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OCR
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.
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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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."
}