, Commander, J.R. Haden Post 118, G.A.R. Captain or Commander: E.A. Smith. Date and place of discharge: Aug 11, 65, Leavenworth, Kans. Reason for discharge: Mustered out of Co.