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JAMIDISIO
ORIGINAL
SU DEPARTMENT OF LABOR
No. 8778
U./SLDEPARTMENTIOR LABORI
ORIGINAL
No. 8779
STATES
OF
E
me
DECLARATION OFC 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 CALLFORYLA)
arti
nl
In the
SUPERIOR Court
STATE of CALIFORNIA
of Los
a
In the
SUPERIOR
Caunty of Los Angeles
The State of California
Court
ss:
in and for Los Angeles County.
ss:
The State of California,
of
le
of
in and for Los Angeles County.
Pience Rouland
ast
aged 25 years,
aged P 33 years,
Butcher
ge, angue median
occupation
do declare on oath that my personal
description is: Color White complexion Dark height 5 feet 61/2 inches,
description is: Color white complexion Fair height inches,
occupation gardener , do declare oath that my
on personal
weight 160 pounds, color of hair DKBroom color of eyes Brown
other visible distinctive. marks
none
weight 156 pounds, color of hair Blonde Gcolor of, eyes Blue lun-gray
advun
A sacor Francelous a
other visible. distinctive marks Fattored a 2nd ownightent
1 was born in
I
was
born in allapool Scotland
ol
mod.
on the
10th day of may
anno, Domini I 890; I now reside
on the
at
2313 Porter (Give at number, street, city Lor or towa, and Stata, angelin leae
at
12 saw the day Rafael of January are anno Paradena, Domini 1 8821 now.réside Cal
HAVRE, FRANCE.
Loive aumber, atreet, city or town, and Style.)
1 emigrated to the United States of America from
I emigrated to the United
States of America from Scotland
on the vessel
La Prorance
univer
: my last
on thervessel
(If the allen arrived otherwise una by. the character or name of transportation company should be given.)
(If
the
allen
my last
Issor France
arrived otherwipe than by character of enveyrance or name of transportation compang should'b given.)
foreign residence was
foreign residence was
allapool, Scotland
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 hallegiance and fidelity to any foreign
prince, potentate, state, or sovereignty, and particularly to
prince, potentate, state, or sovereignty, and particularly to takes
The Frèmeh
cityes
of whom I am now a subject;
Geo. V, King of Great Britain and Irelandi
of whom l'am now a subject;
I arrived at the port of
NEW YORK
is
in the
I arrived at the port of
NEW YORK
new york
in the
State of
on or about the 19th day
State
anno Domini 908 I am not an anarchist: 1 am notia
of march
of new you
on or about the 15th
day
of
may
,anno Domini q 910 I am not an anarchist: I am noti a
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 citjzen of the United States of America and to permanently reside therein:
So HELP ME GOD.
Poun Pauland
So HELP ME GOD.
poo au 02
(Original alghasure of declarant.)
164
angus Mchean
(Original algnature of declarant.)
to
chalD
adi
to
paitto Subscribed and sworn to before me in the office of the Clerk of
to
chata to eda Subscribed and sworn to before mel in the office of the Clerk of
[SEAL.]
Court this 27th of my anno Domini 191
gune Court this 27 day of may annq Domini 191
EX-ORRICIO CLERE OF
M. AS
COUNTY CLERK AND EX-OPFICIO CLEBIO of
H.J.
Lelande THE SUPERIOR GOURT EN AND FON THE COUNTY
- -
IN-AM9
Clerk of the
LOS ANGELES. STATE os CALIFORNIA,
1609
OF LOS ANGELES.STATE OF CAI
Court.
iClerk of the
Court
By
Clerk.
16-86
By dyzi Himine Desperty Clerk.
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"ocrText": "290\n291\nJAMIDISIO\nORIGINAL\nSU DEPARTMENT OF LABOR\nNo. 8778\nU./SLDEPARTMENTIOR LABORI\nORIGINAL\nNo. 8779\nSTATES\nOF\nE\nme\nDECLARATION OFC INTENTION\nDECLARATION OF. INTENTION\nInvalid for all purposes seven years after the date hereof\nInvalid for all purposes seven years after the date hereof\nSTATE OF CALLFORYLA)\narti\nnl\nIn the\nSUPERIOR Court\nSTATE of CALIFORNIA\nof Los\na\nIn the\nSUPERIOR\nCaunty of Los Angeles\nThe State of California\nCourt\nss:\nin and for Los Angeles County.\nss:\nThe State of California,\nof\nle\nof\nin and for Los Angeles County.\nPience Rouland\nast\naged 25 years,\naged P 33 years,\nButcher\nge, angue median\noccupation\ndo declare on oath that my personal\ndescription is: Color White complexion Dark height 5 feet 61/2 inches,\ndescription is: Color white complexion Fair height inches,\noccupation gardener , do declare oath that my\non personal\nweight 160 pounds, color of hair DKBroom color of eyes Brown\nother visible distinctive. marks\nnone\nweight 156 pounds, color of hair Blonde Gcolor of, eyes Blue lun-gray\nadvun\nA sacor Francelous a\nother visible. distinctive marks Fattored a 2nd ownightent\n1 was born in\nI\nwas\nborn in allapool Scotland\nol\nmod.\non the\n10th day of may\nanno, Domini I 890; I now reside\non the\nat\n2313 Porter (Give at number, street, city Lor or towa, and Stata, angelin leae\nat\n12 saw the day Rafael of January are anno Paradena, Domini 1 8821 now.réside Cal\nHAVRE, FRANCE.\nLoive aumber, atreet, city or town, and Style.)\n1 emigrated to the United States of America from\nI emigrated to the United\nStates of America from Scotland\non the vessel\nLa Prorance\nuniver\n: my last\non thervessel\n(If the allen arrived otherwise una by. the character or name of transportation company should be given.)\n(If\nthe\nallen\nmy last\nIssor France\narrived otherwipe than by character of enveyrance or name of transportation compang should'b given.)\nforeign residence was\nforeign residence was\nallapool, Scotland\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 hallegiance and fidelity to any foreign\nprince, potentate, state, or sovereignty, and particularly to\nprince, potentate, state, or sovereignty, and particularly to takes\nThe Frèmeh\ncityes\nof whom I am now a subject;\nGeo. V, King of Great Britain and Irelandi\nof whom l'am now a subject;\nI arrived at the port of\nNEW YORK\nis\nin the\nI arrived at the port of\nNEW YORK\nnew york\nin the\nState of\non or about the 19th day\nState\nanno Domini 908 I am not an anarchist: 1 am notia\nof march\nof new you\non or about the 15th\nday\nof\nmay\n,anno Domini q 910 I am not an anarchist: I am noti a\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 citjzen of the United States of America and to permanently reside therein:\nSo HELP ME GOD.\nPoun Pauland\nSo HELP ME GOD.\npoo au 02\n(Original alghasure of declarant.)\n164\nangus Mchean\n(Original algnature of declarant.)\nto\nchalD\nadi\nto\npaitto Subscribed and sworn to before me in the office of the Clerk of\nto\nchata to eda Subscribed and sworn to before mel in the office of the Clerk of\n[SEAL.]\nCourt this 27th of my anno Domini 191\ngune Court this 27 day of may annq Domini 191\nEX-ORRICIO CLERE OF\nM. AS\nCOUNTY CLERK AND EX-OPFICIO CLEBIO of\nH.J.\nLelande THE SUPERIOR GOURT EN AND FON THE COUNTY\n- -\nIN-AM9\nClerk of the\nLOS ANGELES. STATE os CALIFORNIA,\n1609\nOF LOS ANGELES.STATE OF CAI\nCourt.\niClerk of the\nCourt\nBy\nClerk.\n16-86\nBy dyzi Himine Desperty Clerk."
}