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126 86 02
Form 2903
Repartment of Commerce and Tabar
TRIPLICATE
NATURALIZATION SERVICE
[To be afven to the person making
No. 735
the Declaration)
STATES OF
NECEIVED
NOV 41914 is
M
P
DECLARAT INTENTION
efter hereof)
State of California
In the
Superior
Court
ss:
County of San Diego
of
San-Diego-County
g, P E R C Y SAMUEL W A T E R
3
,
aged
23
years,
occupation bookkeeper
do declare on oath that my personal
description is: Color white , complexion fair , height -5-. feet -9 inches,
weight 140 pounds, color of hair brown
, color of eyes
blue
other visible distinctive marks none
I was born in Croydon, Surrey, England,
on the
3lst
day of
October
, anno Domini I 888 : I now reside
at
Chula Vista, Califfornia
(Give number, street, city or town, and State.)
I emigrated to the United States of America from
Livarpool, England
on the vessel #Baltio"
; my last
(If the alien arrived otherwise than by veasel, the character of conveyance or name of transportation company should be given.)
foreign residence was
Croydon, England
It is my bona fide intention to renounce forever all allegiance and fidelity to any foreign
prince, potentate, state, or sovereignty, and particularly to
George V., King o/ Ureui and Ireland.
, of whom I am now a subject ;
I arrived at the port of
New York
, in the
State of
New work
on or about the
5th
day
of October
,
anno Domini 1909 ; 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.
Gerry Iginal Samuel Water algnature of declarast.)
Subscribed and sworn to before me this
14th
day of September
anno Domini 198
Butler
Clerk of the
Supe
Court.
By deputy
Clerk
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- Source index
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- Type
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Document data
- ID
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- Core
- doc
- 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": "126 86 02\nForm 2903\nRepartment of Commerce and Tabar\nTRIPLICATE\nNATURALIZATION SERVICE\n[To be afven to the person making\nNo. 735\nthe Declaration)\nSTATES OF\nNECEIVED\nNOV 41914 is\nM\nP\nDECLARAT INTENTION\nefter hereof)\nState of California\nIn the\nSuperior\nCourt\nss:\nCounty of San Diego\nof\nSan-Diego-County\ng, P E R C Y SAMUEL W A T E R\n3\n,\naged\n23\nyears,\noccupation bookkeeper\ndo declare on oath that my personal\ndescription is: Color white , complexion fair , height -5-. feet -9 inches,\nweight 140 pounds, color of hair brown\n, color of eyes\nblue\nother visible distinctive marks none\nI was born in Croydon, Surrey, England,\non the\n3lst\nday of\nOctober\n, anno Domini I 888 : I now reside\nat\nChula Vista, Califfornia\n(Give number, street, city or town, and State.)\nI emigrated to the United States of America from\nLivarpool, England\non the vessel #Baltio\"\n; my last\n(If the alien arrived otherwise than by veasel, the character of conveyance or name of transportation company should be given.)\nforeign residence was\nCroydon, England\nIt is my bona fide intention to renounce forever all allegiance and fidelity to any foreign\nprince, potentate, state, or sovereignty, and particularly to\nGeorge V., King o/ Ureui and Ireland.\n, of whom I am now a subject ;\nI arrived at the port of\nNew York\n, in the\nState of\nNew work\non or about the\n5th\nday\nof October\n,\nanno Domini 1909 ; 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.\nGerry Iginal Samuel Water algnature of declarast.)\nSubscribed and sworn to before me this\n14th\nday of September\nanno Domini 198\nButler\nClerk of the\nSupe\nCourt.\nBy deputy\nClerk"
}