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No. 176
Form 2903
TRIPLICATE
[To be alven to the person making
STATES OF
the Declaration)
nill
Department nf Commerce and Tabur
BUREAU OF IMMIGRATION AND NATURALIZATION
DIVISION OF NATURALIZATION
DECLARATION OF INTENTION
(Invalid for all purposes seven years after the date hereof)
State of California,
In the
Supérior
SS:
Court
County of San Diono,
of
he motion of
Sun liega County, Ca7,
stes Attorney
3,
Frodorick Nash Bouldon
aged 26
years,
en Court this
occupation
Bluckstith
, do declare on oath that my personal
description is: Color white
, complexion
fair
, height 5 feet 10: inches,
weight
168
pounds, color of hair
brown
,
color of eyes blue
other visible distinctive marks none
:
I was born in
Kont, England
, on the lat
day of
February
, anno
Domini I 882 : I now reside at
Escondido, California.
fidelity to any
Euper
I emigrated to the United States of America from Southanpton, Inglana
on the vessel
on York
ject
inen (and that
(If the allen arrived otherwise than by vessel, the character of conveyance or name of transportation company should be given.] ; my last
foreign residence was
East, Pookhan, Kent,Ingland.
ist all enemies,
It is my bona fide intention to renounce forever all allegiance and fidelity to any foreign
prince, potentate, state, or sovereignty, and particularly to Daward VII, King of
may
Great and Ireland
of which I am now a
subject I
arrived at the port of
New York
L. A. D. 1911
State
, in the
of
Hew York
on or about the
15th
day
Clerk.
of
May
, anno Domini 901 ; 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
port thereof, and
So HELP ME GOD.
reby is, admitted
Frederick naoh. Boultey
(Original signature of declarant.)
Subscribed and sworn to before me this
3rd
that his name be,
of an act entitled
day of
Oc tober
, anno Domini 19 08.
aliens throughout
Clerk of the Superior
Court.
à judge
Rx
,
Kixt.
A.D.1911
11-9696
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Document data
- ID
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- Core
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- Type
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DTO data
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Context sent to Scholar
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Page context
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"ocrText": "No. 176\nForm 2903\nTRIPLICATE\n[To be alven to the person making\nSTATES OF\nthe Declaration)\nnill\nDepartment nf Commerce and Tabur\nBUREAU OF IMMIGRATION AND NATURALIZATION\nDIVISION OF NATURALIZATION\nDECLARATION OF INTENTION\n(Invalid for all purposes seven years after the date hereof)\nState of California,\nIn the\nSupérior\nSS:\nCourt\nCounty of San Diono,\nof\nhe motion of\nSun liega County, Ca7,\nstes Attorney\n3,\nFrodorick Nash Bouldon\naged 26\nyears,\nen Court this\noccupation\nBluckstith\n, do declare on oath that my personal\ndescription is: Color white\n, complexion\nfair\n, height 5 feet 10: inches,\nweight\n168\npounds, color of hair\nbrown\n,\ncolor of eyes blue\nother visible distinctive marks none\n:\nI was born in\nKont, England\n, on the lat\nday of\nFebruary\n, anno\nDomini I 882 : I now reside at\nEscondido, California.\nfidelity to any\nEuper\nI emigrated to the United States of America from Southanpton, Inglana\non the vessel\non York\nject\ninen (and that\n(If the allen arrived otherwise than by vessel, the character of conveyance or name of transportation company should be given.] ; my last\nforeign residence was\nEast, Pookhan, Kent,Ingland.\nist all enemies,\nIt is my bona fide intention to renounce forever all allegiance and fidelity to any foreign\nprince, potentate, state, or sovereignty, and particularly to Daward VII, King of\nmay\nGreat and Ireland\nof which I am now a\nsubject I\narrived at the port of\nNew York\nL. A. D. 1911\nState\n, in the\nof\nHew York\non or about the\n15th\nday\nClerk.\nof\nMay\n, anno Domini 901 ; 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\nport thereof, and\nSo HELP ME GOD.\nreby is, admitted\nFrederick naoh. Boultey\n(Original signature of declarant.)\nSubscribed and sworn to before me this\n3rd\nthat his name be,\nof an act entitled\nday of\nOc tober\n, anno Domini 19 08.\naliens throughout\nClerk of the Superior\nCourt.\nà judge\nRx\n,\nKixt.\nA.D.1911\n11-9696"
}