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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"
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