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218 2707 ORIGINAL No.2708 219 ORIGINAL STATES of STATES Departutent of Commetce and Tabur Departminut of Commette and Tabor BUREAU OF IMMIGRATION AND NATURALIZATION BUREAU OF IMMIGRATION AND NATURALIZATION DIVISION OF NATURALIZATION DIVISION OF NATURALIZATION DECLARATION OF INTENTION DECLARATION OF INTENTION (Invalid for all purposes seven years after the daté hereof) (Invalid for all purposes seven years after the date hereof) W STATE OF:CAL! In the County of Los A geles SUPERIOR Court STATE OF CALTRORNIA SUPERIOR Court P In the SS : THE STATE OF GALIFORNIA, County of Los Angeles SS: of IN. AND FOR Los ANGELES COUNTA THE STATE OF CALIFORNIA of IN AND FOR LOS ANGELES COUNTY, 3, ans Warbat aged 31 years, 3. Ebeneyer Payne aged 45 years, occupation Gardener do declare on oath that my personal occupation Physician & Surgaon do declare on oath that my personal description is: Color White complexion Fair height feet 194 rinches, description is: Color White complexion Fair , affirm height 5 feet weight 185 pounds, color of hair Brown color of eyes Gray 8/2 inches, none weight 145 pounds, color of hair Brown color of eyes Gray other visible distinctive marks other visible distinctive marks None : I was born in Zabaln : I was born in Aimbledon Pussia on the 31st day of November anno SantaMina Calif England , on the 2nd day of december anno Domini I 878: I now reside at Domini 864 I now reside at I emigrated to the United States of America from Liverpool Eng Glendora balif I emigrated to the United States of America from on the vessel Do not remember (If the allen arrived otherwise than by .gessel, the chyfacter of conveyance or name of transporation company should be given.] : my last on the vessel (If the allen arrived City otherwise than vessel the of of conveyance Paris or name of : my last foreign residence was Zabaln Russia foreign residence was Plegmanth jransportation company should be given England It is my bona fide intention to renounce forever all allegiance and fidelity to any foreign It is my bona fide intention to renounce forever all allegiance and fidelity to any foreign prince, potentate, state, or sovereignty, and particularly to Nicholas II emperor of Russia prince, potentate, state, or sovereignty, and particularly to George King of which 1 am now a eitizen- , subject I of Great Britain A Iseland of which 1 am now a citizen subject ; I arrived at the port of State New york in the arrived at the port of New york in the Territory of new york on or about the 30th day State Dietrict Teseitory of new york on or about the 15th day of March , anno Domini 905 I am not an anarchist: I am not a of Distoice October anno Domini I 893; 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. ans Warbat oa So HELP ME GOD. (Origioa) signature of declarant.) Ebeneya Payne (Original signature of declarent.) Subscribed and sworn to before me this 15th Subscribed and affirreed before me this sworn to 15th [SEAL.] day of Sept anno Domini 1910 [SEAL triming day of Seft anno Domini 1910 a.G. Keyes C. G. Keyes COUNTY CLERK AND CLERK OF THE SUPERIOR COURT IN COUNTY COUNTY AND ex DEFICIO OLERIC OF - OR CALIFORNIA, ege THE LOS ANCEL SUPERIOR - 14 COUNTY By n Meritt Deputy Clerk. By Anscrit Deputy Clerk.

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    "ocrText": "218\n2707\nORIGINAL\nNo.2708\n219\nORIGINAL\nSTATES of\nSTATES\nDepartutent of Commetce and Tabur\nDepartminut of Commette and Tabor\nBUREAU OF IMMIGRATION AND NATURALIZATION\nBUREAU OF IMMIGRATION AND NATURALIZATION\nDIVISION OF NATURALIZATION\nDIVISION OF NATURALIZATION\nDECLARATION OF INTENTION\nDECLARATION OF INTENTION\n(Invalid for all purposes seven years after the daté hereof)\n(Invalid for all purposes seven years after the date hereof)\nW\nSTATE OF:CAL!\nIn the\nCounty of Los A geles\nSUPERIOR Court\nSTATE OF CALTRORNIA\nSUPERIOR Court\nP\nIn the\nSS :\nTHE STATE OF GALIFORNIA,\nCounty of Los Angeles\nSS:\nof\nIN. AND FOR Los ANGELES COUNTA\nTHE STATE OF CALIFORNIA\nof\nIN AND FOR LOS ANGELES COUNTY,\n3, ans Warbat\naged 31 years,\n3. Ebeneyer Payne\naged 45 years,\noccupation\nGardener\ndo declare on oath\nthat my personal\noccupation Physician & Surgaon do\ndeclare on oath\nthat my personal\ndescription is: Color White complexion Fair height feet 194 rinches,\ndescription is: Color White complexion Fair , affirm height 5\nfeet\nweight 185 pounds, color of hair Brown color of eyes Gray\n8/2\ninches,\nnone\nweight 145 pounds, color of hair Brown color of eyes Gray\nother visible distinctive marks\nother visible distinctive marks\nNone\n: I was born in Zabaln\n: I was born in Aimbledon\nPussia\non the 31st day of November anno\nSantaMina Calif\nEngland , on the 2nd day of december anno\nDomini I 878: I now reside at\nDomini 864 I now reside at\nI\nemigrated to the United States of America from Liverpool Eng\nGlendora balif\nI\nemigrated to the United States of America from\non the vessel\nDo not remember\n(If the allen arrived otherwise than by .gessel, the chyfacter of conveyance or name of transporation company should be given.]\n: my last\non the vessel\n(If\nthe\nallen\narrived City otherwise than vessel the of of conveyance Paris or name of\n: my last\nforeign residence was\nZabaln Russia\nforeign residence was\nPlegmanth\njransportation company should be given\nEngland\nIt is my bona fide intention to renounce forever all allegiance and fidelity to any foreign\nIt is my bona fide intention to renounce forever all allegiance and fidelity to any foreign\nprince, potentate, state, or sovereignty, and particularly to Nicholas II\nemperor of Russia\nprince, potentate, state, or sovereignty, and particularly to George King\nof which 1 am now a\neitizen-\n,\nsubject I\nof Great Britain A Iseland of which 1 am now a citizen subject ;\nI\narrived at the port of\nState\nNew york\nin the\narrived at the port of\nNew york\nin the\nTerritory of\nnew york\non or about the 30th day\nState\nDietrict\nTeseitory of\nnew york\non or about the 15th day\nof\nMarch\n,\nanno Domini 905 I am not an anarchist: I am not a\nof Distoice October\nanno Domini I 893; I am not. an anarchist; I am not\na\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:\nto become a citizen of the United States of America and to permanently reside therein:\nSo HELP ME GOD.\nans Warbat\noa\nSo HELP ME GOD.\n(Origioa) signature of declarant.)\nEbeneya Payne\n(Original signature of declarent.)\nSubscribed and sworn to before me this 15th\nSubscribed and affirreed before me this\nsworn to 15th\n[SEAL.]\nday of Sept\nanno Domini 1910\n[SEAL triming\nday of Seft anno Domini 1910\na.G. Keyes\nC. G. Keyes\nCOUNTY CLERK AND CLERK OF\nTHE SUPERIOR COURT IN COUNTY\nCOUNTY AND ex DEFICIO OLERIC OF\n- OR CALIFORNIA,\nege THE LOS ANCEL SUPERIOR - 14 COUNTY\nBy n Meritt Deputy Clerk.\nBy Anscrit Deputy Clerk."
}