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199
ORIGINAL
U.S. DEPARTMENT OF LABOR
ORIGINAL
No. 7186
NATURALIZATION SERVICE
No. 7187
8815 DA
STATES
E
66
DECLARATION OF INTENTION
DECLARATION OF INTENTION
(Invalid for all purposen seven yeara after the date hereof)
(Involid for ell purposes seven yeare the daté hereot)
STATE OF CALIFORNIA)
erlt al
In the SUPERIOR
Court
STATE OF CALIFORNIA
al
In the SUPERIOR
Caunty of Los Angeles
ss:
az
Caunty of Los,Angeles-
Court
The State of California.
ss:
The State of California.
to
of
in and for Los Angeles County
of in and for Los Angeles County.
ge, Charles Elliott anderson
aged 25th years,
ge
Eldred adams
aged 22 years,
occupation
Clerk
do declare on oath that my personal
occupation Printer
do declare on oath that my personal
description is: Color white complexion Fair height foet 11 inches,
description is: Color White complexion med
height
feet
inches,
weight 138 pounds, color of hair Brown color of eyes Blue
weight 128 pounds, color of hair Black , color of eyes Brown
other visible distinctive marks
none
other visible distinctive marks
none
I
was born in London, Canada
I was born in
Hastings England
1
on
the 17 the day of October anno
Domini 1 8881 now reside
on the
13th day of Fecly
anno Domini 1892 1 now reside
at 114 w. are 54 Son angeles, Cal
at
(GIVE number, street, clty on town, and State.)
8610 bedar at Gahom Loe angelished
(Give number, atreet, city or town, and State.)
1 emigrated to the United States of America from : Enterial B.C Canada
1
emigrated to the United States of America from SOUTHAMPTON
ENGLAND
on the vessel
Princess charlotte
my
on the vessel
(If the allen arrived otherwise than by vessel, the character of conveyance or name of transportation company should be given.)
(It the alien arrived otherwiad voasol, the chargeter of conveyance or company should be given.)
majester
: my last
foreign residence was
London, Cana da
foreign residence was
Hastings England
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, King of Creat Britain and Irelani
of whom I am now a subject;
Vi King of Great Britain and Ireland.
of whom 1 am now a subject:
1 arrived at the port of
Sealtte
to in the
I arrived at the port of
NEW YORK
in the
State of
washing tour on or about the
18th day
State of
NEW YORK
or
about the
5th day
of
June
anno Domini 909 I am not an anarchist: I am not a
of
Dec
anno Domini q13; I am not : n anarchist: I am not
a
polygannst 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.
000
So HELP ME GOD.
Anderson
(Original algnature of declarent.)
Unived adams
(Original agnasure of declarnat.)
Subscribed and sworn to before me this
1st
Subscribed and sworn to before me this
21st
[SEAL.]
day
of april anno Domini of
191.45
[SEAL.]
day
of april , anno Domini 191 4
COUNTY CLERK AND EX-OFFICIO CLEBK
H. J. Lelande AND FOS THE COUREY
H. J. Lelande CLERK EX-OFFICIO CLERIC -
COUNTY AND
TN COUNIT
OF Los AMOSLES. STATZ
Clerk of the
Court.
Clerk of the
Court.
By diggic Hunion Depty 14-00 Clerk.
By
Dech
Clork.
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"ocrText": "198\n199\nORIGINAL\nU.S. DEPARTMENT OF LABOR\nORIGINAL\nNo. 7186\nNATURALIZATION SERVICE\nNo. 7187\n8815 DA\nSTATES\nE\n66\nDECLARATION OF INTENTION\nDECLARATION OF INTENTION\n(Invalid for all purposen seven yeara after the date hereof)\n(Involid for ell purposes seven yeare the daté hereot)\nSTATE OF CALIFORNIA)\nerlt al\nIn the SUPERIOR\nCourt\nSTATE OF CALIFORNIA\nal\nIn the SUPERIOR\nCaunty of Los Angeles\nss:\naz\nCaunty of Los,Angeles-\nCourt\nThe State of California.\nss:\nThe State of California.\nto\nof\nin and for Los Angeles County\nof in and for Los Angeles County.\nge, Charles Elliott anderson\naged 25th years,\nge\nEldred adams\naged 22 years,\noccupation\nClerk\ndo declare on oath that my personal\noccupation Printer\ndo declare on oath that my personal\ndescription is: Color white complexion Fair height foet 11 inches,\ndescription is: Color White complexion med\nheight\nfeet\ninches,\nweight 138 pounds, color of hair Brown color of eyes Blue\nweight 128 pounds, color of hair Black , color of eyes Brown\nother visible distinctive marks\nnone\nother visible distinctive marks\nnone\nI\nwas born in London, Canada\nI was born in\nHastings England\n1\non\nthe 17 the day of October anno\nDomini 1 8881 now reside\non the\n13th day of Fecly\nanno Domini 1892 1 now reside\nat 114 w. are 54 Son angeles, Cal\nat\n(GIVE number, street, clty on town, and State.)\n8610 bedar at Gahom Loe angelished\n(Give number, atreet, city or town, and State.)\n1 emigrated to the United States of America from : Enterial B.C Canada\n1\nemigrated to the United States of America from SOUTHAMPTON\nENGLAND\non the vessel\nPrincess charlotte\nmy\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(It the alien arrived otherwiad voasol, the chargeter of conveyance or company should be given.)\nmajester\n: my last\nforeign residence was\nLondon, Cana da\nforeign residence was\nHastings England\nIt\nis 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, King of Creat Britain and Irelani\nof whom I am now a subject;\nVi King of Great Britain and Ireland.\nof whom 1 am now a subject:\n1 arrived at the port of\nSealtte\nto in the\nI arrived at the port of\nNEW YORK\nin the\nState of\nwashing tour on or about the\n18th day\nState of\nNEW YORK\nor\nabout the\n5th day\nof\nJune\nanno Domini 909 I am not an anarchist: I am not a\nof\nDec\nanno Domini q13; I am not : n anarchist: I am not\na\npolygannst 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.\n000\nSo HELP ME GOD.\nAnderson\n(Original algnature of declarent.)\nUnived adams\n(Original agnasure of declarnat.)\nSubscribed and sworn to before me this\n1st\nSubscribed and sworn to before me this\n21st\n[SEAL.]\nday\nof april anno Domini of\n191.45\n[SEAL.]\nday\nof april , anno Domini 191 4\nCOUNTY CLERK AND EX-OFFICIO CLEBK\nH. J. Lelande AND FOS THE COUREY\nH. J. Lelande CLERK EX-OFFICIO CLERIC -\nCOUNTY AND\nTN COUNIT\nOF Los AMOSLES. STATZ\nClerk of the\nCourt.\nClerk of the\nCourt.\nBy diggic Hunion Depty 14-00 Clerk.\nBy\nDech\nClork."
}