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ORIGINAL
No. Hoet
405
ORIGINAL
STATES OF
STATES OF
Department of Ennumerce and Tabor
Erpartment of Commerce aud Tabor
BUREAU OF. IMMIGRATION AND NATURALIZATION
BUREAU OF IMMIGRATION AND NATURALIZATION
DIVISION OF NATURALIZATION
DIVIBION OF NATURALIZATION
DECLARATION OF INTENTION
DECLARATION OF INTENTION
(Invalid for all purposes seven years after the date hereof)
(Invalid for all purposes seven years after the date hereof)
STATE of
In the SUPERIOR Court
STATE OF CALTFORNTA)
in the
SUPERIOR Court
SS :
County of tos Ay geles,
of
THE STATE DF. CALIFORNIA,
Signature County of .08 Augeles ss: of IN THE AND STATE FOR ,
OF CALIFORNIA,
IN AND) FOR Los ANGELES COUNTA
Los ANGELEE COUNTY,
3.
aged 36 years,
aged 32 years,
do
declare on oath
occupation
affirm
that my personal
occupation
Clayk
do affirm that my personal
declare on oath
description is: complexion, Pany height 5 feet 11 inches, 1
description is: Color White complexion Jain
height 5 feel 13/01 inches,
weight color of hair Brron color of eyes John
weight 146 pounds, color of hair Joronn color of eyes the
other visible distinctive marks
Companies
I was born in Newlyn
None
other visible distinctive marks
:
on
(maland
:
the
22
day
of
March
I was born in Manlatone Ook
anno
on the
15th of
day
anno
Domini 15th now reside at Sale
Domini Bopet now reside at 140 E.blech 00 Cauguly Parga
Lou
1 emigrated to
the United Merchandy States of America from
I
emigrated to the United States 66 America from George Pagland
on the vessel
: my last
on the vessel*
E of (nicage
my last
foreign residence was
It is my bona fide intention to renounce forever all allegiance and fidelity to any foreign
England
foreign residence was South thigh England
It is to forever all to
prince
potentate, state, or sovereignty, and particularly of which I am now Ray citimen of
prince,
my poteptate, DOR@ fide state, intention on sovereignty, renounce and Arland particularly allegiancé, to of which and fidelity I am now any a foreign 1
a
subject
:
I
subject
arrived at the port of
New york
in the
arrived at the port of
in the
State
Ternitory of
New you
on or about the 12 day
State
Ferritory of
District
District
aport
the
John
on or about the gm day
of
anno Domini 902 1 am not an anarchist: I am not a
of
, anno Domini 1 00x I am not an anarchist: I am not a
polygamist nor a believer in the practice of polygamy: and it is my intention in good faith
polygamist nor a believer in the practice of polygamy; and it is my intention in good faith
to become a citizen of the United States. of America and to permanently reside therein
:
to become a citizen of the United States of America and to permanently reside therein:
So HELP ME GOD.
So HELP ME GOD.
state
Michard Sump
(Original signature of declarant)
(Original algnature of de
Subscribed
and swornto before me auno this Domini qn
Subscribed and affirmed sworn 10 before me this M
[SEAL.
day
[SBAL.]
day of de
agino, Domini 10.
OLERK AND OLERIE
MOUNTY OLERK EX-OFFICIO
GOURT AND FOR
THE
COUNTY
IN-AND
FOR
By Repeally Clerk.
By
agenty Clark.
Page data
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Document data
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- Core
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- Type
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"ocrText": "ORIGINAL\nNo. Hoet\n405\nORIGINAL\nSTATES OF\nSTATES OF\nDepartment of Ennumerce and Tabor\nErpartment of Commerce aud Tabor\nBUREAU OF. IMMIGRATION AND NATURALIZATION\nBUREAU OF IMMIGRATION AND NATURALIZATION\nDIVISION OF NATURALIZATION\nDIVIBION OF NATURALIZATION\nDECLARATION OF INTENTION\nDECLARATION OF INTENTION\n(Invalid for all purposes seven years after the date hereof)\n(Invalid for all purposes seven years after the date hereof)\nSTATE of\nIn the SUPERIOR Court\nSTATE OF CALTFORNTA)\nin the\nSUPERIOR Court\nSS :\nCounty of tos Ay geles,\nof\nTHE STATE DF. CALIFORNIA,\nSignature County of .08 Augeles ss: of IN THE AND STATE FOR ,\nOF CALIFORNIA,\nIN AND) FOR Los ANGELES COUNTA\nLos ANGELEE COUNTY,\n3.\naged 36 years,\naged 32 years,\ndo\ndeclare on oath\noccupation\naffirm\nthat my personal\noccupation\nClayk\ndo affirm that my personal\ndeclare on oath\ndescription is: complexion, Pany height 5 feet 11 inches, 1\ndescription is: Color White complexion Jain\nheight 5 feel 13/01 inches,\nweight color of hair Brron color of eyes John\nweight 146 pounds, color of hair Joronn color of eyes the\nother visible distinctive marks\nCompanies\nI was born in Newlyn\nNone\nother visible distinctive marks\n:\non\n(maland\n:\nthe\n22\nday\nof\nMarch\nI was born in Manlatone Ook\nanno\non the\n15th of\nday\nanno\nDomini 15th now reside at Sale\nDomini Bopet now reside at 140 E.blech 00 Cauguly Parga\nLou\n1 emigrated to\nthe United Merchandy States of America from\nI\nemigrated to the United States 66 America from George Pagland\non the vessel\n: my last\non the vessel*\nE of (nicage\nmy last\nforeign residence was\nIt is my bona fide intention to renounce forever all allegiance and fidelity to any foreign\nEngland\nforeign residence was South thigh England\nIt is to forever all to\nprince\npotentate, state, or sovereignty, and particularly of which I am now Ray citimen of\nprince,\nmy poteptate, DOR@ fide state, intention on sovereignty, renounce and Arland particularly allegiancé, to of which and fidelity I am now any a foreign 1\na\nsubject\n:\nI\nsubject\narrived at the port of\nNew york\nin the\narrived at the port of\nin the\nState\nTernitory of\nNew you\non or about the 12 day\nState\nFerritory of\nDistrict\nDistrict\naport\nthe\nJohn\non or about the gm day\nof\nanno Domini 902 1 am not an anarchist: I am not a\nof\n, anno Domini 1 00x I am not an anarchist: I am not a\npolygamist nor a believer in the practice of polygamy: and it is my intention in good faith\npolygamist nor a believer in the practice of polygamy; and it is my intention in good faith\nto become a citizen of the United States. of America and to permanently reside therein\n:\nto become a citizen of the United States of America and to permanently reside therein:\nSo HELP ME GOD.\nSo HELP ME GOD.\nstate\nMichard Sump\n(Original signature of declarant)\n(Original algnature of de\nSubscribed\nand swornto before me auno this Domini qn\nSubscribed and affirmed sworn 10 before me this M\n[SEAL.\nday\n[SBAL.]\nday of de\nagino, Domini 10.\nOLERK AND OLERIE\nMOUNTY OLERK EX-OFFICIO\nGOURT AND FOR\nTHE\nCOUNTY\nIN-AND\nFOR\nBy Repeally Clerk.\nBy\nagenty Clark."
}