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428 2916 ORIGINAL No. 2917 ORIGINAL / STATES of STATES OF Departutent of Conmerce and Deparintent of aud Tabur 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 aeven years after the date hereof) (Invalid for all purposes seven years after the date hereof) STATE OF PORNI.A) In the SURERIOR Court ST.ATE. of CALIPORMIA County of Los Angeles In County or Los Angeles the 'SUPERIOR Court ss: THE STATE OF CAL SS: IN AND FOR Los ANGELES County THE STATE OF CALIFORNIA, of of IN AND FOR Los ANGELES County. Milliam Leonard Robey aged 41 years, 3. George Sutherland Brekwith aged not years, occupation Engineer do declare affirm on oath that my personal occupation Labourner description is: Color White , complexion: Fair , height 5 8/1 do declare affirm on oath that my personal feet inches, description is: Color where weight 160 pounds, color of hair Brown color of eyes Blue , complexion Light , height 5 feet-'s's Linches, weight 140 pounds, color of hair Light color of eyes Blue other visible distinctive marks None other visible distinctive marks none. : I was born in candington 1 was born in Black Rirr England , on the 24 day of June , anno Canada on the 9th day of April , anno Domini I 869 I now reside at Los Angelie Balif Domini I 886; I now reside at has Angeles Eal I emigrated to the United States of America from Liverpool England I emigrated to the United States of America from Black River Canada on the vessel (If the allen arrived otheryise than by vessel, the character of conveyance.or name of transportation company should be given.) Harrford : my last on the vessel England (If the allen arrived otherwise than by vessel, the character of conveyance or name of transportation company should be Canadian Pacific R.R. : my last foreign residence was Black River given.) foreign residence was Canada 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 Georget String of great Britain Irelayd of which 1 am now a subject citizen ; prince, potentate, state, or sovereignty, and particularly to Grougn V. I thing of Greak Britain X Iniland arrived at the port of Philadelphia of which I am now a citizen subject I in the arrived at the port of Vanciboro State Penn on or about the 22dd day State in the Territory of of main 84 District x on or about the day District of July anno Domini 909 I am not an anarchist: 1 am not a of Beby anno Domini 1 903: 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. So HELP ME GOD. William (Original Leonard signature of declarant.) Robay George sutherland Beckmith eist to Subscribed and affirmed sworn to before me this V (Original signature of declaraat.) Subscribed and sworn affismed to before me this 21m [SEAL.] day of November anno Domini 19 (10) [SEAL.] onsté. day of November , anno Domini 1910 C. G Keyes COUNTY CLERK AND EX ORFICIO OCENT - C. G. Keyes THE SUPERIOR COURT. IN ALD FC3 T.IE COUNTY GOUNTY aceme AND OLERK - Chite of thot LOS ANGELES, STAVE OF GALIFORNIA, Churt. THE SUPERIOR COURT IN ATD FON THE COUNTY Clash - Lee ANGELES, STATE OF CALIFORNIA, By A.M.Scott Defuity Clerk. for Combry Specity Clerk.

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    "ocrText": "428\n2916\nORIGINAL\nNo. 2917\nORIGINAL\n/ STATES of\nSTATES OF\nDepartutent of Conmerce and\nDeparintent of aud Tabur\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 aeven years after the date hereof)\n(Invalid for all purposes seven years after the date hereof)\nSTATE OF PORNI.A)\nIn the SURERIOR Court\nST.ATE. of CALIPORMIA\nCounty of Los Angeles\nIn\nCounty or Los Angeles\nthe 'SUPERIOR Court\nss:\nTHE STATE OF CAL\nSS:\nIN AND FOR Los ANGELES County\nTHE STATE OF CALIFORNIA,\nof\nof\nIN AND FOR Los ANGELES County.\nMilliam Leonard Robey\naged 41 years,\n3.\nGeorge Sutherland Brekwith\naged\nnot years,\noccupation\nEngineer\ndo\ndeclare affirm on oath that my personal\noccupation\nLabourner\ndescription is: Color White , complexion: Fair , height 5 8/1\ndo declare affirm on oath that my personal\nfeet inches,\ndescription is: Color where\nweight 160 pounds, color of hair Brown color of eyes Blue\n,\ncomplexion\nLight\n,\nheight 5 feet-'s's Linches,\nweight 140 pounds, color of hair\nLight\ncolor of eyes\nBlue\nother visible distinctive marks\nNone\nother visible distinctive marks\nnone.\n:\nI was born in candington\n1 was born in\nBlack Rirr\nEngland , on\nthe\n24 day of June\n, anno\nCanada\non the\n9th\nday of\nApril\n, anno\nDomini I 869 I now reside at\nLos Angelie Balif\nDomini I 886; I now reside at\nhas Angeles Eal\nI emigrated to the United States of America\nfrom Liverpool England\nI emigrated to the United States of America from\nBlack River Canada\non the vessel\n(If the allen arrived otheryise than by vessel, the character of conveyance.or name of transportation company should be given.)\nHarrford\n: my last\non the vessel\nEngland\n(If the allen arrived otherwise than by vessel, the character of conveyance or name of transportation company should be\nCanadian Pacific R.R.\n: my last\nforeign residence was\nBlack River\ngiven.)\nforeign residence was\nCanada\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 Georget String\nof great Britain Irelayd of which 1 am now a subject citizen ;\nprince, potentate, state, or sovereignty, and particularly to Grougn V.\nI\nthing of Greak Britain X Iniland\narrived\nat the port of Philadelphia\nof which I am now a citizen subject I\nin the\narrived at the port of\nVanciboro\nState\nPenn\non or about the 22dd day\nState\nin the\nTerritory of\nof\nmain\n84\nDistrict\nx on or about the\nday\nDistrict of July\nanno Domini 909 I am not an anarchist: 1 am not a\nof\nBeby\nanno Domini 1 903: 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.\nSo HELP ME GOD.\nWilliam (Original Leonard signature of declarant.) Robay\nGeorge sutherland Beckmith\neist\nto\nSubscribed and affirmed sworn to before me this\nV\n(Original signature of declaraat.)\nSubscribed and sworn affismed to before me this\n21m\n[SEAL.]\nday of November anno Domini 19 (10)\n[SEAL.] onsté.\nday of November\n, anno Domini 1910\nC. G Keyes\nCOUNTY CLERK AND EX ORFICIO OCENT -\nC. G. Keyes\nTHE SUPERIOR COURT. IN ALD FC3 T.IE COUNTY\nGOUNTY aceme AND OLERK -\nChite of thot LOS ANGELES, STAVE OF GALIFORNIA,\nChurt.\nTHE SUPERIOR COURT IN ATD FON THE COUNTY\nClash\n- Lee ANGELES, STATE OF CALIFORNIA,\nBy A.M.Scott Defuity Clerk.\nfor Combry Specity Clerk."
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