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ORIGINAL
U. S. DEPARTMENT OF LABOR
7142
NATURALIZATION SERVICE
No. 7143
U.S. DEPARTMENT OF LABOR
NATURALIZATION
ORIGINAL
80
No.
9111
STATES OF
STATES OF
E
m
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 bereof)
STATE OF. CALLFORNIA
In the SUPERIOR Court
STATE OF CALIFORNIA
The State of California:
Caunty of Los Angeles
ss: ett ni
In the SUPERITA
Caunty of Los Angeles
ss:
of
in and for Los Angeles County.
The State of California:
Court
of in and for Los Argeles Conuty.
g, miss annie Elizabeth Callaghar aged 46 years,
g, Vincent marincovich to
Fisherman
aged 20 years,
Public School Teacher
do declare on oath that my personal
occupation
occupation
de declare on oath that my personal
description is: Color white complexion med height 5 feet inches,
description is: Color white complexion Dark height inches,
weight 132 pounds, color of hair Grey color of eyes Grey
weight 170 pounds, color of hair Black color of eyes Brown
other visible distinctive marks
none
other visible distinctive marks
none
born in mayfield out
Canida
at
I was born in
1 was
Komiza
austria
on the 17th day of
nor
anno Domini 1 867 1 now reside
on the
5th day of
539 no. Berendo at Los angelin beal
at
12th st San Pedro less
may
anno Domini I 893; I now reside
at
(Give ashnber, atreet, city or topra, and grate.)
(Give number, atroet, city or town, -
1 emigrated to the United States of America from Windeor Canada
1 emigrated to the United States of America from
Knume austria
on the vessel
leansdian Pacific Ry
my last
on the vessel
Laconia
(If the allen arrived than by yeasel, the character of con veyance or name of
should
be
given.)
(If the allen arrived by veasel, the charmoter of conveyance or name of transportation company should be given.) :
my last
Mesdowrak Ont Canada
foreign residence was
foreign residence was
Korniza
austria
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
Geo. v, King of Great Britain and
of whom 1 am now a subject:
Francis Joseph, Emperor of Austria and Apostelle King of of whom I am now a subject:
I arrived at the port of
DETROIT
in the
I arrived at the port of
NEW YORK
in the
State of
mich
on or about the
18th day
State of
NEW YORK
on or about the 18th day
Sept
anno Domini 905 1 am not an anarchist: 1 am not
of
march
of
a
anno Domini 1 912 1 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 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.
So HELP ME GOD.
Miss Genier (Original of declarant.)
Vencent
(Original algnature of declarant.)
Subscribed and sworn to before me this
64
Subscribed and sworn to before me this
6th
[SEAL,
day of april
, anno Domini 191 4
[SEAL.]
day of
april
, anno Domini 191 4
H. J. Lelande THE IN ANS FOR THE or
COUNTY EX-OFFICIO CLERK
H. J. Lelande COUNTY CLENK COURT IN AND AND FOR CLERK COUNTY OF
EX-OFPICIO
OF LOS ANGELES, STATE OF CALIFORNIA,
OF Dr
Clerk of the
Court.
Clerk of the
Court.
By
of
Clerk.
By
-
Clerk.
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"ocrText": "154\n155\nORIGINAL\nU. S. DEPARTMENT OF LABOR\n7142\nNATURALIZATION SERVICE\nNo. 7143\nU.S. DEPARTMENT OF LABOR\nNATURALIZATION\nORIGINAL\n80\nNo.\n9111\nSTATES OF\nSTATES OF\nE\nm\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 bereof)\nSTATE OF. CALLFORNIA\nIn the SUPERIOR Court\nSTATE OF CALIFORNIA\nThe State of California:\nCaunty of Los Angeles\nss: ett ni\nIn the SUPERITA\nCaunty of Los Angeles\nss:\nof\nin and for Los Angeles County.\nThe State of California:\nCourt\nof in and for Los Argeles Conuty.\ng, miss annie Elizabeth Callaghar aged 46 years,\ng, Vincent marincovich to\nFisherman\naged 20 years,\nPublic School Teacher\ndo declare on oath that my personal\noccupation\noccupation\nde declare on oath that my personal\ndescription is: Color white complexion med height 5 feet inches,\ndescription is: Color white complexion Dark height inches,\nweight 132 pounds, color of hair Grey color of eyes Grey\nweight 170 pounds, color of hair Black color of eyes Brown\nother visible distinctive marks\nnone\nother visible distinctive marks\nnone\nborn in mayfield out\nCanida\nat\nI was born in\n1 was\nKomiza\naustria\non the 17th day of\nnor\nanno Domini 1 867 1 now reside\non the\n5th day of\n539 no. Berendo at Los angelin beal\nat\n12th st San Pedro less\nmay\nanno Domini I 893; I now reside\nat\n(Give ashnber, atreet, city or topra, and grate.)\n(Give number, atroet, city or town, -\n1 emigrated to the United States of America from Windeor Canada\n1 emigrated to the United States of America from\nKnume austria\non the vessel\nleansdian Pacific Ry\nmy last\non the vessel\nLaconia\n(If the allen arrived than by yeasel, the character of con veyance or name of\nshould\nbe\ngiven.)\n(If the allen arrived by veasel, the charmoter of conveyance or name of transportation company should be given.) :\nmy last\nMesdowrak Ont Canada\nforeign residence was\nforeign residence was\nKorniza\naustria\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\nGeo. v, King of Great Britain and\nof whom 1 am now a subject:\nFrancis Joseph, Emperor of Austria and Apostelle King of of whom I am now a subject:\nI arrived at the port of\nDETROIT\nin the\nI arrived at the port of\nNEW YORK\nin the\nState of\nmich\non or about the\n18th day\nState of\nNEW YORK\non or about the 18th day\nSept\nanno Domini 905 1 am not an anarchist: 1 am not\nof\nmarch\nof\na\nanno Domini 1 912 1 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 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.\nSo HELP ME GOD.\nMiss Genier (Original of declarant.)\nVencent\n(Original algnature of declarant.)\nSubscribed and sworn to before me this\n64\nSubscribed and sworn to before me this\n6th\n[SEAL,\nday of april\n, anno Domini 191 4\n[SEAL.]\nday of\napril\n, anno Domini 191 4\nH. J. Lelande THE IN ANS FOR THE or\nCOUNTY EX-OFFICIO CLERK\nH. J. Lelande COUNTY CLENK COURT IN AND AND FOR CLERK COUNTY OF\nEX-OFPICIO\nOF LOS ANGELES, STATE OF CALIFORNIA,\nOF Dr\nClerk of the\nCourt.\nClerk of the\nCourt.\nBy\nof\nClerk.\nBy\n-\nClerk."
}