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OCR
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."
}