Circuit Court, District of Columbia, COUNTY OF WASHINGTON
Daniel Wells a native of aged about thirty-six years, bearing allegiance to the Queen of Great Britain and Ireland who emigrated from Liverpool and arrived at New York on the 14th day of May 1838 and intends to reside within the jurisdiction and under the government of the United States, to wit. in the County of Washington District of Columbia, makes report of himself for NATURALIZATION, and declares on oath in [open Court] the Clerk's Office, that it is bona fide his intention to become a citizen of the United States of America, and to renounce and abjure all allegiance and fidelity to every foreign Prince, Potentate, State and Sovereignty whatsoever, and particularly to the Queen of Great Britain & Ireland according to the several acts of Congress in such case made and provided.
In Testimony Whereof, I hereto set my hand and affix the Seal of said Court, this 10th day of May 1841
Wm Brent Clk