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Form
TRIPLICATE
U. S. DEPARTMENT OF LABOR
[Tobe dires to the persem making
NATURALIZATION SERVICE
the Declaration)
3521
No.
STATES OF
DECLARATION OF INTENTION
Invalid for all purposes seven years after the date hereof
State of California,
Superi or
In the
Court
County of San Diego.
ss:
State of Ca lif or nia,
of
County of San Diego:
u,
Charlotte Mabel Hardcastle Coltart
aged
40
years,
occupation
Hous ewife
do declare on oath that my personal
description is: Color white complexion fair
height 5 feet 6 inches,
weight
132
pounds, color of hair
dk. brown
color of eyes gray
other visible distinctive marks
none
I was born in
Rawdon, En land
on the
4th
day of
December
,
anno Domini I 883 ; I now reside
at
2304 Boundary Street, San Diego, California
(Give number, street, city or town, and State.)
I emigrated to the United States of America from Emerson, Man.
on the vessel
Canadian Pacific Ry.
; my last
(If the alien arrived otherwise than by veggel, the character of conveyance or name of transportation company should be given)
foreign residence was Winnepeg, Canada
;
I am
married; the name
of my
{
husband
}
is
Ian
;
was born at
Scotland
he
and now resides at
2304 Boundary St. San Diego, California
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 & Ireland
of whom I am now a subject;
I arrived at the port of
Pembina
, in the
State of
North Dakota
on or about the
27th
day
of
March
anno Domini I 922 ; 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.
Charlotte
(Original signature of declarant)
Subscribed and sworn to before me in the office of the Clerk of
[SEAL]
said Court this 19 day of April
anno Domini 192 4
J. B. McLees
Superior
Clerk of the
Court.
By B.
Johnson
Deputy
Clerk.
PREITING
14-1170
Page data
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- Type
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- Media ID
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- Size
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Document data
- ID
- 103912976
- Core
- doc
- Type
- document
DTO data
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Context sent to Scholar
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Document source metadata
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Document source extras
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Page context
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"ocrText": "Form\nTRIPLICATE\nU. S. DEPARTMENT OF LABOR\n[Tobe dires to the persem making\nNATURALIZATION SERVICE\nthe Declaration)\n3521\nNo.\nSTATES OF\nDECLARATION OF INTENTION\nInvalid for all purposes seven years after the date hereof\nState of California,\nSuperi or\nIn the\nCourt\nCounty of San Diego.\nss:\nState of Ca lif or nia,\nof\nCounty of San Diego:\nu,\nCharlotte Mabel Hardcastle Coltart\naged\n40\nyears,\noccupation\nHous ewife\ndo declare on oath that my personal\ndescription is: Color white complexion fair\nheight 5 feet 6 inches,\nweight\n132\npounds, color of hair\ndk. brown\ncolor of eyes gray\nother visible distinctive marks\nnone\nI was born in\nRawdon, En land\non the\n4th\nday of\nDecember\n,\nanno Domini I 883 ; I now reside\nat\n2304 Boundary Street, San Diego, California\n(Give number, street, city or town, and State.)\nI emigrated to the United States of America from Emerson, Man.\non the vessel\nCanadian Pacific Ry.\n; my last\n(If the alien arrived otherwise than by veggel, the character of conveyance or name of transportation company should be given)\nforeign residence was Winnepeg, Canada\n;\nI am\nmarried; the name\nof my\n{\nhusband\n}\nis\nIan\n;\nwas born at\nScotland\nhe\nand now resides at\n2304 Boundary St. San Diego, California\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 & Ireland\nof whom I am now a subject;\nI arrived at the port of\nPembina\n, in the\nState of\nNorth Dakota\non or about the\n27th\nday\nof\nMarch\nanno Domini I 922 ; I am not an anarchist; I am not\na\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.\nCharlotte\n(Original signature of declarant)\nSubscribed and sworn to before me in the office of the Clerk of\n[SEAL]\nsaid Court this 19 day of April\nanno Domini 192 4\nJ. B. McLees\nSuperior\nClerk of the\nCourt.\nBy B.\nJohnson\nDeputy\nClerk.\nPREITING\n14-1170"
}