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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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"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"
}