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Collection: Original Records > Naturalization
Petitions for Citizenship - No. 600-699 (6-17-41 to 10-24-45) (421 pages)

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Page: of 421

Form N-405
(Old 2204 L-B)
U. S. DEPARTMENT OF JUSTICE
IMMIGRATION AND NATURALIZATION SERVICE
(Edition of 1-13-41)
ORIGINAL UNITED STATES OF AMERICA
(To be retained by
Clerk of Court) No. 670
PETITION FOR NATURALIZATION ;
[Under General Provisions of the Nationality Act of 1940 (Public, No.°853,°76th Cong.)]
This pelilion for naturalization, hereby made and filed, respectively shows:
(1) My full, true, and corroct namo Is __KEZIA. JANE ss ef ci 6 eat SRT eee
. a v! FAY pst name’ op fine &Fr weed, must ap; re
(2) My present placa of residence is POB 505 Gra Ss “‘Vairs 2 Teva fore 9(3) My occupation Is “Housewife
(4) Iam "22 ___ years old. (5) I wan pactote . \otober'25, TeV..’ casa Great Easton, England _
Mopeh) (Di . (Year) (City or town) puuty, district, provines, or state) nt
(8) My porsonal description is as follows: Sex _Fenale, coor WL te: complexion Fair, aio of eyes _ Gray eoloc or ialr ” GREY.
height 5 feet 5 inches, welght _120 pounds, visible distinctive marks _socar=-rt Wrist , race White
presont nationality .. British eee 2 (7) 1eWAS_____. merricd; the name of my wifo or husband mas. Janes Bursill Bis wt
wo were married on. LE NTUALY PA, LIOR i eS pot.. oWwintord -,meieester, England a
‘onth) (D: (Fhag, , me (Cy or town) tate omgo
he or she was born at__.LOT LOT» ----.-----; cocae ste te. 6 ae See Sre ,on “February. 26). 1872. oth See
y or Orn (Cgunty. sist, provin in URry, Mont! ay) (Year)
and entered the United States at San Frangi sos” C 232 = Ls 6 eee for permanent residence in the United States
y of town on ay’ ear
Se mK .deceasedes SSE ee ea TEES Se ENO ee creer On aa Geary 7
at. ee ash ee a certificalsiNo 9. ; 01 becamo a eitizen by -_-----_.-2---=e
(City,o7 town) (State)
(8) I have 3 ae children; and tho name, sex, date and place of birth, and present place of residence of cach of said children who is living, are as follows:
IRRCE re ied CUP AINICE MCh toe eleieget se ee Se se ee ae
(9) My last placo of foreign residence was -Patomares, 0 ACE» Mexica [sleet aakacs Soi ena (10) I emigrated to the United States from
i t, proVince, or state) (Country)
Salina Cruz, za aea, M exite Se, ; (11) My lawful entry for permanent residence in the United States was
at _San Francisco, Gal ifornia under the namo of _Hiza Jane: Bursi 11
on ..dune Ty" 1912. onthe Ue Se Ae! Be Butord oe
(Month) (Day) (Year (Name of veesel er other means of conveyance)
as shown by the certificate of my arrival attached to this petition.
(12) Since my lawful entry for permanent residenco I have pnot. been absent from the United States, for a period or periods of 6 months or longer, as follows:
DEPARTED FROM THE UNITED STATES RETURNED TO THE UNITED STATES
Port DATE Vessr~ OR OTHER MEANS Port DATE VESSEL OR OTHER MEANS
(Month, day, year) OF CONVEYANCE (Month, day, year) oF CONVEYANCE
(13) I declared my intention to become a citizen of the United Stetes on March 17. at 8° 5)" Beene in the Superior eet fs
\ ay) ear] Name of cour
Court of __ Nevada Count ee at Nevada Cit Py Calis Bn ces (14) It is my intention in good faith to become a
(City or town) (Stato)
citizen of the United States and to renourco absolutely and forover all allegiance and fidelity to any foreign prince, potentate, Stato, or sovereignty of whom or which at
this timo I am 4 subject or citizon, and it is my intention to reside permanently in the United States. (15) Inm not, and havo not been for the perlod of at least 10 years
immediately preceding tho dato of this petition, an anarchist; nor a believer in tho unlawful damage, injury, or destruction of property, or sabotage; nor a disbeliever in
or opposed to organized governmont; nor a member of or affiliated with any organization or body of persons teaching disbelief in or opposition to organized government.
(is) Iam ablo to speak tho English language (unless physically unable to doso). (17) Iam, and have been during all of the periods required by law, attached to the
principles of the Constitution of the United States and well disposed to tho good ordor and happiness of the United States. (18) [havo resided ontinuously in the
United States of America for the term of 5 years at least immediately preceding tho date of this potition, to wit, since .___
(Month) (Day) (¥ear)
and continuously in the State in which this petition {s mado for the term of 6 months at loast immediately preceding the date of this petition, to wit, since
-Novemher..1» — 1938 hee Seer (19) I have not. heretofore mado petition for naturalization: No. .-.-.---(Month) Day) (Year)
on es at
(Osfonth) (Day) (Year) (City or town)
Court, and such petition was dismissed or denied by that Court for tho following reasons and causes, to wit: _..__.-_-------..---------------------------------------and tho cause of such dismissal or denial has since been cured or removed.
(20) Attached beroto and mado a part of this, my paotition for naturalization, are my declaration of intention to become a citizen of the United States (if such declaration of intention bo required by the naturalization law), a certificate of arrival from tho Immigration and Naturalization Service of my sald lawful entry into the United
States for permanent residence (If such certificate of arrival bo required by the naturalization law), and the affidavits of at least two verifying witnesses required by law,
(21) Wheroforn, I, your potitioner for naturalization, pray that I may bo admitted a citizen of the United States of America, and that my namo be changed to(22) I, aforesaid petitioner, do swear (affirm) that I know tho contents of this potition for natural cribed by me, that the same ar 0 tho {my own
knowledge, excont as to matters therein statod to bo alloged mpon information and belief, and that as to those matters I believe them to be true, and that this petition is
th '. signed by mo with my full, truo namo: SO HELP ME GO.
(duporll
I, true, aed cof yet sisnature of petitioner, without abbr@lation) ~ a
UV
o16—19120.