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122
123
No. 1116
ORIGINAL
No. 1117
ORIGINAL
or
STATES OF
Department of anú Tabur
of Counterte and
BUREAU OF IMMIGRATION AND NATURALIZATION
BUREAU OF IMMIGRATION AND NATURALIZATION
DIVIBION or NATURALIZATION
DIVISION OF NATURALIZATION
DECLARATION OF INTENTION
DECLARATION OR INTENTION
(Invalid for all purposes seven years after the date hereof)
(Invalid for all purposes seven yeara after the date hereof)
STATE OF CALIFORNIA)
In the
Court
STATE OF CALIFORMI.
In the
SUPERIOR Court
County of Los Angeles
ss:
Loe ANGELES COURT\
County of Los Angeles
SS:
of THE STATE OF CALIFORNIA,
of THE STATE OR IN_AND CALIFORNIA, FOR Les ANGELES COUNTY,
J.
Luvino Barilotti
aged 20 years,
3.
Halter Clayton Brown
aged 34 years,
occupation
Musician
do declare affirm on oath that my personal
occupation
Yorrman
do declare affirm on oath that my personal
description is: Color which complexion
Dark
height 5 feet 11 inches,
description is:\ Color white complexion Dark height feet 10
inches,
weight 119 pounds, color of hair Black color of leyes
Black
weight 163 pounds, color of hair Black
color of leyes
Grey
other visible distinctive marks
none
other visible distinctive marks ,oh 3 fingus offright hand
:
I was born in Palcesbaro
:
I was born in Dagenham
Italy
on the
8's
day of
Oct
, anno
England
on the
28'
day of
July
. anno
Domini I 588; I now reside at 39 still Rx has Angela bad
Domini 1874 I now reside at 147 neek 57 Las Angeles bad
I emigrated to the United States of America from staples Italy
I emigrated to the United States of America from Vancover B to
on the vessel Romg.
: my last
on the vessel
Caradian Pacific R R.
: my last
foreign residence was
Palombaro Otaly
foreign
residence was Marysville Canada
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 Victon Commend III
prince, potentate, state, or sovereignty, and particularly to Edmardru
King of Italy
of which I am now a citiaen subject
I
King of kreak Britain & Ireland
of which I am now a subject citizen :
1
arrived at the port of
strwyork
in the
arrived at the port of
sumar
in the
State
stawyork
18' day
State
Territory of
on or about the
Territery of
District
District
Washington
on or about the
15
day
of
Scember
anno Domini 992 I am not an anarchist: I am not
a
of
October
anno Domini 1 899: : 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 and to permanently reside therein:
So HELP ME GOD.
Lovina Barilott
So HELP ME Gob.
(Original algnature of declarant.)
Walter (Original Clayton goo Brown
02
of
Subscribed and affirmed sworn to before me this
n.
and Subscribed and sworn affirmed to before me this
H sh
[SEAL.]
day of Octobur
anno Domini 19 08.
[SEAL, onte
day of Ock
, anno Domini 1908
C. G. Keyes
C.9G."Keyes
COUNTY OLERIC AND EX-ORPIOIO
DOUNTY OLERK AND EX-OFFICIO OLERK
Clerk of th LOA ANGEL Court.
THE BUPERION COURTT. IN AND FON
Clark of THE BUPPRION CODIT IN AUD FOR OOUNTY
Court.
Arputy Clerk.
Clerk.
antived
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"ocrText": "122\n123\nNo. 1116\nORIGINAL\nNo. 1117\nORIGINAL\nor\nSTATES OF\nDepartment of anú Tabur\nof Counterte and\nBUREAU OF IMMIGRATION AND NATURALIZATION\nBUREAU OF IMMIGRATION AND NATURALIZATION\nDIVIBION or NATURALIZATION\nDIVISION OF NATURALIZATION\nDECLARATION OF INTENTION\nDECLARATION OR INTENTION\n(Invalid for all purposes seven years after the date hereof)\n(Invalid for all purposes seven yeara after the date hereof)\nSTATE OF CALIFORNIA)\nIn the\nCourt\nSTATE OF CALIFORMI.\nIn the\nSUPERIOR Court\nCounty of Los Angeles\nss:\nLoe ANGELES COURT\\\nCounty of Los Angeles\nSS:\nof THE STATE OF CALIFORNIA,\nof THE STATE OR IN_AND CALIFORNIA, FOR Les ANGELES COUNTY,\nJ.\nLuvino Barilotti\naged 20 years,\n3.\nHalter Clayton Brown\naged 34 years,\noccupation\nMusician\ndo declare affirm on oath that my personal\noccupation\nYorrman\ndo declare affirm on oath that my personal\ndescription is: Color which complexion\nDark\nheight 5 feet 11 inches,\ndescription is:\\ Color white complexion Dark height feet 10\ninches,\nweight 119 pounds, color of hair Black color of leyes\nBlack\nweight 163 pounds, color of hair Black\ncolor of leyes\nGrey\nother visible distinctive marks\nnone\nother visible distinctive marks ,oh 3 fingus offright hand\n:\nI was born in Palcesbaro\n:\nI was born in Dagenham\nItaly\non the\n8's\nday of\nOct\n, anno\nEngland\non the\n28'\nday of\nJuly\n. anno\nDomini I 588; I now reside at 39 still Rx has Angela bad\nDomini 1874 I now reside at 147 neek 57 Las Angeles bad\nI emigrated to the United States of America from staples Italy\nI emigrated to the United States of America from Vancover B to\non the vessel Romg.\n: my last\non the vessel\nCaradian Pacific R R.\n: my last\nforeign residence was\nPalombaro Otaly\nforeign\nresidence was Marysville Canada\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 Victon Commend III\nprince, potentate, state, or sovereignty, and particularly to Edmardru\nKing of Italy\nof which I am now a citiaen subject\nI\nKing of kreak Britain & Ireland\nof which I am now a subject citizen :\n1\narrived at the port of\nstrwyork\nin the\narrived at the port of\nsumar\nin the\nState\nstawyork\n18' day\nState\nTerritory of\non or about the\nTerritery of\nDistrict\nDistrict\nWashington\non or about the\n15\nday\nof\nScember\nanno Domini 992 I am not an anarchist: I am not\na\nof\nOctober\nanno Domini 1 899: : am not an anarchist: I 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 faith\nto become a citizen of the United States of America and to permanently reside therein:\nto\nbecome a citizen of the United States of America and to permanently reside therein:\nSo HELP ME GOD.\nLovina Barilott\nSo HELP ME Gob.\n(Original algnature of declarant.)\nWalter (Original Clayton goo Brown\n02\nof\nSubscribed and affirmed sworn to before me this\nn.\nand Subscribed and sworn affirmed to before me this\nH sh\n[SEAL.]\nday of Octobur\nanno Domini 19 08.\n[SEAL, onte\nday of Ock\n, anno Domini 1908\nC. G. Keyes\nC.9G.\"Keyes\nCOUNTY OLERIC AND EX-ORPIOIO\nDOUNTY OLERK AND EX-OFFICIO OLERK\nClerk of th LOA ANGEL Court.\nTHE BUPERION COURTT. IN AND FON\nClark of THE BUPPRION CODIT IN AUD FOR OOUNTY\nCourt.\nArputy Clerk.\nClerk.\nantived"
}