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OCR
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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Document data
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Context sent to Scholar
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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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