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Form 2903
TRIPLICATE
No. 2934
makior
STATES OF
Bepartment of and Tabur
BUREAU OF IMMIGRATION AND NATURALIZATION
DIVISION OF NATURALIZATION
DECLARATION OF INTENTION
(Invalid for all purposes seven years after the date hereof)
ST.ATE OF CALIFORNIA
In
the SUPERIOR Court
THE STATE OF CALIFORNIA,
County of Los Angeles
SS :
of
IN AND FOR LOS ANGELES COUNTY,
3, Grant aged 26 years,
occupation
Studjust
do declare on oath that my personal
description is: Color White complexion Fair , height 5 6
feet inches,
weight 120 pounds, color of hair brown color of eyes Blue
other visible distinctive marks
come
: I was born in Woodstock
Canada
on
the 16th day of June
anno
Domini 884 I now reside , at Los Angeles lealif
I emigrated I to the United States of America from Windstock Canada
vessel Grand Trunk of or PR transportation
; my last
on
the residence [If the was Woodstook Canada and fidelity should be to given.)
allen arrived otheryise than by vessel, the character conveyance company
foreign
It is bona fide intention to renounce forever all allegiance any foreign
prince, my potentate, state, or sovereignty, and particularly to Georget this I
Frent Britary of Areland of which I am now a subject; in
arrived port
at the of Pnt Hurm
the
State of Michigan
on or about the 22nd day
of January , anno Domini 897; I am not an anarchist ; I am not faith a
polygamist nor a believer in the practice of polygamy: and it is my intention in good
to become a citizen of the United States of America and to permanently reside therein
So HELP ME GOD.
(Original Glardou declarant.) Gracel
signature of
Subscribed and sworn to before me this
28th
[SEAL,]
day of November anno Domini 19
C. G. Keyes
AND EX OFFIC cent
or
THE suer IN AND FOR The COUNTY
of the OF LOV OF CALIFORSA
Gourts
Clen
By
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- Type
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Document data
- ID
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- Core
- doc
- Type
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DTO data
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Context sent to Scholar
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Document source metadata
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Document source extras
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Page context
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"ocrText": "Form 2903\nTRIPLICATE\nNo. 2934\nmakior\nSTATES OF\nBepartment of and Tabur\nBUREAU OF IMMIGRATION AND NATURALIZATION\nDIVISION OF NATURALIZATION\nDECLARATION OF INTENTION\n(Invalid for all purposes seven years after the date hereof)\nST.ATE OF CALIFORNIA\nIn\nthe SUPERIOR Court\nTHE STATE OF CALIFORNIA,\nCounty of Los Angeles\nSS :\nof\nIN AND FOR LOS ANGELES COUNTY,\n3, Grant aged 26 years,\noccupation\nStudjust\ndo declare on oath that my personal\ndescription is: Color White complexion Fair , height 5 6\nfeet inches,\nweight 120 pounds, color of hair brown color of eyes Blue\nother visible distinctive marks\ncome\n: I was born in Woodstock\nCanada\non\nthe 16th day of June\nanno\nDomini 884 I now reside , at Los Angeles lealif\nI emigrated I to the United States of America from Windstock Canada\nvessel Grand Trunk of or PR transportation\n; my last\non\nthe residence [If the was Woodstook Canada and fidelity should be to given.)\nallen arrived otheryise than by vessel, the character conveyance company\nforeign\nIt is bona fide intention to renounce forever all allegiance any foreign\nprince, my potentate, state, or sovereignty, and particularly to Georget this I\nFrent Britary of Areland of which I am now a subject; in\narrived port\nat the of Pnt Hurm\nthe\nState of Michigan\non or about the 22nd day\nof January , anno Domini 897; I am not an anarchist ; I am not faith a\npolygamist nor a believer in the practice of polygamy: and it is my intention in good\nto become a citizen of the United States of America and to permanently reside therein\nSo HELP ME GOD.\n(Original Glardou declarant.) Gracel\nsignature of\nSubscribed and sworn to before me this\n28th\n[SEAL,]\nday of November anno Domini 19\nC. G. Keyes\nAND EX OFFIC cent\nor\nTHE suer IN AND FOR The COUNTY\nof the OF LOV OF CALIFORSA\nGourts\nClen\nBy"
}