Wong Kim Ark's Departure Statement, November 5, 1894

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WHEREAS, Wong Kim Ark, whose photograph is hereto attached, is about to depart for China, intending to return to the United States, and is entitled to return thereto.

NOW THEREFORE for the better identification of the said Wong Kim Ark, and in order to facilitate his landing upon his said return-

WE THE UNDERSIGNED do hereby certify that the said Wong Kim Ark is well known to us. That he was born in the City and County of San Francisco, State of California. That his father Wong Si Ping was a merchant and a member of the firm of Quong Sing & Co. No. 751 Sacramento Street, in said City and County of San Francisco,
State of California.

Dated this 2nd day of November 1894.

Signature. Occupation
Wm Fisher 1308 Powell St.
F. Berna 615 Gough
L. Selenger 932 Powell St.

On this 5th day of November in the year One Thousand Eight Hundred and ninety four before me, ROBERT M. EDWARDS, A Notary Public in and for the City and County, duly commissioned and sworn personally appeared Wm. Fisher, F. Benna and L. Selenger …..known to be the persons described in, whose names are subscribed to and who executed the within and annexed instrument and they duly acknowledged to me that they executed the same.

IN WITNESS WHEREOF, I have hereunto set my hand and affixed my Official Seal, the day and year in this Certificate first above written

Rob. Edwards
Notary Public

(In and for the City and County of San
Francisco State of California)
State of California
City and County of San Francisco

[Stamp on document says:  “Departed from San Francisco per steamer Belcio.  Nov 15, 1894”]

[Additional signature:  W W Presbury [?] and the number 69 in red pen followed by a blue stamp stating: “Inspector”]


Note:   Question marks represent illegible text.