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2500
203
ORIGINAL
No. 386
ORIGINAL
STATES OF
STATES OF
Repartment of Commerce and Subor
of Commerce aud
BUREAU OF: IMMIGRATION AND NATURALIZATION
BUREAU OF IMMIGRATION AND NATURALIZATION
DIVIBION OF INATURALIZATION
DIVISION OF NATURALIZATION
DECLARATION OF INTENTION
DECLARATION OF INTENTION
(Invalid for all purposes seven years after the date hereof)
(Invalid for all purposes seven years after the date hereof)
STATE OF CALIFORN
In the SUPERIOR Court
STATE OF SELIFORNIA
In the SUPERIOR Court
SS :
ss:
County of to A geles
THE STATE or
County of Los Angeles
OALIFORNIA,
3, Meader Adam IN declare AND FOR aged Loe oath ANGBLES
Odunty,
32 years,
3,
things
Clark of ast w THE AND STATE aged FOR Lee SE
ANOELEQ COUNTY,
2/1 years,
Gandengon
do
affinm that my personal
on
occupation
occupation
is Color Minte complexion Light auttum height 5 feet inches,
do that my personal
declare on oath
description is: Color White complexione Light height 6 feet - inches,
description
weight 170 pounds, color of hair Lights color of eyes Blue
weight 162 pounds, color of hair Black, color of eyes Blue
other visible distinctive marks Dear over laftage
other visible distinctive
:
Empland
I was born in Heling fird
marks born
tone
I was in
on the 29 day of for
anno
Acallant, on the 6a day of Jhey
anno
Domini I emigrated I Soft to the now United reside States at Sherman of America Calen Concerns
Domini I 865 now reside att 3101
(C) way my last
I emigrated to the United States of America from
on the vessel
Furnessia
on the vessel.*
: my last
foreign residence was
Andney
foreign residence was Breehin Oct band
It is my bona fide intention to renounce forever all allegiance and fidelity to any foreign
prinee,
potentate, state, of the sovereigaty, and particulaNy to Lichala of
It is bona fide intention to renounce forever all allegiance and to forgign
11
prince, my potentater state) or severeignty, and particularly (idelity any. citiado Keng
which I am now a
Citieen
subject
of
which
I
am
now
a
subject
arrived at the port of
Chicago
in the
arrived at the port of
New York
in the
State
of
Allennis
on or about the
6 day
State
Texsitory of
Newyra on or about the 33 day
District
District
of
Jam
anno Domini I got I am not an anarchist I am not
a
of
March , anno Domini I I am not an anarchist:
I
am
not
a
polygarmist non a believer in the practice of polygamy; and it is my intention in good faith
polygamist nor a believer in the practice of polygamy: and it is my intention in good faith
to become a citizen of the United States of America and to permanently reside therein
to become a citizen of the United States of America. and to permanently reside therein
So HELP ME GOD.
ago
So HELP ME GOD
Thendar Kalma
Alexander signature of Clearly
(Original signature of declarant.)
Subscribed
R
and
Subscribed
and before me this 2nd
[SEAL
day of and sworn to before me anno this Dominiz
[SBAL.]
day of awom.y anno Domini 19.
AND FOR
By Clerk. Court.
Gount
By
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"ocrText": "2500\n203\nORIGINAL\nNo. 386\nORIGINAL\nSTATES OF\nSTATES OF\nRepartment of Commerce and Subor\nof Commerce aud\nBUREAU OF: IMMIGRATION AND NATURALIZATION\nBUREAU OF IMMIGRATION AND NATURALIZATION\nDIVIBION OF INATURALIZATION\nDIVISION OF NATURALIZATION\nDECLARATION OF INTENTION\nDECLARATION OF INTENTION\n(Invalid for all purposes seven years after the date hereof)\n(Invalid for all purposes seven years after the date hereof)\nSTATE OF CALIFORN\nIn the SUPERIOR Court\nSTATE OF SELIFORNIA\nIn the SUPERIOR Court\nSS :\nss:\nCounty of to A geles\nTHE STATE or\nCounty of Los Angeles\nOALIFORNIA,\n3, Meader Adam IN declare AND FOR aged Loe oath ANGBLES\nOdunty,\n32 years,\n3,\nthings\nClark of ast w THE AND STATE aged FOR Lee SE\nANOELEQ COUNTY,\n2/1 years,\nGandengon\ndo\naffinm that my personal\non\noccupation\noccupation\nis Color Minte complexion Light auttum height 5 feet inches,\ndo that my personal\ndeclare on oath\ndescription is: Color White complexione Light height 6 feet - inches,\ndescription\nweight 170 pounds, color of hair Lights color of eyes Blue\nweight 162 pounds, color of hair Black, color of eyes Blue\nother visible distinctive marks Dear over laftage\nother visible distinctive\n:\nEmpland\nI was born in Heling fird\nmarks born\ntone\nI was in\non the 29 day of for\nanno\nAcallant, on the 6a day of Jhey\nanno\nDomini I emigrated I Soft to the now United reside States at Sherman of America Calen Concerns\nDomini I 865 now reside att 3101\n(C) way my last\nI emigrated to the United States of America from\non the vessel\nFurnessia\non the vessel.*\n: my last\nforeign residence was\nAndney\nforeign residence was Breehin Oct band\nIt is my bona fide intention to renounce forever all allegiance and fidelity to any foreign\nprinee,\npotentate, state, of the sovereigaty, and particulaNy to Lichala of\nIt is bona fide intention to renounce forever all allegiance and to forgign\n11\nprince, my potentater state) or severeignty, and particularly (idelity any. citiado Keng\nwhich I am now a\nCitieen\nsubject\nof\nwhich\nI\nam\nnow\na\nsubject\narrived at the port of\nChicago\nin the\narrived at the port of\nNew York\nin the\nState\nof\nAllennis\non or about the\n6 day\nState\nTexsitory of\nNewyra on or about the 33 day\nDistrict\nDistrict\nof\nJam\nanno Domini I got I am not an anarchist I am not\na\nof\nMarch , anno Domini I I am not an anarchist:\nI\nam\nnot\na\npolygarmist non a believer in the practice of polygamy; and it is my intention in good faith\npolygamist nor a believer in the practice of polygamy: and it is my intention in good faith\nto become a citizen of the United States of America and to permanently reside therein\nto become a citizen of the United States of America. and to permanently reside therein\nSo HELP ME GOD.\nago\nSo HELP ME GOD\nThendar Kalma\nAlexander signature of Clearly\n(Original signature of declarant.)\nSubscribed\nR\nand\nSubscribed\nand before me this 2nd\n[SEAL\nday of and sworn to before me anno this Dominiz\n[SBAL.]\nday of awom.y anno Domini 19.\nAND FOR\nBy Clerk. Court.\nGount\nBy"
}