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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"
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