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112
113
No. 2104
ORIGINAL
of
No. 2003
ORIGINAL
STATES OF
STATES OF
nt and
nf and
BUREAU OF IMMIGRATION AND NATURALIZATION
BUREAU OF IMMIGRATION AND NATURALIZATION
DIVISTON or
DIVISION or NATURALIZATION
DECLARATION OF. INTENTION
DECLARATION OF INTENTION
(Invalid for all parposes - years after the date hereol)
(Invalid for all purposes seven years after the date hereol)
In
the SUPERIOR Court
STATE OF CALIFORNIA
OF CALIFORNIZ)
n°
In the
SUPERIOR
Court
ss:
- A FOR Lee ANGELES COUNTY
ss:
County of Los Angeles
County of Los Angbles
AND FOR Los ANGEL ES COUNTY.
STATE DE CALIFORNIA
of THS CA
3,
Xemace William Grunfies
aged
32 years,
3,
Engons Ptuiffer
aged
nt years.
occupation
thrik
do affirm on that my personal
declare oath
occupation
Failon
,
do declare affirm on oath that my personal
description is: Color white complexion Dark height 1 inches,
description is: Color while
complexion Light height feet 4 inches,
weight 165 pounds, color of hair Brown color of eyes Brown
weight 173 pounds, color of hair Brown color of eyes Blue
other visible distinctive marks
none.
witnessib aldiziy
other visible distinctive marks
none
1 was born in handsmorth
1 was born in
!
Poitiers
England
on the
7
day of
October
anno
France
, on the
6
day of
July
anno
Domini 1882 I now reside at
Las Angeles
but
Inimoci
Domini I 885, I now reside at
has Angules
Eal
I to
emigrated the United"States of America from harpool England
I to the States of America from
emigrated United Crystel Beach Canade
on the vessel
Etures
has my last
on the vessel
Jerry
: my last
(If the allen arrived otherwise than by vessel, the Character of conneyance - - of transportation company should be given.)
(If the allen arrived otherwise than by vessel, the chafacter of converance or name of transportation company should be given.]
foreign residence was
London
England
autunal
foreign residence was Quebuk Onneda
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 Eonardri
prince, and particularly to the French
potentate, state, or sovereignty,
thing of Greak Britain K Incland
of which 1 am now a citizen subject I
Republic
of which I am now a citizen subject I
arrived at the port of
newyork
in the
arrived at the port of
Buffalo
to two in the
State
State
Tervitory of
newyork
on or about the
16 day
Territacy of
Newyork
on or àbout the 28
day
District
Distict
of
July
anno Domini 1905 am not an anarchist: 1 am not
a
of
Jane
anno Domini 908 am not an anarchist: 1 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 3 citizen of the United States of America and to permanently reside therein:
So HELP ME GOD.
Instructures 000 Greenfield M
So HELP ME GOD.
when
(Original signature of declarant.)
Eugine (Original Steffer de declarant.)
aldi
Subscribed and sworn to béfore me this
14
Subscribed and before me this
140
[SEAL.] inimoil
day of
Beby cab
anno Domini give
[SEAL.]
day of Judy
anno Domini are
COUNTY KND EN
AND
O. e or the courr IN AND FOR 3 Court.
HE GOUNTY
O. G. Keyen of
Clerk.
mechany
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"ocrText": "112\n113\nNo. 2104\nORIGINAL\nof\nNo. 2003\nORIGINAL\nSTATES OF\nSTATES OF\nnt and\nnf and\nBUREAU OF IMMIGRATION AND NATURALIZATION\nBUREAU OF IMMIGRATION AND NATURALIZATION\nDIVISTON or\nDIVISION or NATURALIZATION\nDECLARATION OF. INTENTION\nDECLARATION OF INTENTION\n(Invalid for all parposes - years after the date hereol)\n(Invalid for all purposes seven years after the date hereol)\nIn\nthe SUPERIOR Court\nSTATE OF CALIFORNIA\nOF CALIFORNIZ)\nn°\nIn the\nSUPERIOR\nCourt\nss:\n- A FOR Lee ANGELES COUNTY\nss:\nCounty of Los Angeles\nCounty of Los Angbles\nAND FOR Los ANGEL ES COUNTY.\nSTATE DE CALIFORNIA\nof THS CA\n3,\nXemace William Grunfies\naged\n32 years,\n3,\nEngons Ptuiffer\naged\nnt years.\noccupation\nthrik\ndo affirm on that my personal\ndeclare oath\noccupation\nFailon\n,\ndo declare affirm on oath that my personal\ndescription is: Color white complexion Dark height 1 inches,\ndescription is: Color while\ncomplexion Light height feet 4 inches,\nweight 165 pounds, color of hair Brown color of eyes Brown\nweight 173 pounds, color of hair Brown color of eyes Blue\nother visible distinctive marks\nnone.\nwitnessib aldiziy\nother visible distinctive marks\nnone\n1 was born in handsmorth\n1 was born in\n!\nPoitiers\nEngland\non the\n7\nday of\nOctober\nanno\nFrance\n, on the\n6\nday of\nJuly\nanno\nDomini 1882 I now reside at\nLas Angeles\nbut\nInimoci\nDomini I 885, I now reside at\nhas Angules\nEal\nI to\nemigrated the United\"States of America from harpool England\nI to the States of America from\nemigrated United Crystel Beach Canade\non the vessel\nEtures\nhas my last\non the vessel\nJerry\n: my last\n(If the allen arrived otherwise than by vessel, the Character of conneyance - - of transportation company should be given.)\n(If the allen arrived otherwise than by vessel, the chafacter of converance or name of transportation company should be given.]\nforeign residence was\nLondon\nEngland\nautunal\nforeign residence was Quebuk Onneda\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 Eonardri\nprince, and particularly to the French\npotentate, state, or sovereignty,\nthing of Greak Britain K Incland\nof which 1 am now a citizen subject I\nRepublic\nof which I am now a citizen subject I\narrived at the port of\nnewyork\nin the\narrived at the port of\nBuffalo\nto two in the\nState\nState\nTervitory of\nnewyork\non or about the\n16 day\nTerritacy of\nNewyork\non or àbout the 28\nday\nDistrict\nDistict\nof\nJuly\nanno Domini 1905 am not an anarchist: 1 am not\na\nof\nJane\nanno Domini 908 am not an anarchist: 1 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:\nto become 3 citizen of the United States of America and to permanently reside therein:\nSo HELP ME GOD.\nInstructures 000 Greenfield M\nSo HELP ME GOD.\nwhen\n(Original signature of declarant.)\nEugine (Original Steffer de declarant.)\naldi\nSubscribed and sworn to béfore me this\n14\nSubscribed and before me this\n140\n[SEAL.] inimoil\nday of\nBeby cab\nanno Domini give\n[SEAL.]\nday of Judy\nanno Domini are\nCOUNTY KND EN\nAND\nO. e or the courr IN AND FOR 3 Court.\nHE GOUNTY\nO. G. Keyen of\nClerk.\nmechany"
}