
The image is a historical document titled "United States of America Bureau of Pensions" and is a pension certificate for John Jacobs, who served as a Private in Co. H, 128th Regiment, Ohio Infantry. The certificate, issued under the Act of May 11, 1912, and amended by the Act of March 4, 1913, certifies that John Jacobs is entitled to a pension at the rate of twenty-one and one-half dollars per month from November 18, 1915, and twenty-seven dollars per month from June 30, 1920. The document is signed and stamped by officials, including the Secretary of the Interior, and includes legal text regarding pension rights, amendments, and provisions approved on February 28, 1883. The folded document shows various sections including the disbursing clerk's details, pension certificate number, and annotations affirming the certification authority of the Bureau of Pensions.