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No. 1892
TRIPLICATE
STATES OF
Bepartment 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)
STATE OF CALIFO?
Country of Los Ansure.
In the Court
SS :
of THE STATE OF CALIFORNIA,
IN AND FOR Los ANDER COUM
3,
William bourthope Poursette
, aged 40 years,
occupation
Physician
do affirm that my personal
declare on oath
description is: Color White , complexion Dark height
feet9 LAnches,
weight 140 pounds, color of hair
Grey
, color of eyes Every
other visible distinctive marks
none
:
I was born in
sarnia
Canada
on the
28 day of June
-, anno
Domini I 869 I now reside at
Hollynood bal
I emigrated to the United States of America from farming banada
on the vessel
[If the allen arrived otherwise than by vessel, character of conveyance or name of transportation company should be given.)
Jerry
; my last
foreign residence was
Farnia Canada
It is my bona fide intention to renounce forever all allegiance and fidelity to any foreign
prince, potentate, state, or sovereignty, and particularly to Esand KII
King of Greax Britain A Ireland
, of which I am now a subject citicen I
arrived at the port of
Park Huron
in the
State
Territory of
michigan
on or about the
16th day
District
of January
, anno Domini 1999 I am not an anarchist; I am not a
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.
Welliam Courthope Punctle
(Original signature of declarant.)
Subscribed and sworn to before me this
affirmed
9th
[SEAL.]
day of november anno Domini
C. a. Heyes
COUNTY cuent AND
OF
THE EUPERICA COURT IN AND FOR THE COUNTY
Glenk of the: LOS ANGELES STATE OF CALIFORNIA,
Court
By
goventry
deputy Clerk.
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"ocrText": "- - -\nNo. 1892\nTRIPLICATE\nSTATES OF\nBepartment 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)\nSTATE OF CALIFO?\nCountry of Los Ansure.\nIn the Court\nSS :\nof THE STATE OF CALIFORNIA,\nIN AND FOR Los ANDER COUM\n3,\nWilliam bourthope Poursette\n, aged 40 years,\noccupation\nPhysician\ndo affirm that my personal\ndeclare on oath\ndescription is: Color White , complexion Dark height\nfeet9 LAnches,\nweight 140 pounds, color of hair\nGrey\n, color of eyes Every\nother visible distinctive marks\nnone\n:\nI was born in\nsarnia\nCanada\non the\n28 day of June\n-, anno\nDomini I 869 I now reside at\nHollynood bal\nI emigrated to the United States of America from farming banada\non the vessel\n[If the allen arrived otherwise than by vessel, character of conveyance or name of transportation company should be given.)\nJerry\n; my last\nforeign residence was\nFarnia Canada\nIt is my bona fide intention to renounce forever all allegiance and fidelity to any foreign\nprince, potentate, state, or sovereignty, and particularly to Esand KII\nKing of Greax Britain A Ireland\n, of which I am now a subject citicen I\narrived at the port of\nPark Huron\nin the\nState\nTerritory of\nmichigan\non or about the\n16th day\nDistrict\nof January\n, anno Domini 1999 I am not an anarchist; I am not a\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.\nWelliam Courthope Punctle\n(Original signature of declarant.)\nSubscribed and sworn to before me this\naffirmed\n9th\n[SEAL.]\nday of november anno Domini\nC. a. Heyes\nCOUNTY cuent AND\nOF\nTHE EUPERICA COURT IN AND FOR THE COUNTY\nGlenk of the: LOS ANGELES STATE OF CALIFORNIA,\nCourt\nBy\ngoventry\ndeputy Clerk."
}