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1110 No. 993 Form 2903 TRIPLICATE [Tobe alven lo the person making STATES OF Repartment nf Conmerce and Tabur BUREAU OF IMMIGRATION AND NATURALIZATION DIVISION OF NATURALIZATION DECLARATION OF INTENTION (Invalid for all purposes seven years after the date hereof) In the SUPERIOR Court STATE OF CALIFORNIA) County of Los Angeles SS: IN AND FOR Loe ANGELES COUNTY, ofree STATE DE CALIFORNIA, 3. John Nalson kilburx Boake , aged 49. years, Farmer do declare on oath that my personal , occupation affirm description is: Color White , complexion Fair height 5 weight 130 pounds, color of hair Brown. color of eyes Grey none. other visible distinctive marks : I was born in Foronto Canada , on the , sh. day of November , anno Domini I 858; I now reside at Pomona oad 1 emigrated to the United States of America from Winnipeg Cauada Break northen R R. ; my last on the vessel (If the allen arrived otherwise than by ressel, the charaçter of conveyance or name of transportation company should be given.] foreign residence was Winnipeg Canada It is bona fide intention to renounce forever all allegiance and fidelity to any foreign prince, my potentate, state, or sovereignty, and particularly to Eonard King of break Britain K Ireland , of which I am now a citizem subject ; I arrived at the port of AX Vincent in the State minnisor on or about the 10% day of of October , anno Domini I 888. 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 to become a citizen of the United States of America and to permanently reside therein: So HELP ME GOD. John Nelson (Original signature Gilbert Boar declarant.) of 14th Subscribed and affirmed sworn to before me this [SEAL.] of August anno Domini 19 of day , C. G. Keyes AND EX-OFFICIO CLERK OF TH: if IN AND FOR THE COUNTY COUNTY CLERK Court. Clerk of the TAVE OF GALIFORNIA. , By Anducy Clerk.

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653
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Page context
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    "ocrText": "1110\nNo. 993\nForm 2903\nTRIPLICATE\n[Tobe alven lo the person making\nSTATES OF\nRepartment nf Conmerce and Tabur\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\nCourt\nSTATE OF CALIFORNIA)\nCounty of Los Angeles\nSS:\nIN AND FOR Loe ANGELES COUNTY,\nofree STATE DE CALIFORNIA,\n3. John Nalson kilburx Boake\n, aged\n49. years,\nFarmer\ndo declare on oath that my personal\n,\noccupation\naffirm\ndescription is: Color White , complexion Fair height 5\nweight 130 pounds, color of hair Brown. color of eyes Grey\nnone.\nother visible distinctive marks\n:\nI was born\nin Foronto\nCanada\n, on the\n, sh. day of November\n, anno\nDomini I 858; I now reside at\nPomona oad\n1 emigrated to the United States of America from Winnipeg Cauada\nBreak northen R\nR.\n; my last\non the vessel\n(If the allen arrived otherwise than by ressel, the charaçter of conveyance or name of transportation company should be given.]\nforeign residence was\nWinnipeg\nCanada\nIt is bona fide intention to renounce forever all allegiance and fidelity to any foreign\nprince, my potentate, state, or sovereignty, and particularly to Eonard\nKing of break Britain K Ireland\n, of which I am now a citizem subject ; I\narrived at the port of\nAX Vincent\nin the\nState\nminnisor\non or about the\n10% day\nof\nof October\n, anno Domini I 888. I am not an anarchist: I am not a\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.\nJohn Nelson (Original signature Gilbert Boar declarant.)\nof\n14th\nSubscribed and affirmed sworn to before me this\n[SEAL.]\nof August\nanno Domini 19 of\nday\n,\nC. G. Keyes AND EX-OFFICIO CLERK OF\nTH: if IN AND FOR THE COUNTY\nCOUNTY CLERK\nCourt.\nClerk of the TAVE OF GALIFORNIA.\n,\nBy\nAnducy\nClerk."
}