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OCR
272
3260
No. 3261
No.
03
278
STATES OF
STATES OF
Departutent of Commerce and Tabur
Department of Comitterre and 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)
In the
SURERIOR Court
STATT or CALIFORNIA
AND FOR Los
:STATR or DALIFORNIA
In the
SS :
of
of Los Angoles
ss :
County of Los Angeles
of
Stank qu
3. Charles Adrien Hayotte
aged 27 years,
3. alfned Frederick Cardenbrook, aged
occupation Farmer
76 years,
occupation Rancher
,
do
declare
affirm on oath that my personal
declare on oath
description is: Color White complexion Fair do
affirm
is: Color White complexion
Fair
that my personal
description
, height 5 feet 5 inches,
weight 140 pounds, color of hair Dark
, color of eyes Brown
other visible distinctive marks One Inferion eye Right
weight 162 pounds, color of hair Gray , color of eyes Dark Hazel
, height Stee feet 7/Anches,
other visible distinctive marks
now
I was born in
Paris Prance
;
, on the
Germany on ;
I was born in Prussea
15th day of Jan
, anno
Domini I 884; I now reside at Indio Revirside Ceo. bal.
Domini I
834 l' now reside at 133 the J 27 day of anno Cal
I emigrated to the United States of America from Southampton England
I emigrated to the United States of America from Vancauver
Saint Louis
on the vessel
on the vessel
: my last
Governor
(If the allen arrived otherwise than,by vessel, the character of conveyance or name of transportation company should be given.)
foreign residence was
Paris France
foreign residence was Saskatehewan
(If the allen arrived onerwise thandby vesse) the chatracter of conveyance or name of transportation company should be given.) : my last
It is my bona fide intention to renounce forever all allegiance and fidelity to any foreign
prince, potentate, state, or sovereignty, and particularly to The Frinch
It is my bona fide intention to renounce forever all allegiance and fidelity to any foreign
prince, potentate, stated or sovereignty, and particular)y to George V
Republic
citieen
of which I am now a subject
I
arrived at the port of Redondo
King of Great Critar of which I am now a citizen
New York
subject ; I
in the
arrived at the port of
22nd day
State
State
District
California
in the
Territory of
New York
on or about the
Territery of
Distriet
October
of
July
on or about the 27 day
anno Domini 902 I am not an anarchist; I am not
a
of
anno Domini I 909 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.
Charly (Original advise signature of declarant.) Kayth
alfred (Original signature declarant.) ardination
of
Subscribed and sworn affirmed to before me this
11th
an
Subscribed and sworn to before me this 11 th
affirmed
[SEAL.]
day of april anno Domini 19.1/
[SEAL.] wim
day of april
, anno Domini 1911
20MA, H. J. WELANDE
N. J. ARLANDE
-
THE SUPERIOR COURT IN AND POB THE COUNTY
Clerk of the STATE or Court.
THE BUPENIOR COUNT IN AND FOR THIL
SOUNTY OLERK AND BLANK
Clank of
EESmich Dey Clerk.
the Court.
By
By
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"ocrText": "272\n3260\nNo. 3261\nNo.\n03\n278\nSTATES OF\nSTATES OF\nDepartutent of Commerce and Tabur\nDepartment of Comitterre and 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)\nIn the\nSURERIOR Court\nSTATT or CALIFORNIA\nAND FOR Los\n:STATR or DALIFORNIA\nIn the\nSS :\nof\nof Los Angoles\nss :\nCounty of Los Angeles\nof\nStank qu\n3. Charles Adrien Hayotte\naged 27 years,\n3. alfned Frederick Cardenbrook, aged\noccupation Farmer\n76 years,\noccupation Rancher\n,\ndo\ndeclare\naffirm on oath that my personal\ndeclare on oath\ndescription is: Color White complexion Fair do\naffirm\nis: Color White complexion\nFair\nthat my personal\ndescription\n, height 5 feet 5 inches,\nweight 140 pounds, color of hair Dark\n, color of eyes Brown\nother visible distinctive marks One Inferion eye Right\nweight 162 pounds, color of hair Gray , color of eyes Dark Hazel\n, height Stee feet 7/Anches,\nother visible distinctive marks\nnow\nI was born in\nParis Prance\n;\n, on the\nGermany on ;\nI was born in Prussea\n15th day of Jan\n, anno\nDomini I 884; I now reside at Indio Revirside Ceo. bal.\nDomini I\n834 l' now reside at 133 the J 27 day of anno Cal\nI emigrated to the United States of America from Southampton England\nI emigrated to the United States of America from Vancauver\nSaint Louis\non the vessel\non the vessel\n: my last\nGovernor\n(If the allen arrived otherwise than,by vessel, the character of conveyance or name of transportation company should be given.)\nforeign residence was\nParis France\nforeign residence was Saskatehewan\n(If the allen arrived onerwise thandby vesse) the chatracter of conveyance or name of transportation company should be given.) : my last\nIt is my bona fide intention to renounce forever all allegiance and fidelity to any foreign\nprince, potentate, state, or sovereignty, and particularly to The Frinch\nIt is my bona fide intention to renounce forever all allegiance and fidelity to any foreign\nprince, potentate, stated or sovereignty, and particular)y to George V\nRepublic\ncitieen\nof which I am now a subject\nI\narrived at the port of Redondo\nKing of Great Critar of which I am now a citizen\nNew York\nsubject ; I\nin the\narrived at the port of\n22nd day\nState\nState\nDistrict\nCalifornia\nin the\nTerritory of\nNew York\non or about the\nTerritery of\nDistriet\nOctober\nof\nJuly\non or about the 27 day\nanno Domini 902 I am not an anarchist; I am not\na\nof\nanno Domini I 909 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.\nCharly (Original advise signature of declarant.) Kayth\nalfred (Original signature declarant.) ardination\nof\nSubscribed and sworn affirmed to before me this\n11th\nan\nSubscribed and sworn to before me this 11 th\naffirmed\n[SEAL.]\nday of april anno Domini 19.1/\n[SEAL.] wim\nday of april\n, anno Domini 1911\n20MA, H. J. WELANDE\nN. J. ARLANDE\n-\nTHE SUPERIOR COURT IN AND POB THE COUNTY\nClerk of the STATE or Court.\nTHE BUPENIOR COUNT IN AND FOR THIL\nSOUNTY OLERK AND BLANK\nClank of\nEESmich Dey Clerk.\nthe Court.\nBy\nBy"
}