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284 3273 PRIGINAL No. 3273 ORIGIÑAL 285 No. STATES OF STATES OF Repartment of Cammerce and Department of Conmerce 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 SUPERIOR Court In the SUPERIOR Court S STATE OF CALIFORNIA ss : Anb for Lee COUNTY, ss: IN AND FOR Loe ANDELIVO of Los Aligeles of County of in of STATE DE CALIEDENLA 3, John William Brown do aged 45 years, 3. Sam Schiller , , aged 29 years, occupation gen Forman P.E.Ryco declare on oath affirm that my personal do declare on oath , occupation Javiler , affirm that my personal description is: Color White complexion Fair , height 5 feet 6 inches, description is: Color White complexion Dark height 5 feet 9 inches, weight 200 pounds, color of hair Brown , color of eyes Glay weight 138 pounds; color of hair Black color of leyes Black none other visible distinctive marks other visible distinctive marks none I was born in : Wagenham : I was born in Warsha : England , on 4th day of October Paland the , anno , on the 21st day of Domini I 882 I now reside at 916 E gt at Las angeli bal. may , anno Domini I 866 ; I now reside at 1606 Elittat Lar angeles bal I emigrated to the United States of America from Liverpoul England Sardinian I emigrated to the United States of America from Hamburg Hermany on the vessel on the vessel : my last (If the allen arrived otherwise than % the pharacter of conveyance of transportation pompany should be given.) IN therallen arrived otherwise than by vessel, the character of conve Ince or name of transportation company shoold be given, albany : my last 1st Johals foreign residence foreign residence was was Nowy-Alwor Paland 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 George V prince, potentate, state, or sovereignty, and particularly to Nicholas TI Kingo of Great Britam and Irland of which 1 am now a citiasn subject 1 Emperor of all the Ruceive of which I am citizen. now a subject I arrived at the port of Detroil in the arrived at the port of Am York in the State 28th day State Ferritary of mich on or about the Tercitory of District New York on or about the 22nd day Distriet of Fab. anno Domini I 1901 I am not an anarchist: I am not a of Feb anno Domini 903: 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 thépractice of polygamy: and it is my intention in good faith to become a citizen of the United States of America and to permanently reside thereint to become a citizen of the United States of America and to permanently reside therein: So HELP ME GOD. John (Original William signature of declarant.) Brown So HELP ME GOD. Sam Schiller (Original signature of declarant.) Subscribed and sworn to before me this 14th Subscribed and sworn to before me this 14th affirmed affirmed [SEAL day of april anno Domini 1911) [SEAL:] day of april , anno Domini 19 11 H. J. LELANDE H. J. LELANDE OCUNTY OLank AND BOUNTY AND - THE BUPERVOR IN AND FOR THE DOUNTY THE SUPTIUDE courry - AMD FOR THI GOUNTY Clerk of the BTA 19 OF GAL WORNIA. Court. Clerk of the OF LOS DE Court. Elsmith By Ersmith Dy Clerk

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    "ocrText": "284\n3273\nPRIGINAL\nNo. 3273\nORIGIÑAL\n285\nNo.\nSTATES OF\nSTATES OF\nRepartment of Cammerce and\nDepartment of Conmerce 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\nSUPERIOR Court\nIn the\nSUPERIOR Court\nS\nSTATE OF CALIFORNIA\nss :\nAnb for Lee COUNTY,\nss:\nIN AND FOR Loe ANDELIVO\nof Los Aligeles\nof\nCounty of in\nof\nSTATE DE CALIEDENLA\n3, John William Brown do\naged 45 years,\n3.\nSam Schiller\n,\n,\naged 29 years,\noccupation gen Forman P.E.Ryco\ndeclare on oath\naffirm that my personal\ndo declare on oath\n,\noccupation Javiler\n,\naffirm\nthat my personal\ndescription is:\nColor White complexion Fair , height 5 feet 6 inches,\ndescription is: Color White complexion Dark height 5 feet 9 inches,\nweight 200 pounds, color of hair Brown , color of eyes Glay\nweight 138 pounds; color of hair Black color of leyes\nBlack\nnone\nother visible distinctive marks\nother visible distinctive marks\nnone\nI was\nborn in : Wagenham\n:\nI was born in Warsha\n:\nEngland , on\n4th day of\nOctober\nPaland\nthe\n, anno\n,\non the\n21st day of\nDomini I 882 I now reside at 916 E gt at Las angeli bal.\nmay\n, anno\nDomini I 866 ; I now reside at 1606 Elittat Lar angeles bal\nI emigrated to the\nUnited States of America from Liverpoul England\nSardinian\nI emigrated to the United States of America from Hamburg Hermany\non the vessel\non the vessel\n: my last\n(If\nthe\nallen arrived otherwise than % the pharacter of conveyance of transportation pompany should be given.)\nIN therallen arrived otherwise than by vessel, the character of conve Ince or name of transportation company shoold be given,\nalbany\n: my last\n1st Johals\nforeign residence\nforeign residence was\nwas Nowy-Alwor Paland\nIt is my bona fide intention to renounce forever all allegiance and fidelity to any foreign\nIt\nis my bona fide: intention to renounce forever all allegiance and fidelity to any foreign\nprince, potentate, state, or sovereignty, and particularly to George V\nprince, potentate, state, or sovereignty, and particularly to Nicholas TI\nKingo of Great Britam and Irland of which 1 am now a citiasn subject\n1\nEmperor of all the Ruceive of which I\nam\ncitizen.\nnow\na\nsubject\nI\narrived at the port of\nDetroil\nin the\narrived at the port of\nAm York\nin the\nState\n28th day\nState\nFerritary of\nmich\non or about the\nTercitory of\nDistrict\nNew York on or about the 22nd day\nDistriet\nof\nFab.\nanno Domini I 1901 I am not an anarchist: I am not\na\nof\nFeb\nanno Domini 903: 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 thépractice of polygamy: and it is my intention in good faith\nto become a citizen of the United States of America and to permanently reside thereint\nto become a citizen of the United States of America and to permanently reside therein:\nSo HELP ME GOD.\nJohn (Original William signature of declarant.) Brown\nSo HELP ME GOD.\nSam Schiller\n(Original signature of declarant.)\nSubscribed and sworn to before me this\n14th\nSubscribed and sworn to before me this\n14th\naffirmed\naffirmed\n[SEAL\nday of april\nanno Domini 1911)\n[SEAL:]\nday of april\n, anno Domini 19 11\nH. J. LELANDE\nH. J. LELANDE\nOCUNTY OLank AND\nBOUNTY AND -\nTHE BUPERVOR IN AND FOR THE DOUNTY\nTHE SUPTIUDE courry - AMD FOR THI GOUNTY\nClerk of the BTA 19 OF GAL WORNIA. Court.\nClerk of the OF LOS DE Court.\nElsmith\nBy\nErsmith Dy\nClerk"
}