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423
UDSA DEPARTMENT OF LABOR
ORIGINAL
No.
8411
U.S. DEPARTMENT LABOR
ORIGINAL
NATURALIZATION
No.
on
DECLARATION DE/INTENTION
DECLARATION OF INTENTION
Ihvalid for all purposes seven years after the date hereof
Invalid for all purposes seven years after the date hereof
STATE OF CALIFORNIA
ni
SUPERIOR
ROIA39U8
od
In the
Caunty of Los Angetes
Court
STATE OF
nl
In the
SUPERIOR
ss:
The State of California.
Court
County of Los Angeles
ss:
The State of California
10
of
in and for Los Angeles. County.
to
of
in and for Los Angeles Connty.
ge, Honorate
aged 24 "years,
g, Samuel Robert Baxter aged 30 years,
occupation
description is: Color while complexion Dark height
chiliffer
do declare on oath that my personal
occupation Paintu Paperatangaso declare on oath that my personal
) feet 7 inches,
description is:1 Color white complexioni Emedium height 5 feet 6 inches)
weight 144 pounds, color of hair Black color of eyes Brown
weight 130 pounds, color of hair WK Brown color of eyes DK Blue
other visible distinctive marks
none aldialy 12dite
other
born in guadal ajara mepies mod
visible distinctive marks Scar on right side formate
I was
1
I was born in
on the
16th
day of
January
anno Domini I 891 I now>reside
the 13 day of July 884 I now
Lurgan, dreland 28M
&
on
anno Domini I reside
at
(Give number, street, city togra, and'State.) Los angeles, Cal
at
513 1st st San Pedro, Cal
or
(Give number, dereet, city or town, and State.)
I
on the vessel
emigrated to the mexican United States of America from
I emigrated to the United States of America from vancouvery Cana da
19229
my
last
onithe vessel...
the allen Canadian arrived otherwise thats by veasel, the character of conveyance or name Pacific of transportation compagy should be Ry my
last
(If the allen arrived otherwise than by vessel, the character of - name of transportation compang. should be given.)
(If
foreign
residence was Sandius Potosi, mexico
foreign residence was
bancourer, Canada
It is my bona fide intention to renounce forever all allegiance and fidelity to any foréign
It is my bona fide intention to renounce forever all allegiance and fidelity to any foreign
prince, potentate, state, or sovereignty, and particularly to
Idea writed
prince, potentate, state, or sovereignty, and particularly to
States of mexico
ceteren
of whom I am now arsubject?
Geonge and Ireland:
of whom I am now a subject;
I arrived at the port of
El Paso
to non 2011 10 ba in the
1 arrived at the port of
Seattle
to time add in the
State of
Texas
on or about the
day
State
of wastin g ton on or about the
30th day
of
august anno Domini G 8981 am not an anarchist; I am not
a
of all april anno Domini 914 I am not an anarchist: I am not
a
polygamist nor a Believer in thé practice of polygamy; and it is my intention in good fäith
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 preside therein:
toi become a citizen of the United States of America and to permanently reside therein:
So
HELP ME GOD.
D EM 9J3H 08
So HELP ME GOD.
o2
and NanamA HIGH
Kamuel Robert Buxter
to
(Original
(Original algnature of declarant.)
,
to >hald and to spitio ert Subscribed and sworn to before me in the office of the Clerk of
to
shold erlt to sollto sdu Subscribed and sworn to before me in the office of the Clerk of
A
JQT
Court this of Feb anno Domini 19t
101 [SEAL.] nas
ourt this of February Manno Domini 1910
A
CLERK. er
am .EX-DEFICIO: CLERK as.
H. J. Lelande THE SUPERION COURT IN AND FOR THE COUNTY
H. J. Lelande
CODRT IN AND Fqa THE coures
Clerk of the
PLOS ANGELES, STATE OF CALIFORNIA.
ANGELES, STATE OF CALIFGRINA
Court.
two
Clerk of the
Court.
you
By appear Humans Desperty Clerk.
By Liggis Himeow Deputy 1 Clerk.
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"ocrText": "422\n423\nUDSA DEPARTMENT OF LABOR\nORIGINAL\nNo.\n8411\nU.S. DEPARTMENT LABOR\nORIGINAL\nNATURALIZATION\nNo.\non\nDECLARATION DE/INTENTION\nDECLARATION OF INTENTION\nIhvalid for all purposes seven years after the date hereof\nInvalid for all purposes seven years after the date hereof\nSTATE OF CALIFORNIA\nni\nSUPERIOR\nROIA39U8\nod\nIn the\nCaunty of Los Angetes\nCourt\nSTATE OF\nnl\nIn the\nSUPERIOR\nss:\nThe State of California.\nCourt\nCounty of Los Angeles\nss:\nThe State of California\n10\nof\nin and for Los Angeles. County.\nto\nof\nin and for Los Angeles Connty.\nge, Honorate\naged 24 \"years,\ng, Samuel Robert Baxter aged 30 years,\noccupation\ndescription is: Color while complexion Dark height\nchiliffer\ndo declare on oath that my personal\noccupation Paintu Paperatangaso declare on oath that my personal\n) feet 7 inches,\ndescription is:1 Color white complexioni Emedium height 5 feet 6 inches)\nweight 144 pounds, color of hair Black color of eyes Brown\nweight 130 pounds, color of hair WK Brown color of eyes DK Blue\nother visible distinctive marks\nnone aldialy 12dite\nother\nborn in guadal ajara mepies mod\nvisible distinctive marks Scar on right side formate\nI was\n1\nI was born in\non the\n16th\nday of\nJanuary\nanno Domini I 891 I now>reside\nthe 13 day of July 884 I now\nLurgan, dreland 28M\n&\non\nanno Domini I reside\nat\n(Give number, street, city togra, and'State.) Los angeles, Cal\nat\n513 1st st San Pedro, Cal\nor\n(Give number, dereet, city or town, and State.)\nI\non the vessel\nemigrated to the mexican United States of America from\nI emigrated to the United States of America from vancouvery Cana da\n19229\nmy\nlast\nonithe vessel...\nthe allen Canadian arrived otherwise thats by veasel, the character of conveyance or name Pacific of transportation compagy should be Ry my\nlast\n(If the allen arrived otherwise than by vessel, the character of - name of transportation compang. should be given.)\n(If\nforeign\nresidence was Sandius Potosi, mexico\nforeign residence was\nbancourer, Canada\nIt is my bona fide intention to renounce forever all allegiance and fidelity to any foréign\nIt is my bona fide intention to renounce forever all allegiance and fidelity to any foreign\nprince, potentate, state, or sovereignty, and particularly to\nIdea writed\nprince, potentate, state, or sovereignty, and particularly to\nStates of mexico\nceteren\nof whom I am now arsubject?\nGeonge and Ireland:\nof whom I am now a subject;\nI arrived at the port of\nEl Paso\nto non 2011 10 ba in the\n1 arrived at the port of\nSeattle\nto time add in the\nState of\nTexas\non or about the\nday\nState\nof wastin g ton on or about the\n30th day\nof\naugust anno Domini G 8981 am not an anarchist; I am not\na\nof all april anno Domini 914 I am not an anarchist: I am not\na\npolygamist nor a Believer in thé practice of polygamy; and it is my intention in good fäith\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 preside therein:\ntoi become a citizen of the United States of America and to permanently reside therein:\nSo\nHELP ME GOD.\nD EM 9J3H 08\nSo HELP ME GOD.\no2\nand NanamA HIGH\nKamuel Robert Buxter\nto\n(Original\n(Original algnature of declarant.)\n,\nto >hald and to spitio ert Subscribed and sworn to before me in the office of the Clerk of\nto\nshold erlt to sollto sdu Subscribed and sworn to before me in the office of the Clerk of\nA\nJQT\nCourt this of Feb anno Domini 19t\n101 [SEAL.] nas\nourt this of February Manno Domini 1910\nA\nCLERK. er\nam .EX-DEFICIO: CLERK as.\nH. J. Lelande THE SUPERION COURT IN AND FOR THE COUNTY\nH. J. Lelande\nCODRT IN AND Fqa THE coures\nClerk of the\nPLOS ANGELES, STATE OF CALIFORNIA.\nANGELES, STATE OF CALIFGRINA\nCourt.\ntwo\nClerk of the\nCourt.\nyou\nBy appear Humans Desperty Clerk.\nBy Liggis Himeow Deputy 1 Clerk."
}