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229
Repartment of and
of Countente and
NATURALIZATION SERVIOE
NATURALIZATION SERVIOR
Np. 6216
QRIGINAL
No. 6217
at ya
ORIGINAL
STATES OF
STATES OF
th
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
In the
SUPERIOR Court
County. of LUS
ss:
The State of California.
STATE D Francisco
In the
SUPERIOR Court
County of Cosi
ss:
of in and for Los Augeles Conuty.
The State of Californit.
of
in and for Los Angeles County.
g, Leif Olsen
aged 21 years,
Sailor
g, Raonl Rizzotta
aged 30 years,
occupation
do declare on oath that my personal
occupation musician
do declare on oath that my personal
description is: Color white complexion Dark height feet
4 inches,
description is: Color white complexion Dark height 3 feet 6 inches,
weight 136 pounds, color of hair Dark color of eyes L B lue
weight 165 pounds, color of hair Black color of leyes Brown
other visible distinctive marks
none
other visible distinctive marks
none
I was born in
on the
3 the day of October anno Domini 1891 I now reside
Bergen norway
I was born in montagnana, Italy
on the
18 day of nob
anno Domini I 882 now reside
at
windsor Hotel 3rd st. San Pedro, cal
at
(Give udmber, street, city or town, and State.)
Bergen, norway
511 N 1st (Give number, sof atreet, cley town, Los and State.) angeles, Cal
or
I emigrated to the United States of America from
I emigrated to the United States of America from Have, France
on the vessel
Irna
: my last
on the vessel
Provence
(II the allen arrived otherwise than by veasel, the character of conveyance or name of transportation company should be given.)
: my last
(If the alien arrived otheryise than by veasel, the charnoter Leonveyance or name of transportation company should be given.)
foreign residence was
Berger, norway
foreign
residence was Have 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
prince, potentate, state, or sovereignty, and particularly to
Heakon VII, King of Norway
of whom 1 am now a subject:
Victor Emmanuel III, King of Italy,
of whom I am now a subject
I
arrived
at
the
port
of
San Francisco
to
in the
1 arrived at the port of
new your
in the
State
of California
on or about the 27th day
State
of new york
on or
about the 15th day
of
august
anno Domini 911 : I am not an anarchist; I am not a
of august anno Domini 1 906; I am not an anarchist: I am not a
polygamist not 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.
Liif Olsen (Original algnature
So HELP ME GOD.
GOD 2.13H
of declarant.)
(Original algnappro
Subscribed and sworn to before me this
the
elris
Subscribed and sworn to before me this
4th
[SEAL.
]
Admoda
onnt
day of aug.
anno Domini 1913
[SEAL. d'intinol a onne
day of ang
anno Domini 19:3
H. J Lelande
COUNTE ame EN-OFFICIO CLERK or
TME COURT AN AND FOR THE COUNTY
Data
EX-OFFICIO CEERK OF
OF LOS ANGELEO. STATE OF CALIPORNIA
H. J Lelande THS san COUNTY
Clern of the
Court.
Clerk of the
OF LOS ANGELEE GIATE OF CALIPORNIA.
Court.
By Siggie Human Depty Clerk.
By
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Document data
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- Core
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- Type
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DTO data
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"ocrText": "228\n229\nRepartment of and\nof Countente and\nNATURALIZATION SERVIOE\nNATURALIZATION SERVIOR\nNp. 6216\nQRIGINAL\nNo. 6217\nat ya\nORIGINAL\nSTATES OF\nSTATES OF\nth\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\nIn the\nSUPERIOR Court\nCounty. of LUS\nss:\nThe State of California.\nSTATE D Francisco\nIn the\nSUPERIOR Court\nCounty of Cosi\nss:\nof in and for Los Augeles Conuty.\nThe State of Californit.\nof\nin and for Los Angeles County.\ng, Leif Olsen\naged 21 years,\nSailor\ng, Raonl Rizzotta\naged 30 years,\noccupation\ndo declare on oath that my personal\noccupation musician\ndo declare on oath that my personal\ndescription is: Color white complexion Dark height feet\n4 inches,\ndescription is: Color white complexion Dark height 3 feet 6 inches,\nweight 136 pounds, color of hair Dark color of eyes L B lue\nweight 165 pounds, color of hair Black color of leyes Brown\nother visible distinctive marks\nnone\nother visible distinctive marks\nnone\nI was born in\non the\n3 the day of October anno Domini 1891 I now reside\nBergen norway\nI was born in montagnana, Italy\non the\n18 day of nob\nanno Domini I 882 now reside\nat\nwindsor Hotel 3rd st. San Pedro, cal\nat\n(Give udmber, street, city or town, and State.)\nBergen, norway\n511 N 1st (Give number, sof atreet, cley town, Los and State.) angeles, Cal\nor\nI emigrated to the United States of America from\nI emigrated to the United States of America from Have, France\non the vessel\nIrna\n: my last\non the vessel\nProvence\n(II the allen arrived otherwise than by veasel, the character of conveyance or name of transportation company should be given.)\n: my last\n(If the alien arrived otheryise than by veasel, the charnoter Leonveyance or name of transportation company should be given.)\nforeign residence was\nBerger, norway\nforeign\nresidence was Have 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\nprince, potentate, state, or sovereignty, and particularly to\nHeakon VII, King of Norway\nof whom 1 am now a subject:\nVictor Emmanuel III, King of Italy,\nof whom I am now a subject\nI\narrived\nat\nthe\nport\nof\nSan Francisco\nto\nin the\n1 arrived at the port of\nnew your\nin the\nState\nof California\non or about the 27th day\nState\nof new york\non or\nabout the 15th day\nof\naugust\nanno Domini 911 : I am not an anarchist; I am not a\nof august anno Domini 1 906; I am not an anarchist: I am not a\npolygamist not 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 and to permanently reside therein:\nSo HELP ME GOD.\nLiif Olsen (Original algnature\nSo HELP ME GOD.\nGOD 2.13H\nof declarant.)\n(Original algnappro\nSubscribed and sworn to before me this\nthe\nelris\nSubscribed and sworn to before me this\n4th\n[SEAL.\n]\nAdmoda\nonnt\nday of aug.\nanno Domini 1913\n[SEAL. d'intinol a onne\nday of ang\nanno Domini 19:3\nH. J Lelande\nCOUNTE ame EN-OFFICIO CLERK or\nTME COURT AN AND FOR THE COUNTY\nData\nEX-OFFICIO CEERK OF\nOF LOS ANGELEO. STATE OF CALIPORNIA\nH. J Lelande THS san COUNTY\nClern of the\nCourt.\nClerk of the\nOF LOS ANGELEE GIATE OF CALIPORNIA.\nCourt.\nBy Siggie Human Depty Clerk.\nBy"
}