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184
No. 682,
ORIGINAL
No. 683
185
ORIGINAL
STATES OF
STATE of
Department of Conunerce and Kabur
Department of and Kabür
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 OF
*ta
in the SUPERIOR
Court
on cae the
In the
SS:
County of Los Angeles
SS:
SUPERIOR Court
County of 400 yeses
of
que STATE or GALIPORNIA,
IN ANA FOR Les
Louis ase Ottone of
Jones
The STATE or CALIPORNIA
IN AND FOR Les COUNTY)
3. Charlotte Anne Rose
aged
49 years,
3.
, aged
36 years,
occupation Stenoyrapher
do declare affirm on oath that my personal
occupation
Juarler
do declare affirm on oath that my personal
description
is: Color white complexion Dark height 5 feet 5 inches,
description is: Color White complexion Flind height Leet inches,
weight 130. pounds, color of hair Black color of eyes
Brown
weight 146 pounds, color of hair Brown color of eyes Brown
other visible distinctive marks
none
other visible distinctive marks
None
:
I was born in nombardy to
:
I was, ,born in Genera
Canada
, on the
17th day of
saph.
, anno
Domini I 8651 now reside at 625 Pulm are So Pasabuy balifa
Sanitzaland on the 28 day of Ock
anno
Domini I 871 I now reside at 7661/8 Tound are Pal
I
emigrated to the United States of America from Hindson Canada
on the vesse) Grand Trunk a R
I emigrated to the United States of America from Hanne Strance
: my last
on the vessel
La Gratanne
: my last
foreign residence was
It is my bona fide intention to renounce forever all allegiance and fidelity to any foreign
Smith Falls Anada
foreign residence was years Smitzoland
It is my bona fide intention to renounce forever all allegiance and fidelity to any foreign
prince, potentate, state, or sovereignty, and particularly to Egmard VII
prince, potentate, state, or sovereignty, and particularly to of
King of Greas Aritain Dibroit tousland
, of which I am now a subject
sitizen
I
arrived at the port of
in the
arrived at the port of
Newyork
of which I am now a citizen subject I
in the
State
Territory of
michigan
on or about the
186
State
day
Ferritory of
District
District
New youg
off or about the 10a day
of October
anno Domini I 886 I. am not an anarchist; 1 am not a
of September
anno Domini 905 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.
Charloctr anne EN Rose
So HELP ME GOD.
(Original signature of declarant.)
pini
Clouis fules lettone
signature of declurant.)
Subscribed and sworn affirmed to before me this
23rd
Subscribed and afficiped sworn to before me this 23
[SEAL. ]
day of March
anno Domini 19 of
[SEAL.]
day of March anno Domini 19 08
- : AND EX- OFZICIO OLENC ow
Clark of Coo ANDELER, COURY ETATE IN AND OF FOA THE Court.
DOWNTY QLERK AND EN OFFICIO CLENKCOF
Clerk.
By of
Clerk the SUPERIOR COUNT IN AI D FOT THE OQUNTY Court.
tos ANDECER; STAXE OF
By
Clerk.
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"ocrText": "184\nNo. 682,\nORIGINAL\nNo. 683\n185\nORIGINAL\nSTATES OF\nSTATE of\nDepartment of Conunerce and Kabur\nDepartment of and Kabür\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 OF\n*ta\nin the SUPERIOR\nCourt\non cae the\nIn the\nSS:\nCounty of Los Angeles\nSS:\nSUPERIOR Court\nCounty of 400 yeses\nof\nque STATE or GALIPORNIA,\nIN ANA FOR Les\nLouis ase Ottone of\nJones\nThe STATE or CALIPORNIA\nIN AND FOR Les COUNTY)\n3. Charlotte Anne Rose\naged\n49 years,\n3.\n, aged\n36 years,\noccupation Stenoyrapher\ndo declare affirm on oath that my personal\noccupation\nJuarler\ndo declare affirm on oath that my personal\ndescription\nis: Color white complexion Dark height 5 feet 5 inches,\ndescription is: Color White complexion Flind height Leet inches,\nweight 130. pounds, color of hair Black color of eyes\nBrown\nweight 146 pounds, color of hair Brown color of eyes Brown\nother visible distinctive marks\nnone\nother visible distinctive marks\nNone\n:\nI was born in nombardy to\n:\nI was, ,born in Genera\nCanada\n, on the\n17th day of\nsaph.\n, anno\nDomini I 8651 now reside at 625 Pulm are So Pasabuy balifa\nSanitzaland on the 28 day of Ock\nanno\nDomini I 871 I now reside at 7661/8 Tound are Pal\nI\nemigrated to the United States of America from Hindson Canada\non the vesse) Grand Trunk a R\nI emigrated to the United States of America from Hanne Strance\n: my last\non the vessel\nLa Gratanne\n: my last\nforeign residence was\nIt is my bona fide intention to renounce forever all allegiance and fidelity to any foreign\nSmith Falls Anada\nforeign residence was years Smitzoland\nIt is my bona fide intention to renounce forever all allegiance and fidelity to any foreign\nprince, potentate, state, or sovereignty, and particularly to Egmard VII\nprince, potentate, state, or sovereignty, and particularly to of\nKing of Greas Aritain Dibroit tousland\n, of which I am now a subject\nsitizen\nI\narrived at the port of\nin the\narrived at the port of\nNewyork\nof which I am now a citizen subject I\nin the\nState\nTerritory of\nmichigan\non or about the\n186\nState\nday\nFerritory of\nDistrict\nDistrict\nNew youg\noff or about the 10a day\nof October\nanno Domini I 886 I. am not an anarchist; 1 am not a\nof September\nanno Domini 905 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.\nCharloctr anne EN Rose\nSo HELP ME GOD.\n(Original signature of declarant.)\npini\nClouis fules lettone\nsignature of declurant.)\nSubscribed and sworn affirmed to before me this\n23rd\nSubscribed and afficiped sworn to before me this 23\n[SEAL. ]\nday of March\nanno Domini 19 of\n[SEAL.]\nday of March anno Domini 19 08\n- : AND EX- OFZICIO OLENC ow\nClark of Coo ANDELER, COURY ETATE IN AND OF FOA THE Court.\nDOWNTY QLERK AND EN OFFICIO CLENKCOF\nClerk.\nBy of\nClerk the SUPERIOR COUNT IN AI D FOT THE OQUNTY Court.\ntos ANDECER; STAXE OF\nBy\nClerk."
}