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Repartment at and Kubur
NATURALIZATION SERVICE
No. 6.489
STATES 60 OF
DECLARATION OF INTENTION
(Invalid for all purposes seven years after the daté hereof)
STATE FORNIA
ni
Caunty of Los Angeles
In the SUPERIOR Court
ss:
The State of California.
of
in and for Los Angeles County.
g, william Labover Engene grimand aged
2 7 years,
occupation
do declare on oath that my personal
description isst Color white complexion Dark height 5 feet 3/2 inches,
weight 170 pounds, color of hair DOK Brown color of eyes Chestnut
other visible distinctive marks Scar on middle finger left hand
I was
born in Rambean, France
on
the 12 the day of may
anno Domini I 886 I now reside
at 243 Aliss st, (Qive number, Los street, city town, angeles, State.) Cal
or and
I emigrated to the United States of America from
Have, France
on the
vessel Las Touraine
(If
the alien arrived otherwise than by vessel, the character of conveyance or name of transportation company should be given.)
: my last
foreign residence
was aix in Provence, France
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 Frexch Republic.
of whom I am now a subject:
I arrived
State of
at the port of new york
in the
of
October
new york
on or about the 21st day
anno Domini I. 905; 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
to become a citizen of the United States of America and to permanently reside therein:
So HELP ME GOD.
Williams (Original Eugene signature of declarant.) Grimand
Subscribed and sworn to before me this
14th
[SEAL.] inimoa anna
day of Oct anno Domini 191.3
H. J. Lelande THE coumt IN AND FOR THE COUNTY n.
OBEAK AND CLERIC
Clerk of the LOS ANGELES, STATE OF CALIFORNIA.
Court.
By dizzie Himina
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"ocrText": "1\nRepartment at and Kubur\nNATURALIZATION SERVICE\nNo. 6.489\nSTATES 60 OF\nDECLARATION OF INTENTION\n(Invalid for all purposes seven years after the daté hereof)\nSTATE FORNIA\nni\nCaunty of Los Angeles\nIn the SUPERIOR Court\nss:\nThe State of California.\nof\nin and for Los Angeles County.\ng, william Labover Engene grimand aged\n2 7 years,\noccupation\ndo declare on oath that my personal\ndescription isst Color white complexion Dark height 5 feet 3/2 inches,\nweight 170 pounds, color of hair DOK Brown color of eyes Chestnut\nother visible distinctive marks Scar on middle finger left hand\nI was\nborn in Rambean, France\non\nthe 12 the day of may\nanno Domini I 886 I now reside\nat 243 Aliss st, (Qive number, Los street, city town, angeles, State.) Cal\nor and\nI emigrated to the United States of America from\nHave, France\non the\nvessel Las Touraine\n(If\nthe alien arrived otherwise than by vessel, the character of conveyance or name of transportation company should be given.)\n: my last\nforeign residence\nwas aix in Provence, France\nIt is my bona fide intention to renounce forever all allegiance and fidelity to any foreign\nprince, potentate, state, or sovereignty, and particularly to\nThe Frexch Republic.\nof whom I am now a subject:\nI arrived\nState of\nat the port of new york\nin the\nof\nOctober\nnew york\non or about the 21st day\nanno Domini I. 905; 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\nto become a citizen of the United States of America and to permanently reside therein:\nSo HELP ME GOD.\nWilliams (Original Eugene signature of declarant.) Grimand\nSubscribed and sworn to before me this\n14th\n[SEAL.] inimoa anna\nday of Oct anno Domini 191.3\nH. J. Lelande THE coumt IN AND FOR THE COUNTY n.\nOBEAK AND CLERIC\nClerk of the LOS ANGELES, STATE OF CALIFORNIA.\nCourt.\nBy dizzie Himina"
}