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Form 2903 No. 2422 TRIPLICATE making STATES OF Department of Comuterce and BUREAU OF IMMIGRATION AND NATURALIZATION DIVIBION OF NATURALIZATION DECLARATION OF INTENTION (Invalid for an purposes seven years after the date hereof) STATE OF CALIFORNIA) In the SUPERIOR THE STATE OF CALIFORNIA, Court County of Los Andeles SS : of IN AND FOR Los ANGELES COUNTY, 3, John Henx , aged To years, occupation Laborer do declare on oath that my personal description is: Color while , Davie , height feet 11. inches, complexion weight 180 pounds, color of hair Black. color of eyes Every other visible distinctive marks none : I was born in Irland eloghnn on the 25 day of December anno , Domini 899 ; I now reside at has Angeles Canh I emigrated to the United States of America from Quinstown Suland on the vessel Cities (If the allen arrived otherwise than by vesselythe character of conveyance or name of transportation company should be given.) : my last foreign residence was doghnn Iriland It is my bona fide intention to renounce forever all allegiance and fidelity to any foreign prince, potentate, state, or sovereignty, and particularly to burge r. King of Greak Britain & Irland of which I am now a subject: I arrived at the port of newyork in the State of newyork on or about the 12 day of may anno Domini 907 I am not an anarchist; I am not a polygamist nor a believer in the practice of polygamy: and it is n by intention in good faith to become a citizen of the United States of America and to per manently reside therein : So HELP ME GOD. John Ident the (Odginal algnature of declarant.) Subscribed and sworn to before me this 18.4 [SBAL ] day of may anno Domini 19.10 C. G. Keyes COUNTY AND THE SUPERION COURT IN AND FOR THR 0001 - BTATE of By / Jone thy

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Page context
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    "ocrText": "Form 2903\nNo. 2422\nTRIPLICATE\nmaking\nSTATES OF\nDepartment of Comuterce and\nBUREAU OF IMMIGRATION AND NATURALIZATION\nDIVIBION OF NATURALIZATION\nDECLARATION OF INTENTION\n(Invalid for an purposes seven years after the date hereof)\nSTATE OF CALIFORNIA)\nIn the SUPERIOR\nTHE STATE OF CALIFORNIA,\nCourt\nCounty of Los Andeles\nSS :\nof\nIN AND FOR Los ANGELES COUNTY,\n3,\nJohn Henx\n, aged\nTo years,\noccupation\nLaborer\ndo declare on oath that my personal\ndescription is: Color\nwhile\n, Davie , height feet 11. inches,\ncomplexion\nweight 180 pounds, color of hair Black. color of\neyes\nEvery\nother visible distinctive marks\nnone\n: I was born in\nIrland\neloghnn\non the\n25 day of December anno\n,\nDomini 899 ; I now reside at\nhas Angeles Canh\nI emigrated to the United States of America from Quinstown Suland\non the vessel\nCities\n(If the allen arrived otherwise than by vesselythe character of conveyance or name of transportation company should be given.)\n: my last\nforeign residence was\ndoghnn\nIriland\nIt is my bona fide intention to renounce forever all allegiance and fidelity to any foreign\nprince, potentate, state, or sovereignty, and particularly to burge r.\nKing of Greak Britain & Irland\nof which I am now a subject:\nI\narrived at the port of\nnewyork\nin the\nState of\nnewyork\non or about the\n12\nday\nof\nmay\nanno Domini 907 I am not an anarchist; I am not a\npolygamist nor a believer in the practice of polygamy: and it is n by intention in good faith\nto become a citizen of the United States of America and to per manently reside therein\n:\nSo HELP ME GOD.\nJohn Ident\nthe\n(Odginal algnature of declarant.)\nSubscribed and sworn to before me this\n18.4\n[SBAL ]\nday of may\nanno Domini 19.10\nC. G. Keyes\nCOUNTY AND\nTHE SUPERION COURT IN AND FOR THR 0001\n- BTATE of\nBy\n/\nJone thy"
}