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PRIPLICATE
No.
370
STATES OF
Department of Commerce and Tubar
BUREAU OF IMMIGRATION AND NATURALIZATION
DIVISION OF NATURALIZATION
DECLARATION OF INTENTION
(Invalid for all purposes seven years after the date hereof)
STATE OF CAT
In
County of los Angeles FORMIA SS. of
the SUPERIOR Court
THE STATE OF CALIEQBNIA
IN AND FOR Los
,
aged
years,
occupation
Hanner
do declare on that my personal
oath
description is: Color
3
7
weight
14th pounds, color of hair Moral color of reyes Mohan feet inches.
other visible distinctive marks
Name
Domini - 869 now reside at aundale George anno
Chrisay
;
I
was born in Erickan
on
the of
I emigrated to the United States of America from
12
Laidon England
on the vessel
foreign
residence was Mecauso Shannang
; my las
It is my bona fide intention to renource forever all allegiance and fidelity to any foreign
prince, potentate, of state, or and particularly to of which I am now 11 a subject
arrived at the port of
in\th
State
Perritory of
two
on or
about the on
day
of
Distriet Signature anno Domini I X31 am not an
anarchist: I am
not
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
So HELP ME GOD.
Louis Thomas
(Original signature of declarant.)
Subscribed
90
[SEAL.]
day of and affinmed swopkto before C. me anno this
Domini you
G. Keyes
By the THE-BUPERION
anfived otherwise
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"ocrText": "PRIPLICATE\nNo.\n370\nSTATES OF\nDepartment of Commerce and Tubar\nBUREAU OF IMMIGRATION AND NATURALIZATION\nDIVISION OF NATURALIZATION\nDECLARATION OF INTENTION\n(Invalid for all purposes seven years after the date hereof)\nSTATE OF CAT\nIn\nCounty of los Angeles FORMIA SS. of\nthe SUPERIOR Court\nTHE STATE OF CALIEQBNIA\nIN AND FOR Los\n,\naged\nyears,\noccupation\nHanner\ndo declare on that my personal\noath\ndescription is: Color\n3\n7\nweight\n14th pounds, color of hair Moral color of reyes Mohan feet inches.\nother visible distinctive marks\nName\nDomini - 869 now reside at aundale George anno\nChrisay\n;\nI\nwas born in Erickan\non\nthe of\nI emigrated to the United States of America from\n12\nLaidon England\non the vessel\nforeign\nresidence was Mecauso Shannang\n; my las\nIt is my bona fide intention to renource forever all allegiance and fidelity to any foreign\nprince, potentate, of state, or and particularly to of which I am now 11 a subject\narrived at the port of\nin\\th\nState\nPerritory of\ntwo\non or\nabout the on\nday\nof\nDistriet Signature anno Domini I X31 am not an\nanarchist: I am\nnot\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\nSo HELP ME GOD.\nLouis Thomas\n(Original signature of declarant.)\nSubscribed\n90\n[SEAL.]\nday of and affinmed swopkto before C. me anno this\nDomini you\nG. Keyes\nBy the THE-BUPERION\nanfived otherwise"
}