[Note from Debbie: The only information entered on these two pages was: 1) the name of Elijah Osborn, 2) the word "Special" for the court term and 3) the date: May 25th, 1904, and all the information was crossed out.]
Page 170
Special Term
State of Kentucky ] SCT State of Ky, Lyon Co
Lyon County Court May 25th 1904
COMMONWEALTH
vs
Elijah Osborn ] Lunatic
This day _________, Attorney for the Commonwealth, filed an information as follows, to-wit:
To Hon. _________, Judge of the Lyon ______ Court:
I am reliably informed that _________is a person of unsound mind, and a lunatic and therefore ask that a jury be impaneled to pass upon the subject.
_________ County Attorney Judicial District
Ordered by the Court, That _________ Esq, an Attorney of this Court, be and he is hereby appointed to defend for and on behalf of the person under trial.
To inquire, etc., comes a jury to-wit: _________, _________, _________, _________, _________, _________, _________, _________, _________, _________, _________ & _________
who being duly impaneled and sworn according to law, after hearing the evidence, returned the following verdict, viz: We of the jury find from the evidence that _______ is a person of unsound mind and a lunatic; that the unsoundness of mind _________ that _________ was born in _________, and resides in _________ and is _________ years old; that _________ was not brought into this State for the purpose of becoming a charge upon the Commonwealth; that _________ owns _________ no estate of any kind; that _________ father is _________ and mother _________ and reside in _________ and _________ not estate _________ sufficient to support the person under trial; and said _________is not capable of laboring either in whole or in part for _________ support.
[signatures of jurors listed above with foreman listed]
[foreman]
wherefore it is adjudged by the Court that said _________is of unsound mind and a lunatic and that _________ be immediately conveyed to the asylum at ________ Kentucky, and _________is appointed to convey _________ to said asylum and he is allowed _____ guard.
Attest: _________ Judge _________Court
Page 171
Brief History of Case
1.(a) Age -
(b) Occupation -
(c) Married or Single -
(d) Habits -
(e) Educated -
2.(a) What relations have been insane -
3.(a) Date of first attack -
(b) How exhibited -
(c) Has it changed in character at any any former period -
4.(a) Supposed cause -
(b) Any peculiar illusions and what -
(c) Subject to fits. How long -
From what cause -
(d) Natural Temper -
5.(a) Attempt at suicide -
(b) Violence toward others -
6.Periodic frenzy -
7.(a) Restraint imposed -
(b) Treatment used -
(c) Bleeding -
8. Injury about head -
9.
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