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the
ORIGINAL
No. STATES OF ORIGINAL
No. 392
STATES OF
Department of Commence aud Tuabur
Departuitent of and Tahar
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 yeare after the date hereof)
(Invalid for all purposes seven years after the date hereof)
STATE of
In the SUPERIOR Court
STATE OF CALTFORNIA
In the SUPERIOR Court
SS :
ss:
of Los Angeles
County of Los, Angeles
of
Junz 3. County Jewrollon of do declare IN THE AND STATE FOR on Los oath DE
ANGELES COUNTY,
3,
Carlise of
AND FOR Loe ANGELIGA COUNTY,
aged 29 years,
aged yyears,
occupation
affirm that my personal
occupation
Farmer
do
declare on oath
that my persopal
description is: Color White complexion Dark height feet inches,
description is: Color White complexion Dark affirm height feet 4/4 inches,
weight 170 pounds, color of hair Black color of éyès table
weight color of hair Mack color of eyes Joron
Smithand other visible distinctive marks on : I the was 15 born in day Fernandez of Angelesh
None
other visible Scan
anno
May
distinctive marks I was born over in Contena Antellina
Domini I 8721 now reside at Palerma Mark Cash
on the HA day of any
anno
Domini
I Sty I now reside at 2017.6.19 Twander Cash
I emigrated to the United States of America from
on the vessel
Hamption
Vancouven B.C
I emigrated to the United States of America from
my last
on the vessel
Monetatin
my last
foreign residence was
Zancauso
B.
foreign :
It is my bona fide intention to renounce forever all allegiande and fidelity to any foreign
like
It to renource and to
printe potentate, state or sovereignty, and garticularly to of which I am now King a subject
prince, (manul
I
King is my potentate, residence bona fide was state, intention of (mbun or sovereignto Antellina and forever particularly all allegiance to the of which fidelity I am now any a subject foreigh 1
arrived at the port of
of Distrist Novanth
Calyania
San Mancisco
in the
arrived at the port
State
State
Territory of
on or about the
participational
the of Obleans
in the
6m
day
Ternitory of
on or
about the 31 day
District
anno Domini 1 am not an anarchist 1 am not a
of
anno
Domini
I
89th
T 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 America And to permanently reside therein:
So HELP ME GOD.
So HELP ME GOD.
the
Pennant Yail
Subscribed
of and swore affirms before me (Original this signature Domini of 30 declarante)
[SEAL:]
day
[SEAL.]
day of
family
and sworn to before me (Original this Cat doclarant.)
Subscribed
anno
Domini t9
COBNTY CL AMD EX-ORFICIO
COURT IN AND FOR THI
By Court. Clerk.
Agency
By essential Clerk,
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Document data
- ID
- 103939062
- Core
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- Type
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"ocrText": "302\nthe\nORIGINAL\nNo. STATES OF ORIGINAL\nNo. 392\nSTATES OF\nDepartment of Commence aud Tuabur\nDepartuitent of and Tahar\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 yeare after the date hereof)\n(Invalid for all purposes seven years after the date hereof)\nSTATE of\nIn the SUPERIOR Court\nSTATE OF CALTFORNIA\nIn the SUPERIOR Court\nSS :\nss:\nof Los Angeles\nCounty of Los, Angeles\nof\nJunz 3. County Jewrollon of do declare IN THE AND STATE FOR on Los oath DE\nANGELES COUNTY,\n3,\nCarlise of\nAND FOR Loe ANGELIGA COUNTY,\naged 29 years,\naged yyears,\noccupation\naffirm that my personal\noccupation\nFarmer\ndo\ndeclare on oath\nthat my persopal\ndescription is: Color White complexion Dark height feet inches,\ndescription is: Color White complexion Dark affirm height feet 4/4 inches,\nweight 170 pounds, color of hair Black color of éyès table\nweight color of hair Mack color of eyes Joron\nSmithand other visible distinctive marks on : I the was 15 born in day Fernandez of Angelesh\nNone\nother visible Scan\nanno\nMay\ndistinctive marks I was born over in Contena Antellina\nDomini I 8721 now reside at Palerma Mark Cash\non the HA day of any\nanno\nDomini\nI Sty I now reside at 2017.6.19 Twander Cash\nI emigrated to the United States of America from\non the vessel\nHamption\nVancouven B.C\nI emigrated to the United States of America from\nmy last\non the vessel\nMonetatin\nmy last\nforeign residence was\nZancauso\nB.\nforeign :\nIt is my bona fide intention to renounce forever all allegiande and fidelity to any foreign\nlike\nIt to renource and to\nprinte potentate, state or sovereignty, and garticularly to of which I am now King a subject\nprince, (manul\nI\nKing is my potentate, residence bona fide was state, intention of (mbun or sovereignto Antellina and forever particularly all allegiance to the of which fidelity I am now any a subject foreigh 1\narrived at the port of\nof Distrist Novanth\nCalyania\nSan Mancisco\nin the\narrived at the port\nState\nState\nTerritory of\non or about the\nparticipational\nthe of Obleans\nin the\n6m\nday\nTernitory of\non or\nabout the 31 day\nDistrict\nanno Domini 1 am not an anarchist 1 am not a\nof\nanno\nDomini\nI\n89th\nT 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\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.\nSo HELP ME GOD.\nthe\nPennant Yail\nSubscribed\nof and swore affirms before me (Original this signature Domini of 30 declarante)\n[SEAL:]\nday\n[SEAL.]\nday of\nfamily\nand sworn to before me (Original this Cat doclarant.)\nSubscribed\nanno\nDomini t9\nCOBNTY CL AMD EX-ORFICIO\nCOURT IN AND FOR THI\nBy Court. Clerk.\nAgency\nBy essential Clerk,"
}