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374 375 of and et and NATURALIZATION SERVICE NATURALIZATION SERVICE No. 6862 sun ORIDINAL No. 6863 STATES OF STATES OF 77 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) STATE OF CALIFORNIA] In the SUPERIOR Court STATE OF CALIFORNIA nt Caunty of Los Angeles Caunty of Los Angeles In the SUPERIOR Court ss: The State of California. ss: aged 57 years, g, George Newman Bartlett offn and for Los aged Angeles County, 37 The State of California. 3, Anthony Provest of in and for Los Augeles County. occupation Stone Cutter do declare on oath that my personal occupation Photographer do declare on oath that my years, description is: Color white complexion light height 3 feet 8 inches, description is: Color White complexion Sair height personal feet Inches, weight visible distinctive marks name for mark 168 pounds, color of bair Gray color of leyes Blue weight 150 pounds, color of hair Brown color of eyes Dark other other visible distinctive marks none I was born in Montreal Canada I was born in Sarante Canada on the 30 day of march anno Domini 889 I now reside on the 25 day of 27 A Payment awalhambra Cal Jan anno Domini 897 I now reside at at 1272le (Give Angeles Cal Give number, atreet, city or town, montreal Cauntry number, street, city or town, I emigrated to the United States of America from allerga and Canada I emigrated to the United States of America from on the vessel Nuknown : my last on the vessel (II the allen arrived the character of company mentreal by vessel, conveyy Canada of transportation ahould be given.) (It the Canadian allen anrived othery Sampy RR foreign residence was medicine stat alberta Canada : my last than by vowel, the character of conveyang name- company should be foreign residence was 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 Geo. v, King of Great and Gco. y, King of Great Britaia and of whom I am now a subject; in the I arrived at the port of Castport of whom 1 am now a subject: I arrived at the port of Detroit in the State of Michigan on or about the 12 day State of November anno Domini 913 on 1 or am about not an the anarchist: 1 am notia day Idaho 18 of anno Domini 1 863 1 am not an anarchist: I am not a of 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. Anthony OOD Donest George he:Bartern declarent.) (Original algneture of declarant.) Subscribed and sword to before me this 16 Sabscribed and sworn to before me this 16 [SEAL.] day of Jan anno Domini 191 its [SEAL day of January anno Domini 191 4 COUNTY CLERK AND EX-OFFICIO CLERK H. J Lelande TRE IN AND FOR THE COUNTY COUNTY.CLERK AND EX-OFFICIO CLERK OF H. I. Lelande THE SLEPERLOR. couas. AND FOR THE COUNTY OF CE coy STATE OF MALTFORNTA OF LOS ANGELES, STATE OF CALIFORNIA. By your Cleak of the Court. Court. By

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Type
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    "ocrText": "374\n375\nof and\net and\nNATURALIZATION SERVICE\nNATURALIZATION SERVICE\nNo. 6862\nsun\nORIDINAL\nNo. 6863\nSTATES OF\nSTATES OF\n77\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)\nSTATE OF CALIFORNIA]\nIn the SUPERIOR\nCourt\nSTATE OF CALIFORNIA\nnt\nCaunty of Los Angeles\nCaunty of Los Angeles\nIn the SUPERIOR Court\nss:\nThe State of California.\nss:\naged 57 years,\ng, George Newman Bartlett offn and for Los aged Angeles County, 37\nThe State of California.\n3, Anthony Provest\nof in and for Los Augeles County.\noccupation\nStone Cutter\ndo declare on oath that my personal\noccupation\nPhotographer do declare on oath that my years,\ndescription is: Color white complexion light height 3 feet 8 inches,\ndescription is: Color White complexion Sair height\npersonal\nfeet\nInches,\nweight\nvisible distinctive marks name for mark\n168 pounds, color of bair Gray color of leyes Blue\nweight 150 pounds, color of hair Brown color of eyes Dark\nother\nother visible distinctive marks\nnone\nI was born in\nMontreal Canada\nI was\nborn in Sarante Canada\non the\n30\nday of\nmarch anno Domini 889 I now\nreside\non the\n25 day of\n27 A Payment awalhambra Cal\nJan\nanno Domini 897 I now reside\nat\nat\n1272le (Give Angeles Cal\nGive number, atreet, city or town,\nmontreal Cauntry\nnumber, street, city or town,\nI emigrated to the United States of America from\nallerga and Canada\nI emigrated to the United States of America from\non the vessel\nNuknown\n:\nmy last\non the vessel\n(II the allen arrived the character of company\nmentreal by vessel, conveyy Canada of transportation\nahould\nbe\ngiven.)\n(It the Canadian allen anrived othery Sampy RR\nforeign residence was\nmedicine stat alberta Canada\n: my last\nthan by vowel, the character of conveyang name- company should be\nforeign residence was\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\nGeo. v, King of Great and\nGco. y, King of Great Britaia and\nof whom I am now a subject;\nin the\nI arrived at the port of\nCastport\nof whom 1 am now a subject:\nI arrived at the port of\nDetroit\nin the\nState of\nMichigan on or about the\n12\nday\nState of\nNovember anno Domini 913 on 1 or am about not an the anarchist: 1 am notia day\nIdaho\n18\nof\nanno Domini 1 863 1 am not an anarchist: I am not a\nof\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.\nAnthony\nOOD Donest\nGeorge he:Bartern\ndeclarent.)\n(Original algneture of declarant.)\nSubscribed and sword to before me this\n16\nSabscribed and sworn to before me this\n16\n[SEAL.]\nday of Jan anno Domini 191 its\n[SEAL\nday of January anno Domini 191\n4\nCOUNTY CLERK AND EX-OFFICIO CLERK\nH. J Lelande TRE IN AND FOR THE COUNTY\nCOUNTY.CLERK AND EX-OFFICIO CLERK OF\nH. I. Lelande THE SLEPERLOR. couas. AND FOR THE COUNTY OF\nCE coy STATE OF MALTFORNTA\nOF LOS ANGELES, STATE OF CALIFORNIA.\nBy your Cleak of the Court.\nCourt.\nBy"
}