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Form 2908 Repartuteut of and Tabor No. 3467 TRIPLICATE NATURALIZATION SERVICE the person making the Declaration) STATES OF DECLARATION OF INTENTION (Invalid for all purposes seven years after the date hereof) United States of America. In the United States District Court ss: Western District of Washington of Western District of Washington ge, Kenhelm Welburn Stott aged 20 years, occupation Clerk do declare on oath that my personal description is: Color White , complexion Fair , height 5 feet 10 inches, weight 125 pounds, color of hair Brown , color of eyes Grey other visible distinctive marks None I was born in Brandon, Manitoba, Canadd, on the 18th day of May anno Domini I 892 : I now reside at 1602 Terry Ave. Seattle, Hash. (Give number, street, city or town, and State.) I emigrated to the United States of America from Hinnepeg. Canada on the vessel.: Canadian Pacific Railway ; my last (If the alien arrived otherwise than by vessel, the character of conveyance or name of transportation company should be given.) foreign residence was Hinnepag, 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 y King of Great Britain and Ireland of whom I am now a subject; I arrived at the port of Minneapolis , in the State of Minnesota on or about the 15th day of August anno Domini I 893 ; 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. Heahern Welburn Sion. (Original aignature of declarant.) Subscribed and sworn to before me this 5t* day of June , anno Domini 191 2. A.N. Engle Clerk of the u. s. District Court. By Bonlight , Reputy Clerk.

Page data

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826
Source index
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Type
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Media ID
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Size
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Document data

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Core
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Type
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DTO data
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Page context
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    "ocrText": "Form 2908\nRepartuteut of and Tabor\nNo. 3467\nTRIPLICATE\nNATURALIZATION SERVICE\nthe person making\nthe Declaration)\nSTATES OF\nDECLARATION OF INTENTION\n(Invalid for all purposes seven years after the date hereof)\nUnited States of America.\nIn the\nUnited States District Court\nss:\nWestern District of Washington\nof Western District of Washington\nge,\nKenhelm Welburn Stott\naged\n20\nyears,\noccupation\nClerk\ndo declare on oath that my personal\ndescription is: Color\nWhite\n, complexion\nFair\n, height 5 feet 10 inches,\nweight\n125\npounds, color of hair\nBrown\n, color of eyes\nGrey\nother visible distinctive marks\nNone\nI was born in\nBrandon, Manitoba, Canadd,\non the\n18th\nday of\nMay\nanno Domini I 892 : I now reside\nat\n1602 Terry Ave. Seattle, Hash.\n(Give number, street, city or town, and State.)\nI emigrated to the United States of America from Hinnepeg. Canada\non the vessel.:\nCanadian Pacific Railway\n; my last\n(If the alien arrived otherwise than by vessel, the character of conveyance or name of transportation company should be given.)\nforeign residence was\nHinnepag, 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 George y\nKing of Great Britain and Ireland\nof whom I am now a subject;\nI arrived at the port of\nMinneapolis\n,\nin the\nState of\nMinnesota\non or about the\n15th\nday\nof\nAugust\nanno Domini I 893 ; 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.\nHeahern Welburn Sion.\n(Original aignature of declarant.)\nSubscribed and sworn to before me this\n5t*\nday of\nJune\n, anno Domini 191 2.\nA.N. Engle\nClerk of the u. s. District\nCourt.\nBy Bonlight\n,\nReputy Clerk."
}