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60 ORIGINAL No. 563 ORIGINAL as STATES OF STATES OF Department of Commerce and Tabor Department of Conumerce and Tabor BUREAU OF IMMIGRATION AND NATURALIZATION BUREAU OF IMMIGRATION AND NATURALIZATION DIVISION OF NATURALIZATION DIVISION OF NATURALIZATION DECLARATION OF INTENTION DECLARATION OFINTENTION (Invalid for all purposes seven years after the date hereof) (Invalid for all purposes seven years after the date hereof) er CALIFORNIA in the In the SUPERIOR Court SS: roil County of of THI STATE OF Jackson - AND aged FOR Lee ANGELE COUNTY, 30 years, 3, County zues of to Housekeeper 55: of the King STATE RE N INS FOR Lee ANGELES COUNTY. 3. aged 26 years, occupation Househ leaper do declare affirma on oath that my personal occupation do declare on oath that my personal description is: Color White , complexion Light , height 5 feet 7 inches, description is: Color Mate , complexion Fair affirm height inches weight 13/ pounds, color of hair Light color of eyes Blue other visiblé distinctive marks I was born in Haminahot None other visible distinctive marks weight 1000 pounds, color of hair None Light color of eyes Brown : on the 11 day of August Normay : I was born in Ammy anno , on the 13 day of Dea anno Domini 877 I now reside at 617 Valencia Calp Domini I 881 I now reside at 6af Valeueia an (eff I emigrated to the United States of America from Christiana harmay I emigrated to the United States of America from on the vessel foreign residence was Hammafast Manuay Thingvalla my last on the vessel Managata my last foreign residence was Normay It. is bona fide intention to rénounce forever all allegiance and fidelity to any foreign Kong of Amox my potentate, state, or soyereignty, and particularly to Hackn VII It is my bona fide intention to renounce forever all allegiance and fidelity to any foreign prince, of which I am now a subject citisen prince, potentate, Roy the stater for of sovereignty, Normay and particularly to of which I am now a subject eitinen 1 arrived at the port of her your in the arrived at port of Newyork in the State District of Newyona State Texritory, on or about the 9 day of District have on or about the 9 day of Seph anno Domini T 899: 1 am not an anarchist: 1 am not a of sept anno Domini 1 899 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 nosta 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. Georgia (Original of deckrant.) Jerrin So HELP ME GOD. Henreelle (Original Macoblin declarant.) 90 Subscribed swor) to before me this 9 day Juny of and airti Subscribed [SEAL.] anno Domini 19 08 [SEAL"] a day of and vorn to before me , anno this Domini 9 19 08 AND OBUNTY DLX OFFICIO CLERIC GF AND CALIFORIBA: 203 na SUPERION LE 407 FOR 18 COUNTY Courte By Clerk. By

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356
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Document identity
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Page context
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    "ocrText": "60\nORIGINAL\nNo. 563\nORIGINAL\nas\nSTATES OF\nSTATES OF\nDepartment of Commerce and Tabor\nDepartment of Conumerce and Tabor\nBUREAU OF IMMIGRATION AND NATURALIZATION\nBUREAU OF IMMIGRATION AND NATURALIZATION\nDIVISION OF NATURALIZATION\nDIVISION OF NATURALIZATION\nDECLARATION OF INTENTION\nDECLARATION OFINTENTION\n(Invalid for all purposes seven years after the date hereof)\n(Invalid for all purposes seven years after the date hereof)\ner CALIFORNIA\nin the\nIn\nthe SUPERIOR\nCourt\nSS:\nroil\nCounty of\nof\nTHI STATE OF\nJackson - AND aged FOR\nLee ANGELE COUNTY,\n30 years,\n3,\nCounty zues of to Housekeeper 55: of the\nKing\nSTATE RE\nN INS FOR Lee ANGELES COUNTY.\n3.\naged 26 years,\noccupation\nHouseh leaper\ndo declare affirma on oath that my personal\noccupation\ndo declare on oath that my personal\ndescription is: Color White ,\ncomplexion\nLight\n, height 5 feet 7 inches,\ndescription is: Color Mate , complexion Fair affirm height inches\nweight 13/ pounds, color of hair Light\ncolor of eyes Blue\nother visiblé distinctive marks\nI was born in Haminahot\nNone\nother visible distinctive marks\nweight 1000 pounds, color of hair None Light color of eyes Brown\n:\non the\n11\nday of\nAugust\nNormay\n:\nI\nwas born in\nAmmy\nanno\n, on the 13 day of Dea\nanno\nDomini 877 I now reside at 617 Valencia Calp\nDomini\nI 881 I now reside at 6af Valeueia an (eff\nI emigrated to the United States of America from Christiana harmay\nI\nemigrated to the United States of America from\non the vessel\nforeign residence was Hammafast Manuay\nThingvalla\nmy last\non the vessel\nManagata\nmy last\nforeign\nresidence was Normay\nIt. is bona fide intention to rénounce forever all allegiance and fidelity to any foreign\nKong of Amox\nmy potentate, state, or soyereignty, and particularly to Hackn VII\nIt is my bona fide intention to renounce forever all allegiance and fidelity to any foreign\nprince,\nof which I am now a subject\ncitisen\nprince, potentate, Roy the stater for of sovereignty, Normay and particularly to of which I am now a subject eitinen\n1\narrived at the\nport of her your\nin the\narrived at port of\nNewyork\nin the\nState District of Newyona\nState\nTexritory,\non or about the 9 day\nof\nDistrict\nhave\non\nor about the 9 day\nof Seph\nanno Domini T 899: 1 am not an anarchist: 1 am not a\nof sept\nanno Domini 1 899 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 nosta believer in the practice of polygamy: and it is my intention in good faith\nto\nbecome a citizen of the United States of America and to permanently reside therein:\nto become a citizen of the United States of America and to permanently reside therein:\nSo HELP ME GOD.\nGeorgia\n(Original of deckrant.) Jerrin\nSo HELP ME GOD.\nHenreelle (Original Macoblin declarant.) 90\nSubscribed swor) to before me this 9\nday Juny of and\nairti\nSubscribed\n[SEAL.]\nanno Domini 19 08\n[SEAL\"] a\nday\nof and vorn to before me , anno this Domini 9 19\n08\nAND\nOBUNTY DLX OFFICIO CLERIC GF\nAND CALIFORIBA: 203\nna\nSUPERION LE 407 FOR 18 COUNTY\nCourte\nBy Clerk.\nBy"
}