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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."
}