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Form *
TRIPLICATE
No. 56
ITo beglven the person makio
the Declaration)
STATES OF
anno D
anno D
Department of Onmmerce and Tabor
BUREAU OF IMMIGRATION AND NATURALIZATION
at
DIVISION OF NATURALIZATION
in
, have
DECLARATION OF INTENTION
(Invalid for all purposes sevgh years after the date hereof)
It
State of Utah
In the
Third District Court
SS
bounty of Suer Sake
of
Sall Sake leauty Wah
3. "Theodore Peterson
aged 20 years,
to org
occupation Larour
do declare affirm on oath that my personal
description is: Color White complexion tain
, height 5 feet 712 inches,
weight 178 pounds, color of hair Dari Brown color of eyes Blue
other visible distinctive marks
; I born in Denmark
was
petitio
the 17
day of aprie
petitio
,
on
anno
Domini
I 886 I now reside at 536 wized Denmark So. & all sabilately
I emigrated to the United States of America from
on the vessel
* United State
: my last
residence was Denbmarh
and-r
foreign
the
It
is my bona fide intention to renounce forever all allegiance and fidelity to any foreign
prince, potentate, state, or sovereignty,
and particularly to Frederik the VIII
Decla
Dring of Demmah
citizen
of which I am now a subject
I
arrived at the port of new you
in the
State
Territery of
Distriet
new yah
12
ST.4
on or about the
day
of april
anno Domini 1 904; 1 am not an anarchist: I am not a
conter
polygamist nor a believer in the practice of polygamy and it is my intention in good faith
infort
to
become a citizen of the United States of America and to permanently reside therein
SO HELP ME GOD.
Sheadone
and
(Original algnasure of declarent.)
each
Subscribed and affirmed sworn to before me this Eighteenth
imme
[SEAL.]
day
of Lurnay anno Domini
19.057
Clerk of the 9 Court.
yu alanda
the
By
es artsbles
Daynel
Clak
errived
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- Type
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Document data
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- Core
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- Type
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DTO data
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Context sent to Scholar
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Page context
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"ocrText": "Form *\nTRIPLICATE\nNo. 56\nITo beglven the person makio\nthe Declaration)\nSTATES OF\nanno D\nanno D\nDepartment of Onmmerce and Tabor\nBUREAU OF IMMIGRATION AND NATURALIZATION\nat\nDIVISION OF NATURALIZATION\nin\n, have\nDECLARATION OF INTENTION\n(Invalid for all purposes sevgh years after the date hereof)\nIt\nState of Utah\nIn the\nThird District Court\nSS\nbounty of Suer Sake\nof\nSall Sake leauty Wah\n3. \"Theodore Peterson\naged 20 years,\nto org\noccupation Larour\ndo declare affirm on oath that my personal\ndescription is: Color White complexion tain\n, height 5 feet 712 inches,\nweight 178 pounds, color of hair Dari Brown color of eyes Blue\nother visible distinctive marks\n; I born in Denmark\nwas\npetitio\nthe 17\nday of aprie\npetitio\n,\non\nanno\nDomini\nI 886 I now reside at 536 wized Denmark So. & all sabilately\nI emigrated to the United States of America from\non the vessel\n* United State\n: my last\nresidence was Denbmarh\nand-r\nforeign\nthe\nIt\nis my bona fide intention to renounce forever all allegiance and fidelity to any foreign\nprince, potentate, state, or sovereignty,\nand particularly to Frederik the VIII\nDecla\nDring of Demmah\ncitizen\nof which I am now a subject\nI\narrived at the port of new you\nin the\nState\nTerritery of\nDistriet\nnew yah\n12\nST.4\non or about the\nday\nof april\nanno Domini 1 904; 1 am not an anarchist: I am not a\nconter\npolygamist nor a believer in the practice of polygamy and it is my intention in good faith\ninfort\nto\nbecome a citizen of the United States of America and to permanently reside therein\nSO HELP ME GOD.\nSheadone\nand\n(Original algnasure of declarent.)\neach\nSubscribed and affirmed sworn to before me this Eighteenth\nimme\n[SEAL.]\nday\nof Lurnay anno Domini\n19.057\nClerk of the 9 Court.\nyu alanda\nthe\nBy\nes artsbles\nDaynel\nClak\nerrived"
}