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208 2697 No. 2698 ORIGINAL STATES of STATES OF Department of and Tabur Repartment of and BUREAU OF IMMIGRATION AND NATURALIZATION BUREAU OF IMMIGRATION AND NATURALIZATION DIVISION OF NATURALIZATION DIVIBION OF NATURALIZATION DECLARATION OF INTENTION DECLARATION OF INTENTION (Invalid for all purposes seven years after the date hereof) (Învalid for all purposes seven years after the date hereof) STATE OF CAL APORNIA In the BURERIOR Court SS: THE OF STATE OF CALTRORNIA In County of Angeles County of Los Angeles ss: the Court THE OF SUPERIOR of IN AND FOR Los ANGELES COUNTR. of IN AND FOR Los ANGELES COUNTY. 3, Bertram Donald Bose aged 28 years, 3. William Matthew Japful aged 39 occupation Book- keeper , do declareson affirm- oath that my personal occupation Painter years, description is: Color White complexion Fair heights feet 10 inches, description is: Color White complexion Fair height. 5 feet do declare -affirm on oath that my personal weight 140 pounds, color of hair Light , color of eyes Gray 7 inches, other visible distinctive marks None weight 180 pounds, color of hair Brown color of eyes Blue other visible distinctive marks none : I was born in Banfield Canada , on the 4th day of November anno : I was born in Dartmouth Canada , on the 10th day of November anno Domini I 881; I now reside at emigrated to the United States of America from Hindsor Canada Los Angeles Calif Domini I 870: I now reside at I Grand Trunk PR I emigrated to the United States of America from Nacosaria Mexico Joe Angeles Baliz on the-vessel : my last on the vessel (If the allen arrived otherwise than by vessel. the characters of Conveyance or name of transportation comparly should be given.] (If the allen Mejican Central RR foreign residence was It Thomas Canada arrived otherwise than by vessel, the character of conveyance or name of transportation company should be given.) ; my last foreign residence was Nacosaria Mexics It is my bona fide intention to renounce forever all allegiance and fidelity to any foreign prince, potentate, state, or sovereignty, and particularly to George VAKing It is my bona fide intention to renounce forever all allegiance and fidelity to any foreign of great Britan Acreland of which I am now a citteen- subject 1 prince, potentate, state, or sovereignty, of Ireland and particularly to of George which I am now KAing a eitizen ; I arrived at the port of Detroit And in the arrived at the port of State Distriet of Michigan the 15th day State Douglass subject in the Tereitory on or about Tornitory of District Arizona on or about the 15th day of March , anno Domini 1 891: I am not an anarchist: 1 am not a of may anno Domini 903 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. Bertram Donald Rose So HELP ME GOD. (Original signature of declarant.) 10th William Mathew (Original Jappel signatur Subscribed and sworn ffirmed to before me this day of Sept Subscribed and sworn affermed to before me this 10th [SEAL.] inimoa , anno Domini 1910 [SEAL I day of Sept ,anno Domini 19 10 G. a C. G. Keyes COUNTY OLERK AND EX OF will THE SUPERIOR COUNT IN AND FOR THE COUNTY LOS ANGELES, STATE OF CALIFORNIA, DF By Deputy Clerk. By Annell Deputy Clerk.

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439
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Core
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Type
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Page context
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    "ocrText": "208\n2697\nNo. 2698\nORIGINAL\nSTATES of\nSTATES OF\nDepartment of and Tabur\nRepartment of and\nBUREAU OF IMMIGRATION AND NATURALIZATION\nBUREAU OF IMMIGRATION AND NATURALIZATION\nDIVISION OF NATURALIZATION\nDIVIBION OF NATURALIZATION\nDECLARATION OF INTENTION\nDECLARATION OF INTENTION\n(Invalid for all purposes seven years after the date hereof)\n(Învalid for all purposes seven years after the date hereof)\nSTATE OF CAL APORNIA\nIn\nthe BURERIOR Court\nSS:\nTHE OF\nSTATE OF CALTRORNIA\nIn\nCounty of Angeles\nCounty of Los Angeles\nss:\nthe Court\nTHE OF\nSUPERIOR\nof\nIN AND FOR Los ANGELES COUNTR.\nof\nIN AND FOR Los ANGELES COUNTY.\n3, Bertram Donald Bose aged 28 years,\n3. William Matthew Japful aged 39\noccupation\nBook- keeper\n,\ndo\ndeclareson affirm- oath that my personal\noccupation\nPainter\nyears,\ndescription is: Color White complexion Fair heights feet 10 inches,\ndescription is: Color White complexion Fair height. 5 feet\ndo declare -affirm on oath that my personal\nweight 140 pounds, color of hair Light , color of eyes Gray\n7\ninches,\nother visible distinctive marks\nNone\nweight 180 pounds, color of hair Brown color of eyes Blue\nother visible distinctive marks\nnone\n:\nI\nwas born in Banfield\nCanada , on the 4th day of November anno\n: I was born in Dartmouth\nCanada , on the 10th day of November anno\nDomini I 881; I now reside at\nemigrated to the United States of America from Hindsor Canada\nLos Angeles Calif\nDomini I 870: I now reside at\nI\nGrand Trunk PR\nI emigrated to the United States of America from Nacosaria Mexico\nJoe Angeles Baliz\non the-vessel\n: my last\non the vessel\n(If the allen arrived otherwise than by vessel. the characters of Conveyance or name of transportation comparly should be given.]\n(If\nthe allen Mejican Central RR\nforeign residence was\nIt Thomas Canada\narrived otherwise than by vessel, the character of conveyance or name of transportation company should be given.) ; my last\nforeign residence was\nNacosaria\nMexics\nIt is my bona fide intention to renounce forever all allegiance and fidelity to any foreign\nprince, potentate, state, or sovereignty, and particularly to George VAKing\nIt is my bona fide intention to renounce forever all allegiance and fidelity to any foreign\nof great Britan Acreland of which I am now a citteen- subject\n1\nprince, potentate, state, or sovereignty, of Ireland and particularly to of George which I am now KAing a eitizen ; I\narrived at the port of\nDetroit And\nin the\narrived at the port of\nState Distriet of Michigan\nthe 15th day\nState\nDouglass\nsubject\nin the\nTereitory\non or about\nTornitory of\nDistrict\nArizona\non or about the 15th day\nof March\n, anno Domini 1 891: I am not an anarchist: 1 am not a\nof\nmay\nanno Domini 903 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.\nBertram Donald Rose\nSo HELP ME GOD.\n(Original signature of declarant.)\n10th\nWilliam Mathew (Original Jappel\nsignatur\nSubscribed and sworn ffirmed to before me this\nday of Sept\nSubscribed and sworn affermed to before me this\n10th\n[SEAL.]\ninimoa\n, anno Domini 1910\n[SEAL I\nday of Sept\n,anno Domini 19 10\nG. a\nC. G. Keyes\nCOUNTY OLERK AND EX OF\nwill\nTHE SUPERIOR COUNT IN AND FOR THE COUNTY\nLOS ANGELES, STATE OF CALIFORNIA,\nDF\nBy Deputy Clerk.\nBy Annell\nDeputy Clerk."
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