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Form -
Repartment of and Kabut
TRIPLICATE
No. 4198
NATURALIZATION SERVICE
the miking
the
Declaration)
STATES OF
DECLARATION OF INTENTION
(Invalid for all purposes seven years after the date hereof)
SUPERIOR
STATE OF CALIFORNIA
In the
Court
Caunty of Los Angeles
ss:
The State of California.
of in and for Los Angeles County.
g, Charles William Bates
aged 58 years,
occupation Salesman
do declare on oath that my personal
description is: Color White complexion med height 5 feet 5 inches,
weight 155 pounds, color of hair Brown color of eyes Blue
other visible distinctive marks mole on Forhad
I
was born in amhust nora scatia Canada
on the
7
day of
any
anno Domini I 853; I now reside
at 535 W5 K at Los angeles One
(Give number, street, city or togna,
I emigrated to the United States of America from st Johns n Canada
on the vessel so not Remember name of boat
: my last
(II the allen arrived by veasel, the character of conveyance or usme of transportation company should be given.)
foreign residence was
Truro nora scotia Carada
It is my bona fide intention to renounce forever all allegiance and fidelity to any foreign
prince, potentate, state, or sovereignty, and particularly to
Ges. V, King of Great Britain and Ireland.
of whom 1 am now a subject :
BOSTON
I arrived at the port of
in the
State of
mass
on or about the
15 day
of seft more anno Domini 1 873 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.
Charles William Buter
(Origioal algnature of declarast.)
20
Subscribed and sworn to before me this
[SEAL]
day of
Dec anno Domini 19: /
COUNTY. ALERK CLEBK
H. J. Lelande THE SUPERIOR COURT IN AND FOR THE COUNTS
OF LOS ANGEYES, STATE OF CALIFORNIA,
Clerk of the
Court
E.E.mail sich
By
Clerk.
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- Source index
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Document data
- ID
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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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"ocrText": "Form -\nRepartment of and Kabut\nTRIPLICATE\nNo. 4198\nNATURALIZATION SERVICE\nthe miking\nthe\nDeclaration)\nSTATES OF\nDECLARATION OF INTENTION\n(Invalid for all purposes seven years after the date hereof)\nSUPERIOR\nSTATE OF CALIFORNIA\nIn the\nCourt\nCaunty of Los Angeles\nss:\nThe State of California.\nof in and for Los Angeles County.\ng, Charles William Bates\naged 58 years,\noccupation Salesman\ndo declare on oath that my personal\ndescription is: Color White complexion med height 5 feet 5 inches,\nweight 155 pounds, color of hair Brown color of eyes Blue\nother visible distinctive marks mole on Forhad\nI\nwas born in amhust nora scatia Canada\non the\n7\nday of\nany\nanno Domini I 853; I now reside\nat 535 W5 K at Los angeles One\n(Give number, street, city or togna,\nI emigrated to the United States of America from st Johns n Canada\non the vessel so not Remember name of boat\n: my last\n(II the allen arrived by veasel, the character of conveyance or usme of transportation company should be given.)\nforeign residence was\nTruro nora scotia Carada\nIt is my bona fide intention to renounce forever all allegiance and fidelity to any foreign\nprince, potentate, state, or sovereignty, and particularly to\nGes. V, King of Great Britain and Ireland.\nof whom 1 am now a subject :\nBOSTON\nI arrived at the port of\nin the\nState of\nmass\non or about the\n15 day\nof seft more anno Domini 1 873 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.\nCharles William Buter\n(Origioal algnature of declarast.)\n20\nSubscribed and sworn to before me this\n[SEAL]\nday of\nDec anno Domini 19: /\nCOUNTY. ALERK CLEBK\nH. J. Lelande THE SUPERIOR COURT IN AND FOR THE COUNTS\nOF LOS ANGEYES, STATE OF CALIFORNIA,\nClerk of the\nCourt\nE.E.mail sich\nBy\nClerk."
}