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DECLARATION OF INTENTION
To become a Citizen of the United States.
STATE OF PENNSYLVANIA,
CUMBERLAND COUNTY, SS.
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a native of dO ci-c--tr+n✓ appears before the Prothonotary of the Court
of Common Pleas of Cumberland County, in the Commonwealth of Pennsylvania, and upon his solemn
O air doth depose and say, that it is bona fide his intention to become A CITI-
ZEN OF THE UNITED STATES, and to renounce forever all allegiance and fidelity to every foreign ,
PRINCE, POTENTATE, STATE or SOVEREIGNTY whatever, and particularly to t444
L3 1- De0 G wt, - of whom he is now a subject. •
and subscribed before the Prothonotary)
of the Court of Common Pleas of Cumberland County, the .
day of j )daj I n� X72 C
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PRO7'HONOT. RF.