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238
239
ORIGINAL
No. 1730
ORIGINAL
No. 1779
STATES OF
STATES of
Department of Commerce and Nabor
Department of und Nabor
BUREAU OF IMMIGRATION AND NATURALIZATION
BUREAU OF IMMIGRATION AND NATURALIZATION
DIVISION OF NATURALIZATION
DIVISION OF NATURALIZATION
DECLARATION OF INTENTION
DECLARATION OF INTENTION
(Invalid for all purposes seven years after the date hereof)
(Invalid for all purposes seven years after the date hereof)
In the SUPERIOR Court
STATE ON MALIFORNIA
In
STATE OF
the SUPERIOR Court
ss:
IN AND FOR Los ANGELES COUNTY,
ss :
County of Los Angeles
AND FOR Los ANGELES COUNTY,
of
THE STATE OF CALIFORNIA,
County of Los Angeles
of
THE STATK OF CALIFORNIA,
3.
Somed Brown Haff
aged 21 years,
J.
Ernal Adamson
aged
27
years,
occupation
Franster
do
declare on oath
affirm
that my personal
occupation
Laborm
do
declare affism on oath that my personal
description is: Color whit complexion Fair height feet inches,
description is: Color white complexion Fair height 5 feet 8714 Anches,
weight 130 pounds, color of hair Brown color of eyes Blue
weight 183 pounds, color of hair Brown color of leyes Blue
other visible distinctive marks
none
other visible distinctive marks
none
I was born in
Success
I born in Nolman
was
Canada
,
on the
27
day of
Afeirs
, anno
ausia
on the
26 day of
november
anno
Domini I 888 : I now reside at
Loo Angth bod
Domini
I 881. I now reside at 1052 so Sana AX has there Eas.
I emigrated to the United States of America from
Vancourn Cauara
I emigrated to the United States of America from Drive Pustria
on the vessel
Asmiral
: my last
on the vessel
(If the allen arrived otherwise than by vesse) the character conveyance or name of transportation company should be given.)
Gjulin
(If the allen arrived otherwise the by vessel, the character of conveyance or name of transportation company should be given.)
:
my last
foreign residence was
Vancours Canada
foreign residence was
Friesx Rustria
It is my bona fide intention to renounce forever all allegiance and fidelity to any foreign
It is my bona fide intention to renounce forever all allegiance and fidelity to any foreign
prince, potentate, state, or sovereignty, and particularly to Emand VII
prince, potentate, state, or sovereignty, and particularly to Nicholas II
thing of treat Britain x Beland
of which 1 am now a eitinen subject
I
Emperon of Russia
of which I am now a citinen
subject
I
arrived at the port of
driverk
in the
arrived at the port of
newyork
in the
State
12"
State
Tessitory of
drwwork
on or about the
day
Tenitory of
Howfork
on or about the
3rd day
District
District
of
July
anno Domini 909 I am not an anarchist; 1 am not a
of
may
ton ma, anno Domini 907. 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
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:
to become a citizen of the United States of América and to permanently reside therein:
So HELP ME GOD.
Samuel Brown g off
So HELP ME GOD.
.000 03
Emst adamson
(Original signature of declarant.)
(Original algnature of declarant,)
and
i
Subscribed and sworn to before me this
afliemed
Subscribed and sworn to before me this
23th
SEAL
day. of Anyrexx anno Domini
C. G. Keyes
[SEAL.]
day of
Beyank
anno Domini 19107
0. G. Keyes
COUNTY CLERIC AND OLERK OF
COUNTY CLERK AND PX
OF Loe ANGELRO, STAWK OF DALIF JRNIA.
SUPERION COUNTY
Glenk of the
Gourt.
Los ANGELES, OTALE of
the
parentary
Clerk.
frienday
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"ocrText": "238\n239\nORIGINAL\nNo. 1730\nORIGINAL\nNo. 1779\nSTATES OF\nSTATES of\nDepartment of Commerce and Nabor\nDepartment of und Nabor\nBUREAU OF IMMIGRATION AND NATURALIZATION\nBUREAU OF IMMIGRATION AND NATURALIZATION\nDIVISION OF NATURALIZATION\nDIVISION OF NATURALIZATION\nDECLARATION OF INTENTION\nDECLARATION OF INTENTION\n(Invalid for all purposes seven years after the date hereof)\n(Invalid for all purposes seven years after the date hereof)\nIn the SUPERIOR Court\nSTATE ON MALIFORNIA\nIn\nSTATE OF\nthe SUPERIOR Court\nss:\nIN AND FOR Los ANGELES COUNTY,\nss :\nCounty of Los Angeles\nAND FOR Los ANGELES COUNTY,\nof\nTHE STATE OF CALIFORNIA,\nCounty of Los Angeles\nof\nTHE STATK OF CALIFORNIA,\n3.\nSomed Brown Haff\naged 21 years,\nJ.\nErnal Adamson\naged\n27\nyears,\noccupation\nFranster\ndo\ndeclare on oath\naffirm\nthat my personal\noccupation\nLaborm\ndo\ndeclare affism on oath that my personal\ndescription is: Color whit complexion Fair height feet inches,\ndescription is: Color white complexion Fair height 5 feet 8714 Anches,\nweight 130 pounds, color of hair Brown color of eyes Blue\nweight 183 pounds, color of hair Brown color of leyes Blue\nother visible distinctive marks\nnone\nother visible distinctive marks\nnone\nI was born in\nSuccess\nI born in Nolman\nwas\nCanada\n,\non the\n27\nday of\nAfeirs\n, anno\nausia\non the\n26 day of\nnovember\nanno\nDomini I 888 : I now reside at\nLoo Angth bod\nDomini\nI 881. I now reside at 1052 so Sana AX has there Eas.\nI emigrated to the United States of America from\nVancourn Cauara\nI emigrated to the United States of America from Drive Pustria\non the vessel\nAsmiral\n: my last\non the vessel\n(If the allen arrived otherwise than by vesse) the character conveyance or name of transportation company should be given.)\nGjulin\n(If the allen arrived otherwise the by vessel, the character of conveyance or name of transportation company should be given.)\n:\nmy last\nforeign residence was\nVancours Canada\nforeign residence was\nFriesx Rustria\nIt is my bona fide intention to renounce forever all allegiance and fidelity to any foreign\nIt is my bona fide intention to renounce forever all allegiance and fidelity to any foreign\nprince, potentate, state, or sovereignty, and particularly to Emand VII\nprince, potentate, state, or sovereignty, and particularly to Nicholas II\nthing of treat Britain x Beland\nof which 1 am now a eitinen subject\nI\nEmperon of Russia\nof which I am now a citinen\nsubject\nI\narrived at the port of\ndriverk\nin the\narrived at the port of\nnewyork\nin the\nState\n12\"\nState\nTessitory of\ndrwwork\non or about the\nday\nTenitory of\nHowfork\non or about the\n3rd day\nDistrict\nDistrict\nof\nJuly\nanno Domini 909 I am not an anarchist; 1 am not a\nof\nmay\nton ma, anno Domini 907. am not an anarchist I am not\na\npolygamist nor a believer in the practice of polygamy; and it is my intention in good faith\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:\nto become a citizen of the United States of América and to permanently reside therein:\nSo HELP ME GOD.\nSamuel Brown g off\nSo HELP ME GOD.\n.000 03\nEmst adamson\n(Original signature of declarant.)\n(Original algnature of declarant,)\nand\ni\nSubscribed and sworn to before me this\nafliemed\nSubscribed and sworn to before me this\n23th\nSEAL\nday. of Anyrexx anno Domini\nC. G. Keyes\n[SEAL.]\nday of\nBeyank\nanno Domini 19107\n0. G. Keyes\nCOUNTY CLERIC AND OLERK OF\nCOUNTY CLERK AND PX\nOF Loe ANGELRO, STAWK OF DALIF JRNIA.\nSUPERION COUNTY\nGlenk of the\nGourt.\nLos ANGELES, OTALE of\nthe\nparentary\nClerk.\nfrienday"
}