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Form 2203 No. 1311 390211 TRIPLICATE making STATES OF INDEXED Pifth. Do Department of Commerce and Tabor INED BUREAU OF IMMIGRATION AND NATURALIZATION DIVISION OF NATURALIZATION DECLARATION OF INTENTION (Invalid for all purposes seven years after the date hereof) STATE OF CALIFORNLA 'ounty of Los Angeles In the Court SS : IN AND FOR Loe ANGELES COUNTY, of THE STATE OF CALIFORNIA 3. Joseph Bachellerie aged 31, years, teacher declare on oath right occupation do affirm that my personal Winti description is: Color white , complexion Dark height 5 feet 6 inches, weight 139 pounds, color of hair Brown color of eyes Grey other visible distinctive marks none : I was born in Montail France , on 84350 the propertion 27th day of Judy June anno Domini I 877 I now reside at 1047. to Baulter Las Angeles bag I emigrated to the United States of America from Foronto Cauaday on the vessel Grand Trunk R R my last [If the alien arrived otherwise than by,yessel, the character of conveyance of transportation company should be given.) foreign residence was Forents Canada It is my bona fide intention to renounce forever all allegiance and fidelity to any foreign prince, potentate, state, or sovereignty, and particularly to the Republic of France of which I am now a subject citizen I , arrived at the port of Delroit in the State Ferritory of District michigan on or about the 22 day of December , anno Domini 908. 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. Subscribed and sworn to before me this Joseph (Original signature Bachellevic of 2746 affirmed [SEAL. day of January anno Domini 19 09 C. G. Keyes COUNTY CLENK AND EX OFFICIO C Clark of the THK LOS SUPERIOR ANGEA COURT AND FOR THE Deputy Clerk

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1263
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Page context
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    "ocrText": "Form 2203\nNo. 1311\n390211\nTRIPLICATE\nmaking\nSTATES OF INDEXED\nPifth.\nDo\nDepartment of Commerce and Tabor\nINED\nBUREAU OF IMMIGRATION AND NATURALIZATION\nDIVISION OF NATURALIZATION\nDECLARATION OF INTENTION\n(Invalid for all purposes seven years after the date hereof)\nSTATE OF CALIFORNLA\n'ounty of Los Angeles\nIn the Court\nSS :\nIN AND FOR Loe ANGELES COUNTY,\nof\nTHE STATE OF CALIFORNIA\n3.\nJoseph Bachellerie\naged 31, years,\nteacher\ndeclare on oath\nright\noccupation\ndo affirm that my personal\nWinti\ndescription is: Color white , complexion Dark height 5 feet 6 inches,\nweight 139 pounds, color of hair Brown color of eyes Grey\nother visible distinctive marks\nnone\n:\nI was born in\nMontail\nFrance\n, on 84350 the propertion 27th day of Judy June anno\nDomini I 877 I now reside at 1047. to Baulter Las Angeles bag\nI\nemigrated to the United States of America from Foronto Cauaday\non the vessel\nGrand Trunk R R\nmy last\n[If the alien arrived otherwise than by,yessel, the character of conveyance of transportation company should be given.)\nforeign residence was\nForents Canada\nIt\nis my bona fide intention to renounce forever all allegiance and fidelity to any foreign\nprince, potentate, state, or sovereignty, and particularly to the Republic\nof France\nof which I am now a subject citizen\nI\n,\narrived at the port of\nDelroit\nin the\nState\nFerritory of\nDistrict\nmichigan\non or about the\n22 day\nof December\n, anno Domini 908. I am not an anarchist: I am not a\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.\nSubscribed and sworn to before me this\nJoseph (Original signature Bachellevic of 2746\naffirmed\n[SEAL.\nday of January\nanno Domini 19 09\nC. G. Keyes\nCOUNTY CLENK AND EX OFFICIO C\nClark of the THK LOS SUPERIOR ANGEA COURT AND FOR THE\nDeputy Clerk"
}