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No.
Form
TRIPLICATE
STATES OF
person making
the Declaration)
Department of Commerce and Tabor
Se
BUREAU OF IMMIGRATION AND NATURALIZATION
TA
DIVISION OF NATURALIZATION
Fo
Do
Do:
DECLARATION OF INTENTION
n/
(Invalid for all purposes seven years after the date hereof)
Six
ST.TTE OF CALTFORNI.&
In
the SUPERIOR
County of
Court
3,
Las Angeles Aathuna ss. of - STATE IN
- CALIPORNIA,
AND FOR Lee Geunty,
, aged
58 years,
occupation
do declare on oath
description is: Color which complexion Dairy affirm height
that my personal
weight 14/0 pounds, color of hair Brown color of
feet
inches,
Blue
Seu
other visible distinctive marks By Small eyes Pal
organis
intention
Domini- Stage I now reside at 1100 Minigan (ab anno
Capital
: I was born in Belenie
particulari
,
on the
17 day of May
to reside ;
righ
Min
on I emigrated the vessel the United America from Religiby of Cameda last
to Stateg of
petition, S
petition.
foreign
residence (If the was alien arrived Victria Detwise than by, Vessel, Briteh the charagter of Jongesanced name Columnia of company should be given.] :
my
Tent
It
is my bona fide intention to renounce foreyer all allegiance and fidelity to
sald pettéle
princé, potentate, state, or sovereignty, and particularly to (any Rengal citimen foreign
Attad
and babor,
Hatarteun
of
which
I
am
now
a
subject I
the United
arrived at the port of
State
Territory of
New York
in the
-District of August
, anno Domini Sig I am not an anarchist; I am not a
on or about the 9th day
Decla
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.
The a
Samil Densory
contenta the
(Original signature of declarant.)
Subscribed and sworn affisqued to before me this 94
information
[SEAL.]
day of Jeby , anno Domini 19. of
each
By of and SUPERION OCUNTY OOUWT. AND IN OP ONLIPOBNIA, AND POR or
you
THE OOURTY Courtr
immedlately
Clerk.
antitled
the auld
11-2026
Page data
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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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Page context
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"ocrText": "No.\nForm\nTRIPLICATE\nSTATES OF\nperson making\nthe Declaration)\nDepartment of Commerce and Tabor\nSe\nBUREAU OF IMMIGRATION AND NATURALIZATION\nTA\nDIVISION OF NATURALIZATION\nFo\nDo\nDo:\nDECLARATION OF INTENTION\nn/\n(Invalid for all purposes seven years after the date hereof)\nSix\nST.TTE OF CALTFORNI.&\nIn\nthe SUPERIOR\nCounty of\nCourt\n3,\nLas Angeles Aathuna ss. of - STATE IN\n- CALIPORNIA,\nAND FOR Lee Geunty,\n, aged\n58 years,\noccupation\ndo declare on oath\ndescription is: Color which complexion Dairy affirm height\nthat my personal\nweight 14/0 pounds, color of hair Brown color of\nfeet\ninches,\nBlue\nSeu\nother visible distinctive marks By Small eyes Pal\norganis\nintention\nDomini- Stage I now reside at 1100 Minigan (ab anno\nCapital\n: I was born in Belenie\nparticulari\n,\non the\n17 day of May\nto reside ;\nrigh\nMin\non I emigrated the vessel the United America from Religiby of Cameda last\nto Stateg of\npetition, S\npetition.\nforeign\nresidence (If the was alien arrived Victria Detwise than by, Vessel, Briteh the charagter of Jongesanced name Columnia of company should be given.] :\nmy\nTent\nIt\nis my bona fide intention to renounce foreyer all allegiance and fidelity to\nsald pettéle\nprincé, potentate, state, or sovereignty, and particularly to (any Rengal citimen foreign\nAttad\nand babor,\nHatarteun\nof\nwhich\nI\nam\nnow\na\nsubject I\nthe United\narrived at the port of\nState\nTerritory of\nNew York\nin the\n-District of August\n, anno Domini Sig I am not an anarchist; I am not a\non or about the 9th day\nDecla\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.\nThe a\nSamil Densory\ncontenta the\n(Original signature of declarant.)\nSubscribed and sworn affisqued to before me this 94\ninformation\n[SEAL.]\nday of Jeby , anno Domini 19. of\neach\nBy of and SUPERION OCUNTY OOUWT. AND IN OP ONLIPOBNIA, AND POR or\nyou\nTHE OOURTY Courtr\nimmedlately\nClerk.\nantitled\nthe auld\n11-2026"
}