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TRIPLICATE
No. 689
Form 2903
makin
for
STATES
Department of Commerce and
BUREAU OF IMMIGRATION AND NATURALIZATION
DIVISION OF NATURALIZATION
DECLARATION OF INTENTION
(Invalid for all purposes seven years after the date hereof)
In the
SUPERIOR
Court
STATE OF CALIFORNIA)
Helen
County of Los Angeles
SS :
of
THE STATE or GALIPORNIA,
IN AND FOR Lee ANDELS COUNTY,
3. Isaac Randolph Bartlell
aged 27 years,
occupation Color while , complexion Fair , height feet9"zzinches,
churpaper man
do declare on oath that my personal
affirm
5
Intention
description is:
weight 160 pounds, color of hair Brown , color of eyes
Blue
other visible distinctive marks Hight tear over rig hx Eyr
:
I was born in
Plencor
banala
on the
3rd
day of
March , anno
Domini I 881. I now reside at 1309 Consitance St has Angeles balfa
I
emigrated to the United States of America from Hinnipig Canada
Greax otherwise than northern Nessel the charact of conv. ay name of transportation company should be given.]
my last
on the vessel
[If the allen arrived
Winnipig Canada
ditached her
foreign residence was
It is my bona fide intention to renounce forever all allegiance and fidelity to any foreign
the United States
prince, potentate, state, or sovereignty, and particularly to Emard VII.
citizen
King of break Britain & Ireland
, of which I am now a subject I
Declaration Int
arrived at the port of
Pembina
in the
State
North Dakoka
on or about the
19th day
STATE
Territory of
Caunty
District
of Septimber
, anno Domini 903; 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
The aforesald
contents thereof
to become a citizen of the United States of America and to permanently reside therein
Information and
So HELP ME GOD.
Presh
(Origina signature of declarant.)
Subscribed and affirmed sworn to before me this
25
[SBAL
day
of march
anno Domini 1908
,
Allo au LEAK or
Clerk of the or tos ANONLE GOUNT. STAVE IN OF AND POR Court.
By Jonentry
Drfuly Clerk.
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Document data
- ID
- 103951565
- 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": "-\nto\nYoro\nTRIPLICATE\nNo. 689\nForm 2903\nmakin\nfor\nSTATES\nDepartment of Commerce and\nBUREAU OF IMMIGRATION AND NATURALIZATION\nDIVISION OF NATURALIZATION\nDECLARATION OF INTENTION\n(Invalid for all purposes seven years after the date hereof)\nIn the\nSUPERIOR\nCourt\nSTATE OF CALIFORNIA)\nHelen\nCounty of Los Angeles\nSS :\nof\nTHE STATE or GALIPORNIA,\nIN AND FOR Lee ANDELS COUNTY,\n3. Isaac Randolph Bartlell\naged 27 years,\noccupation Color while , complexion Fair , height feet9\"zzinches,\nchurpaper man\ndo declare on oath that my personal\naffirm\n5\nIntention\ndescription is:\nweight 160 pounds, color of hair Brown , color of eyes\nBlue\nother visible distinctive marks Hight tear over rig hx Eyr\n:\nI was born in\nPlencor\nbanala\non the\n3rd\nday of\nMarch , anno\nDomini I 881. I now reside at 1309 Consitance St has Angeles balfa\nI\nemigrated to the United States of America from Hinnipig Canada\nGreax otherwise than northern Nessel the charact of conv. ay name of transportation company should be given.]\nmy last\non the vessel\n[If the allen arrived\nWinnipig Canada\nditached her\nforeign residence was\nIt is my bona fide intention to renounce forever all allegiance and fidelity to any foreign\nthe United States\nprince, potentate, state, or sovereignty, and particularly to Emard VII.\ncitizen\nKing of break Britain & Ireland\n, of which I am now a subject I\nDeclaration Int\narrived at the port of\nPembina\nin the\nState\nNorth Dakoka\non or about the\n19th day\nSTATE\nTerritory of\nCaunty\nDistrict\nof Septimber\n, anno Domini 903; 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\nThe aforesald\ncontents thereof\nto become a citizen of the United States of America and to permanently reside therein\nInformation and\nSo HELP ME GOD.\nPresh\n(Origina signature of declarant.)\nSubscribed and affirmed sworn to before me this\n25\n[SBAL\nday\nof march\nanno Domini 1908\n,\nAllo au LEAK or\nClerk of the or tos ANONLE GOUNT. STAVE IN OF AND POR Court.\nBy Jonentry\nDrfuly Clerk."
}