U.S. Headstone Application for U.S. Military Veterans: Peter Cooper, Georgia, C.S.A. Died 1915

Confederate (Tombstone application through U.S. Government, 1915)

United States Headstone Applications for U.S. Military Veterans, 1925-1949, Peter Cooper.

[This form is a preprinted application form, with details filled in with a pencil. Legibility varies: Good to Excellent. Form and details, as extracted]:

War Department, O.Q.M.G. Form No. 623. (form approval details skipped). Application for Headstone. C.S.A. 6391. Name: Peter Cooper. Rank: Private. Company: B (application had 'B or D', but B was marked out). State Organization: Georgia Inf.

Date of Death: May 9 1915 [9 May 1915].

Name of Cemetery: Moore's Chapel. City: Island Creek Long Island Ala. State: Ala. Division --. State --. Emblem: None (Options included Christian, Hebrew, or None).

To Be Shipped To: Mrs. Malinda Cooper Bridgeport, Ala. Jackson. Post Office Address of Consignee: Bridgeport, Ala. I hereby agree to accept the headstone at above destination, freight prepaid, and properly place same at decedent's grave.

This application is for the UNMARKED* grave of a soldier. It is understood the stone will be furnished and delivered at the railroad station or steamboat landing above indicated, at Government expense, freight prepaid, and agreed it will be promptly removed and set up at private expense. 

[Signed]: (Mrs.) Malinda [her X mark] Cooper, Applicant. Address: Bridgeport, Ala. Date: June 3 - 1936.

*Stones must not be requested for any grave at which a private stone, monument, or other permanent marker is already erected or is to be erected. [Clerical box has these receipt/shipping stamped dates]: June 16 1930. Tate, Georgia Oct 15 1930. Shipped Dec 11 1930.