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422 423 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."
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