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62
20
63
ORIGINAL
No- 2053
ORIGINAL
STATES OF
STATES OF
at Comuterte and Trabut
Departutient of and Nabor
BUREAU OF IMMIGRATION AND NATURALIZATION:
BUREAU OF IMMIGRATION AND NATURALIZATION
DIVIBION or NATURALIZATION
DIVISION OF NATURALIZATION
DECLARATION OF INTENTION
DECLARATION OFC INTENTION
(Invalid for all purposes seven yeare after the date hereof)
(bavalid for all purposes seven years after the date hereof)
STATE of CALIFO
S
In the SUPERIOR Court
STATE or
County of Los angetes
County of
In
the SUPERIOR Court
M
ss:
IN AND FOR Loa ANOELES Courcis
ss:
ofthe STATE OF CALIFORNIA,
of THE STATE OF CALIFORNIA, IN AND FOR Loe Coth
3,
John Smith
, aged
24
years,
3.
Killiam m bubbin
aged 22 years,
occupation
Elestrician
do declare affirm on oath that my personal
occupation Stock-man
do declare affiem on oath that my personal
description is: Color while
complexion
fair
height feet 6 inches,
description is: Color whice
complexion fair , height 2 feet9 inches,
weight 145. pounds, color of hair
Brown. color of leyes
Blue
weight 145 pounds, color of hair Brown color of eyes Blue
other visible distinctive marks
none.
other visible distinctive marks
none.
: I born in Kilbirnie
was
I born in Whithom
was
Scorland
on the
3.
day of
7.by
. anno
Seattand on
the
4th
day of
Septimber anno
Domini I 885; I now reside at
has Angeles
bad
Domini 1 887 I now reside at
Las Angress bas
I to
emigrated the United States of America from Montred Canada
banadian Pacific R.R.
I emigrated to the United States of America from monthing Canada
on the vessel
(If the allen arrived otherwise than by vessel the or name of transportation company should be
: my last
on the vessel
brand drunse R a
Smiths Fallo
given.)
Canada
(If the allen arrived otherwise than by vesgel, the character of conveyance or name of transportation company should be given.]
; my last
foreign residence was
foreign residence was
rhishom
Seadland
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 Eamard ri
prince, potentate, state, or sovereignty, and particularly to
Keng of Great Britain X Suland of which I am now
citinca
a
subject
:
1
King of treat Britain & Incluned
of which I am now a citizen
subject
1
arrived at the port of
Knigsgate
in the
arrived at the port of
Park Huron
in the
State
Territory of
nashington
17
State
on or about the
Diotrict
day
Territory of
michigan
on or about the
6
2
day
October
District
of
anno Domini 908. I am not an anarchist; 1 am not a
of
October
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.
So HELP ME GOD.
John Smith signature of declarant.)
(Original signature of declament.)
Subsctibed and sworn to before me this
n "
Subscribed and sworn to before me this
Affirmed
[SEAL.]
anna
day of January
anno Domini 1910
[SEAL.]
ohns
day of January
anno Domini 19/0
C. Q. Keyos
C. G. Keyes
DURT. AND FOR THS COUNTY
COUNTY ges AND EX
LOA STAW OF GALIPORNIA,
Gourt.
THE SUPECION CODET
Glenk theckos
pricerty hipets Clerk.
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"ocrText": "62\n20\n63\nORIGINAL\nNo- 2053\nORIGINAL\nSTATES OF\nSTATES OF\nat Comuterte and Trabut\nDepartutient of and Nabor\nBUREAU OF IMMIGRATION AND NATURALIZATION:\nBUREAU OF IMMIGRATION AND NATURALIZATION\nDIVIBION or NATURALIZATION\nDIVISION OF NATURALIZATION\nDECLARATION OF INTENTION\nDECLARATION OFC INTENTION\n(Invalid for all purposes seven yeare after the date hereof)\n(bavalid for all purposes seven years after the date hereof)\nSTATE of CALIFO\nS\nIn the SUPERIOR Court\nSTATE or\nCounty of Los angetes\nCounty of\nIn\nthe SUPERIOR Court\nM\nss:\nIN AND FOR Loa ANOELES Courcis\nss:\nofthe STATE OF CALIFORNIA,\nof THE STATE OF CALIFORNIA, IN AND FOR Loe Coth\n3,\nJohn Smith\n, aged\n24\nyears,\n3.\nKilliam m bubbin\naged 22 years,\noccupation\nElestrician\ndo declare affirm on oath that my personal\noccupation Stock-man\ndo declare affiem on oath that my personal\ndescription is: Color while\ncomplexion\nfair\nheight feet 6 inches,\ndescription is: Color whice\ncomplexion fair , height 2 feet9 inches,\nweight 145. pounds, color of hair\nBrown. color of leyes\nBlue\nweight 145 pounds, color of hair Brown color of eyes Blue\nother visible distinctive marks\nnone.\nother visible distinctive marks\nnone.\n: I born in Kilbirnie\nwas\nI born in Whithom\nwas\nScorland\non the\n3.\nday of\n7.by\n. anno\nSeattand on\nthe\n4th\nday of\nSeptimber anno\nDomini I 885; I now reside at\nhas Angeles\nbad\nDomini 1 887 I now reside at\nLas Angress bas\nI to\nemigrated the United States of America from Montred Canada\nbanadian Pacific R.R.\nI emigrated to the United States of America from monthing Canada\non the vessel\n(If the allen arrived otherwise than by vessel the or name of transportation company should be\n: my last\non the vessel\nbrand drunse R a\nSmiths Fallo\ngiven.)\nCanada\n(If the allen arrived otherwise than by vesgel, the character of conveyance or name of transportation company should be given.]\n; my last\nforeign residence was\nforeign residence was\nrhishom\nSeadland\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 Eamard ri\nprince, potentate, state, or sovereignty, and particularly to\nKeng of Great Britain X Suland of which I am now\ncitinca\na\nsubject\n:\n1\nKing of treat Britain & Incluned\nof which I am now a citizen\nsubject\n1\narrived at the port of\nKnigsgate\nin the\narrived at the port of\nPark Huron\nin the\nState\nTerritory of\nnashington\n17\nState\non or about the\nDiotrict\nday\nTerritory of\nmichigan\non or about the\n6\n2\nday\nOctober\nDistrict\nof\nanno Domini 908. I am not an anarchist; 1 am not a\nof\nOctober\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.\nSo HELP ME GOD.\nJohn Smith signature of declarant.)\n(Original signature of declament.)\nSubsctibed and sworn to before me this\nn \"\nSubscribed and sworn to before me this\nAffirmed\n[SEAL.]\nanna\nday of January\nanno Domini 1910\n[SEAL.]\nohns\nday of January\nanno Domini 19/0\nC. Q. Keyos\nC. G. Keyes\nDURT. AND FOR THS COUNTY\nCOUNTY ges AND EX\nLOA STAW OF GALIPORNIA,\nGourt.\nTHE SUPECION CODET\nGlenk theckos\npricerty hipets Clerk."
}