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1061
TRIPLICATE
Form 2803
[To be given the Declaration) tothe person making
No.
281
STATES OF A
Department of Commerce and Tabor
BUREAU OF IMMIGRATION AND NATURALIZATION
DIVISION OF NATURALIZATION
DECLARATION OF INTENTION
(Invalid for all purposes seven years after the date hereof)
SUPERIOR Court
In the
ST.ATE of CALIFORNIA
SS:
3. County Pedro of Angeles Company Laurant of THE do IN ANO FOR , aged Los oath ANGELER 93
1.0
STALE OF
COUNT
years,
Baten
declare on that my personal
ocupation
description weight 140 Color pounds, color of hair complexion Brown color of eyes Blue
is:
White
Fair
helght 3 feet Inches,
other visible distinctive marks
was born None in
Demank
;
I
on the
day of
88th reside 56 Maph the lo Amples Caela
family
-, anno
Domini emigrated I to * the now United States at H America from Demand ; my
I
last
on vessel
foreign the residence was fatterny Dimant
It my potentate, state, for sovereignty, and particularly Michight WIII
is bona fide intention to renounce forever all allegiançe and fidulity to any foreign
prince) arrived at the port of
of which I am now a subject
I
in the
State
on or about the 4. day
Foultery of
District
of
polygamist nor a believer in the practice of polygamy; and it is my intention in good faith
your
, anno Domini Part t am not an anarchist: I am not a
to become a citizen of the United States of America and to permanently reside therein:
So HELP ME GOD.
Peder Christian Laursen
in
(Original signature of declarant.)
Subscribed and sworn to before me this 90"
[SEAL.]
day of May affirma anno Domini 07
an
-ea
By by vessel - character Mary COURT Keyes should AND IN EX be AND glyat OFFICIO FOR LIFORNIAT THE
im
CLERK
en
of inveyance or name of OF THE transportation LOS SUPERTOR COUNTY ANGELES, compaity CLERK
the
Clerk.
opi
*If the allen arrived otherwise than
11-2526
Sub
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- Source index
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- Type
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Document data
- ID
- 103948424
- Core
- doc
- Type
- document
DTO data
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Context sent to Scholar
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Document source metadata
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Page context
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"ocrText": "1061\nTRIPLICATE\nForm 2803\n[To be given the Declaration) tothe person making\nNo.\n281\nSTATES OF A\nDepartment of Commerce and Tabor\nBUREAU OF IMMIGRATION AND NATURALIZATION\nDIVISION OF NATURALIZATION\nDECLARATION OF INTENTION\n(Invalid for all purposes seven years after the date hereof)\nSUPERIOR Court\nIn the\nST.ATE of CALIFORNIA\nSS:\n3. County Pedro of Angeles Company Laurant of THE do IN ANO FOR , aged Los oath ANGELER 93\n1.0\nSTALE OF\nCOUNT\nyears,\nBaten\ndeclare on that my personal\nocupation\ndescription weight 140 Color pounds, color of hair complexion Brown color of eyes Blue\nis:\nWhite\nFair\nhelght 3 feet Inches,\nother visible distinctive marks\nwas born None in\nDemank\n;\nI\non the\nday of\n88th reside 56 Maph the lo Amples Caela\nfamily\n-, anno\nDomini emigrated I to * the now United States at H America from Demand ; my\nI\nlast\non vessel\nforeign the residence was fatterny Dimant\nIt my potentate, state, for sovereignty, and particularly Michight WIII\nis bona fide intention to renounce forever all allegiançe and fidulity to any foreign\nprince) arrived at the port of\nof which I am now a subject\nI\nin the\nState\non or about the 4. day\nFoultery of\nDistrict\nof\npolygamist nor a believer in the practice of polygamy; and it is my intention in good faith\nyour\n, anno Domini Part t am not an anarchist: I am not a\nto become a citizen of the United States of America and to permanently reside therein:\nSo HELP ME GOD.\nPeder Christian Laursen\nin\n(Original signature of declarant.)\nSubscribed and sworn to before me this 90\"\n[SEAL.]\nday of May affirma anno Domini 07\nan\n-ea\nBy by vessel - character Mary COURT Keyes should AND IN EX be AND glyat OFFICIO FOR LIFORNIAT THE\nim\nCLERK\nen\nof inveyance or name of OF THE transportation LOS SUPERTOR COUNTY ANGELES, compaity CLERK\nthe\nClerk.\nopi\n*If the allen arrived otherwise than\n11-2526\nSub"
}