Court: Declaration of Intention of William George Payn, 1934

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Volume: 1
Page: 23

DECLARATION OF INTENTION
United States of America, Dsitrict of Oregon} ss:
In the United States District Court of Oregon, at Medford, OR

name: William George Payn
residing: Rt 1, Central Point, Jackson, OR
occupation: famrer
aged: 52
sex: male
color: white
complexion: dark
color of eyes: grey
color of hair: black
height: 5 ft 4 -1/2 in
weight: 138
visible distinctive marks: none
race: English
nationality: British
born in: London, England
date: 16 Mar 1882
married: yes, deceased
name: deceased
when: 
where: 
born in: 
date: 
arrived: 
when: 
now resident: 
chidren: one
1. Joseph, born 28 Oct 1911, Los Angeles, CA; residing Central Point, OR
last foreign residence: Meillbank, Canada
emigrated from: Windsor, Canada
arrived: Detroit, MI
under name of: William George Payn
date: 30 Oct 1904
vessel: Ferry
signed: William George Payn
where: Medford, OR
when: 25 Jun 1934
clerk: G. H. Marsh
deputy clerk: G. O. Taylor
lawful entry certificate: