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400 401 No. 1891. ORIGINAL No 1892 STATES or STATES OF: Department ot and Department of Commetce and Tabur BUREAU OF IMMIGRATION AND NATURALIZATION BUREAU OF IMMIGRATION AND NATURALIZATION DIVISION or NATURALIZATION DIVISION or NATURALIZATION DECLARATION OF INTENTION DECLARATION OF INTENTION (Invalid for all purposes seven years after the date hereof) (Invalid for all purposes aeven years after the date hereof) STATE OF In the SUPERIOR Court STATE DE CANTKORNIA In County of Los the SUPERIOR Court Pss: IN AND FOR Loe ANGELES COUNTY, County of Los Angeles ss: OFTHE STATE OF CALIFORNIA, of THE STATE OF CALIFORNIA IN AND FOR Los ANGELES County, 3. Pablo Garcia aged 27 years, 3. William Courthope Poursette aged 40 years, occupation miner do declare affirm on oath that my personal occupation Physician do declare affiem on oath that my personal description is: Color white complexion Dark. height 5 feet 6 inches, description is: Color whice complexion Dark , height 5 feet974 Inches, weight 150 pounds, color of hair Black color of eyes Black weight 140 pounds, color of hair Eney color of eyes Grey other visible distinctive marks none. other visible distinctive marks none. : I was born in Aguas Calients I was born in Garnia Mexico on the 27th day of july , anno Canada on the 28th day of June , anno Domini 1882; I now reside at I has Angeles Ear Domini I 869 I now reside at Hollynood Cal I emigrated to the United States of America from Lacaticas Mexico I emigrated to the United States of America from Auring Canada on the vessel (If the allen arrived otherwise thandy vessel, the character of conveyance or name of transportation company should be given.] : my last Mexican Central R R on the vessel Jerry : my last or the allen arrived otherwise than by vessel, the character of conveyance or name of transportation company should be given.) foreign residence was Lacaticas Mexico foreign residence was Barning Canara 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 the United States prince, potentate, state, or sovereignty, and particularly to Emardre of mexico of which I am now a citizen subject I king of kuax Britain x Ireland , of which 1 am now a citizen ; 1 subject arrived at the port of Ei Paso. in the arrived at the port of Park Huron. in the State Twas State Tessitory of on or about the 3 District day Tessitory of michigan on or about the 16 day District of January anno Domini 903 I am not an anarchist: I am not a of January anno Domini I 899 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 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 America and to permanently reside therein: So HELP ME GOD. Palls Sarcha So HELP ME God. Courthope Pouralte (Original signature of declarant.) (Origieal signaturd of declarant.) Subscribed and affirmed sworn to before me this 98 Subscribed and affiemed before me this sworn to 9' VISEAL.J day of November anno Domini 19 09 [SEAL.] day of November . anno Domini 19 00 c G. Keyes c G Rever COUNTY AND EX THE SUPRICA cum IN AUD FOR T DOUNTY CLERK AND EX OFFIC Clath of the DO THE SUPSTION 124 Geurk Clarh of the Gourt. fax bothy hapity Clerk. Clerk.

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1127
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Document data

ID
103939062
Core
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Type
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Page context
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    "ocrText": "400\n401\nNo. 1891.\nORIGINAL\nNo 1892\nSTATES or\nSTATES OF:\nDepartment ot and\nDepartment of Commetce and Tabur\nBUREAU OF IMMIGRATION AND NATURALIZATION\nBUREAU OF IMMIGRATION AND NATURALIZATION\nDIVISION or NATURALIZATION\nDIVISION or NATURALIZATION\nDECLARATION OF INTENTION\nDECLARATION OF INTENTION\n(Invalid for all purposes seven years after the date hereof)\n(Invalid for all purposes aeven years after the date hereof)\nSTATE OF\nIn the\nSUPERIOR Court\nSTATE DE CANTKORNIA\nIn\nCounty of Los\nthe SUPERIOR Court\nPss:\nIN AND FOR Loe ANGELES COUNTY,\nCounty of Los Angeles\nss:\nOFTHE STATE OF CALIFORNIA,\nof THE STATE OF CALIFORNIA\nIN AND FOR Los ANGELES County,\n3.\nPablo Garcia\naged 27 years,\n3.\nWilliam Courthope Poursette\naged 40 years,\noccupation\nminer\ndo declare affirm on oath that my personal\noccupation\nPhysician\ndo declare affiem on oath that my personal\ndescription is: Color white complexion\nDark. height 5 feet 6 inches,\ndescription\nis: Color whice complexion\nDark\n,\nheight\n5 feet974 Inches,\nweight 150 pounds, color of hair Black\ncolor of eyes Black\nweight 140 pounds, color of hair\nEney\ncolor of eyes Grey\nother visible distinctive marks\nnone.\nother visible distinctive marks\nnone.\n:\nI was born\nin Aguas Calients\nI was born in Garnia\nMexico\non the\n27th\nday of\njuly\n, anno\nCanada\non the\n28th day of\nJune\n, anno\nDomini 1882; I now reside at I\nhas Angeles Ear\nDomini I 869 I now reside at\nHollynood Cal\nI emigrated to the United States of America from\nLacaticas Mexico\nI emigrated to the United States of America from Auring Canada\non the vessel\n(If the allen arrived otherwise thandy vessel, the character of conveyance or name of transportation company should be given.] : my last\nMexican Central R R\non the vessel\nJerry\n: my last\nor the allen arrived otherwise than by vessel, the character of conveyance or name of transportation company should be given.)\nforeign residence was\nLacaticas\nMexico\nforeign residence was\nBarning Canara\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 the United States\nprince, potentate, state, or sovereignty, and particularly to Emardre\nof mexico\nof which I am now a citizen subject I\nking of kuax Britain x Ireland\n, of which 1 am now a citizen ; 1\nsubject\narrived at the port of\nEi Paso.\nin the\narrived at the port of\nPark Huron.\nin the\nState\nTwas\nState\nTessitory of\non or about the\n3\nDistrict\nday\nTessitory of\nmichigan\non or about the\n16\nday\nDistrict\nof January\nanno Domini 903 I am not an anarchist: I am not a\nof\nJanuary\nanno Domini I 899 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\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 America and to permanently reside therein:\nSo HELP ME GOD.\nPalls Sarcha\nSo HELP ME God.\nCourthope Pouralte\n(Original signature of declarant.)\n(Origieal signaturd of declarant.)\nSubscribed and affirmed sworn to before me this\n98\nSubscribed and affiemed before me this\nsworn to\n9'\nVISEAL.J\nday of November anno Domini 19 09\n[SEAL.]\nday of\nNovember\n.\nanno Domini 19 00\nc G. Keyes\nc G Rever\nCOUNTY AND EX\nTHE SUPRICA cum IN AUD FOR T\nDOUNTY CLERK AND EX OFFIC\nClath of the DO\nTHE SUPSTION 124\nGeurk\nClarh of the\nGourt.\nfax bothy\nhapity Clerk.\nClerk."
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