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Form 2908 TRIPLICATE No. 2071 STATES OF Bepartment nf Commerce and Tabor BUREAU OF IMMIGRATION AND NATURALIZATION DIVISION OF NATURALIZATION DECLARATION OF INTENTION (Invalid for all purposes seven years after the date hereof) STATE OF CALIFORNIAL In the SUPERIOR Court SS : IN AMD FOR Los ANGELES COUNTY, of THE STATE or GA+ John James Burk , aged 30 years, 3. Sailon do declare affirm on oath that my personal occupation description is: Color white complexion Fair height 5 feet 7. inches, , weight 165. pounds, color of hair Brown color of eyes Blue none other visible distinctive marks : I was born in hiverpool England on the 17 day of April , anno Domini I 879: I now reside at fan Pedro bad I emigrated to the United States of America from NewCasth Australia Nany Failing ; my last on the vessel the allen arrived gsherwise the character of cony) ance name of transportation company should be given.) foreign residence [If was Kendarth Australia It is my bona fide intention to renounce forever all allegiance and fidelity to any foreign prince, potentate state, or sovereignty, and particularly to Emmard VII King of Great Britaink Antransives Sriand , of which I am now a subject I citizen in the , arrived at the port of State Oalifornia on or about the 9. day Tessitory of District of January , anno Domini 907; I 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 to become a citizen of the United States of America and to permanently reside therein: So HELP ME GOD. John games Burke (Original signature of declaranti) . Subscribed and sworn affirmed- to before me this 2, the [SEAL ] day of January anno Domini 19 10 C. G. Keyes GOUNTY CLERK AND E OF the count IN AND FOO THE COUNTY Clash of the Court By Jer Chy Clerk

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45
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Page context
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    "ocrText": "Form 2908\nTRIPLICATE\nNo. 2071\nSTATES OF\nBepartment nf 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)\nSTATE OF CALIFORNIAL\nIn the\nSUPERIOR Court\nSS :\nIN AMD FOR Los ANGELES COUNTY,\nof THE STATE or GA+\nJohn James Burk\n, aged\n30 years,\n3.\nSailon\ndo declare affirm on oath that my personal\noccupation\ndescription is: Color white\ncomplexion Fair\nheight 5 feet 7. inches,\n,\nweight 165. pounds, color of hair Brown color of eyes\nBlue\nnone\nother visible distinctive marks\n:\nI was born in\nhiverpool\nEngland\non the\n17 day of\nApril\n, anno\nDomini I 879: I now reside at\nfan Pedro bad\nI emigrated to the United States of America from NewCasth Australia\nNany Failing\n; my last\non the vessel\nthe allen arrived gsherwise\nthe character of cony) ance name of transportation company should be given.)\nforeign\nresidence [If was Kendarth\nAustralia\nIt is my bona fide intention to renounce forever all allegiance and fidelity to any foreign\nprince, potentate state, or sovereignty, and particularly to Emmard VII\nKing of Great Britaink Antransives Sriand\n, of which I am now a subject I\ncitizen\nin the\n,\narrived at the port of\nState\nOalifornia\non or about the\n9.\nday\nTessitory of\nDistrict of January\n, anno Domini 907; I 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\nto become a citizen of the United States of America and to permanently reside therein:\nSo HELP ME GOD.\nJohn games Burke\n(Original signature of declaranti)\n.\nSubscribed and sworn affirmed- to before me this\n2,\nthe\n[SEAL ]\nday of January\nanno Domini 19 10\nC. G. Keyes\nGOUNTY CLERK AND E OF\nthe count IN AND FOO THE COUNTY\nClash of\nthe\nCourt\nBy\nJer Chy\nClerk"
}