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272 ORIGINAL No.: 770 273 ORIGINAL STATES of STATES on Departument nf and Tabor Department nf aud BUREAU OF IMMIGRATION AND NATURALIZATION BUREAU OF IMMIGRATION AND NATURALIZATION DIVISION or NATURALIZATION DIVISION OF NATURALIZATION DECLARATION OF INTENTION DECLARATION DEINTENTION (Invalid for all purposes seven years after the date hereof) (Invalid for all purposes seven years after the date hereof) P STATROD County of Los Angoles the SUPERIOR STATE OF CALIFORNIA) in Court ss: Gounty of Los Angoles ss: In the SUPERIOR Court LOTATE OF OALIFORNIA, of IN AND FOR Lee Couwry. STATE of OF FOR Lee Coverns 3. Energony to bugan aged 35 years, J. gohn Pagne aged 54 years, occupation Labover do declare on oath that my personal occupation Shermaker do declare affiem on oath that my personal description is: Color White complexion Dark height 5 feet 10 inches, description is: Color White complexion light height 5 feet 3 inches, weight 140 pounds, color of hair Black color of eyestant Banne weight 150 pounds, color of hair Brown color of eyes Blue other visible distinctive marks none other visible distinctive marks none I was born in Chihuahua menic. 7th Euglaside I was born in bittleport on the day of may , anno on the 210 day of may mystruck anno Domini I 872; I now reside at 119 5th = Santa monice Cal Domini - 853; I now reside at 960 c 47thst Los angeles Calif I emigrated to the United States of America from Chihuahu menico I emigrated to the United States of America from Simpare England on the - menican Control RR my last on the vessel Batavia my last foreign residence was Chihuahma menice foreign residence was Liverpood England 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 Republic prince, potentate, state, or sovereignty, and particularly to Edward VII tit of menico of which I am now a subject 1 arrived at the port of Pas. King of Great Britiant Ireland of which I am now a citizen subject 2020 sell in the State at the port of New agark arrived in the State Tessitory of Tenas on or about the 12th day of Bistrict Daistrict New york you on or about the 5th day of april anno Domini I 894: 1 am not an anarchist: J am not a of September lanno Domini Il 873: I 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 So HELP ME GOD. Gragoning (Original signature of declarant.) Layan she to become a citizen of the United States of America 'and to permanently reside therein: So HELP ME God. Payne Subscribed and affirmed sworn to before me this 27 D. Subscribed and affinmed sworn to before me this 27th [SBAL.] day of April anno Domini [SEAL.] day of Apnic Domini 19.2% anno THIN SUPERIOR GOUNTY COURTY IN AND FOR DOUNTY DE G. Clerk of the qu LOS ANOME 87 OF CALIPORNIA, Court. Clark of By 7 Deputr.Clart

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103939062
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Type
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    "ocrText": "272\nORIGINAL\nNo.: 770\n273\nORIGINAL\nSTATES of\nSTATES on\nDepartument nf and Tabor\nDepartment nf aud\nBUREAU OF IMMIGRATION AND NATURALIZATION\nBUREAU OF IMMIGRATION AND NATURALIZATION\nDIVISION or NATURALIZATION\nDIVISION OF NATURALIZATION\nDECLARATION OF INTENTION\nDECLARATION DEINTENTION\n(Invalid for all purposes seven years after the date hereof)\n(Invalid for all purposes seven years after the date hereof)\nP\nSTATROD County of Los Angoles\nthe SUPERIOR\nSTATE OF CALIFORNIA)\nin\nCourt\nss:\nGounty of Los Angoles\nss:\nIn the SUPERIOR Court\nLOTATE OF OALIFORNIA,\nof\nIN AND FOR Lee Couwry.\nSTATE of OF\nFOR Lee Coverns\n3. Energony to\nbugan\naged 35 years,\nJ.\ngohn Pagne\naged 54 years,\noccupation\nLabover\ndo declare on oath\nthat my personal\noccupation Shermaker\ndo declare affiem on oath that my personal\ndescription is: Color White complexion Dark height 5 feet 10 inches,\ndescription is: Color White complexion light height 5 feet 3 inches,\nweight 140 pounds, color of hair Black color of eyestant Banne\nweight 150 pounds, color of hair Brown color of eyes Blue\nother visible distinctive marks none\nother visible distinctive marks none\nI was born in Chihuahua\nmenic.\n7th\nEuglaside\nI was born in bittleport\non the\nday of may\n, anno\non the 210 day of may mystruck\nanno\nDomini I 872; I now reside at 119 5th = Santa monice Cal\nDomini - 853; I now reside at 960 c 47thst Los angeles Calif\nI emigrated to the United States of America from Chihuahu menico\nI emigrated to the United States of America from Simpare England\non\nthe - menican Control RR\nmy last\non the vessel\nBatavia\nmy\nlast\nforeign residence was Chihuahma menice\nforeign residence was\nLiverpood England\nIt is my bona fide intention to renounce forever all allegiance and fidelity to any foreign\nIt\nis my bona fide intention to renounce forever all allegiance and fidelity to any foreign\nprince, potentate, state, or sovereignty, and particularly to The Republic\nprince, potentate, state, or sovereignty, and particularly to Edward VII\ntit of menico\nof which I am now a subject\n1\narrived at the port\nof Pas.\nKing of Great Britiant Ireland of which I am now a citizen subject\n2020 sell in the\nState at the port of New agark\narrived\nin the\nState\nTessitory of\nTenas\non or\nabout the 12th day\nof\nBistrict\nDaistrict\nNew york\nyou\non or about the\n5th\nday\nof\napril\nanno Domini I 894: 1 am not an anarchist: J am not\na\nof\nSeptember lanno Domini Il 873: I 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\nSo HELP ME GOD.\nGragoning (Original signature of declarant.) Layan\nshe\nto become a citizen of the United States of America 'and to permanently reside therein:\nSo HELP ME God.\nPayne\nSubscribed and affirmed sworn to before me this\n27 D.\nSubscribed and affinmed sworn to before me this 27th\n[SBAL.]\nday of April\nanno Domini\n[SEAL.]\nday of Apnic Domini 19.2%\nanno\nTHIN SUPERIOR GOUNTY COURTY IN AND FOR DOUNTY\nDE\nG.\nClerk of the qu LOS ANOME 87 OF CALIPORNIA, Court.\nClark\nof\nBy 7 Deputr.Clart"
}