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62
ORIGINAL
U.S. DEPARTMENT OF LABOR
NATURALIZATION SEWICE
/ No. 7051
U.S. DEPARTMENT OF LABOR
ORIGINAL
No. 7050
the
mee OF
STATES IOF:
DECLARATION OF INTENTION
DECLARATION OF: INTENTION
for - perpolité seven yeard after the date hereol)
for all seven yeara after the dote
the SUPERIOR Court
STATE or CALIFORNIA)
STATE OF CALIFORNIAL
al
In
Caunty of Los Angeles,
, State of California,
Caunty of Los
and
n)
In the SUPERIOR
ss:
in and for Los Angeles County.
ss:
Court
The State of Californial
of
of!! and for Los Angeles County.
g, andrew-maikay
aged 40 years,
Henry Winten Burne
occupation signals Fitter do declare my
on oath that personal
occupation
description is: Color white complexion Dark helght 5 feet
description
Cevel whate eugance do declare on aged oath that 21 my years,
complexion
weight 140 pounds, color of hair Auburn color of height
Dandy
personal
is:
Color
feet
5/1inches,
weight 186 pounds, color of hair DK Brown color of eyes Hagel
other visible distinctive marks
none
diene
other visible distinctive marks Dear on left Chis eyes
Hazel
1
was born in Darnoch S cottand
ni
mod
I
was born in monstereven King Ca Ireland
on
the 11 the day of January anno Domini - 874 now reside
on the
9th
day
of
april
at
2 21 st.7 airlitte, Cal
at
(Give number, street, alty or town, and State.)
538 Campton (Givo number, are alty or town, Watts California
anno Domini L reside
emigrated to the United Camerion States of America from glargow Scottand my last
I emigrated to the United States of America
1
on the vessel
on the vessel Santhern laugh (II the allen than by Youmòl, the character from of conveyance RR or - of
teperange mexics
otherwise than by the character of conveyance or hame of transportation company should be given.)
transportation company should be given.)
my last
fereign residence (II the was allen arrived glargout, S cottand
foreign residence was tsperanza means
It-is my bona fide intention to renourcice forever all allégiance 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
prince, potentate, state, or sovereignty, and particularly to
Geapge y, King of Great Britain and
George interview
and Irelan
of whom 1 am now a subject:
I arrived at the port of
new your in
5 the
Larrived at
the port of Negales
of whom 1 am now a subject:
State of new york
State of
arizona
in the
on or
about the 17th day
on or about the
of
november anno Domini 913 I am not an anarchist: I am-not
a
august
14 day
of
anno Domini 913 I am not an anarchist; I am not 4
polygamist nor a béliever in the practice of polygamy; and it is my intention in good falth
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 thereina
000 àM
So HELP ME GOD.
So HELP ME GOD.
seed stroof
Undrew (Original Wuellay algnature of declarant)
Henry Algnasore Bivan
of
Subscribed and swom to before me this
11 th
Subscribed and SWOED to before me this
11th
[SEAL!] a anno
day of
man anno
Domini 191
[SEAL.]
forms.
day
of march anno Domini
COUNTY CLERN AND EX-OFFICIO de
courre
H. J. Exlande THE
COUNTY CLERK AND EX-OFFICIO CLERK on
AJ.
CALIFORNIA
OF LOS ANOELES, STATE OF CALIFORNIA,
Clerk of the
Court.
Glerk of the
By Sygue Homese Deply 16-86 Clerk.
By Clerk. Court.
16-56
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"ocrText": "62\nORIGINAL\nU.S. DEPARTMENT OF LABOR\nNATURALIZATION SEWICE\n/ No. 7051\nU.S. DEPARTMENT OF LABOR\nORIGINAL\nNo. 7050\nthe\nmee OF\nSTATES IOF:\nDECLARATION OF INTENTION\nDECLARATION OF: INTENTION\nfor - perpolité seven yeard after the date hereol)\nfor all seven yeara after the dote\nthe SUPERIOR Court\nSTATE or CALIFORNIA)\nSTATE OF CALIFORNIAL\nal\nIn\nCaunty of Los Angeles,\n, State of California,\nCaunty of Los\nand\nn)\nIn the SUPERIOR\nss:\nin and for Los Angeles County.\nss:\nCourt\nThe State of Californial\nof\nof!! and for Los Angeles County.\ng, andrew-maikay\naged 40 years,\nHenry Winten Burne\noccupation signals Fitter do declare my\non oath that personal\noccupation\ndescription is: Color white complexion Dark helght 5 feet\ndescription\nCevel whate eugance do declare on aged oath that 21 my years,\ncomplexion\nweight 140 pounds, color of hair Auburn color of height\nDandy\npersonal\nis:\nColor\nfeet\n5/1inches,\nweight 186 pounds, color of hair DK Brown color of eyes Hagel\nother visible distinctive marks\nnone\ndiene\nother visible distinctive marks Dear on left Chis eyes\nHazel\n1\nwas born in Darnoch S cottand\nni\nmod\nI\nwas born in monstereven King Ca Ireland\non\nthe 11 the day of January anno Domini - 874 now reside\non the\n9th\nday\nof\napril\nat\n2 21 st.7 airlitte, Cal\nat\n(Give number, street, alty or town, and State.)\n538 Campton (Givo number, are alty or town, Watts California\nanno Domini L reside\nemigrated to the United Camerion States of America from glargow Scottand my last\nI emigrated to the United States of America\n1\non the vessel\non the vessel Santhern laugh (II the allen than by Youmòl, the character from of conveyance RR or - of\nteperange mexics\notherwise than by the character of conveyance or hame of transportation company should be given.)\ntransportation company should be given.)\nmy last\nfereign residence (II the was allen arrived glargout, S cottand\nforeign residence was tsperanza means\nIt-is my bona fide intention to renourcice forever all allégiance 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\nprince, potentate, state, or sovereignty, and particularly to\nGeapge y, King of Great Britain and\nGeorge interview\nand Irelan\nof whom 1 am now a subject:\nI arrived at the port of\nnew your in\n5 the\nLarrived at\nthe port of Negales\nof whom 1 am now a subject:\nState of new york\nState of\narizona\nin the\non or\nabout the 17th day\non or about the\nof\nnovember anno Domini 913 I am not an anarchist: I am-not\na\naugust\n14 day\nof\nanno Domini 913 I am not an anarchist; I am not 4\npolygamist nor a béliever in the practice of polygamy; and it is my intention in good falth\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 thereina\n000 àM\nSo HELP ME GOD.\nSo HELP ME GOD.\nseed stroof\nUndrew (Original Wuellay algnature of declarant)\nHenry Algnasore Bivan\nof\nSubscribed and swom to before me this\n11 th\nSubscribed and SWOED to before me this\n11th\n[SEAL!] a anno\nday of\nman anno\nDomini 191\n[SEAL.]\nforms.\nday\nof march anno Domini\nCOUNTY CLERN AND EX-OFFICIO de\ncourre\nH. J. Exlande THE\nCOUNTY CLERK AND EX-OFFICIO CLERK on\nAJ.\nCALIFORNIA\nOF LOS ANOELES, STATE OF CALIFORNIA,\nClerk of the\nCourt.\nGlerk of the\nBy Sygue Homese Deply 16-86 Clerk.\nBy Clerk. Court.\n16-56"
}