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726 Form 2903 TRIPLICATE No. [Tobe sivenjo the gesson Declaration) STATES OF pelitio First, My Becond. Department of Commerce and Tabor Third. BUREAU OF IMMIGRATION AND NATURALIZATION Fourth. DIVISION OF NATURALIZATION anno Domini 1. anno Domini 1.9 DECLARATION OF INTENTION Fifth. I'de Lo (Invalid for all purposes seven years after the date hereof) Sixth. In the SUPERIOR Court STATE OF CALIFORNIA have the STATE or County of Allian Kevin SS : of IN AND FOR Les ANGELEB COUNTY, 3. aged 39 years, Conduction do declare on oath that my personal affirm occupation description is: Color ( Mlute complexion Dark height feet inches, weight 116 pounds, color of hair Black color of eyes Blue Seventh. I to organized govern other visible distinctive marks time Shinana intention to become particularly to triand : I was born in on the MA to reside permanentl day of January anno righth. am Domini I 569 , 1174 Ra a for Winth I have the 4 day I to emigrated Arinued [If the the I allen now arrived reside otfrerwise (Chrigrator at of fessel America the character of from conveyance Landandory company should be given. : this petition, since of this pétition Univer Instand my last on the vessel Tenth. have foreign residence was asid patition pance It is my potentate. state, or sovereignty and particularly to (man(VI) Rong bona fide intention to renounce forever all allegiance and fidelity to any foreign Attached hereto heal Distain A citimon affidanit the of which I am now a subject I New your in the arrived at the port of Territory State of New 4/4 H about the day Declaration of District Cok anno Domini 9031 am not an anarchist; I am not a of polygamist nor a believer in the practice of polygamy: and it is my intention in good faith STATE to become a citizen of the United States of America and to permanently reside therein: Caunt So HELP ME GOD. billiam Sproube The aforesaid peti (Original signature of seclarant.) stadents thereofi that 10m information and bellef, Subscribed and sworn to before me this [SEAL.] day of tipl affirmed anno Domini 19 08 H C.G.Keyes, William COUNTY AND EX-ONFICIO cuank on dach THE SUPERIOR OCURT IN AND FO.7 THE GOUNTY being dul By System theor Lõe (Defection STATELOF CALIFORNIA. Clerk. Court. la made

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    "ocrText": "726\nForm 2903\nTRIPLICATE\nNo.\n[Tobe sivenjo the gesson\nDeclaration)\nSTATES OF\npelitio\nFirst, My\nBecond.\nDepartment of Commerce and Tabor\nThird.\nBUREAU OF IMMIGRATION AND NATURALIZATION\nFourth.\nDIVISION OF NATURALIZATION\nanno Domini 1.\nanno Domini 1.9\nDECLARATION OF INTENTION\nFifth. I'de\nLo\n(Invalid for all purposes seven years after the date hereof)\nSixth.\nIn\nthe SUPERIOR Court\nSTATE OF CALIFORNIA\nhave\nthe STATE or\nCounty of\nAllian Kevin SS : of IN\nAND FOR Les ANGELEB COUNTY,\n3.\naged 39 years,\nConduction\ndo declare on oath that my personal\naffirm\noccupation description is: Color ( Mlute complexion Dark height feet\ninches,\nweight 116 pounds, color of hair Black color of eyes\nBlue\nSeventh. I\nto organized govern\nother visible distinctive marks\ntime\nShinana\nintention to become\nparticularly to\ntriand\n:\nI was born in\non the\nMA\nto reside permanentl\nday of January\nanno\nrighth. am\nDomini I 569 , 1174 Ra a for\nWinth I have\nthe\n4\nday\nI to\nemigrated Arinued\n[If the the I allen now arrived reside otfrerwise (Chrigrator at of fessel America the character of from conveyance Landandory company should be given. :\nthis petition, since\nof this pétition\nUniver Instand\nmy last\non the vessel\nTenth. have\nforeign residence was\nasid\npatition\npance It is my potentate. state, or sovereignty and particularly to (man(VI) Rong\nbona fide intention to renounce forever all allegiance and fidelity to any foreign\nAttached hereto\nheal Distain A\ncitimon\naffidanit the\nof which I am now a subject\nI\nNew your\nin the\narrived at the port of\nTerritory\nState of New 4/4\nH\nabout the\nday\nDeclaration of\nDistrict\nCok\nanno Domini\n9031\nam\nnot\nan\nanarchist;\nI\nam\nnot\na\nof\npolygamist nor a believer in the practice of polygamy: and it is my intention in good faith\nSTATE\nto become a citizen of the United States of America and to permanently reside therein:\nCaunt\nSo HELP ME GOD.\nbilliam Sproube\nThe aforesaid peti\n(Original signature of seclarant.)\nstadents thereofi that\n10m\ninformation and bellef,\nSubscribed and sworn to before me this\n[SEAL.]\nday\nof tipl affirmed anno Domini 19 08\nH\nC.G.Keyes,\nWilliam\nCOUNTY AND EX-ONFICIO cuank on\ndach\nTHE SUPERIOR OCURT IN AND FO.7 THE GOUNTY\nbeing\ndul\nBy\nSystem theor Lõe (Defection STATELOF CALIFORNIA. Clerk. Court.\nla\nmade"
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