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432 9/99
No.
ORIGINAL
No. 930
ORIGINAL
OF
STATES OF
Department of Ounmerce aud
Department of and Eabor
BUREAU OF IMMIGRATION AND NATURALIZATION
BUREAU OF IMMIGRATION AND NATURALIZATION
DIVISION OF NATURALIZATION
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 CALTFORNIA
In
the SUPERIOR
Court
In the SUPERIOR
SS:
STATE OF CALTPORNIA
Court
County of LOS Angeles
THE STATE OF. CAL LIFARNIA,
SS:
County of Los Angoles
THE STATE OF OALIFORNIA,
of
IN AND FOR Lee - COUNTY.
of
- AND FON Les COUNTY,
3.
Nick Ursalovich
aged 35 years,
3.
John Sugar
aged 32. years,
occupation
Laborar.
do declare on oath
Merchant
do declare on oath
affirm
that my personal
roccupation
affirm
that my personal
description is: Color which
, complexion hight
height 5 feet inches,
description is: Color which
complexion Dark
,
height 5 feet 6 inches,
weight 180 pounds, color of hair Brown. color of eyes Grey
weight 140 pounds, color of hair Black , color of eyes Brown
other visible distinctive marks
none
other visible distinctive marks
none
;
I was born in
Poolji
I was born in Helegyaga
Bustrig
,
on the
29
day of
October
, anno
Numgrary
on the
28
day of
Augunx
anno
Domini 873; I now reside at 1540 Beale St Las Angelas balifa
Domini - 875 I now reside at 930 A Figurcatt Lostogritis bal
I emigrated to the United States of America from Haver. France
I emigrated to the United States of America from Livirpool England
on the vessel *
Bridanis
my last
on the vessel
belies
: my last
foreign residence was
Pooljo Austria
foreign was
residence Paris France
It is my bona fide intention to renounce forever all allegiance and fidelity to any foreign
It is my bona fide intention to renounce forever all allegiance and fidelity to any foreign
prince, potentate, state, or sovereignty, and particularly to Francis Josiph
prince, potentate, state, or sovereignty, and particularly to Francis Joseph
Empiron of Austria
of which I am now a citizen :
subject
I
apostolic King of Hungury
of which 1 am now a
citizen
subject ; I
arrived at the port of
Hawyork
in the
arrived at the port of
State
Hawyork
to
in the
Territory of
District
stawyork
State
on or about the
18
day
Territory of
Assyrook
on or about the
18th day
District
of
may
anno Domini 903 I. am not an anarchist; I am not a
of September
anno Domini - 903. I am not an anarchist: I am not a
polygamist nor 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 land to permanently reside therein:
So HELP ME GOD.
Nick rhealovich IM OH
oa
So HELP ME GOD.
(Origioal signature of declarant.)
John (Original algnature Sugar
of declaranté
Subscribed and sworn affirmed to before me this
13
Subscribed and affirmed sworn to before me this
93
[SEAL. ]
day of July
anno Domini 19 08
[SEAL.]
day of July
anno Domini 1908
C. G. Keyes
C. G. Keyes
Glerk of ANGELAS, COURT STA IN OF AND CAL FOR THE COUNTY
THE
SUPERION COUNTY CLERK AND EX ORFICIO OLERK OF
COUNTY CLERK AND EX OFFICICIO CLARK OF
Court.
THI SUPERION COURT IN AND FOR THE COUNTY
Clerk OF CALIFORNIA,
Court.
dos)
By
go of
,
Drputy Clerk.
By
Clerk.
than
should be
shoud
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"ocrText": "432 9/99\nNo.\nORIGINAL\nNo. 930\nORIGINAL\nOF\nSTATES OF\nDepartment of Ounmerce aud\nDepartment of and Eabor\nBUREAU OF IMMIGRATION AND NATURALIZATION\nBUREAU OF IMMIGRATION AND NATURALIZATION\nDIVISION OF NATURALIZATION\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 CALTFORNIA\nIn\nthe SUPERIOR\nCourt\nIn the SUPERIOR\nSS:\nSTATE OF CALTPORNIA\nCourt\nCounty of LOS Angeles\nTHE STATE OF. CAL LIFARNIA,\nSS:\nCounty of Los Angoles\nTHE STATE OF OALIFORNIA,\nof\nIN AND FOR Lee - COUNTY.\nof\n- AND FON Les COUNTY,\n3.\nNick Ursalovich\naged 35 years,\n3.\nJohn Sugar\naged 32. years,\noccupation\nLaborar.\ndo declare on oath\nMerchant\ndo declare on oath\naffirm\nthat my personal\nroccupation\naffirm\nthat my personal\ndescription is: Color which\n, complexion hight\nheight 5 feet inches,\ndescription is: Color which\ncomplexion Dark\n,\nheight 5 feet 6 inches,\nweight 180 pounds, color of hair Brown. color of eyes Grey\nweight 140 pounds, color of hair Black , color of eyes Brown\nother visible distinctive marks\nnone\nother visible distinctive marks\nnone\n;\nI was born in\nPoolji\nI was born in Helegyaga\nBustrig\n,\non the\n29\nday of\nOctober\n, anno\nNumgrary\non the\n28\nday of\nAugunx\nanno\nDomini 873; I now reside at 1540 Beale St Las Angelas balifa\nDomini - 875 I now reside at 930 A Figurcatt Lostogritis bal\nI emigrated to the United States of America from Haver. France\nI emigrated to the United States of America from Livirpool England\non the vessel *\nBridanis\nmy last\non the vessel\nbelies\n: my last\nforeign residence was\nPooljo Austria\nforeign was\nresidence Paris France\nIt is my bona fide intention to renounce forever all allegiance and fidelity to any foreign\nIt is my bona fide intention to renounce forever all allegiance and fidelity to any foreign\nprince, potentate, state, or sovereignty, and particularly to Francis Josiph\nprince, potentate, state, or sovereignty, and particularly to Francis Joseph\nEmpiron of Austria\nof which I am now a citizen :\nsubject\nI\napostolic King of Hungury\nof which 1 am now a\ncitizen\nsubject ; I\narrived at the port of\nHawyork\nin the\narrived at the port of\nState\nHawyork\nto\nin the\nTerritory of\nDistrict\nstawyork\nState\non or about the\n18\nday\nTerritory of\nAssyrook\non or about the\n18th day\nDistrict\nof\nmay\nanno Domini 903 I. am not an anarchist; I am not a\nof September\nanno Domini - 903. I am not an anarchist: I am not a\npolygamist nor 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 land to permanently reside therein:\nSo HELP ME GOD.\nNick rhealovich IM OH\noa\nSo HELP ME GOD.\n(Origioal signature of declarant.)\nJohn (Original algnature Sugar\nof declaranté\nSubscribed and sworn affirmed to before me this\n13\nSubscribed and affirmed sworn to before me this\n93\n[SEAL. ]\nday of July\nanno Domini 19 08\n[SEAL.]\nday of July\nanno Domini 1908\nC. G. Keyes\nC. G. Keyes\nGlerk of ANGELAS, COURT STA IN OF AND CAL FOR THE COUNTY\nTHE\nSUPERION COUNTY CLERK AND EX ORFICIO OLERK OF\nCOUNTY CLERK AND EX OFFICICIO CLARK OF\nCourt.\nTHI SUPERION COURT IN AND FOR THE COUNTY\nClerk OF CALIFORNIA,\nCourt.\ndos)\nBy\ngo of\n,\nDrputy Clerk.\nBy\nClerk.\nthan\nshould be\nshoud"
}