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373
DEPARTMENT OF LABOR
ORIGINAL
U.S. DEPARTMENT OF LABOR
ORIGINAL
No.
8360
No. 8361
.oW
STATES
OF
DECLARATION OF/INTENTION
DECLARATION OF INTENTION
Invalid for all purposes seven years after the date hereof
Invalid for all purposes seven years after the date hereof
STATE OF CALIFORNIA
SUPERIOR
County of Los Angeles
In the
ss:
The State of California.
Court
STATE of CALIFORNIA
nl
In the The State of Californte:
SUPERIOR
Court
of
Coanty of Los Angeles
ss:
in and for Los Angeles County,
of
in and for Los Angeles County.
ge, miss Vivian Elma Willing aged 23
years,
g, Pachal Stilla knapp
aged
Iss
years,
occupation Student
do declare on oath that my personal
occupation Teachy
do declare on oath that my personal
description is: Color which complexion Fair
, height feet 7 inches,
description is: Color White complexion Brunetty height feet 2 inches,
weight 145 pounds, color of hair Brown color of eyes Hogel
weight 130 pounds, color of hair Brawn color of eyes Stepy
other visible distinctive marks
none
other visible distinctive marks
I was born in
Earlyle Canada
6th
I was born in Reple banada
on the
day of
June 891
, anno Domini I I now reside
on the
28
at
4454
day of
for Cal
may
anno Dominio 1 881 I
now reside
2302 n. 20th st. Los angelis leal
at
(Give number, atroet, elty or town, Jund State.)
,aumber, atreet, elty de town,
I emigrated to the United States of America from Victoria B b. Canada
I emigrated
to Graud the United States of Frunn America from
Angelen and State, Canada
on the vessel
unknown
; my last
on the vessel
RR.
: my last
(If the allen arrived otharwise than by gossel, the character of conseyance be - of transportation company should be given.)
foreign residence was
atamesa Sask
foreign residence
(Il the was alien arrived Kingsten than by yeasol, the character of conveyano Untane name of transpostation Cauada be given.)
It is my bona fide intention to renounce forever all allegiance and fidelity to any foreign
It is my bona fide intention to renounce forever. all allegiance and fidelity to any foreign
prince, potentate, state, or sovereignty, and particularly to
prince, potentate, state, or sovereignty, and particularly to
V. Kips of Creat Britain and
of whom I am now a subject:
Geouge V, King of Creat Britain and
of whom I am now a subject:
I arrived at the port of
SAN TIV ICISCO
is in the
I arrived at the port of
Pont Huron
in the
State of
lear
on or
about the 20th day
State of
of
Sept.
anno Domini 904 I am not an anarchist: I am not
of
sept s anno Dommi I 907 I am not an anarchist: I am not
michigant on or about
the
20 day
a
a
polygamist nor a believer in the practice of polygamy; and it is my intention in good faith
polygamist non 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:
to become a citizen of the United States of America and to permanently reside therein:
So HELP ME God.
GOD EN 4.13H oe
So HELP ME GOD.
9J3H 08
Miss Uiiran Elma Willcox
Pachel (Original Stella adgnature of
(Original signature of declarant.)
Knaph
lo adi to adt Subscribed and sworn to beforé me in the office of the Clerk of
sos to soillo Subscribed and sworn to before mewin the office of the Clerk
of
201
[SEALL]
Court this 9th day of Feey , anno Demini 191
101
(SEAL.) anns
Court this 9 day of Jebruary anno Domini 195
(COUNTY CLERK AND EX-OFFICIO CLERK or
- berto aneja
ex AN9 EX-OFFICIO CLERK OF
H. J. Extande
J. . Letante FORTTRE
OF los ANGELES. STATE OF CALIFORNIA.
LOS ANGELES. STATE OF CALIFORNIA.
Clerk of the
Court.
Clexk of the
Court.
Juld
By
sech
Clerk.
MID
B)
Clerk.
16-86
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"ocrText": "372\n373\nDEPARTMENT OF LABOR\nORIGINAL\nU.S. DEPARTMENT OF LABOR\nORIGINAL\nNo.\n8360\nNo. 8361\n.oW\nSTATES\nOF\nDECLARATION OF/INTENTION\nDECLARATION OF INTENTION\nInvalid for all purposes seven years after the date hereof\nInvalid for all purposes seven years after the date hereof\nSTATE OF CALIFORNIA\nSUPERIOR\nCounty of Los Angeles\nIn the\nss:\nThe State of California.\nCourt\nSTATE of CALIFORNIA\nnl\nIn the The State of Californte:\nSUPERIOR\nCourt\nof\nCoanty of Los Angeles\nss:\nin and for Los Angeles County,\nof\nin and for Los Angeles County.\nge, miss Vivian Elma Willing aged 23\nyears,\ng, Pachal Stilla knapp\naged\nIss\nyears,\noccupation Student\ndo declare on oath that my personal\noccupation Teachy\ndo declare on oath that my personal\ndescription is: Color which complexion Fair\n, height feet 7 inches,\ndescription is: Color White complexion Brunetty height feet 2 inches,\nweight 145 pounds, color of hair Brown color of eyes Hogel\nweight 130 pounds, color of hair Brawn color of eyes Stepy\nother visible distinctive marks\nnone\nother visible distinctive marks\nI was born in\nEarlyle Canada\n6th\nI was born in Reple banada\non the\nday of\nJune 891\n, anno Domini I I now reside\non the\n28\nat\n4454\nday of\nfor Cal\nmay\nanno Dominio 1 881 I\nnow reside\n2302 n. 20th st. Los angelis leal\nat\n(Give number, atroet, elty or town, Jund State.)\n,aumber, atreet, elty de town,\nI emigrated to the United States of America from Victoria B b. Canada\nI emigrated\nto Graud the United States of Frunn America from\nAngelen and State, Canada\non the vessel\nunknown\n; my last\non the vessel\nRR.\n: my last\n(If the allen arrived otharwise than by gossel, the character of conseyance be - of transportation company should be given.)\nforeign residence was\natamesa Sask\nforeign residence\n(Il the was alien arrived Kingsten than by yeasol, the character of conveyano Untane name of transpostation Cauada be given.)\nIt is my bona fide intention to renounce forever all allegiance and fidelity to any foreign\nIt is my bona fide intention to renounce forever. all allegiance and fidelity to any foreign\nprince, potentate, state, or sovereignty, and particularly to\nprince, potentate, state, or sovereignty, and particularly to\nV. Kips of Creat Britain and\nof whom I am now a subject:\nGeouge V, King of Creat Britain and\nof whom I am now a subject:\nI arrived at the port of\nSAN TIV ICISCO\nis in the\nI arrived at the port of\nPont Huron\nin the\nState of\nlear\non or\nabout the 20th day\nState of\nof\nSept.\nanno Domini 904 I am not an anarchist: I am not\nof\nsept s anno Dommi I 907 I am not an anarchist: I am not\nmichigant on or about\nthe\n20 day\na\na\npolygamist nor a believer in the practice of polygamy; and it is my intention in good faith\npolygamist non 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:\nto become a citizen of the United States of America and to permanently reside therein:\nSo HELP ME God.\nGOD EN 4.13H oe\nSo HELP ME GOD.\n9J3H 08\nMiss Uiiran Elma Willcox\nPachel (Original Stella adgnature of\n(Original signature of declarant.)\nKnaph\nlo adi to adt Subscribed and sworn to beforé me in the office of the Clerk of\nsos to soillo Subscribed and sworn to before mewin the office of the Clerk\nof\n201\n[SEALL]\nCourt this 9th day of Feey , anno Demini 191\n101\n(SEAL.) anns\nCourt this 9 day of Jebruary anno Domini 195\n(COUNTY CLERK AND EX-OFFICIO CLERK or\n- berto aneja\nex AN9 EX-OFFICIO CLERK OF\nH. J. Extande\nJ. . Letante FORTTRE\nOF los ANGELES. STATE OF CALIFORNIA.\nLOS ANGELES. STATE OF CALIFORNIA.\nClerk of the\nCourt.\nClexk of the\nCourt.\nJuld\nBy\nsech\nClerk.\nMID\nB)\nClerk.\n16-86"
}