‘BUREAU. OF IMMIGRATION AND: NATURALIZATION. DECLARATION OF INTENTION _ lv fr pepe een uc er he at wet dascfaelog rm, ee at ___Court a Seccceed. Fehon s aged 37 years, cccupation.<2rcceadke Dose €ea— __, do 221590 that my personal description complexion Ghat height -£Teet % inches, weight /Z2... pounds, color of hair__Z2-faene=—color of eyes LPoeevm, ater vile astinive mates ZU : vias born i Deep ley ve day of Ss ‘anno on the Domini 1.£7.2.; 1 now reside at_A¢¢ Veiga tothe United States of Ameria from teh llen Beat foreign residence wig eal Dl lace ey 1: is my bona fide intention to renounce forever all allegiance and fidelity to any foreign prince, potentate, state, or sovereignty, and particularly to. G2 Len Greene eectee HE Deca , of which I'am now a Sen artved at the port of 0 eee! Aint Een of ee on of about the day eo “anno Domini 1222; 1 am not an anarchist; 1am not a in good faith to become 2 citizen of the United States of America and to permanently reside therein: in the polygamist nor a believer in the practice of polygamy; and it is my inter So HELP ME Gop. Subscribed and SH°!° before me this f [sea] day of Apr anno Domini 19/2 by Lm hU Le hens, Shey Ca,