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401072
No. 6646
TRIPLICATE
malding
STATES OF
Department of Commerce and Tabor
BUREAU OF IMMIGRATION AND NATURALIZATION
bajus
DIVISION OF NATURALIZATION
DECLARATION OF
the
of
(Invalid for all purposes seven years after the date hergof)
STATE OF. NEW YORA
In the
Court
COUNTY OF NEW YORK,
SS :
THE ST NEW YORR.
of
RINST
declare aged oath 23
years,
on that personal
occupation is: Color White complexion Fair do , affirm height S my /
feet Linches,
pet
(this
description weight 180 pounds, color of hair Fair , color of eyes Blue
T
other visible distinctive
marks none
:
I
was born in leady leavey. be letar
Domini Seland I 885: I now reside.: at on 589 the Eashist, 84 day of may sheet New York
anno
CWy.
1 emigrated to the United States of America from . Ireland
on the vessel
Cedice
my last
De
foreign
residence was leo blace. Inland
(If the alien arriged otherwise than by vessel, the charagjer of conveyance or name of tpansportation company should be given.
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 and Ireland
citizen
of which I am now a
subject
I
arrived at the port of NO. FORK
in the
State
Territory of
or
on or about the
14th" day
District of May
, anno Domini 907 I am not an anarchist: I am nota
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 thereint
so HELP ME God.
John Jose signature medicine declapant.)
of
Subscribed and sworn to before me this Fiftienth
[SEAL.
day of February anno
SUPREME
SPEULS
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"ocrText": "401072\nNo. 6646\nTRIPLICATE\nmalding\nSTATES OF\nDepartment of Commerce and Tabor\nBUREAU OF IMMIGRATION AND NATURALIZATION\nbajus\nDIVISION OF NATURALIZATION\nDECLARATION OF\nthe\nof\n(Invalid for all purposes seven years after the date hergof)\nSTATE OF. NEW YORA\nIn the\nCourt\nCOUNTY OF NEW YORK,\nSS :\nTHE ST NEW YORR.\nof\nRINST\ndeclare aged oath 23\nyears,\non that personal\noccupation is: Color White complexion Fair do , affirm height S my /\nfeet Linches,\npet\n(this\ndescription weight 180 pounds, color of hair Fair , color of eyes Blue\nT\nother visible distinctive\nmarks none\n:\nI\nwas born in leady leavey. be letar\nDomini Seland I 885: I now reside.: at on 589 the Eashist, 84 day of may sheet New York\nanno\nCWy.\n1 emigrated to the United States of America from . Ireland\non the vessel\nCedice\nmy last\nDe\nforeign\nresidence was leo blace. Inland\n(If the alien arriged otherwise than by vessel, the charagjer of conveyance or name of tpansportation company should be given.\nIt is my bona fide intention to renounce forever all allegiance and fidelity to any foreign\nprince, potentate, state, or sovereignty, and particularly to\nEDWARD VII, King of Great Britain and Ireland\ncitizen\nof which I am now a\nsubject\nI\narrived at the port of NO. FORK\nin the\nState\nTerritory of\nor\non or about the\n14th\" day\nDistrict of May\n, anno Domini 907 I am not an anarchist: I am nota\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 thereint\nso HELP ME God.\nJohn Jose signature medicine declapant.)\nof\nSubscribed and sworn to before me this Fiftienth\n[SEAL.\nday of February anno\nSUPREME\nSPEULS"
}