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No.
2301
,
Honorable the
The Petition of
First. My place
Second. My occu
Thdrd. , was born
Fourth. , emigro
anno Domini 919
anno Domini 1 919
Form #908
TRIPLICATE
[Tobe given persen making
u. S. DEPARTMENT OF LABOR
the Declaration)
at
man
NATURALIZATION SERVICE
Sinth,
at
No. 691
STATES OF
I
have
no
Eng
phiddres
DECLARATICN OF INTENTION
Invalid for all purposes seven years after the date hereof
Seventh. am not
Circuit
to organized government.
STATE. OF OREGON
In the
Court
intention to become a ett
SS:
County of Marion
of
Marion County. Oregon.
particularly
George V. I
to
and of the
ge,
Herbert Chappell
aged
36
years,
to reside permanently in th
occupation
Farmer
do declare on oath that my personal
Eighth. am able to
,
, height 5 feet 7 inches,
Minth
have resided
description is: Color White , complexion Fair
135
pounds, color of hair
Brown
Brown
day of
weight
color of eyes
this petition. since the
other visible distinctive marks None.
of this petition.
I was born in
Burslem, England.
Tenth. I have not herl
on the 26th
day of
August
anno Domini I 883 : I now reside
at
Salem, Oregon, R. F.D. #3, Box 211-C
said petition was.
(Give number, street, city or town, and State)
I emigrated to the United States of America from
Calgary, Canada.
on the vessel
Canadian Pacifig Ry.
my last
Attached hereto and
(If the alien arrived otherwise then by verad, the character of conveyance or name of transportatic company should be given)
together with my affidavit ani
foreign residence was Chinook, Alberta, Canada.
am
married; the name
States of America.
of my wife is
Frances Sarah
: she was born at Gloster, England.
and now resides at
Salem Oregon, R. #3. Box 211-c.
Declaration of Intention No.
It is my bona fide intention to renounce forever all allegiance and fidelity to any foreign
Norm TO CLERK or
prince, potentate, state, or sovereignty, and particularly to
George V., King of
GreatBritain-&-Ireland.-
of whom I am now a subject:
I arrived at the port of
Eastport
in the
State of Ca
State of
Idaho
on or about the
5th
day
County
of
April
anno Domini 1919. : I am not an anarchist: I am not a
The aforesaid petitioner
polygamist nor a believer in the practice of polygamy; and it is my intention in good faith
contents thereof; that the saidp
to become a citizen of the United States of America and to permanently reside therein:
and belief, and that as to those
So HELP ME GOD.
Herbert Chaffell.
(Original signature of declarand
Subscribed and sworn to before me in the office of the Clerk of
said Court this 7th day of
June
anno Domini 19 20.
and severg 0
gag
LaB
each
U. G. Boyer
Nerbe
Circuit
Court.
immediately preceding the date
Clerk of the
By R.E Wallace
entitled petition is made continue
neputy.
Clerk.
,
14-1170
the said petitioner la a person
opinion, to beadmitted . citizon
Subscribed and
Tha
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Document data
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"ocrText": "No.\n2301\n,\nHonorable the\nThe Petition of\nFirst. My place\nSecond. My occu\nThdrd. , was born\nFourth. , emigro\nanno Domini 919\nanno Domini 1 919\nForm #908\nTRIPLICATE\n[Tobe given persen making\nu. S. DEPARTMENT OF LABOR\nthe Declaration)\nat\nman\nNATURALIZATION SERVICE\nSinth,\nat\nNo. 691\nSTATES OF\nI\nhave\nno\nEng\nphiddres\nDECLARATICN OF INTENTION\nInvalid for all purposes seven years after the date hereof\nSeventh. am not\nCircuit\nto organized government.\nSTATE. OF OREGON\nIn the\nCourt\nintention to become a ett\nSS:\nCounty of Marion\nof\nMarion County. Oregon.\nparticularly\nGeorge V. I\nto\nand of the\nge,\nHerbert Chappell\naged\n36\nyears,\nto reside permanently in th\noccupation\nFarmer\ndo declare on oath that my personal\nEighth. am able to\n,\n, height 5 feet 7 inches,\nMinth\nhave resided\ndescription is: Color White , complexion Fair\n135\npounds, color of hair\nBrown\nBrown\nday of\nweight\ncolor of eyes\nthis petition. since the\nother visible distinctive marks None.\nof this petition.\nI was born in\nBurslem, England.\nTenth. I have not herl\non the 26th\nday of\nAugust\nanno Domini I 883 : I now reside\nat\nSalem, Oregon, R. F.D. #3, Box 211-C\nsaid petition was.\n(Give number, street, city or town, and State)\nI emigrated to the United States of America from\nCalgary, Canada.\non the vessel\nCanadian Pacifig Ry.\nmy last\nAttached hereto and\n(If the alien arrived otherwise then by verad, the character of conveyance or name of transportatic company should be given)\ntogether with my affidavit ani\nforeign residence was Chinook, Alberta, Canada.\nam\nmarried; the name\nStates of America.\nof my wife is\nFrances Sarah\n: she was born at Gloster, England.\nand now resides at\nSalem Oregon, R. #3. Box 211-c.\nDeclaration of Intention No.\nIt is my bona fide intention to renounce forever all allegiance and fidelity to any foreign\nNorm TO CLERK or\nprince, potentate, state, or sovereignty, and particularly to\nGeorge V., King of\nGreatBritain-&-Ireland.-\nof whom I am now a subject:\nI arrived at the port of\nEastport\nin the\nState of Ca\nState of\nIdaho\non or about the\n5th\nday\nCounty\nof\nApril\nanno Domini 1919. : I am not an anarchist: I am not a\nThe aforesaid petitioner\npolygamist nor a believer in the practice of polygamy; and it is my intention in good faith\ncontents thereof; that the saidp\nto become a citizen of the United States of America and to permanently reside therein:\nand belief, and that as to those\nSo HELP ME GOD.\nHerbert Chaffell.\n(Original signature of declarand\nSubscribed and sworn to before me in the office of the Clerk of\nsaid Court this 7th day of\nJune\nanno Domini 19 20.\nand severg 0\ngag\nLaB\neach\nU. G. Boyer\nNerbe\nCircuit\nCourt.\nimmediately preceding the date\nClerk of the\nBy R.E Wallace\nentitled petition is made continue\nneputy.\nClerk.\n,\n14-1170\nthe said petitioner la a person\nopinion, to beadmitted . citizon\nSubscribed and\nTha"
}