Decorah-posten og ved arnen., 1907-02-12

40Ss. Sp.: SpiIte S~psr9smd1I ma
man bsioare for at bItpe uaturdliieret
sftsr ben rse Observation-Disclosures?
spar: Ga Der for fibeu iuSlsbrr
CT WGusbc Sursipsrs1er n~uaaaenbe
hcnue sas. bioirtieS ueocnfOr I lin gel
heb SnbbolSet al ben anissninsshlaufet,
ipm buert 1ilfrlbe utaa uSfsISeS.
M.an biz Srri iaa spar pua man az be
epsrasmaal, Tom spitaar | SOrbiubeIic
meS bette Gune:
FIRST. NY full name is..
SECOND. Ny place Of residence is. ........,......
THIRD. Ny occupation is .....................~.
FOURTH. was born on the. ...........D Day Of.
............. s.. M ........,.-.,....."-. tGiVe Town,
City or District. and Country.
FIFTH. l emigrated to the United States from
.................. on or about the. ......... day Of
port OF ..,..................., In the United States, on
the vessel ....-.............. or by.....",....-.........
Meaning such and such railroad.)
SIXTH. I declared my intention to become a clti.
zen OF the United States on the. .... day o.. ..
At'assHatarHssssaN'NAN va
..,.s..s..,rs-".,.
SEVENTH, an....-"...,.,..,. married. Ny Wifes
name is. ....................She was born In ............
and now resides AZ. ...............,.I have. ................
children, and their names are:
................ born. ..... ....a.......day Of.
.............. al A..............re resides at.........-.....
Repeated as many times as there are chiidrenl.
EIGHTH. I am not a disbelieyer in or opposed 70
organized government or q member Of or afh.
lated with any organization or body or persons
teaching disbelief In organized government. |
am not a p~oygamist nor a believer In the prac.
tice OF polygamy. I am attached 10 the prtn,
ciples Of the Constitution OF this United States,
and Il Is my intention to become a citizen Of the
United States and 10 reuOunce absolutely and for,
ever all allegiance and fidelity to any foreign
prince, potentste, state or sovereignty, and par
ticularJ state name Of
King. Emperor and Country, Of which ! am at
this time a citizen or subject. and II Il my lnten.
ton TO reside permanently In the United States.
NINTH. I am able 70 speak the English Ian
guage.
TENTH. have resided continually IN the United
States for I'VE years, since the. -.......,......day OF
........... .......... l.......,....,... and In ths State OF
....................fo for one entire year prior 10 this
time the. .............dHy of................. D..
ELEVENTH. I have not heretofore made petition
fol- citizenship to any court.
II petitioner has heretofore made application
for citizenship, all facts In connection Herewith
should be fully stated In the following: did pc,
tiuon for citizenship to the...-......-.-... Court Of
.............-......-a .....--........-...0n The.
day OF. ...,............... which was
denied for the following reasons ~......".-~...
.-.''''..-...-.. s'..''' ...'.'
and the cause OF such dental has since been cured
or removed.
Give names occupations, and residences OF two
witnesses, citizens Of the United States, who
have known you for at least I'VE Years past. who
win be present at bearing TO yedfy Jour petition
|
..... s'.ss..'' '''''
.-.... '-r~.s.-''s-ss's'
herewith present my Declaration OF intention
10 become a Citizen Of the United States.