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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
Page data
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Document data
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- Core
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- Type
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DTO data
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Context sent to Scholar
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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"
}