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402
493
No. 989
ORIGINAL
No. 9.90.
ORIGINAL
W
STATES of
STATES OF
Department of Oummette and Tabur
Department of and
BUREAU OF IMMIGRATION AND NATURALIZATION
BUREAU OF IMMIGRATION AND NATURALIZATION
DIVISION OF NATURALIZATION
DIVISION OF NATURALIZATION
DECLARATION OF INTENTION
DECLARATION GEINTENTION
(Invalid for all purposes seven years after the date hereof)
(Invalid for all purposes seven years after the date hereof)
S
In the SUPERIOR
Court
In the SUPERIOR
ss:
STATC
Court
STATE OF CALIFORNIA
THE STATE OF CALIFORNIA,
SS:
County of Los Angeles
of
County
THE STATE OF CALIFORNIA,
of
- AND FOR Lee ANDELEO
AN AND FQR Lee COUNTY,
3.
no Enry Bilonglate
aged 32. years,
3.
Ollo Ritzers
aged
27 Yyears,
loccupation
Articl
do declare affirm on oath that my personal
occupation
Barbu
do declare affirm. on oath that my personal
(description is: Color white
, complexion Fair
height 5 feet 112 inches,
description is: Color while
complexion
Cight
,
height
is
feet
6
inches,
weight 106 pounds, color of hair Brown color of eyes Brown
weight 13 O pounds, color of hair
Light
color
of
eyes
Grey
other visible distinctive marks Spinal Deformity
other visible distinctive marks
none
: I was born in IX Puribing
I was born in
Russig
on the 13d. day of December
, anno
Hurmany
Birdingen
on the
21 .
day
of
September
anno
Domini I 875 I now reside at Las Angelas bag
Domini - 880 I now reside at 808 neek 3 <<< Los Angeles bad
I
emigrated to the United States of America from Russia
1 emigrated to the United States of America from divirpool England
on the vessel * Naoseforter
my last
on the vessel
Catalonis
my last
foreign residence was IX Atersburg
Russing
foreign residence was
Bildingen Harmany
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 sticholas 15
prince, potentate, state, or sovereignty, and particularly to Hilliam
II
Empiron of Russia
of which I am now a subject eltizen :
I
Emperor of Hermany
of which I am now a citiscn subject
I
arrived at the port of
Hawyork
to Dug in the
arrived at the port of
Boston
in the
State
Hewyork
State
Territogy of
on or about the
6
District
day
Territory
of Manachuretts
Jon or about the
15
District
day
of August
anno Domini I 904 I am not an anarchist: 1 am not'
a
of
October
anno Domini - 894 I am not an anarchist: 1 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 fäith
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.
.000 HM AUBIT
Henry (Original signature of
So HELP ME GOD.
Siteerglate
Other
Bitzert
(Orginal Agnature of declarant.)
Subscribed and affirmed sworn to before me this
12%
Subscribed and sworn affirmed to before me this
112th
[SEAL.]
0
day of Buquik
anno Domini 1908
[SEAL.
day
C. G. Keyes
of August , anno
Domini 19108,
C. G. Reyes
GOUNTY OLERK AND EX OFFICIO
Clark of SUPERON COUET IN AND or CALIFORNIA, FON T.E OGUNTY
COUNTY OLERK AND EX OFFICIO CLERK QE
Clerk of THE QUPIRION OCURT IN
By
PM
Isputy Clerk.
difitos Deputy Court.
the
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"ocrText": "402\n493\nNo. 989\nORIGINAL\nNo. 9.90.\nORIGINAL\nW\nSTATES of\nSTATES OF\nDepartment of Oummette and Tabur\nDepartment of and\nBUREAU OF IMMIGRATION AND NATURALIZATION\nBUREAU OF IMMIGRATION AND NATURALIZATION\nDIVISION OF NATURALIZATION\nDIVISION OF NATURALIZATION\nDECLARATION OF INTENTION\nDECLARATION GEINTENTION\n(Invalid for all purposes seven years after the date hereof)\n(Invalid for all purposes seven years after the date hereof)\nS\nIn the SUPERIOR\nCourt\nIn the SUPERIOR\nss:\nSTATC\nCourt\nSTATE OF CALIFORNIA\nTHE STATE OF CALIFORNIA,\nSS:\nCounty of Los Angeles\nof\nCounty\nTHE STATE OF CALIFORNIA,\nof\n- AND FOR Lee ANDELEO\nAN AND FQR Lee COUNTY,\n3.\nno Enry Bilonglate\naged 32. years,\n3.\nOllo Ritzers\naged\n27 Yyears,\nloccupation\nArticl\ndo declare affirm on oath that my personal\noccupation\nBarbu\ndo declare affirm. on oath that my personal\n(description is: Color white\n, complexion Fair\nheight 5 feet 112 inches,\ndescription is: Color while\ncomplexion\nCight\n,\nheight\nis\nfeet\n6\ninches,\nweight 106 pounds, color of hair Brown color of eyes Brown\nweight 13 O pounds, color of hair\nLight\ncolor\nof\neyes\nGrey\nother visible distinctive marks Spinal Deformity\nother visible distinctive marks\nnone\n: I was born in IX Puribing\nI was born in\nRussig\non the 13d. day of December\n, anno\nHurmany\nBirdingen\non the\n21 .\nday\nof\nSeptember\nanno\nDomini I 875 I now reside at Las Angelas bag\nDomini - 880 I now reside at 808 neek 3 <<< Los Angeles bad\nI\nemigrated to the United States of America from Russia\n1 emigrated to the United States of America from divirpool England\non the vessel * Naoseforter\nmy last\non the vessel\nCatalonis\nmy last\nforeign residence was IX Atersburg\nRussing\nforeign residence was\nBildingen Harmany\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 sticholas 15\nprince, potentate, state, or sovereignty, and particularly to Hilliam\nII\nEmpiron of Russia\nof which I am now a subject eltizen :\nI\nEmperor of Hermany\nof which I am now a citiscn subject\nI\narrived at the port of\nHawyork\nto Dug in the\narrived at the port of\nBoston\nin the\nState\nHewyork\nState\nTerritogy of\non or about the\n6\nDistrict\nday\nTerritory\nof Manachuretts\nJon or about the\n15\nDistrict\nday\nof August\nanno Domini I 904 I am not an anarchist: 1 am not'\na\nof\nOctober\nanno Domini - 894 I am not an anarchist: 1 am not\na\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 fäith\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.\n.000 HM AUBIT\nHenry (Original signature of\nSo HELP ME GOD.\nSiteerglate\nOther\nBitzert\n(Orginal Agnature of declarant.)\nSubscribed and affirmed sworn to before me this\n12%\nSubscribed and sworn affirmed to before me this\n112th\n[SEAL.]\n0\nday of Buquik\nanno Domini 1908\n[SEAL.\nday\nC. G. Keyes\nof August , anno\nDomini 19108,\nC. G. Reyes\nGOUNTY OLERK AND EX OFFICIO\nClark of SUPERON COUET IN AND or CALIFORNIA, FON T.E OGUNTY\nCOUNTY OLERK AND EX OFFICIO CLERK QE\nClerk of THE QUPIRION OCURT IN\nBy\nPM\nIsputy Clerk.\ndifitos Deputy Court.\nthe"
}