| No. | -------Names------- | ----Rank---- | --When-- | -----------Where----------- | ---------------Cause--------------- | ----------------------------------------Remarks---------------------------------------- |
| 1 | Towland(?) Aemon(?) | Ferrier | 8/8/64 | Near Petersburg | Disease | Blank |
| 2 | Randall Gaanvil(?) | Private | June | White House | Disease | Blank |
| 3 | Julius E. Bowman | Srgt | 10/6/64 | Beverly Hospital, NJ | Disease | Blank |
| 4 | Henry W. Faxon | Private | 9/14/64 | In hospital | Disease | Blank |
| 5 | William Harrigan | Private | 7/14/64 | In hospital | Effects of wounds received 6/17/64 near Petersburg | Blank |
| 6 | Fernando Robinson | Private | Blank | In hospital | Blank | Blank |
| 7 | John Sherman | Private | Blank | In hospital | Effects of wounds received 6/18/64 near Petersburg | Blank |
| 8 | Joseph Clouse | Srgt | 9/30/64 | Peebles Farm, VA | Killed in action | Blank |
| 9 | Edward J. Powell | Crpl(?) | 9/30/64 | Peebles Farm, VA | Killed in action | Blank |
| 10 | Ira Pierce | Private | 6/17/64 | Near Petersburg, VA | Killed in action | Blank |
| 11 | Benjamin H. Tallman | Srgt | 8/18/64 | Near Petersburg, VA | Killed in action | Blank |
| 12 | Nelson Weeks | Private | 6/18/64 | Near Petersburg, VA | Killed in action | Blank |
| 13 | John Ginther | Private | 6/18/64 | Near Petersburg, VA | Killed in action | Blank |
| 14 | James Davis | Private | 9/11/64 | In hospital | From effects of wounds | Blank |
| 15 | Theodore E. Curtis | Private | 6/24/64 | In hospital | From effects of wounds | Blank |
| 16 | Frederick Gardner | Private | 1/24/65 | In hospital | Disease | Blank |
| 17 | Blank | Blank | Blank | Blank | Blank | Blank |
| 18 | Jonathan Jackson | Private | 6/64 | In hospital | Disease | Blank |
| 19 | Lyman Westfall | Private | 2/18/65 | In hospital | Disease | Blank |
| 20 | Chauncey Baldwin | Private | 9/2/64 | Andersonville, GA | Diarrhoea | While a prisoner of war |
| 21 | Granville Woodall | Private | 6/64 | Blank | Blank | White House Landing, VA |