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Form ssos No. 1355 TRIPLICATE making Declaration) STATES OF Fourth. Bepartment of Conmmerce and Tabor Dombut Domini BUREAÚ OF IMMIGRATION AND NATURALIZATION DIVISION OF NATURALIZATION DECLARATION OF INTENTION Wa (Invalid for all purposes seven years after the date hereof) , STATE of CALTFORNI:A In the Court County of Los Angeles SS : IN AND FOR Loe ANGELES COUNTY, of THE STATE OF 3. Charles Bennett Dunn the aged 39 years, occupation Finner do declare affirm on oath that my personal description is: Color white , complexion Dark height Steet/0"Sinches, intention weight 140 pounds, color of hair Brown color of eyes Brown to other visible distinctive marks none nighth. : I was born in Kingston Minth. Canada on the 27th day of november anno petition, since Domini I 879 I now reside at 151 Elevado Drier Paratrua bas petition. Tonth. I I emigrated to the United States of America from Hingston Cauada on the vessel Grand Trunk Ra ; my last [If the allen arrived otherwis than by vessel, the character of conveyance or name of transportation company should be given.] foreign residence was It is my bona fide intention to renounce forever all allegiance and fidelity to any foreign Kingston Cauaday attached togel the United Stat prince, potentate, state, or sovereignty, and ,particularly to King of Greax Britain Ereland , of which I am citizen now a subject I Declaration of arrived at the port of Rook Huron , in the State Territory of michigan on or about the 13th day District STATE of may anno Domini I 592: I am not an anarchist; I am not a Caun polygamist nor a believer in the practice of polygamy: and it is my intention in good faith The afores to become a citizen of the United States of America and to permanently. reside therein contente thereof Information and So HELP ME GOD. Charles Benneth Durn (Original signature of declarant.) or 15th and Orill Subscribed and sworn to before me this affiemed balag [SEAL.] day of Febry anno Domini C. G. Keyes COUNTY CLERK AND EX-DPFICIO DIERK OF Clank of LOS ANGELER, OR CALIFORNIA, THE SUPERIOR COURT IN AND FOR THW COUNT Gownt. By every Clerk.

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1245
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Document data

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Page context
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    "ocrText": "Form ssos\nNo. 1355\nTRIPLICATE\nmaking\nDeclaration)\nSTATES OF\nFourth.\nBepartment of Conmmerce and Tabor\nDombut\nDomini\nBUREAÚ OF IMMIGRATION AND NATURALIZATION\nDIVISION OF NATURALIZATION\nDECLARATION OF INTENTION\nWa\n(Invalid for all purposes seven years after the date hereof)\n,\nSTATE of CALTFORNI:A\nIn the\nCourt\nCounty of Los Angeles\nSS :\nIN AND FOR Loe ANGELES COUNTY,\nof\nTHE STATE OF\n3.\nCharles Bennett Dunn\nthe\naged\n39\nyears,\noccupation Finner\ndo declare affirm on oath that my personal\ndescription\nis: Color white ,\ncomplexion\nDark\nheight Steet/0\"Sinches,\nintention\nweight 140 pounds, color of hair Brown color of eyes Brown\nto\nother visible distinctive marks\nnone\nnighth.\n:\nI was\nborn in Kingston\nMinth.\nCanada\non the 27th day of november anno\npetition, since\nDomini I 879 I now reside at 151 Elevado Drier Paratrua bas\npetition.\nTonth. I\nI\nemigrated to the United States of America from Hingston Cauada\non the vessel\nGrand Trunk Ra\n; my last\n[If the allen arrived otherwis than by vessel, the character of conveyance or name of transportation company should be given.]\nforeign residence was\nIt is my bona fide intention to renounce forever all allegiance and fidelity to any foreign\nKingston Cauaday\nattached\ntogel\nthe United Stat\nprince, potentate, state, or sovereignty, and ,particularly to\nKing of Greax Britain Ereland , of which I am\ncitizen\nnow\na\nsubject I\nDeclaration of\narrived at the port of\nRook Huron\n,\nin the\nState\nTerritory of\nmichigan\non or about the\n13th day\nDistrict\nSTATE\nof\nmay\nanno Domini I 592: I am not an anarchist; I am not a\nCaun\npolygamist nor a believer in the practice of polygamy: and it is my intention in good faith\nThe afores\nto become a citizen of the United States of America and to permanently. reside therein\ncontente thereof\nInformation and\nSo HELP ME GOD.\nCharles Benneth Durn\n(Original signature of declarant.)\nor\n15th\nand\nOrill\nSubscribed and sworn to before me this\naffiemed\nbalag\n[SEAL.]\nday of Febry\nanno Domini\nC. G. Keyes\nCOUNTY CLERK AND EX-DPFICIO DIERK OF\nClank of LOS ANGELER, OR CALIFORNIA,\nTHE SUPERIOR COURT IN AND FOR THW COUNT\nGownt.\nBy\nevery\nClerk."
}