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12
13.
No. 2003
ORIGINAL
No. 1004
ORIGINAL
STATES OF
STATES of
at and Tabot
Department nt Commente and Tabor
BUREAU OF IMMIGRATION AND INATURALIZATION
BUREAU OF IMMIGRATION LAND NATURALIZATION
on NATURALIZATION
DIVISION or NATURALIZATION
DECLARATION OF INTENTION
DECLARATION OF INTENTION
(Invalid for all aeven yeare after the date hereof)
(Invalid for an purposes seven yeare after the date hereof)
STATE OF CALIFORNIA
In the SUPERIOR Court
County of Los Angeles
STATE OF Cell LEGANIAY
ss:
IN AND FOR Los ANGELKS COUNTY,
County of Los Angeles
In the SUPERIOR Court
ss:
AS
of THE STATE OF CALIFORNIA.
oft THE STATE OF CALIFORNIA
IN AND FOR Los ANGELES COUNTY,
J.
John Richard Brunning
aged 23 years,
3.
Kerman Guiller
aged
41.
years.
occupation
Importan
do declare affirm on oath that my personal
occupation
Farmer
do declare on oath
affirm
that my personal
description is: Color white
complexion
Dark
height 5 feetd lazinches,
description Color white
is:
complexion
Fair
height
feet
4
inches,
weight 120 pounds, color of hair Black color of eyes Brown
welght 150
nds, color of hair Brown color of eyes Blue
other visible distinctive marks
none
other visible distinctive marks
none
was born in
London.
I was born in Blraboof
England
on the
7'
day of
December
. anno
Grimary
on the
1st day of
October
, anno
Domini 886 ; I now reside at
Los Angelos
Can
Domini I 868 I now reside at
Refondo Beach bal
I emigrated to the United States of America from hirspool England
I emigrated to the United States of America from Brimen Germany
on the vessel
Suxonia
DI the allen arrived otherwise than by vessel, the character a conveyanes or name of transporyation company should be given.)
: my last
on the vessel
(If the Allen arrived otherwise than by vessel, sonveyance or name of transportation company should be given.]
Queen the Elizuorth
: my last
foreign residence was
London England
foreign residence was
Birlin
Germany
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 Esmard r
prince, potentate, state, or sovereignty, and particularly to Hilliam II
thing of Krash Britain & Ireland of which I am now
eitieen
a
subject
I
Emperon of Germany
of which I am now a Gitizen
subject
I
arrived at the port of
manyork
in the
arrived at the port of
State
newyork
in the
of
newyork
17 day
State
on or about the
newyork.
6
Teseitory of
10
District
on or about the
day
Bistrict
of January
anno Domini 903; I am not an anarchist : 1 am not
a
of fon the July
anno Domini 900 I am not an anarchist; 1 am not a
polygamist nor a believer in the practice of polygamy: and it is my intention injgond faith
polygamist nor à 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.
John (Origmal signature of declifrant.)
Richard Berring
So HELP ME Gop.
Lesman Geirle
(Original of declarant.)
Subscribed and e before me this
20'
Subscribed and sworn affirmed to before me this 30
[SEAL.] orras
day of Ascember
anno Domini 1909
[SEAL.]
day
of December
, annó Domini 19
C. G. Keyes
7. & Krues
THE CURT IN AND FOR THE COUNTI
COUNTY AND GN
Clark of the LOB STAVE OF GALIFORNIA,
Gourt
THE
Appet Clerk.
1
of
br
Mary
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"ocrText": "12\n13.\nNo. 2003\nORIGINAL\nNo. 1004\nORIGINAL\nSTATES OF\nSTATES of\nat and Tabot\nDepartment nt Commente and Tabor\nBUREAU OF IMMIGRATION AND INATURALIZATION\nBUREAU OF IMMIGRATION LAND NATURALIZATION\non NATURALIZATION\nDIVISION or NATURALIZATION\nDECLARATION OF INTENTION\nDECLARATION OF INTENTION\n(Invalid for all aeven yeare after the date hereof)\n(Invalid for an purposes seven yeare after the date hereof)\nSTATE OF CALIFORNIA\nIn the SUPERIOR Court\nCounty of Los Angeles\nSTATE OF Cell LEGANIAY\nss:\nIN AND FOR Los ANGELKS COUNTY,\nCounty of Los Angeles\nIn the SUPERIOR Court\nss:\nAS\nof THE STATE OF CALIFORNIA.\noft THE STATE OF CALIFORNIA\nIN AND FOR Los ANGELES COUNTY,\nJ.\nJohn Richard Brunning\naged 23 years,\n3.\nKerman Guiller\naged\n41.\nyears.\noccupation\nImportan\ndo declare affirm on oath that my personal\noccupation\nFarmer\ndo declare on oath\naffirm\nthat my personal\ndescription is: Color white\ncomplexion\nDark\nheight 5 feetd lazinches,\ndescription Color white\nis:\ncomplexion\nFair\nheight\nfeet\n4\ninches,\nweight 120 pounds, color of hair Black color of eyes Brown\nwelght 150\nnds, color of hair Brown color of eyes Blue\nother visible distinctive marks\nnone\nother visible distinctive marks\nnone\nwas born in\nLondon.\nI was born in Blraboof\nEngland\non the\n7'\nday of\nDecember\n. anno\nGrimary\non the\n1st day of\nOctober\n, anno\nDomini 886 ; I now reside at\nLos Angelos\nCan\nDomini I 868 I now reside at\nRefondo Beach bal\nI emigrated to the United States of America from hirspool England\nI emigrated to the United States of America from Brimen Germany\non the vessel\nSuxonia\nDI the allen arrived otherwise than by vessel, the character a conveyanes or name of transporyation company should be given.)\n: my last\non the vessel\n(If the Allen arrived otherwise than by vessel, sonveyance or name of transportation company should be given.]\nQueen the Elizuorth\n: my last\nforeign residence was\nLondon England\nforeign residence was\nBirlin\nGermany\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 Esmard r\nprince, potentate, state, or sovereignty, and particularly to Hilliam II\nthing of Krash Britain & Ireland of which I am now\neitieen\na\nsubject\nI\nEmperon of Germany\nof which I am now a Gitizen\nsubject\nI\narrived at the port of\nmanyork\nin the\narrived at the port of\nState\nnewyork\nin the\nof\nnewyork\n17 day\nState\non or about the\nnewyork.\n6\nTeseitory of\n10\nDistrict\non or about the\nday\nBistrict\nof January\nanno Domini 903; I am not an anarchist : 1 am not\na\nof fon the July\nanno Domini 900 I am not an anarchist; 1 am not a\npolygamist nor a believer in the practice of polygamy: and it is my intention injgond faith\npolygamist nor à 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.\nJohn (Origmal signature of declifrant.)\nRichard Berring\nSo HELP ME Gop.\nLesman Geirle\n(Original of declarant.)\nSubscribed and e before me this\n20'\nSubscribed and sworn affirmed to before me this 30\n[SEAL.] orras\nday of Ascember\nanno Domini 1909\n[SEAL.]\nday\nof December\n, annó Domini 19\nC. G. Keyes\n7. & Krues\nTHE CURT IN AND FOR THE COUNTI\nCOUNTY AND GN\nClark of the LOB STAVE OF GALIFORNIA,\nGourt\nTHE\nAppet Clerk.\n1\nof\nbr\nMary"
}