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Form 2203
TRIPLICATE
U. S. DEPARTMENT OF LABOR
[To be elven to the person making
NATURALIZATION SERVICE
the Declaration)
No. 963
STATES OF
DECLARATION OF INTENTION
(Invalid for all purposes seven years after the date hereof)
Superior
Court
State of California
In the
ss:
County of San Diego
of
San Diego mCounty
ge,
E A M
M
o
J A c O B
B
K
A
Y
, aged 70
years,
occupation
carpenter
, do declare on oath that my personal
description is: Color
white
, complexion
fair
,, height 5 feet 11 inches,
pounds, color of hair
grey
color of eyes
grey
weight 205
other visible distinctive marks
none
1 was born in
Beamsville, Ontario, Canada
25th
day of
Eovember
anno Domini I 842 ; I now
reside
on the
,
at 8th St. and Highland Ave. National City, California
(Give number, street, city or town, and State.)
I emigrated to the United States of America from Toronto,
Canada
on
(If the allen arrived otherwise than by vessel, the character of conveyance or name of transportation company should be given.)
Candian Pacific Railway
; my last
thexnesset
foreign residence was
Brantford, Ontario, 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
George V.,
King of Great Britain and Ireland
, of whom I am now a subject:
Detroit
, in the
I arrived at the port of
State of
Michigan
, on or about the
6th
day
of
February
, anno Domini I 893. ; 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.
Jacob (Original Beam alguature of declorant.) Mckay
Subscribed and sworn to before me this
22nd
[SEAL]
day of September
, anno Domini 191 3
J. T. Butler
Clerk of the
Superior
Court.
By Ebjavans
Deputy Clerk.
,
Page data
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- Source index
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- Type
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- Media ID
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- Size
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Document data
- ID
- 103904445
- Core
- doc
- Type
- document
DTO data
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Context sent to Scholar
Document identity
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Document source metadata
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Page context
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"ocrText": "Form 2203\nTRIPLICATE\nU. S. DEPARTMENT OF LABOR\n[To be elven to the person making\nNATURALIZATION SERVICE\nthe Declaration)\nNo. 963\nSTATES OF\nDECLARATION OF INTENTION\n(Invalid for all purposes seven years after the date hereof)\nSuperior\nCourt\nState of California\nIn the\nss:\nCounty of San Diego\nof\nSan Diego mCounty\nge,\nE A M\nM\no\nJ A c O B\nB\nK\nA\nY\n, aged 70\nyears,\noccupation\ncarpenter\n, do declare on oath that my personal\ndescription is: Color\nwhite\n, complexion\nfair\n,, height 5 feet 11 inches,\npounds, color of hair\ngrey\ncolor of eyes\ngrey\nweight 205\nother visible distinctive marks\nnone\n1 was born in\nBeamsville, Ontario, Canada\n25th\nday of\nEovember\nanno Domini I 842 ; I now\nreside\non the\n,\nat 8th St. and Highland Ave. National City, California\n(Give number, street, city or town, and State.)\nI emigrated to the United States of America from Toronto,\nCanada\non\n(If the allen arrived otherwise than by vessel, the character of conveyance or name of transportation company should be given.)\nCandian Pacific Railway\n; my last\nthexnesset\nforeign residence was\nBrantford, Ontario, Canada\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.,\nKing of Great Britain and Ireland\n, of whom I am now a subject:\nDetroit\n, in the\nI arrived at the port of\nState of\nMichigan\n, on or about the\n6th\nday\nof\nFebruary\n, anno Domini I 893. ; 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.\nJacob (Original Beam alguature of declorant.) Mckay\nSubscribed and sworn to before me this\n22nd\n[SEAL]\nday of September\n, anno Domini 191 3\nJ. T. Butler\nClerk of the\nSuperior\nCourt.\nBy Ebjavans\nDeputy Clerk.\n,"
}