Form no. 5 & pay voucher
Paid at $13 per month and not a $10 a month
of which $3.00 was for clothing
received clothes allowance for $3.50 a month
The above - same as white soldiers
Could not sign his name per receipt for money - 
He made an "X"

His final statement form shows he was from 
Maryland, A 30 year old farmer enlisted in Philadelphia 
for 3 years 

He was discharged by reason of physical disability 
He was never paid during the 5 months and 17 days 
he was in service 
he was paid traveling money to go from the place of 
his discharge to Hilton Head to Philadelphia where 
he enlisted. He  was also given subsistence (ration) money -

I certify, on honor, that James W Simms a Private of 
Captain N B Plummer's Company (K) of the 22d Regiment of US colored Troops
VOLUNTEERS, of the State of __________, born in Baltimore County, State
of Maryland, aged 80 years; five feet Eight inches high, Black complexion,
Black eyes, Black hair, and by occupation a Lermer, having joined the company on
its original organization at Philadelphia Pa, and enrolled in it at the muster into
the service of the United States at Philadelphia Penna. on the Fourth day
of March, 1864, (or was mustered in service as a recruit, by __________,
at __________, on the __________ day of __________,
186_, or was drafted and mustered into the service of the United States from the __________
Enrollment District of the State of __________, at __________,
on the __________ day of __________, 186_ ,) to serve in the Regiment, for
the term of Three Years; and having served HONESTLY and
FAITHFULLY with his company in The Field to the present date, is now
entitled to a DISCHARG by reason of Physical Disability

 The said James W. Simms [was last paid by Paymaster] has never been paid
__________to include the __________ day of __________, 186_, and has
pay due him from [that] time [to the present date] of enlistment; he is entitled to pay and subsistence for
TRAVELING to place of enrollment, and whatever other allowances are authorized to volunteer
soldiers, drafted men, or militia, so discharged. He has received from the United States CLOTHING
amounting to Twenty Four 93/100 dollars, since the Fourth day of March,
1864, when [his clothing account was last settled] he enlisted. He has received from the United States
__________ __/100 dollars advanced BOUNTY. This soldier is entitled to the increased Pay.

There is to be stopped from him, on account of the State of ________, or other
authorities, for CLOTHING, &c., received on entering service, __________ __/100 dollars; and
for other stoppages, viz: Two Dollars Thirty-three cents for
loss of Bayonet
Two 33/100 dollars.
He has been furnished with NO TRANSPORTATION in kind from the place of his discharge to
__________; and he has not been SUBSISTED for TRAVELING to his
place of enrollment, up to the __________, 186_.

He is indebted to __________, SUTLER, __________ __/100 dollars.

He is indebted to __________, LAUNDRESS, __________ __/100 dollars.

Given in Duplicate, at Hilton Head S. C., this 21st day
of august, 1864.

Newton B Plummer
Captain 32 USCT
Commanding Company. "K"

(A. G. O. No. 35 -- First) 

FINAL STATEMENT
of 
Private James Simms
32d Reg't of US Colored Troops

VOLUNTEERS.
 
NOTE 1. -- Two of these certificates (or duplicates) are to be given to each 
Volunteer Soldier or drafted man who may be discharged previously to 
the discharge of his company, that he may at once receive from the 
Paymaster the pay, &c., due him, and the cap'ain or other COMMISIONED 
officer commanding the company will certify to the act of the delivery of 
the duplicate certificates; on these certificates the Soldier is "entitled to" 
his discharge, and should also present his discharge to the Paymaster to 
have the payment endorsed on it. The discharge is to be given back to 
the Solider by the Paymaster; the latter only retaining as his voucher the 
duplicate certificates.

NOTE 2. -- If the Soldier is entitled to pay for the use of his horse, the
Company Commander will certify to that fact on the back of both these
final statements, and also to the time he has pay due for having been so
mounted on his own horse.

NOTE 3. -- When a soldier is furnished with final statements, his descriptive
list, if he has one, should be taken up by the officer who gives the
Soldier these statements, and endorsed with a statement to this effect by
the officer. This endorcement should exhibit a full statement of the time
for which the Soldier was allowed pay on his final statements, the clothing
account, and all other charges against him or in his favor, so as to comprise
a complete exhibit of his account. It will then be transmitted to the company
commander of the soldier, who will enter all the data necessary to a
full understanding of the Soldier's account on the muster roll upon which
the Soldier's discharge is reported. The descriptive list will then be
destroyed. The object of this is, that the remaining portion of the
Soldier's account may be settled upon the receipt of these muster rolls,
and the Soldier receive any pay or allowances that may be due him at the
time of his discharge, and which may not appear on his final statements
from the fact that his descriptive list is incomplete. These accounts for
back pay, &c. are settled by the 2d Auditor of the Treasury Department.

NOTE 4. -- Charges for loss or injury to ordnance, horse equipments, and
other miscellaneous charges, should appear under the heading of "Other
Stoppages."

NOTE 5. -- Bounty paid by State authorities, and not by the United
States, will not be entered on this statement.

NOTE 6. -- Amounts due the Sutler Laundress must be entered on
the muster roll on which the discharge, death, desertion, &c., is reported,
as well as on the final statement, otherwise the amount cannot be collected
from the United States.

NOTE 7. -- This blank will be used for deceased volunteers and drafted
men, as well as for others.

NOTE 8. -- Where a Soldier dies in Hospital or on detached service, his
descriptive list, if he has one, should be sent with his final statements, in
duplicate, to the Adjutant General, Washington, D.C.

Transcribed and reviewed by contributors participating in the By The People project at crowd.loc.gov.