- Sarah Pack Burress Widows Pension FORM NO. 3 APPLICATION OF WIDOW
I, Sarah Burress, do hereby apply for aid under the act of the General Assembly of Virginia, approved April 2, 1902, entitled an act to aid the citizens of Virginia who were disabled by wounds received during the war between the States while serving as soldiers, sailors, or marines of Virginia,
and such as served during the said war as soldiers, sailors, or marines of Virginia, who are now disabled by disease contracted during the war, or by the infirmities of age, and the widows of soldiers, sailors, or marines of Virginia who lost their lives in said service, or whose death resulted from wounds received or disease contracted in said service, and providing penalties for violating the provisions of this act,
and I do solemnly swear that I am a citizen of the State of Virginia resident at North Tazewell, in the County Tazewell in the said State, and that I have been an actual resident of the State for two years, and of the said city (or county) for one year next preceding the date of this application,
and that I am the widow of William H. Burress, who was a soldier (sailor or marine) in the service of the State of Virginia in the war between the States, and who was a member of (here state specifically the command and branch of the service to which the husband of the applicant belonged, and, if possible, the names of his immediate superior officers)
37 Battalion Capt. C.C. Pack and S.C. Morgan and who, while in the discharge of his duty in the military or naval service of the State of Virginia, or of the Confederate States, during the said war, lost his life (if the husband of such widow was killed or died during the war as the result of wounds received, state the facts of the case as near as possible, giving the date of the husband's death) died since the war (if husband died after the war, strike out all relating to his death during the war, and then proceed as follows:)
and who has since the said war died (here state specifically the cause of the death of the husband of the applicant and the date thereof)
died since the war contracted lung trouble which resulted in consumption and that, to the best of my knowledge, during the said war my said husband was loyal and true to his duty, and never, at any time, deserted his command or voluntarily abandoned his post of duty in the said service, and that I was never divorced from my said husband, and that I never voluntarily abandoned him during his life, but remained his true, faithful, and lawful wife up to the date of his death, and that I have never married since his death, and that I am now entitled to receive, under the said act, the sum of forty dollars annually.
And I do further swear that I do not hold any position or office, weather national, state, city or county, which pays me in salary or fees one hundred and fifty dollars per annum, nor have I an income from any other employment or other source whatever which amounts to one hundred and fifty dollars per annum; nor do I receive from any source whatever money or other means of support amounting in value to the sum of one hundred and fifty dollars per annum; nor do I own in my own right, nor does any one hold in trust for my benefit or use estate or property, either real, personal, or mixed, either in fee or for life, of the assessed value to five hundred dollars; nor do I receive any aid or pension from any State, or from the United States, or from any other source, and that I am not an inmate of any public institution, and that I am without means of support, direct or indirect;
and I do further swear that the answers given to the following questions are true:
What is your age? 60
Where were you born? Floyd County, Virginia
How long have you resided in Virginia? All my life
How long have you resided in the city or county of your residence? Ever since I was 5 years old
What is your husband's full name? William H. Burress
When and where were you married and by whom? Tazewell, by Bird Lockhart
When and where, as near as you can state, did your husband die, and from what cause? Tazewell County, Virginia
Have you been married since the death of your said husband? Never
Where and with whom do you now reside? By myself, one daughter, 20 years old, and one son 18 years old
What property - real, personal or mixed - do you own? Very little house hold and kitchen furniture
What assistance do you receive, and what income have you from any source? Nothing
If your husband died since the war, please state where he died, and, if possible, the name and address of the attending physician? Died since the war in Tazewell Co. Dr. Alexander Hufford
Give the names and addresses, if possible of two comrades in arms of your deceased husband. C.C. Pack, Raven Va. Mack (?) Pruett
Give the names and addresses of two persons who are familiar with the circumstances of your husband's death. Reese Peery and Wesley P.W Lilly, North Tazewell, Va.
If your husband died since the war, please state whether his death resulted from wounds received in the war or from disease. Contracted consumption during the war
Give, as near as you can, the nature of the wound or the character of the disease from which your husband died. No answer
Give here any other information you may possess relating to the service of your husband or of his death that will support the justice of your claim for aid. No answer
Is there any camp of Confederate veterans in the city or county of your residence? Yes
Is there any one living, the residence and address of whom is known to you, either comrade or otherwise, who has knowledge of your husband's service and the cause of his death? If so or not, state. C.C. Pack and Mack (?) Pruett
Given under my hand this 28th day of May, 1903
Sarah Burress I H. Bane Harman, Clerk of the Circuit Court, in and for the County of Tazewell, in the State of Virginia, do certify that Sarah Burress, whose name is signed to the foregoing application, personally appeared before me in my office aforesaid and having the aforesaid application read to her and fully explained, as well as the statements and answers therein made, the said Sarah Burress made oath before me that the said statements and answers are true. Given under my hand this 28th day of May, 1903 H. Bane Harman Clerk, Tazewell Circuit Clerk
(A) OATH OF RESIDENT WITNESS We ________ , do solemnly swear that we are residents of the County of ________, in the State, and that we have known personally and well for ________ years ________, whose name is signed to the annexed application for aid under the act of the General Assembly of Virginia, approved April 2, 1902, and that the said ________is a resident of the said county, and is a woman of good reputation for truth and honesty, and that we have read the annexed application and the answers to the questions therein propounded, made by the said applicant, and verily believe that the said applicant has been truthful in the said statements and answers, and that from our personal knowledge we verily believe the said applicant is justly entitled to aid under the said act, and that we have no personal interest in the allowance of the applicant's claim. Subscribed to and sworn to before me, ________ for the County of ________, State of Virginia, this ________19___. Signed ________
(B) AFFIDAVIT OF COMRADES We, C.C. Pack and ? Gillespie do solemnly swear that we are residents of the County of Tazewell, in the State of Virginia, and that Sarah Burress whose name is signed to the annexed application for aid under the act of the General Assembly of Virginia, approved April 2, 1902, is personally well known to us, and that we have known her for life, and know her to be the widow of William H. Burress, who was a soldier (sailor or marine) in the military (or naval) service of Virginia, or of the Confederate States, and that we were soldiers (sailors or marines) in the said service during the said war, and that we were, with the said William H. Burress, members of (here state the command and the immediate superior officers thereof) 37 Battalion under Col. A.C. Dunn, Major Claiborne and Captain C.C. Pack and that our personal knowledge, on or about the ----------- day of -------- 186- at (here state battle or combat where killed or fatal wounds received) ------------ and that the said ------------------------ during the said war (state here whether killed or died as a result of wounds received, or surgical operation therefore) ------------------------ (if he died after the war, strike out all relating to death during the war and proceed as follows),
on or about 5 years ago the said William H. Burress died, and that the said William H. Burress was a true and loyal soldier in the said service, and was faithful in the discharge of his duty as a soldier (sailor or marine) in the said service, and that we have no personal interest in the allowance of the applicant's claim.
C.C. Pack Subscribed and sworn to before me, ???? for the County of Tazewell, State of Virginia, this 2nd day of August, 1902 W.B. Spratt
Note.-- If only one comrade is living whose residence and address is known to applicant, let him make the above affidavit. If no such comrade is living whose address is known to applicant, then let one or more reputable persons who have personal knowledge of the services of the applicant and of cause of his disability, make the following affidavit.
(C) AFFADAVIT OF WITNESSES, NOT COMRADES, AS TO WOUNDS We, _______ of the County in the State of Virginia, do solemnly swear that we personally know, and are well acquainted with _______ whose name is signed to the annexed application, and who is applying for aid under the General Assembly of Virginia, approved April 2, 1902, and that we have known the said applicant for _______ and that to our personal knowledge she is the widow of _______, who was a loyal and true soldier (sailor or marine) in the military (or naval) service of Virginia, or of the Confederate States, in the war between the States, and that on or about the -------- day of --------- 186-- at (here state battle of combat where killed or fatal wound received) ------------------------------- the said ---------------- during the said war (state here whether killed or died as the result of wounds received, or surgical operation therefore) -------------------- (if he died after the war, strike out all relating to death during the war and proceed as follows), on or about the _______ day of _______, the said _______ died, and that the said _______ and _______ lived as husband and wife up to the date of the death of the said _______ and that we have no personal interest in the allowance of the applicant's claim. Subscribed and sworn to before me _______, in and for the County of _______ Virginia this _______ day of _______, 19__.
(D) CERTIFICATE OF PHYSICIAN I, C.W. Greever a practicing physician in the County of Tazewell, in the State of Virginia, do certify that I am personally acquainted with Sarah Burress, whose name is signed to the annexed application for aid under the act of the General Assembly of Virginia, approved April 2, 1902, and that I attended her husband, did wit attack the said William H. Burress, during his last illness, and that from my professional knowledge of the cause of his death, I verily believe that his death resulted from ??? lung trouble and I have no personal interest in the allowance of the applicant's claim. Given under my hand, this 28th May, 1902. C.W. Greever M.D
NOTE.-- This certificate of physician shall only be required in cases where the husband has died since the close of the war.
(E) CERTIFICATE OF CAMP OF CONFEDERATE VETERANS The _________ Camp of Confederate Veterans of the County of _________, in the State of Virginia, hereby certifies that it has examined into the merits of the annexed application of _________ for aid under the act of the General Assembly of Virginia, approved April 2, 1902, and being satisfied of the justice of her claim, hereby recommends the said _________ for aid under the provisions of the said act, and that it has no personal interest in the allowance of the applicant?s claim. NOTE - If there is no camp of Confederate veterans in applicant?s city or county, then the affidavit of two ex-Confederate soldiers residing in said city or county must be obtained, as follows:
(F) CERTIFICATE OF EX-CONFEDERATE SOLDIERS We, ------------------------------ and ------------------, of the ------------ of --------- State of Virginia, do certify that we were soldiers (sailors or marines) of Virginia in the war between the States, and that we have examined into the merits of the annexed application of ---------------- for aid under the act of the General Assembly of Virginia, approved April 2, 1902, and that we are satisfied of the justice of her claim, and recommend the said -------------------------- for aid under the provisions of the said act, and that we have no personal interest in the allowance of the applicant?s claim. Given under our hands, this ---------day of--------, 19--
(G) CERTIFICATE OF THE COMMISSIONER OF THE REVENUE. I, J. N. Johnson, Commissioner of the revenue, in the County of Tazewell in the State of Virginia, do certify that Sarah Burress or her trustee, whose name is signed to the annexed application for aid under the act of the General Assembly of Virginia, approved April 2, 1902, is charged on the land and personal property books of the said County with estate, real, personal and mixed, of the assessed value of $500 (or 100??) dollars. Given under my hand, this ??? day of September, 1902. J.N. Johnson
|
1843 - 1922 (78 years)
Census 1850
: Address
: Location
: City/Town
: County/Shire
: State/Province
: Country
: Not Set
