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82 83 of INATURALIZATION SERVICE NATURALIZATION SERVIOE 4570 No. 4571 ORIGINAL STATES OF STATES OF DECLARATION OF INTENTION DECLARATION OF INTENTION (Invalid for all purposes seven years after the date hereof) (lovalid for all purposes seven years after the date hereof) P In the SUPEBIOR Court STATE OF 04 LIFORNILA In the SUPERIOR STATE OF CALIFORNIA ss: The State of California County of Los Angeles Court Caunty of Los Angeles ti and for Los Angeles County. alfred Koward Permell of aged 32ve years, ge, Patrick ss: of in The and State for , aged Los of California Angeles 22 County. g, occupation literinary Surgeong Dark do declare on oath that my personal occupation Panefer years, do declare on oath that my personal description is: Color White complexion height S feet 9 inches, weight 185 pounds, color of hair color of eyes Blue Brown description weight 170 is: pounds, color of hair complexion Blande Farr color of , height eyes Gray feet 11 inches, other visible distinctive marks marlgon on second forger ef Right I was born in Ottawa Canada other I visible born was in distinctive Cahia marks Mony apperary Ireland on the 12 more Domini 880 now reside on the no day of anno I at San Fernande day Cal Bax anno 311 of Junef Domini I 890. I now reside at 934 100 Sixth Angeles Cal (Give number, street, city and State, I emigrated to United States of America from Othawa Canada (Give number, atreet, city or towa, and State.) on the vessel S.S little I emigrated to the United States of America from QURENSTOWN, IRELAND on the vessel Canadean Jaupre : my last be given.) (It the allen arrived transportation company should be foreign residence (If was Ottawa Canada foreign residence was Cahu yreasel, the character Ireland name of : my last the alien than by veasel, the character or name of transportation company should given.) 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 Geerge V, King of Great Britaim and In of whom I am now a subject: Geerge - of Creat Britein and In of whom I am now a subject : I arrived at the port of Xannah in the I arrived at the port of NEW YORK in the , State of north Dakotah on or about the 2 day State of NEW YORK on or about the 12 day november anno Domini - 900. 1 am not an anarchist: I am not a of Oct of anno Domini I 907 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 Ameriza and to permanently reside therein: to become a citizen of the United States of America and to permanently reside therein: So HELP ME GOD. After Howard (Original algnature Pownell of declareat.) So HELP ME GOD. Patrich (Original standard of declarant.) Subscribed and sword to before me this 11th Subscribed and sworn to before me this 11th [SEAL.] day of april , anno Domini 191 z [SEAL ] day of April , anno Domini H. J. Lelande COUNTY CLERK AND CLENK DE H. J. Lelardo COUNTY CLERK AND EX-GFF CLERE DE THE SUPERIOR COURT IN AND FOR THE COUNTY COURT STATE OF LOS ANGELES: STATE OF CALIFORNIA By of the OF LOS ANGELES, CALIFORNIA. Court. Elerk, By Clerk the Court. Clerk. of

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    "ocrText": "82\n83\nof\nINATURALIZATION SERVICE\nNATURALIZATION SERVIOE\n4570\nNo. 4571\nORIGINAL\nSTATES\nOF\nSTATES OF\nDECLARATION OF INTENTION\nDECLARATION OF INTENTION\n(Invalid for all purposes seven years after the date hereof)\n(lovalid for all purposes seven years after the date hereof)\nP\nIn the SUPEBIOR Court\nSTATE OF 04 LIFORNILA\nIn the\nSUPERIOR\nSTATE OF CALIFORNIA\nss:\nThe State of California\nCounty of Los Angeles\nCourt\nCaunty of Los Angeles\nti and for Los Angeles County.\nalfred Koward Permell of aged 32ve years,\nge, Patrick ss: of in The and State for , aged Los of California Angeles 22\nCounty.\ng,\noccupation literinary Surgeong Dark do declare on oath that my personal\noccupation Panefer\nyears,\ndo declare on oath that my personal\ndescription\nis: Color White complexion height S feet 9 inches,\nweight 185 pounds, color of hair color of eyes Blue\nBrown\ndescription weight 170 is: pounds, color of hair complexion Blande Farr color of , height eyes Gray feet 11\ninches,\nother visible distinctive marks marlgon on second forger ef Right\nI was born in Ottawa Canada\nother I visible born\nwas\nin distinctive Cahia marks Mony apperary Ireland\non the\n12\nmore\nDomini\n880\nnow reside\non\nthe no\nday of\nanno\nI\nat San Fernande day Cal Bax anno 311\nof\nJunef\nDomini I 890. I now reside\nat 934 100 Sixth Angeles Cal\n(Give number, street, city and State,\nI emigrated to United States of America from\nOthawa Canada\n(Give number, atreet, city or towa, and State.)\non the vessel S.S little\nI emigrated to the United States of America from\nQURENSTOWN, IRELAND\non the vessel Canadean Jaupre\n: my last\nbe\ngiven.)\n(It the allen arrived transportation company should be\nforeign residence (If was Ottawa Canada\nforeign residence was\nCahu yreasel, the character Ireland name of\n: my last\nthe alien than by veasel, the character or name of transportation company\nshould\ngiven.)\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\nGeerge V, King of Great Britaim and In\nof whom I am now a subject:\nGeerge\n- of Creat Britein and In\nof whom I am now a subject :\nI\narrived at the port of Xannah\nin the\nI arrived at the port of\nNEW YORK\nin the\n,\nState of\nnorth Dakotah\non or about the\n2 day\nState of\nNEW YORK\non or about the\n12 day\nnovember anno Domini - 900. 1 am not an anarchist: I am not a\nof\nOct\nof\nanno Domini I 907 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 Ameriza and to permanently reside therein:\nto become a citizen of the United States of America and to permanently reside therein:\nSo HELP ME GOD.\nAfter Howard (Original algnature Pownell of declareat.)\nSo HELP ME GOD.\nPatrich (Original standard of declarant.)\nSubscribed and sword to before me this\n11th\nSubscribed and sworn to before me this\n11th\n[SEAL.]\nday of april\n, anno Domini 191 z\n[SEAL ]\nday of April\n, anno Domini\nH. J. Lelande\nCOUNTY CLERK AND CLENK DE\nH. J. Lelardo\nCOUNTY CLERK AND EX-GFF CLERE DE\nTHE SUPERIOR COURT IN AND FOR THE COUNTY\nCOURT\nSTATE OF\nLOS ANGELES: STATE OF CALIFORNIA\nBy of the OF LOS ANGELES, CALIFORNIA. Court. Elerk,\nBy Clerk the Court. Clerk.\nof"
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