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64
No. 5hh
ORIGINAL
No. 567
ORIGINAL
STATES OF
STATES OF
Department of Commerte and Tabor
Bepartment of and
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)
STATE or CALIFORNIA
in
the
In the
RERIOR
County of Los geles
SS :
of
de
3, - SS, of
- STATH or
3. Millian Deaun Many aged AND FOR Lee 20 ANGELES years,
COUNTY,
IN A POR Lee ANDELIES COUNTY,
occupation
Deamisten
occupation Machinest
aged 27 years,
do declare on oath that my personal
do affirm on that my personal
declare oath
description is: Color Hair height 5 feet inches,
description is: Color White complexion Dark beight inches,
weight 130 pounds, color of hair of eyes Store
weight pounds, color of hair Brown color of eyes Brown
other visible distinctive marks
Nance
other visible distinctive marks
None
;
I was born in < Parkdale
Canadar
on the
day of
Dec
Agland
I was born in Manskad
anno
on
the
887: I now reside at 1915 19 Brooklyn are Susable Care
,
12 day of Jany
, anno
Domini
Domini I 881 I now reside at 912 N 5ml Las Angeles Palfa
I
emigrated to the United States of America from I crente Canada
I
on the vessel
hand brunk
my last
on the
emigrated vessel to the United States of America from my
Dormto Canada
last
foreign residence was
foreign residence was
Deronto laugda
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, Lesland and particularly 10 throudh VII Raigh citizeir I
of which I am now a
prince, potentate, state for sovereignty, and particularly to Kustang citian
Part Jhnn
subject
arrived at the port of
at the port of Magara Falls
which I am now a
subject
in the
arrived
in the
State
Michigan
about the 26 day
State
Ferritory of
on or
Territory of
New york
on or about the
Gistrict
11 day
of
Och
anno Domini 1 got I am not an anarchist: 1 am not a
of
Bistrict are June anno Domini 1 got 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.
William Francis Storey
oa
So HELP ME God.
(Original signature of declarant
sworn to 13th
Ernest (Original signatured Gouffath
and Subscribed and uffinmed before me this
Subscribed and sworn to
tish
[SEAL. ]
day of
the
anno Domini 1908
[SEAL.]
day of before me anno this Domini 19 08
Keyan,
By AND 110 Clerk. Court
AND EX OFFICIO OLERK er
- AllD
Clerk.
anded
Page data
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- Source index
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- Type
- photo
- Media ID
- c22c9b84d792ca40
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Document data
- ID
- 103939062
- Core
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- Type
- document
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Context sent to Scholar
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"ocrText": "64\nNo. 5hh\nORIGINAL\nNo. 567\nORIGINAL\nSTATES OF\nSTATES OF\nDepartment of Commerte and Tabor\nBepartment of and\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)\nSTATE or CALIFORNIA\nin\nthe\nIn the\nRERIOR\nCounty of Los geles\nSS :\nof\nde\n3, - SS, of\n- STATH or\n3. Millian Deaun Many aged AND FOR Lee 20 ANGELES years,\nCOUNTY,\nIN A POR Lee ANDELIES COUNTY,\noccupation\nDeamisten\noccupation Machinest\naged 27 years,\ndo declare on oath that my personal\ndo affirm on that my personal\ndeclare oath\ndescription is: Color Hair height 5 feet inches,\ndescription is: Color White complexion Dark beight inches,\nweight 130 pounds, color of hair of eyes Store\nweight pounds, color of hair Brown color of eyes Brown\nother visible distinctive marks\nNance\nother visible distinctive marks\nNone\n;\nI was born in < Parkdale\nCanadar\non the\nday of\nDec\nAgland\nI was born in Manskad\nanno\non\nthe\n887: I now reside at 1915 19 Brooklyn are Susable Care\n,\n12 day of Jany\n, anno\nDomini\nDomini I 881 I now reside at 912 N 5ml Las Angeles Palfa\nI\nemigrated to the United States of America from I crente Canada\nI\non the vessel\nhand brunk\nmy last\non the\nemigrated vessel to the United States of America from my\nDormto Canada\nlast\nforeign residence was\nforeign residence was\nDeronto laugda\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, Lesland and particularly 10 throudh VII Raigh citizeir I\nof which I am now a\nprince, potentate, state for sovereignty, and particularly to Kustang citian\nPart Jhnn\nsubject\narrived at the port of\nat the port of Magara Falls\nwhich I am now a\nsubject\nin the\narrived\nin the\nState\nMichigan\nabout the 26 day\nState\nFerritory of\non or\nTerritory of\nNew york\non or about the\nGistrict\n11 day\nof\nOch\nanno Domini 1 got I am not an anarchist: 1 am not a\nof\nBistrict are June anno Domini 1 got 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.\nWilliam Francis Storey\noa\nSo HELP ME God.\n(Original signature of declarant\nsworn to 13th\nErnest (Original signatured Gouffath\nand Subscribed and uffinmed before me this\nSubscribed and sworn to\ntish\n[SEAL. ]\nday of\nthe\nanno Domini 1908\n[SEAL.]\nday of before me anno this Domini 19 08\nKeyan,\nBy AND 110 Clerk. Court\nAND EX OFFICIO OLERK er\n- AllD\nClerk.\nanded"
}