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Form 2908 and fidelity to any No. 318 TRIPLICATE [To be given to the person making the a subject (and that STATES OF the Declaration) we heretofore held); a gainst all enemies, Department of Commerce and Tabor BUREAU OF IMMIGRATION AND NATURALIZATION yrs. twill DIVISION OF NATURALIZATION A. D. 1912 DECLARATION OF INTENTION Clerk. (Invalid for all purposes seven years after the date hereof) can Depulty STATE OF CALIFORNIA# In the SUPERIOR SS : Court COUNTY OF SAN. DIEGO I of San Diego County, California 7 support thereof, and 3, SAVUEL EDWARDS rd hereby is, admitted aged 35 years, occupation Enginel do affirm that my personal declare on oath that his name be, description is: Color white , complexion fair , height 5 feet 73 inches, on 6 of an act entitled weight 138 pounds, color of hair brown , color of eyes blue on of aliens throughout other visible distinctive marks, none I was born in b sudge pembroke, Canada & on the 5th day of December anno Domini 874 ; I now reside at San Diego, California I emigrated to the United States of America from Pembroke, Canada and the motion of on "CRAND TRUNK RAILROAD" (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 Pembroke, Canada, States in open Court this It is my bona fide intention to renounce forever all allegiance and fidelity to any foreign prince, potentate, state, or sovereignty, and particularly to EDWARD VII, King of Great Britain and Ireland of which I am now a eitizeso subject I arrived at the port of Detroit State in the J. of Michigan on or about the 5th day of March , anno Domini 1885 ; I am not an anarchist; I am not a the ITINUANCE 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. samuel Edwards (Original signature of declarant.) Subscribed and sworn to before me this 8th day of December anno Domini 19 09. 9) to Wm. H. Francis , Clerk of the By SUPERIOR , Deputy 11-2696 Clerk. Court. D. 19. 12

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809
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Document data

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Document source extras
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Page context
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    "ocrText": "Form 2908\nand fidelity to any\nNo.\n318\nTRIPLICATE\n[To be given to the person making\nthe\na subject (and that\nSTATES OF\nthe Declaration)\nwe heretofore held);\na\ngainst all enemies,\nDepartment of Commerce and Tabor\nBUREAU OF IMMIGRATION AND NATURALIZATION\nyrs.\ntwill\nDIVISION OF NATURALIZATION\nA. D. 1912\nDECLARATION OF INTENTION\nClerk.\n(Invalid for all purposes seven years after the date hereof)\ncan Depulty\nSTATE OF CALIFORNIA#\nIn the SUPERIOR\nSS :\nCourt\nCOUNTY OF SAN. DIEGO\nI\nof San Diego County, California\n7 support thereof, and\n3,\nSAVUEL EDWARDS\nrd hereby is, admitted\naged\n35\nyears,\noccupation\nEnginel\ndo affirm that my personal\ndeclare on oath\nthat his name be,\ndescription is: Color\nwhite\n, complexion fair\n, height 5 feet 73 inches,\non 6 of an act entitled\nweight\n138\npounds, color of hair\nbrown\n, color of eyes\nblue\non of aliens throughout\nother visible distinctive marks,\nnone\nI was born in\nb sudge\npembroke, Canada\n&\non the\n5th\nday of\nDecember\nanno\nDomini 874\n;\nI\nnow reside at\nSan Diego, California\nI\nemigrated to the United States of America from Pembroke, Canada\nand the motion of\non\n\"CRAND TRUNK RAILROAD\"\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\nPembroke, Canada,\nStates in open Court this\nIt is my bona fide intention to renounce forever all allegiance and fidelity to any foreign\nprince, potentate, state, or sovereignty, and particularly to EDWARD VII, King of\nGreat Britain and Ireland\nof which I am now a eitizeso\nsubject I\narrived at the port of\nDetroit\nState\nin the\nJ.\nof\nMichigan\non or about the\n5th\nday\nof\nMarch\n,\nanno\nDomini 1885 ; I am not an anarchist; I am not a\nthe\nITINUANCE\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.\nsamuel Edwards\n(Original signature of declarant.)\nSubscribed and sworn to before me this\n8th\nday of December\nanno Domini 19 09.\n9)\nto\nWm. H. Francis\n,\nClerk of the\nBy SUPERIOR , Deputy 11-2696 Clerk. Court.\nD. 19. 12"
}