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No. 563
Form 2303
TRIPLICATE
(To
be
STATES OF
Department of Commerce and Tabor
BUREAU OF IMMIGRATION AND NATURALIZATION
DIVISION OF NATURALIZATION
DECLARATION OF INTENTION
(Invalid for all purposes seven years after the date hereof)
In the SUPERIOR
ST.ATE of CALLIFORNTA
Court
County
of LO Angeles ss : of THB
Svave OF DALIPORIOA,
IN AND FOR Les ANDELES Courn,
3,
aged nb years,
occupation
do declare on oath
,
affirm
that my personal
description is: Color complexion Stain , height S
inches,
weight 120 pounds, color of hair Lighty color of eyes
other visible distinctive marks
Normal on ; I the was born 13 in day
Ame K
of
Day
anno
Domini I 581 now reside at 6gg. Valeucia A A Angeles (
I
emigrated United States, of America from
to the
on the vessel
; my
last
(If the allen arrived ether vesse) chagaçter of conveyance or name of transportation company should be given.]
foreign residence was
It is my bona fide intention to renounce forever all allegiande and fidelity to any foreign
prince, to
Key potentiate, state, or sovereignty) and particularly
citiest
of which I am now a subject
in the
arrived
at the port of
State
Territory of
of Diotrict seph anno Domini I 899 I am not an anarchist: in I good am not faith
two you
on or about the 9 day
polygamist nor a believer in the practice of polygamy: and it is my intention
to become a citizen of the United States of America and to permanently reside therein:
So HELP ME GOD.
Subscribed
sworn 16 (Original signature lazy
[SEAL ]
day of and affinated before me anno this Domini 19
of
the
a.a. Keyes
By the Loe COUNTY ANDELE (Aspay CLERK STATE AND
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Document data
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Context sent to Scholar
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"ocrText": "No. 563\nForm 2303\nTRIPLICATE\n(To\nbe\nSTATES OF\nDepartment of Commerce and Tabor\nBUREAU OF IMMIGRATION AND NATURALIZATION\nDIVISION OF NATURALIZATION\nDECLARATION OF INTENTION\n(Invalid for all purposes seven years after the date hereof)\nIn the SUPERIOR\nST.ATE of CALLIFORNTA\nCourt\nCounty\nof LO Angeles ss : of THB\nSvave OF DALIPORIOA,\nIN AND FOR Les ANDELES Courn,\n3,\naged nb years,\noccupation\ndo declare on oath\n,\naffirm\nthat my personal\ndescription is: Color complexion Stain , height S\ninches,\nweight 120 pounds, color of hair Lighty color of eyes\nother visible distinctive marks\nNormal on ; I the was born 13 in day\nAme K\nof\nDay\nanno\nDomini I 581 now reside at 6gg. Valeucia A A Angeles (\nI\nemigrated United States, of America from\nto the\non the vessel\n; my\nlast\n(If the allen arrived ether vesse) chagaçter of conveyance or name of transportation company should be given.]\nforeign residence was\nIt is my bona fide intention to renounce forever all allegiande and fidelity to any foreign\nprince, to\nKey potentiate, state, or sovereignty) and particularly\ncitiest\nof which I am now a subject\nin the\narrived\nat the port of\nState\nTerritory of\nof Diotrict seph anno Domini I 899 I am not an anarchist: in I good am not faith\ntwo you\non or about the 9 day\npolygamist nor a believer in the practice of polygamy: and it is my intention\nto become a citizen of the United States of America and to permanently reside therein:\nSo HELP ME GOD.\nSubscribed\nsworn 16 (Original signature lazy\n[SEAL ]\nday of and affinated before me anno this Domini 19\nof\nthe\na.a. Keyes\nBy the Loe COUNTY ANDELE (Aspay CLERK STATE AND"
}