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320
No. 2809
ORIGINAL
No.2810.
321
ORIGINAL
STATES OF
STATES of
Departmient of Commerce aud Gabor
of amd Tabor
BUREAU OF IMMIGRATION AND NATURALIZATION
BUREAU OF IMMIGRATION AND NATURALIZATION
DIVISION OF NATURALIZATION
DIVISION OF NATURALIZATION
DECLARATION OF INTENTION
DECLARATION OF INTENTION
(Invalid for all purposes seven years after the date hereof)
(Invalid for all purposes seven years after the date hereof)
STATE OF CALIFORNIA)
In the
SUPERIOR Court
STATE OF CALIFORNIA
County of Los Angeles
THE STATE OF CALIFORNIA,
County of Los Augeles
In
the SUPERIOR
ss :
of
IN AND FOR LOS ANGELEB COUNTW.
ss:
THE STATE OF CALIFORNIA,
Court
of
IN AND LOS ANDELES COUNTY,
3,
Per Kust Andrown
, aged
42. years,
3,
Percy Engstrom
, aged
29 years,
Carpenter
do declare affirm on that my personal
oath
occupation
occupation
Carpinter
do declare affirm on oath that my personal
description is: Color white
,
complexion Light , height 5 feet 9 inches,
description is: Color white
complexion
Light
,
height 5 feet 10 inches,
wèight 150 pounds, color of hair Brown color of leyes Blue
weight 170 pounds, color of hair Light , color of eyes Blue
other visible distinctive marks
none
other visible distinctive marks
none
:
I was born in Hedeunda
on the
13.
Oct
Bretan
: I was born in Heducanda
Amen
,
day of
anno
on the
26
day of
march
, anno
Domini I 868 ; I now reside at
Quarting bal.
Domini I 581. : I now reside at
Broading bas
I emigrated to the United States of America from Liverpool England
I emigrated to the United States of America from
Glargon
on the vessel
otherwise than by vessel, the charachy of conveyance or name of transpgitation company should be given.) : my last
on the vessel
Anchon Line
scottaing
(If
the
allen arrived
Brook
(If the allen arrived otherwise than by vesse), the character of conveyance or name of pransportation company should be given.)
: my last
foreign residence was
foreign residence was
Hadwanda Bredin
It is my bona fide intention to renounce forever all allegiance and fidelity to any foreign
It
and particularly to Gustavas V.
is my bona fide intention to renounce forever all allegiance and fidelity to any foreign
prince, potentate, state, or sovereignty,
prince, potentate, state, or sovereignty, and particularly to Gustavios
King of Aren
,
of which I am now a subject citizen I
King of Brehom
, of which I am now a subject citisen :
I
arrived at the port of
Boston
in the
arrived at the port of
mass
State
Newyork
in the
State
Territory of
on or about the
26
day
Territory of
District
District
newyork
on or about the 39 day
of
april
anno Domini 906; I am not an anarchist: I am not a
of
April
anno Domini 905 I am not an anarchist; 1 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.
Sol HELP ME GOD.
In bust Anderson
(Original signaturé of declarant.)
Percy (Odeinal signature Engthions of /
Subscribed and sworn to before me this
affirmed
19
virli
Subscribed and sworn affirmed to before me this
19'
[SEAL.]
day of Oct
anno Domini 1910
[SEAL I
day of October anno Domini 1910
C. G. Keyes
Keyes
COUNTY CX or
THE SUPERIOR COURT. IN AND FOR THE COUNTY
COUNTYO or
THE SUPERIOR COURT. IN AID FOR THE COUNTY
of the OF LOS ANGELES,STATE OF GALIFORNIA.
Clank
the - Lee ANGELES, STAWE OF GALIFORNIA,
By
for Contry
Aspect Clerk.
By
for endry stufy Clerk. Courte
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"ocrText": "320\nNo. 2809\nORIGINAL\nNo.2810.\n321\nORIGINAL\nSTATES OF\nSTATES of\nDepartmient of Commerce aud Gabor\nof amd Tabor\nBUREAU OF IMMIGRATION AND NATURALIZATION\nBUREAU OF IMMIGRATION AND NATURALIZATION\nDIVISION OF NATURALIZATION\nDIVISION 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 years after the date hereof)\nSTATE OF CALIFORNIA)\nIn the\nSUPERIOR Court\nSTATE OF CALIFORNIA\nCounty of Los Angeles\nTHE STATE OF CALIFORNIA,\nCounty of Los Augeles\nIn\nthe SUPERIOR\nss :\nof\nIN AND FOR LOS ANGELEB COUNTW.\nss:\nTHE STATE OF CALIFORNIA,\nCourt\nof\nIN AND LOS ANDELES COUNTY,\n3,\nPer Kust Andrown\n, aged\n42. years,\n3,\nPercy Engstrom\n, aged\n29 years,\nCarpenter\ndo declare affirm on that my personal\noath\noccupation\noccupation\nCarpinter\ndo declare affirm on oath that my personal\ndescription is: Color white\n,\ncomplexion Light , height 5 feet 9 inches,\ndescription is: Color white\ncomplexion\nLight\n,\nheight 5 feet 10 inches,\nwèight 150 pounds, color of hair Brown color of leyes Blue\nweight 170 pounds, color of hair Light , color of eyes Blue\nother visible distinctive marks\nnone\nother visible distinctive marks\nnone\n:\nI was born in Hedeunda\non the\n13.\nOct\nBretan\n: I was born in Heducanda\nAmen\n,\nday of\nanno\non the\n26\nday of\nmarch\n, anno\nDomini I 868 ; I now reside at\nQuarting bal.\nDomini I 581. : I now reside at\nBroading bas\nI emigrated to the United States of America from Liverpool England\nI emigrated to the United States of America from\nGlargon\non the vessel\notherwise than by vessel, the charachy of conveyance or name of transpgitation company should be given.) : my last\non the vessel\nAnchon Line\nscottaing\n(If\nthe\nallen arrived\nBrook\n(If the allen arrived otherwise than by vesse), the character of conveyance or name of pransportation company should be given.)\n: my last\nforeign residence was\nforeign residence was\nHadwanda Bredin\nIt is my bona fide intention to renounce forever all allegiance and fidelity to any foreign\nIt\nand particularly to Gustavas V.\nis my bona fide intention to renounce forever all allegiance and fidelity to any foreign\nprince, potentate, state, or sovereignty,\nprince, potentate, state, or sovereignty, and particularly to Gustavios\nKing of Aren\n,\nof which I am now a subject citizen I\nKing of Brehom\n, of which I am now a subject citisen :\nI\narrived at the port of\nBoston\nin the\narrived at the port of\nmass\nState\nNewyork\nin the\nState\nTerritory of\non or about the\n26\nday\nTerritory of\nDistrict\nDistrict\nnewyork\non or about the 39 day\nof\napril\nanno Domini 906; I am not an anarchist: I am not a\nof\nApril\nanno Domini 905 I am not an anarchist; 1 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.\nSol HELP ME GOD.\nIn bust Anderson\n(Original signaturé of declarant.)\nPercy (Odeinal signature Engthions of /\nSubscribed and sworn to before me this\naffirmed\n19\nvirli\nSubscribed and sworn affirmed to before me this\n19'\n[SEAL.]\nday of Oct\nanno Domini 1910\n[SEAL I\nday of October anno Domini 1910\nC. G. Keyes\nKeyes\nCOUNTY CX or\nTHE SUPERIOR COURT. IN AND FOR THE COUNTY\nCOUNTYO or\nTHE SUPERIOR COURT. IN AID FOR THE COUNTY\nof the OF LOS ANGELES,STATE OF GALIFORNIA.\nClank\nthe - Lee ANGELES, STAWE OF GALIFORNIA,\nBy\nfor Contry\nAspect Clerk.\nBy\nfor endry stufy Clerk. Courte"
}