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Form 2203
Tothe
Repartment of Commeece and
TRIPLICATE
NATURALIZATION SERVICE
[Tobegiven making
petti
the Declaration)
891
pe
No.
STATES OF
Third.
anno Domini
anno Domini 1
Fifth.
DECLARATION OF INTENTION
Sixth. I
(Invalid for all purposes seven years after the date hereof)
Circuit
In the
Court
I have
UNITED STATES OF AMERIOA,
SOUTHERN DISTRICT OF
ss:
of
the United States
COUNT! or Los Awom.m.
Sauthern District of California, Southern Division
3.
Mary Climie
,
aged 48
years,
Stend ;rapher
do declare on oath that my personal
,
occupation
description is: Color
White
complexion
Fair
height 5 feet 8 inches,
Seventh.
color of eyes Light brown
to organized gove
weight 130
pounds, color of hair Browm
,
intention becor
other visible distinctive marks
None
particularly
was born in Township ci Wallace, Perth, Ontario, Canada
to reside
I
Eighth.
on the
27th
day of
May
anno Domini I 863 : I now reside
he
the
de
at
252 E. Grand Vi.ew., Sierra (Give Madre. Calif or town, and
number, street, aty State.)
this petition, sind
I emigrated to the United States of America from Windsor, Canada
this
Grand Trunk Rv. Co.
: my last
on the vessel
(if the alien arrived otherwise than by vessel, of
conveyance or name of transportation company should be given.
foreign residence was
Listowel,Canada
It is my bona fide intention to renounce forever all allegiance and fidelity to any foreign
George V, King of Great
Attached here
prince, potentate, state, or sovereignty, and particularly to
myandant and the
, of whom I am now a subject; I
Britain & Ineland
in the
arrived at the port of
Detroit
, on or about the (latterpart TE daty
Declaration of
State of
Mi.chigan
of
No yember
anno Domini I 900 : 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
STAT
to become a citizen of the United States of America and to permanently reside therein:
Caur
So HELP ME GOD.
thereof: the
information and belie
Subscribed and sworn to before me this
1st
day of Se ptember
anno Domini 191 1.
[SEAL]
Wm. M. Van like
the United States Circit
Court.
Clerk of
By Sonthern District a Deputy California Clerk.
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- Source index
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- Type
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- Media ID
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Document data
- ID
- 103954624
- Core
- doc
- Type
- document
DTO data
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Context sent to Scholar
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Page context
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"ocrText": "e\nForm 2203\nTothe\nRepartment of Commeece and\nTRIPLICATE\nNATURALIZATION SERVICE\n[Tobegiven making\npetti\nthe Declaration)\n891\npe\nNo.\nSTATES OF\nThird.\nanno Domini\nanno Domini 1\nFifth.\nDECLARATION OF INTENTION\nSixth. I\n(Invalid for all purposes seven years after the date hereof)\nCircuit\nIn the\nCourt\nI have\nUNITED STATES OF AMERIOA,\nSOUTHERN DISTRICT OF\nss:\nof\nthe United States\nCOUNT! or Los Awom.m.\nSauthern District of California, Southern Division\n3.\nMary Climie\n,\naged 48\nyears,\nStend ;rapher\ndo declare on oath that my personal\n,\noccupation\ndescription is: Color\nWhite\ncomplexion\nFair\nheight 5 feet 8 inches,\nSeventh.\ncolor of eyes Light brown\nto organized gove\nweight 130\npounds, color of hair Browm\n,\nintention becor\nother visible distinctive marks\nNone\nparticularly\nwas born in Township ci Wallace, Perth, Ontario, Canada\nto reside\nI\nEighth.\non the\n27th\nday of\nMay\nanno Domini I 863 : I now reside\nhe\nthe\nde\nat\n252 E. Grand Vi.ew., Sierra (Give Madre. Calif or town, and\nnumber, street, aty State.)\nthis petition, sind\nI emigrated to the United States of America from Windsor, Canada\nthis\nGrand Trunk Rv. Co.\n: my last\non the vessel\n(if the alien arrived otherwise than by vessel, of\nconveyance or name of transportation company should be given.\nforeign residence was\nListowel,Canada\nIt is my bona fide intention to renounce forever all allegiance and fidelity to any foreign\nGeorge V, King of Great\nAttached here\nprince, potentate, state, or sovereignty, and particularly to\nmyandant and the\n, of whom I am now a subject; I\nBritain & Ineland\nin the\narrived at the port of\nDetroit\n, on or about the (latterpart TE daty\nDeclaration of\nState of\nMi.chigan\nof\nNo yember\nanno Domini I 900 : 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\nSTAT\nto become a citizen of the United States of America and to permanently reside therein:\nCaur\nSo HELP ME GOD.\nthereof: the\ninformation and belie\nSubscribed and sworn to before me this\n1st\nday of Se ptember\nanno Domini 191 1.\n[SEAL]\nWm. M. Van like\nthe United States Circit\nCourt.\nClerk of\nBy Sonthern District a Deputy California Clerk."
}