CASE.—Private Charles E. Tremain, Co. H, 45th Pennsylvania Volunteers, aged 29 years, was wounded before Petersburg, April 2d, 1865, by a conoidal musket ball, which struck behind the right ear, fractured the occipital bone and was, afterward, extracted from the neck. In the same engagement, and while in a state of unconsciousness, a ball struck the right foot on its outer edge, near the middle, and, passing inward and upward, emerged at the instep; the second toe of the same foot had been carried away by a rifle ball at the Wilderness, May 6th, 1864. He was treated at the depot field hospital of the Ninth Corps until April 7th, when he was sent to the Slough Hospital at Alexandria. The metatarsal bones became necrosed. He was mustered out July 17th, 1865, and pensioned from that date. On January 17th, 1870, Pension Examiner F. B. Wagner reports that the wound in the head often inflames and suppurates, and that dead pieces of bone exfoliate. The patient was subject to pain in the head, and his memory was greatly impaired. The foot was anchylosed and cold. His disability is rated total and permanent.