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Form 2903
No. 145.4
TRIPLICATE
to the peraga making
the Dedaration)
STATES OF
Department nf Commerce and Tabor
BUREAU OF IMMIGRATION AND NATURALIZATION
DIVISION OF NATURALIZATION
:
DECLARATION OF INTENTION
(Invalid for all purposes seven years after the date hereof)
STATE OF CALIFORNIA
In the SUPERIOR
County of Los Angeles
Court
SS :
IN AND FOR Los ANGELES COUNTY,
OFTHE STATE OF CALIFORNIA,
3.
Gran Halstin Lee
, aged 53 years,
occupation Fisherman
, do declare affirm on oath that my personal
description is: Color White , Fair
complexion
,
height
feet 6 inches,
weight 135 pounds, color of hair Brown color of eyes Blue
other visible distinctive marks
none
orga
: I was born in Neen
intentio
particu
normay
on the
18th
day of
spril
resid
,
, ann
Domini I 855 I now reside at
San Pedro doul
I emigrated to the United States of America from
Eilsun normay
is
(If the allen arrived City other wise of than by Rome vessel, the character of conveyance or name of transportation company should be given.) ; my la
petition
on the vessel
petition.
foreign residence was Reagulent
normay
Te
It is my bona fide intention to renounce forever all allegiance and fidelity to any foreig
sald pon
prince, potentate, state, or sovereignty, and particularly to Xaakon VII
King of normay
A
of which I am now a citiaen
subject
;
and habo
arrived at the port of
newyork
in the
the Unite
State
Ferritery of
District
newyork
on or about the
16th day
of July
anno Domini 1882; I am not an anarchist: I am not a
Ded
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:
So HELP ME GOD.
Swan stalsten'de
The
(Original signarure of declarant.)
Subscribed and affirmed sworn to before me this 6%
[SEAL.]
day of April
anno Domini 19 09
C. G. Keyes
COUNTY OLERK AND EX-ORFICIO CLERK OF
Glerk Ode Mon ANGELES, STAXE OF CALIFORNIA,
THI SUPERIOR COURT IN AND FOR THE COUNTY
Court.
By
for Conhery
Deputy
Clerk.
Page data
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- Source index
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- Type
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- Media ID
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- Size
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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": "Form 2903\nNo. 145.4\nTRIPLICATE\nto the peraga making\nthe Dedaration)\nSTATES OF\nDepartment nf Commerce and Tabor\nBUREAU OF IMMIGRATION AND NATURALIZATION\nDIVISION OF NATURALIZATION\n:\nDECLARATION OF INTENTION\n(Invalid for all purposes seven years after the date hereof)\nSTATE OF CALIFORNIA\nIn the SUPERIOR\nCounty of Los Angeles\nCourt\nSS :\nIN AND FOR Los ANGELES COUNTY,\nOFTHE STATE OF CALIFORNIA,\n3.\nGran Halstin Lee\n, aged 53 years,\noccupation Fisherman\n, do declare affirm on oath that my personal\ndescription is: Color White , Fair\ncomplexion\n,\nheight\nfeet 6 inches,\nweight 135 pounds, color of hair Brown color of eyes Blue\nother visible distinctive marks\nnone\norga\n: I was born in Neen\nintentio\nparticu\nnormay\non the\n18th\nday of\nspril\nresid\n,\n, ann\nDomini I 855 I now reside at\nSan Pedro doul\nI emigrated to the United States of America from\nEilsun normay\nis\n(If the allen arrived City other wise of than by Rome vessel, the character of conveyance or name of transportation company should be given.) ; my la\npetition\non the vessel\npetition.\nforeign residence was Reagulent\nnormay\nTe\nIt is my bona fide intention to renounce forever all allegiance and fidelity to any foreig\nsald pon\nprince, potentate, state, or sovereignty, and particularly to Xaakon VII\nKing of normay\nA\nof which I am now a citiaen\nsubject\n;\nand habo\narrived at the port of\nnewyork\nin the\nthe Unite\nState\nFerritery of\nDistrict\nnewyork\non or about the\n16th day\nof July\nanno Domini 1882; I am not an anarchist: I am not a\nDed\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:\nSo HELP ME GOD.\nSwan stalsten'de\nThe\n(Original signarure of declarant.)\nSubscribed and affirmed sworn to before me this 6%\n[SEAL.]\nday of April\nanno Domini 19 09\nC. G. Keyes\nCOUNTY OLERK AND EX-ORFICIO CLERK OF\nGlerk Ode Mon ANGELES, STAXE OF CALIFORNIA,\nTHI SUPERIOR COURT IN AND FOR THE COUNTY\nCourt.\nBy\nfor Conhery\nDeputy\nClerk."
}