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264 265 ORIGINAL UOSA DEPARTMENT OF LABOR u.s. DEPARTMENT ORIGINAL 7252 NATORALIZATION SERVICE Dess on No. 7253 5831 STATES STATES OF DECLARATION OF INTENTION DECLARATION OF. INTENTION (Invalid for all purposes seven years after the date héreof) (Invalid for all purgeses seves years after the dote hereof) STATE OF CALTRORNIA In the SUPERIOR Court TE OF nt nl In the SUPERIOR The State of California Caunty of Los Angeles Court Caunty of Los Angeles ss: in and for Los Angeles County. ss: The State of California. to of of in and for Los Angeles County. g, miss annie O'Henry NSA aged 40 years, g, Fred middliton nelson aged 29 years, occupation 1 graduate mire do declare oath that my on personal occupation antomobile Salemando declare on oath that my personal description is: Color white complexion Dank height 10 inches, description is: Color white complexion thank height 5 feet 10K inches, weight 145 pounds, color of hair Brown color of eyes Hagel other visible distinctive marks none other visible distinctive marks weight 147 pounds, color of hair Brown none color of eyes gray 1 I was born in landalk, South Co. Ireland I was born in Jimmyed Canada on the 3rd day of april anno Domini I 874 now reside on the 6 day of march , anno Domini 1 885 I now reside at Sisters Hospital Give number, street, town, Los and State.) angeles Cal at 452 mt Washington (Give number, city town, and Dr, State.) Los angeles, Cal or I emigrated to the United States of America from Siverptol England 1 emigrated to the United States of America from bancourer, B.C. Canada on the vessel Campania my last on the vessef. (If company the Canadian allen arrived otherwise than by versol, the chameter of Panifus Ry conveyance of my last (It the allen arrived otherwise that vegpel, the gharacter of conveyance of transportation company should be given.) ahould be given.) foreign residence was shiffield, England foreign residence was unnipeg Canada 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 itul and Ireland of whom 1 am now a subject Gea. v. King of Great Britain and Ireland. of whom I am now a subject: 1 arrived at the port of new york new york in the I arrived at the port of Sealth in the State of on or about the 8th day State of washington on or about the 20th day of april arrno Domini G 910 I am not an anarchist; I am not a of Sep tember anno Domini 1. 895 1 am not an anarchist: I am notia polygamist nor a believer in the practice of polygamy; and it is my intention in good faith polygamist nor a believen 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. amin algoature 6 of declarent.) oa So HELP ME GOD. Henry tred hiddlets nelson (Original of declarent.) Subscribed and sworn to before me this 5-th Subscribed and sworn to before me this 5th day of may anno Domini 191 4 [SEAL.] day of may anno Domini 19t 4 COUNTY CLERK ANO EX-OFFICIO CLERE or H. J. Lelande INE FOS. THE H. J. the SUPERIOR COURT TN AND FOR THE COUNTY COUNTY CLERK AND EX-OPFICIO SLENK or OF LOS ANGFLES. STATE OF CALIFORNIA. OF LOS ANGELES, STATE OF CALIFORNIA. Clerk of the Court. Clerk of the Court. By Sygni Homeone Deperty Clerk. By Ciggustimes Deputy Clerk.

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    "ocrText": "264\n265\nORIGINAL\nUOSA DEPARTMENT OF LABOR\nu.s. DEPARTMENT\nORIGINAL\n7252\nNATORALIZATION SERVICE\nDess on\nNo. 7253\n5831\nSTATES\nSTATES OF\nDECLARATION OF INTENTION\nDECLARATION OF. INTENTION\n(Invalid for all purposes seven years after the date héreof)\n(Invalid for all purgeses seves years after the dote hereof)\nSTATE OF CALTRORNIA\nIn the\nSUPERIOR Court\nTE OF\nnt\nnl\nIn the SUPERIOR\nThe State of California\nCaunty of Los Angeles\nCourt\nCaunty of Los Angeles\nss:\nin and for Los Angeles County.\nss:\nThe State of California.\nto\nof\nof in and for Los Angeles County.\ng, miss annie O'Henry NSA aged\n40 years,\ng, Fred middliton nelson\naged 29 years,\noccupation 1 graduate mire do declare oath that my\non personal\noccupation antomobile Salemando declare on oath that my personal\ndescription is: Color white complexion Dank height 10 inches,\ndescription is: Color white complexion thank height 5 feet 10K inches,\nweight 145 pounds, color of hair Brown color of eyes Hagel\nother visible distinctive marks\nnone\nother visible distinctive marks\nweight 147 pounds, color of hair Brown none color of eyes gray\n1\nI was born in landalk, South Co. Ireland\nI was born in Jimmyed Canada\non\nthe\n3rd\nday of\napril\nanno Domini I 874 now reside\non the\n6\nday of march\n, anno Domini 1 885 I now\nreside\nat\nSisters Hospital Give number, street, town, Los and State.) angeles Cal\nat\n452 mt Washington (Give number, city town, and Dr, State.) Los angeles, Cal\nor\nI emigrated to the United States of America\nfrom Siverptol\nEngland\n1\nemigrated to the United States of America from bancourer, B.C. Canada\non the vessel\nCampania\nmy last\non the vessef.\n(If company\nthe Canadian allen arrived otherwise than by versol, the chameter of Panifus Ry conveyance of\nmy last\n(It the allen arrived otherwise that vegpel, the gharacter of conveyance of transportation company should be given.)\nahould\nbe\ngiven.)\nforeign\nresidence was shiffield, England\nforeign residence\nwas unnipeg Canada\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\nGeorge V, King of itul and Ireland\nof whom 1 am now a subject\nGea. v. King of Great Britain and Ireland.\nof whom I am now a subject:\n1 arrived at the port of\nnew york\nnew york\nin the\nI arrived at the port of\nSealth\nin the\nState of\non or about the 8th day\nState of\nwashington\non or about the 20th day\nof april\narrno Domini G 910 I am not an anarchist; I am not a\nof\nSep tember anno Domini 1. 895 1 am not an anarchist: I am notia\npolygamist nor a believer in the practice of polygamy; and it is my intention in good faith\npolygamist nor a believen 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.\namin algoature 6 of declarent.)\noa\nSo HELP ME GOD.\nHenry\ntred hiddlets nelson\n(Original of declarent.)\nSubscribed and sworn to before me this\n5-th\nSubscribed and sworn to before me this\n5th\nday of may\nanno Domini 191 4\n[SEAL.]\nday of may\nanno Domini 19t 4\nCOUNTY CLERK ANO EX-OFFICIO CLERE or\nH. J. Lelande\nINE FOS. THE\nH. J. the SUPERIOR COURT TN AND FOR THE COUNTY\nCOUNTY CLERK AND EX-OPFICIO SLENK or\nOF LOS ANGFLES. STATE OF CALIFORNIA.\nOF LOS ANGELES, STATE OF CALIFORNIA.\nClerk of the\nCourt.\nClerk of the\nCourt.\nBy Sygni Homeone Deperty Clerk.\nBy Ciggustimes Deputy Clerk."
}