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438 3426
No. 3427
de ORIGINAL 489
No.
STATES OF
STATES OF
Department of and Tabor
Department of and 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 seven years after the date hereof)
(Invalid for all purposes seven years after the date hereof)
In the
SUPERIOR Court
STATA or
STATE OF CALIFORNIA
County of, duseles
In the
SUPERIOR Court
County of Angales
ss :
- AND FOR Les ANDELES
ss:
- AND FOR Lee
of
THE STATE OF CALIFORMA,
of
SWATE - GALIPORNIA,
3. Willie Massena Gray
aged 45 years,
3.
Eric John Wordshand aged
28
years,
occupation Druggist
, do declare affirm on oath that my personal
occupation Compenter
do declare on oath
,
affirm
that my personal
is: Color White complexion
Fair
description
height 6 feet inches,
description is: Color White complexion Fair ,
height 5 feet 61/2 inches,
weight 160 pounds, color of hair L Brown color of eyes Blue
weight 155 pounds, color of hair L Brown color of eyes Blue
none
other visible distinctive marks
none
other visible distinctive marks
I was born in
Halifaxa
:
I was born in Harnosand
:
Canada , on the ( 14 day of July
, anno
Swiden
,
on the
5 day of nor.
, anno
Domini 1865 : I now reside at Las angeles bas
Domini r 882 I now reside at 526 Forne are Los Angeles beal
I emigrated to the United States of America from montreal Canada
I
emigrated to the United States of America front< Cenespon the Quebee Canada Ourbenta Astroit much
Do not Remember
: my last
on the vessel
on the vessel
(If the allen arrived otherwise than by vessel, the character of conveyance or name of transportation company should be given.]
(If the allen otherwise than by vessel, the character of conveyang or name of transportation company should be given.)
SS arrived Canada By Rail to Detroit
; my last
montreal Canada
foreign residence was
foreign residence was
engermanland Swaden
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
prince, potentate, state, or sovereignty, and particularly to
George V. Kino of Creat Rritain and Ireland:
citizen
I
Gustavus V, King of Swedett:
of which 1 am now a subject
of which I am now a eitisen subject ; I
arrived at the port of
Ogdensburgh
in the
arrived at the port of
DETROIT
in the
State
State
NEW YORK
Territery of
on or
about the 15 day
Territory of
mich
Dietrict
on or about the 20 day
District
april
anno Domini I 869 I am not an anarchist: I am not a
of
of
July
anno Domini I 906; 4 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.
Willie massess (Original signature of declarant.) gray
Eich John (Original signature Gardstrand declarant.)
of
Subscribed and sworn affirmed to before me this
26
Subscribed and sworn affirmed to before me this 26
[SEAL.]
day of may
, anno Domini 1911
[SEAL.]
day
of binay , Domini
anno 19 N
R.J. Frände AND IN AND FOR THE OOUNTY
H. J. LELANDE
BOUNTY QLEMK AND EX-ORPICIO
Clerk a of
Court.
SUPERIOR COURT IN AND FOR THI OOUNTY
Clerk of Malos ANDELE SATATE OF Court.
Edimith doch
Clerk.
By
Clerk.
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"ocrText": "438 3426\nNo. 3427\nde ORIGINAL 489\nNo.\nSTATES OF\nSTATES OF\nDepartment of and Tabor\nDepartment of and 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 seven years after the date hereof)\n(Invalid for all purposes seven years after the date hereof)\nIn the\nSUPERIOR Court\nSTATA or\nSTATE OF CALIFORNIA\nCounty of, duseles\nIn the\nSUPERIOR Court\nCounty of Angales\nss :\n- AND FOR Les ANDELES\nss:\n- AND FOR Lee\nof\nTHE STATE OF CALIFORMA,\nof\nSWATE - GALIPORNIA,\n3. Willie Massena Gray\naged 45 years,\n3.\nEric John Wordshand aged\n28\nyears,\noccupation Druggist\n, do declare affirm on oath that my personal\noccupation Compenter\ndo declare on oath\n,\naffirm\nthat my personal\nis: Color White complexion\nFair\ndescription\nheight 6 feet inches,\ndescription is: Color White complexion Fair ,\nheight 5 feet 61/2 inches,\nweight 160 pounds, color of hair L Brown color of eyes Blue\nweight 155 pounds, color of hair L Brown color of eyes Blue\nnone\nother visible distinctive marks\nnone\nother visible distinctive marks\nI was born in\nHalifaxa\n:\nI was born in Harnosand\n:\nCanada , on the ( 14 day of July\n, anno\nSwiden\n,\non the\n5 day of nor.\n, anno\nDomini 1865 : I now reside at Las angeles bas\nDomini r 882 I now reside at 526 Forne are Los Angeles beal\nI emigrated to the United States of America from montreal Canada\nI\nemigrated to the United States of America front< Cenespon the Quebee Canada Ourbenta Astroit much\nDo not Remember\n: my last\non the vessel\non the vessel\n(If the allen arrived otherwise than by vessel, the character of conveyance or name of transportation company should be given.]\n(If the allen otherwise than by vessel, the character of conveyang or name of transportation company should be given.)\nSS arrived Canada By Rail to Detroit\n; my last\nmontreal Canada\nforeign residence was\nforeign residence was\nengermanland Swaden\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\nprince, potentate, state, or sovereignty, and particularly to\nGeorge V. Kino of Creat Rritain and Ireland:\ncitizen\nI\nGustavus V, King of Swedett:\nof which 1 am now a subject\nof which I am now a eitisen subject ; I\narrived at the port of\nOgdensburgh\nin the\narrived at the port of\nDETROIT\nin the\nState\nState\nNEW YORK\nTerritery of\non or\nabout the 15 day\nTerritory of\nmich\nDietrict\non or about the 20 day\nDistrict\napril\nanno Domini I 869 I am not an anarchist: I am not a\nof\nof\nJuly\nanno Domini I 906; 4 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.\nWillie massess (Original signature of declarant.) gray\nEich John (Original signature Gardstrand declarant.)\nof\nSubscribed and sworn affirmed to before me this\n26\nSubscribed and sworn affirmed to before me this 26\n[SEAL.]\nday of may\n, anno Domini 1911\n[SEAL.]\nday\nof binay , Domini\nanno 19 N\nR.J. Frände AND IN AND FOR THE OOUNTY\nH. J. LELANDE\nBOUNTY QLEMK AND EX-ORPICIO\nClerk a of\nCourt.\nSUPERIOR COURT IN AND FOR THI OOUNTY\nClerk of Malos ANDELE SATATE OF Court.\nEdimith doch\nClerk.\nBy\nClerk."
}