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{
    "localId": "103943427",
    "label": "(Roll 14) Declarations of Intention Vols. 82-85; 1913-1914",
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    "contentType": "document",
    "title": "(Roll 14) Declarations of Intention Vols. 82-85; 1913-1914",
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    "ocrText": "168\n169\nORIGINAL\n0.0 S/DEPARTMENT OF LABOR\nNo. 7157\nORIGINAL\nNo. 7156\nNATURALIZATION SERVICE\nSTATES\nSTATES\nDECLARATION OF INTENTION\nDECLARATION OF INTENTION\n(Invalid for all purposes seven years after the date hereof)\n(Involid for all qurposes sevem years after the date\nSTATE of CENTFERNIAL\nCourt\nSTATE OF\nnl\nIn the\nCaunty of Los Angeles\nal\nIn the SUPERIOR\nCaunty of Los Angeles\nCourt\nss:\nss:\nto\nin and for Los Angeles County.\nThe State of California.\nof\nof in and for Les Angales Connty\ng, Petrus wanden Bosch\naged 48 years,\nge\nFlorent anatole Obcly\naged\n43 years,\noccupation Ranch work do declare on oath\nthat my personal\noccupation Head waitor + steward do declare on oath that my personal\ndescription is: Color White complexion med height Lieft 4 inches,\ndescription\nis: Color White complexion (med height 7 inches,\nweight 145 pounds, color of hair Brown color of eyes B live\nweight 155 pounds, color of hair H Dkiron color of leyes to may\nother visible distinctive marks\nnone\nother visible distinctive\nmarks Scanth forked\nto\n1 was\nborn in muland netherlands\nI\nwas\nborn in gortzenbuck Larrame France\nLancastic Cal\nday of september anno Domini I 865 I now reside\n1st day of\n1\non the\n20\non the\nare\napril\nanno\nDomini\nI\n87t\nI\nnow\nreside\nat\n(Give number street, clty or town, and State.\nat Hotel Dui Champ (dive aumber, dor alreet, elty town, Commencial and State.) it to anythi\nor\nI emigrated to the United States of America from Roltudam, Holland\nI emigrated to the United States of America from HAVRE, FRANCE\non the vessel\nRymdam\nmy last\non the vessel\nContagene\n(If\nthe\nallen\nthan by yonsel, the character of conveyunce or nasse of transportation company should be given.)\n(If the allen agalved otherwise than by charnoter of DE - of company should be given.)\nlazas my last\nforeign residence was\nS B orch, mithutands\nforeign\nresidence was agene Algena\nIt is my bona fide intention to renounce forever all allegiance and fidelity to any foreign\nIt\nis my bona fide intentior. 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\nDavid cherlands.\nof whom I am now a subject:\nThe Freach Republic.\nof whom 1 am now a subject;\nI arrived at the port of\nnew york\nnon add in the\n4 arrived at the port of\nNEW YORK\nin the\nState of\nnew york\non or about the 27 the day\nState of\nadt\nNEW YORK\non or about the\nday\nof June\nanno Domini - 910. I am not an anarchist: 1 am not a\nof\n,\nseft\nanno Domini 1 889: 1 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 become a citizen of the United States of America and to permanently reside thereins\nSo HELP ME GOD.\nSo HELP ME God.\nFehur Van de Baseh\nFlorent (Original Cluatole Cllirty\n(Original alguntare of declarmat.)\nalgnature of declarnat.)\nal/t:\nSubscribed and sworn to before me this\n13 are\nzidt\nSubscribed and sworn to before me this\n13th\n[SEAL,\nday of april , anno Domini 191 7\n[SEAL.]\nday of\napril\nanno Domini 194 4\ncourty ANK AND EX-OPFICIO CLERK or\nH. J. Lelande E98 THE.\nH. J. Lelande\nCOUNTY GLERK AND EX-OFFICIO CLERK OF\nof LOS ANGELES, STATE OF\nLOS ALGELES, STATE OF CALIFORNIA.\nClerk of the\nCourt.\nClerk of the\nCourt.\nBy Saggic Homeone Depty 36-56 Clerk.\nBy\nEdwitk cock\nClerk."
}