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34
No. 1526.
ORIGINAL
No 4527
ORIGINAL
STATES or
STATES OF
Department of Comitterce and Tabor
Depactiment of and Tabur
BUREAU OF IMMIGRATION AND NATURALIZATION
BUREAU OF IMMIGRATION AND NATURALIZATION
DIVIBION OF NATURALIZATION
DIVIBION: OF NATURALIZATION
DECLARATION OF INTENTION
DECLARATION OF INTENTION
(Invalid for all purposes seven years after the date hereof)
(Invalid for all purposes seven yeara after the date hereof)
STATE OF CALIPORNIA
In the SUPERIOR
STATE OF OALIFORNIA)
County of Los Angeles
Court
ss :
County of Los Angeles
In the SUPERIOR
Court
ss:
of the STATE OF CALIFORNIA,
IN AND FOR Los ANGELES COUNTY,
of THE STATE QE IN AND FOR Los ANGELES COUNTY,
3.
Helbourns manrice Hilson
, aged
27 years,
3.
Adolph Nansen
aged 23.
years,
occupation
Farmer
, do declare affiem. on oath that my personal
occupation
Laborar-
do declare on
oath
affiem
that my personal
description is: Color
white
complexion
Fair
,
,
height 5 feeté dinches,
description is: Color white complexion Light ,
height
feet
inches,
weight 160 pounds, color of hair Brown color of eyes Blue
weight 135. pounds, color of hair
Light
color of eyes
Blue
other visible distinctive marks
none.
other visible distinctive marks
none
: I was born in Woodstock
:
4th
was born in Fridrikised
Ceanada
, on the
day of
July
anno
normay
on the
30 day of november
anno
Domini I 881. I now reside at 1107 araphor St. Las Angeles bad
Domini I 885; I now reside at
Am Adro. bad
I emigrated to the United States of America from Vancover Canada
I emigrated to the United States of America from
on the vessel
Victoria
on the vessel
Canadian Pacific R R.
Quebrek. Cauada
DI the allen arrived otherwise than by vessel the character of conveyance or name of transportation company should be given.]
: my last
(If the allen Arrived otherwise than by vessel, the characty of conveyance or name of transportation company should be given.]
; my last
foreign residence was
noodstock
Canada
foreign residence was
Christiania
normay
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 Esmard VII
prince, potentate, state, or sovereignty, and particularly to Haakon VII.
King of Greax Britain Sriland.
of which I am now a subject citieon : I
Seattle
Kliny of Korray
of which I am now a subject eitisen
I
arrived at the port of
in the
arrived at the port of
State
Blains
in the
Tessitory of
District
Washington
on or about the 12th day
State
Tessitory of
mashington
on or about the
10" day
of
October
anno Domini 907 I am not an anarchist: I am not a
of District Appemon
anno Domini 902 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:
to become a citizen of the United States of America and to permanently reside therein:
So HELP ME GOD.
Melbourne Maurice Wilson
So HELP ME GOD.
(Original signature of declarant.)
adalph Hansew
original signature of declarant.)
Subscribed and sworn affiensed to before me this
11+
Subscribed and affirmed sworn to béfore me this
11
day of may
anno Domini 19 09
[SEAL.]
day of may
anno Domini 19 09
a GS Keyes
0.6. Keyes
COUNTY CLETIO AND EX- ORFICIO OLERK or
BOUNTY et AND EX-ORFICIO OLERK
Glank of 742 LOE BUPERIOR COURTY IN AND DALS FOR FORNTA: THI COUNTY Coust.
Clark of count IN AND FOR THE COUNT Gowrt
By
Catry
Optuy Clerk.
By
greatry
Defuly Clerk.
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"ocrText": "34\nNo. 1526.\nORIGINAL\nNo 4527\nORIGINAL\nSTATES or\nSTATES OF\nDepartment of Comitterce and Tabor\nDepactiment of and Tabur\nBUREAU OF IMMIGRATION AND NATURALIZATION\nBUREAU OF IMMIGRATION AND NATURALIZATION\nDIVIBION OF NATURALIZATION\nDIVIBION: 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 yeara after the date hereof)\nSTATE OF CALIPORNIA\nIn the SUPERIOR\nSTATE OF OALIFORNIA)\nCounty of Los Angeles\nCourt\nss :\nCounty of Los Angeles\nIn the SUPERIOR\nCourt\nss:\nof the STATE OF CALIFORNIA,\nIN AND FOR Los ANGELES COUNTY,\nof THE STATE QE IN AND FOR Los ANGELES COUNTY,\n3.\nHelbourns manrice Hilson\n, aged\n27 years,\n3.\nAdolph Nansen\naged 23.\nyears,\noccupation\nFarmer\n, do declare affiem. on oath that my personal\noccupation\nLaborar-\ndo declare on\noath\naffiem\nthat my personal\ndescription is: Color\nwhite\ncomplexion\nFair\n,\n,\nheight 5 feeté dinches,\ndescription is: Color white complexion Light ,\nheight\nfeet\ninches,\nweight 160 pounds, color of hair Brown color of eyes Blue\nweight 135. pounds, color of hair\nLight\ncolor of eyes\nBlue\nother visible distinctive marks\nnone.\nother visible distinctive marks\nnone\n: I was born in Woodstock\n:\n4th\nwas born in Fridrikised\nCeanada\n, on the\nday of\nJuly\nanno\nnormay\non the\n30 day of november\nanno\nDomini I 881. I now reside at 1107 araphor St. Las Angeles bad\nDomini I 885; I now reside at\nAm Adro. bad\nI emigrated to the United States of America from Vancover Canada\nI emigrated to the United States of America from\non the vessel\nVictoria\non the vessel\nCanadian Pacific R R.\nQuebrek. Cauada\nDI the allen arrived otherwise than by vessel the character of conveyance or name of transportation company should be given.]\n: my last\n(If the allen Arrived otherwise than by vessel, the characty of conveyance or name of transportation company should be given.]\n; my last\nforeign residence was\nnoodstock\nCanada\nforeign residence was\nChristiania\nnormay\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, and particularly to Esmard VII\nprince, potentate, state, or sovereignty, and particularly to Haakon VII.\nKing of Greax Britain Sriland.\nof which I am now a subject citieon : I\nSeattle\nKliny of Korray\nof which I am now a subject eitisen\nI\narrived at the port of\nin the\narrived at the port of\nState\nBlains\nin the\nTessitory of\nDistrict\nWashington\non or about the 12th day\nState\nTessitory of\nmashington\non or about the\n10\" day\nof\nOctober\nanno Domini 907 I am not an anarchist: I am not a\nof District Appemon\nanno Domini 902 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:\nto become a citizen of the United States of America and to permanently reside therein:\nSo HELP ME GOD.\nMelbourne Maurice Wilson\nSo HELP ME GOD.\n(Original signature of declarant.)\nadalph Hansew\noriginal signature of declarant.)\nSubscribed and sworn affiensed to before me this\n11+\nSubscribed and affirmed sworn to béfore me this\n11\nday of may\nanno Domini 19 09\n[SEAL.]\nday of may\nanno Domini 19 09\na GS Keyes\n0.6. Keyes\nCOUNTY CLETIO AND EX- ORFICIO OLERK or\nBOUNTY et AND EX-ORFICIO OLERK\nGlank of 742 LOE BUPERIOR COURTY IN AND DALS FOR FORNTA: THI COUNTY Coust.\nClark of count IN AND FOR THE COUNT Gowrt\nBy\nCatry\nOptuy Clerk.\nBy\ngreatry\nDefuly Clerk."
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