INDICTMENT.
State of _______,}
County of ______}ss
District Court, Judicial District.
The State of ________ against ________, accused by the grand jury of the county of ________, in the state of ________, by this indictment of the crime of ________, committed as follows:
The said ________, on the _____ day of ________, A.D. 18_____, at the city of ________, in the county of ________, and state of ________, did, without the authority of law, and with malice aforethought, ________, contrary to the form of the statute in such case made and provided, and against the peace and dignity of the state of ________.
Dated at the city of ________, in the county of ________, and state of ________, this _____ day of ________, A.D. 18_____.
A.L.H., Foreman of the Grand Jury.
Names of witnesses examined before the grand jury: B.F.H., R.D.H., A.F.B.,
E.S., H.P.C., L.H.
NATURALIZATION PAPERS.
(First Paper.)
State of _______,}
County of ______}ss
I, ________, do solemnly declare on oath to ________, clerk of the district court of the county of ________, and state of ________, that it is bona fide my intention to become a citizen of the United States, and to renounce forever all allegiance and fidelity to any foreign prince, potentate, state or sovereignty whatever, and particularly to the sovereign of ________, whereof I was heretofore a citizen or subject.
(Signed.)
Subscribed and sworn to before me this _____ day of _______, A.D. 18__.
Clerk of said Court.
State of _______,}
County of ______}ss
I hereby certify that the foregoing is a true copy of the original declaration of _______, this day filed in my office.
In testimony whereof, I have hereunto subscribed my name and affixed the seal of the district court aforesaid, at _______, this ____ day of _______, A.D. 18__.
Clerk.
(Second Paper.)
State of _______,}
County of ______}ss
District Court, Judicial District.
Be it remembered, that on this ____ day of _______, 18__, _______ appeared in the district court of the _____ judicial district of the State of _______, and for the county aforesaid, the said court being a court of record, having a common law jurisdiction and a clerk and seal, and applied to said court to be admitted to become a citizen of the United States of America, pursuant to the several acts of congress of the United States of America for that purpose made and provided; and the said applicant having thereupon produced to the court such evidence, declaration and renunciation, and having taken such oaths as are by the said acts required: Thereupon it was ordered by the said court that the said applicant be admitted, and he was accordingly admitted by the said court to be a citizen of the United States of America.
In testimony whereof, I have hereunto subscribed my name and affixed the seal of the court aforesaid, this ____ day of _______, A.D. 18__.
Clerk of said Court.
SATISFACTION OF JUDGMENT.
State of _______,}
County of ______}ss
District Court, Judicial District.
(Title of Cause.)
The judgment in the above entitled action, rendered in _______ county, _______, on the ____ day of _______, A.D. 18__, and duly docketed in the office of the clerk of the district court of said county, on the ____ day of _______, A.D. 18__, for $____ in favor of _______ against _______, is paid and satisfied in full; and the clerk of said court is hereby authorized to discharge said judgment of record.
In testimony whereof, _______ has hereunto set _____ hand and seal this ____ day of _______, A.D. 18__.
Signed, sealed and delivered in presence of _______
[Seal.] [Seal.] [Seal.]
State of _______,}
County of ______}ss
On this ____ day of _______, A.D. 18__, before me, the subscriber, a _______ in and for said county, personally appeared _______ to me known to be the person described in, and who executed the foregoing instrument, and acknowledged that he executed the same as _______ free act and deed.