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372 373 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"
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