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NATURALIZATION SERVICE
No. 5989
ORIGINAL
21 8 OF
DECLARATION OF INTENTION
y
m
(Invalid for all purposes seven years after tha date hereof)
In the SUPERIOR
Caunty of Los Angeles
Court
ss:
The State of California.
of and for Los Angelen County.
g, andre Purre menou
aged 23 years,
occupation Bank Teller
do declare on oath that my personal
description iss Color white complexion Light height 5 feet 8 14nches,
weight 170 pounds, color of hair Light , color of eyes Gray
other visible distinctive marks
name
I
was born in Creleans France
on the
18 day of January
anno Domini I 890. I now reside
at
Cudahy Ranch (Qive number, for Angeles Cal
street, alty or and
I emigrated to the United States of America from
on
the vessel (11 Hourgogne the
Havie France
Creams the character of conveyance France or of transportation
:
my last
allen arrived company should given.)
be
foreign residence was
It is my bona fide intention to renounce forever all allegiance and fidelity to any foreign
prince, potentate, state, or sovereignty, and particularly to
The French Republie
of whom I am now a subject:
I arrived at the port of
NEW YORK
, in the
State of
NKW YORK
on or about the
20 day
of
august anno Domini I 897. 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
to become a citizen of the United States of America and to permanently reside therein:
So HELP ME God.
Andre P
(Original algnature of declarast.)
Subscribed and sworn to before me this
5
[SEAL] Inimoal
day of June , anno Domini 191 3
COUNTY CEERK AND EX-OPFICIO CLERK of
301
Tetande
AND FON THE COUNTY
or LOS ANGELES, STATE OF CALÍFORNIA.
the
Clesho the
Court.
By
Clark.
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"ocrText": "1\nat and\nNATURALIZATION SERVICE\nNo. 5989\nORIGINAL\n21 8 OF\nDECLARATION OF INTENTION\ny\nm\n(Invalid for all purposes seven years after tha date hereof)\nIn the SUPERIOR\nCaunty of Los Angeles\nCourt\nss:\nThe State of California.\nof and for Los Angelen County.\ng, andre Purre menou\naged 23 years,\noccupation Bank Teller\ndo declare on oath that my personal\ndescription iss Color white complexion Light height 5 feet 8 14nches,\nweight 170 pounds, color of hair Light , color of eyes Gray\nother visible distinctive marks\nname\nI\nwas born in Creleans France\non the\n18 day of January\nanno Domini I 890. I now reside\nat\nCudahy Ranch (Qive number, for Angeles Cal\nstreet, alty or and\nI emigrated to the United States of America from\non\nthe vessel (11 Hourgogne the\nHavie France\nCreams the character of conveyance France or of transportation\n:\nmy last\nallen arrived company should given.)\nbe\nforeign residence was\nIt is my bona fide intention to renounce forever all allegiance and fidelity to any foreign\nprince, potentate, state, or sovereignty, and particularly to\nThe French Republie\nof whom I am now a subject:\nI arrived at the port of\nNEW YORK\n, in the\nState of\nNKW YORK\non or about the\n20 day\nof\naugust anno Domini I 897. I am not an anarchist: 1 am\nnot\na\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:\nSo HELP ME God.\nAndre P\n(Original algnature of declarast.)\nSubscribed and sworn to before me this\n5\n[SEAL] Inimoal\nday of June , anno Domini 191 3\nCOUNTY CEERK AND EX-OPFICIO CLERK of\n301\nTetande\nAND FON THE COUNTY\nor LOS ANGELES, STATE OF CALÍFORNIA.\nthe\nClesho the\nCourt.\nBy\nClark."
}