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Form - TRIPLICATE No 195 [Te be given to the person making the Declaration) STATES OF Department of Commerce and Tabor BUREAU OF IMMIGRATION AND NATURALIZATION DIVISION OF NATURALIZATION DECLARATION OF INTENTION (Invalid for all purposes seven years after the date hereof) UNITED STATES OF AMERICA, In the Circuit Court SOUTHERN DISTRICT OF CALIFORNIA, ss : COUNTY OF Los. of the United States 3 Willam Longa. Logan Southern District of California, Southern Division aged 28 years, occupation Dougglest do declare affirm on oath that my personal description is: coll white height 5 feet10 inches, weight 15g pounds, color of hair brown color of eyes brown other visible distinctive marks prominent : I was born in Thorndale Ontario, banada ti , on the 20th day of June ti anno Domini 879 - I now reside at Hotel Bellevar, Terrace, has Angeles California I emigrated to the United States of America from Coutts, alberta banada on the foreign residence was Leshbridge, alberta, banada vessel Great Northern Railway ; my last It is my bona fide intention to renounce forever all allegiance and fidelity to any foreign prince, potentate, state, or sovereignty, and particularly to Edward VII, King of Great Britain & Inland of which I am now a citizen subject I arrived at the port of Sever Goose , in the State Territory of montana on or about the 11th day District of December anno Domini I 906: 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 to become a citizen of the United States of America and to permanently reside therein: So HELP ME GOD. William (Original signature George Logen of declarant.) Subscribed and affirmed before me this sworn to 12th - [SEAL. 1 day of September anno Domini, 1907 Wm. M. Van Dyke. By Clerk of the them United District States Circuit of Califernia Court chainwith Defuly Clerk allen arrived than of conveyance or should be given.

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    "ocrText": "Form -\nTRIPLICATE\nNo 195\n[Te be given to the person making\nthe\nDeclaration)\nSTATES OF\nDepartment of Commerce and Tabor\nBUREAU OF IMMIGRATION AND NATURALIZATION\nDIVISION OF NATURALIZATION\nDECLARATION OF INTENTION\n(Invalid for all purposes seven years after the date hereof)\nUNITED STATES OF AMERICA,\nIn the\nCircuit\nCourt\nSOUTHERN DISTRICT OF CALIFORNIA,\nss :\nCOUNTY OF Los.\nof the United States\n3 Willam Longa. Logan\nSouthern District of California, Southern Division\naged 28 years,\noccupation Dougglest\ndo declare affirm on oath that my personal\ndescription is: coll white height 5 feet10 inches,\nweight 15g pounds, color of hair brown color of eyes brown\nother visible distinctive marks prominent\n: I was born in Thorndale Ontario,\nbanada\nti\n,\non\nthe 20th day of June\nti\nanno\nDomini 879 - I now reside at Hotel Bellevar, Terrace, has Angeles California\nI\nemigrated to the United States of America from Coutts, alberta banada\non\nthe\nforeign residence was Leshbridge, alberta, banada\nvessel Great Northern Railway ; my\nlast\nIt is my bona fide intention to renounce forever all allegiance and fidelity to any foreign\nprince, potentate, state, or sovereignty, and particularly to Edward VII,\nKing of Great Britain & Inland of which I am now a\ncitizen\nsubject\nI\narrived\nat the port of Sever Goose\n,\nin the\nState\nTerritory\nof montana\non or about the 11th day\nDistrict\nof December anno Domini I 906: I am not an anarchist: I am not\na\npolygamist nor a believer in the practice of polygamy: and it is my intention in good faith\nto become a citizen of the United States of America and to permanently reside therein:\nSo HELP ME GOD.\nWilliam (Original signature George Logen\nof declarant.)\nSubscribed and affirmed before me this\nsworn to 12th\n-\n[SEAL.\n1\nday of September anno Domini, 1907\nWm. M. Van Dyke.\nBy Clerk of the them United District States Circuit of Califernia Court\nchainwith\nDefuly Clerk\nallen arrived than of conveyance or should be given."
}