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No. 63
Form 2908
767650
TRIPLIDATE
STATES OF
New.
Department of Comuerce and Tabor
BUREAU OF IMMIGRATION AND NATURALIZATION
DIVISION OF NATURALIZATION
INDEXED
P.
RECEIVED
DECLARATION OF
(Invalid for all purposes seven years after the date hereof)
Stale Marllays
In the
brink
Court
Anne, Andelland
SS:
of(
3, Feendut de Ward
aged 45 years,
occupation Builder Membrator
, do declare afficm on oath that my personal
description is: Color Mult
complexion
faw
, height feet 9 inches,
weight 161 pounds, color of hair Bnnd
color of eyes Blue
other visible distinctive marks Monie
:
I was born in Slierreht Nithelande
, on the
13 day of Delolar
anno
Domini 864 ; I now reside at bedantParment Anabola Marlend
I
emigrated to the United States of America from South Africa fust lape Loun
on the vessel
"Maunitania
[If
the allen arrived otherwise than by yessel, the character of conveyance or name of transportation company should be given.]
: my last
foreign residence was
Pretona - Jaurnaal
It is my bona fide intention to renounce forever all allegiance and fidelity to any foreign
prince, potentate, state, or sovereignty, and particularly to Geye V, Key of
Great Britan had Inland
, of which I am now a subject Citizen ; I
arrived at the port of
New Jush
, in the
State
Territory of
New 4th
on or about the 21 day
of District December
anno Domini I 1907 ; I am not an anarchist: 1 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.
(Original signature of declaraht.)
Subscribed and sworn affirmed to before me this 74
[SEAL.]
day of Collbra
, anno Domini 1910
Gen Wills
Clerk of
the bucine
Court.
By Clerk.
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- Type
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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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Page context
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"ocrText": "No. 63\nForm 2908\n767650\nTRIPLIDATE\nSTATES OF\nNew.\nDepartment of Comuerce and Tabor\nBUREAU OF IMMIGRATION AND NATURALIZATION\nDIVISION OF NATURALIZATION\nINDEXED\nP.\nRECEIVED\nDECLARATION OF\n(Invalid for all purposes seven years after the date hereof)\nStale Marllays\nIn the\nbrink\nCourt\nAnne, Andelland\nSS:\nof(\n3, Feendut de Ward\naged 45 years,\noccupation Builder Membrator\n, do declare afficm on oath that my personal\ndescription is: Color Mult\ncomplexion\nfaw\n, height feet 9 inches,\nweight 161 pounds, color of hair Bnnd\ncolor of eyes Blue\nother visible distinctive marks Monie\n:\nI was born in Slierreht Nithelande\n, on the\n13 day of Delolar\nanno\nDomini 864 ; I now reside at bedantParment Anabola Marlend\nI\nemigrated to the United States of America from South Africa fust lape Loun\non the vessel\n\"Maunitania\n[If\nthe allen arrived otherwise than by yessel, the character of conveyance or name of transportation company should be given.]\n: my last\nforeign residence was\nPretona - Jaurnaal\nIt is my bona fide intention to renounce forever all allegiance and fidelity to any foreign\nprince, potentate, state, or sovereignty, and particularly to Geye V, Key of\nGreat Britan had Inland\n, of which I am now a subject Citizen ; I\narrived at the port of\nNew Jush\n, in the\nState\nTerritory of\nNew 4th\non or about the 21 day\nof District December\nanno Domini I 1907 ; I am not an anarchist: 1 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.\n(Original signature of declaraht.)\nSubscribed and sworn affirmed to before me this 74\n[SEAL.]\nday of Collbra\n, anno Domini 1910\nGen Wills\nClerk of\nthe bucine\nCourt.\nBy Clerk."
}