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Form 2903
TRIPLICATE
No. 1720
the
[To be afven to the person making
the Declaration)
petition of
STATES OF
First. place
Second. 000
Third. was bo
Fourth. emigr
Department of Commerce and Tabur
Domini go
BUREAU OF IMMIGRATION AND NATURALIZATION
Domini go
DIVISION OF NATURALIZATION
n/th. I declared
Stath. I am
DECLARATION OF INTENTION
(Invalid for all purposes seven years after the date hereof)
have 3 childr
In the SUPERIOR
STATE OF
Court
SS :
IN AND FOR Loe ANGELES County,
John
County of Los Angetes
of THE STATE DE GALIFORNIA,
ma
3, Eugust Jisnerat
,
aged 41
years,
occupation
Farmer
, do declare affirm on oath that my personal
Seventh. I am ,
description is: Color white complexion medium height 5 feet 10 inches,
organized governmen
intention to necome a
weight 160 pounds, color of hair black color of eyes brown
particularly to
reside permanently /
other visible distinctive marks
none
Eighth. I am abl
; I was born in Bellock
Minth. 1 have re
France
9th day of ecember anno
day of
, on the
atition, since the
/
Domini I 867; I now reside at Belmont tics near Long Reach, Cal,
petitioni
Tenth. I have not
I emigrated to the United States of America from Cologary, Tanada
on the vessel
Canadian Pac. R.R.
; my last
was dented
(If the allen arrived otherwise than by vessel, the character of conveyance or name of transportation company should be given.]
foreign residence was
Calgary, Canada
Attached hereto a
It is my bona fide intention to renounce forever all allegiance and fidelity to any foreign
together will
prince, potentate, state, or sovereignty, and particularly to Edward VII
the United States of An
King of Great Britainand Ireland of which I am now a citizen- subject
I
arrived at the
port of Sarmia ?
Declaration of Int
, in the
State
Territory of
-District
Washington
on or
about the 6th day
October
STAT
of
, anno Domini 1903; I am not an anarchist: I am not a
mui
Many
polygamist nor a believer in the practice of polygamy: and it is my intention in good faith
The a/orésaid petit
to become a citizen of the United States of America and to permanently reside therein:
contents thereof that -
So HELP ME GOD.
Ps August (ordinational signature of Risnest declarant.)
Information and belief a
Edwar a
Subscribed and affirmed before me this
sworn to 18 th
diH
[SEAL.]
day of august . anno Domini 1909
each being severally,
C. G. Keyes
COUNTY CLERK AND EX OFFICIO CLERN
mediately preceding the
The SUPERIOR COURT IN AND FOR.THE COUNTY
ANGELES, STATE OF GALIFORNIAL
petition la made
AL
Clerk of. the
Court.
the said petitioner is ap
By CEntrant Deputy Clerk.
opinion, do be admitted a
and sworn to
anno 19 /
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- Type
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Document data
- ID
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- Core
- doc
- Type
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DTO data
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Context sent to Scholar
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"ocrText": "Form 2903\nTRIPLICATE\nNo. 1720\nthe\n[To be afven to the person making\nthe Declaration)\npetition of\nSTATES OF\nFirst. place\nSecond. 000\nThird. was bo\nFourth. emigr\nDepartment of Commerce and Tabur\nDomini go\nBUREAU OF IMMIGRATION AND NATURALIZATION\nDomini go\nDIVISION OF NATURALIZATION\nn/th. I declared\nStath. I am\nDECLARATION OF INTENTION\n(Invalid for all purposes seven years after the date hereof)\nhave 3 childr\nIn the SUPERIOR\nSTATE OF\nCourt\nSS :\nIN AND FOR Loe ANGELES County,\nJohn\nCounty of Los Angetes\nof THE STATE DE GALIFORNIA,\nma\n3, Eugust Jisnerat\n,\naged 41\nyears,\noccupation\nFarmer\n, do declare affirm on oath that my personal\nSeventh. I am ,\ndescription is: Color white complexion medium height 5 feet 10 inches,\norganized governmen\nintention to necome a\nweight 160 pounds, color of hair black color of eyes brown\nparticularly to\nreside permanently /\nother visible distinctive marks\nnone\nEighth. I am abl\n; I was born in Bellock\nMinth. 1 have re\nFrance\n9th day of ecember anno\nday of\n, on the\natition, since the\n/\nDomini I 867; I now reside at Belmont tics near Long Reach, Cal,\npetitioni\nTenth. I have not\nI emigrated to the United States of America from Cologary, Tanada\non the vessel\nCanadian Pac. R.R.\n; my last\nwas dented\n(If the allen arrived otherwise than by vessel, the character of conveyance or name of transportation company should be given.]\nforeign residence was\nCalgary, Canada\nAttached hereto a\nIt is my bona fide intention to renounce forever all allegiance and fidelity to any foreign\ntogether will\nprince, potentate, state, or sovereignty, and particularly to Edward VII\nthe United States of An\nKing of Great Britainand Ireland of which I am now a citizen- subject\nI\narrived at the\nport of Sarmia ?\nDeclaration of Int\n, in the\nState\nTerritory of\n-District\nWashington\non or\nabout the 6th day\nOctober\nSTAT\nof\n, anno Domini 1903; I am not an anarchist: I am not a\nmui\nMany\npolygamist nor a believer in the practice of polygamy: and it is my intention in good faith\nThe a/orésaid petit\nto become a citizen of the United States of America and to permanently reside therein:\ncontents thereof that -\nSo HELP ME GOD.\nPs August (ordinational signature of Risnest declarant.)\nInformation and belief a\nEdwar a\nSubscribed and affirmed before me this\nsworn to 18 th\ndiH\n[SEAL.]\nday of august . anno Domini 1909\neach being severally,\nC. G. Keyes\nCOUNTY CLERK AND EX OFFICIO CLERN\nmediately preceding the\nThe SUPERIOR COURT IN AND FOR.THE COUNTY\nANGELES, STATE OF GALIFORNIAL\npetition la made\nAL\nClerk of. the\nCourt.\nthe said petitioner is ap\nBy CEntrant Deputy Clerk.\nopinion, do be admitted a\nand sworn to\nanno 19 /"
}