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115
- aub
at anh
NATURALIZATION
NATURALIZATION SERVIOE
Ne. 61.02
No. 6103
ORIGINAL
in
STATES OF
STATES OF:
E
DECLARATION OF INTENTION
DECLARATION OF INTENTION
(levolid for - purposes seven yeare after the date horeof)
for - purposes eeven yeare after the date horcof)
S
STATE OF CALIFORNIÁ)
In the
SUPERIOR Court
STATE,0 FCM FORMIAY
S
nl
In the
SUPERIOR Court
Cauncy of Los
ss:
California
Caunty of Los Angeles
ss:
The State of
of
Angeles County.
of
in and for Los Angeles County.
%, Dam Shultz
aged 29 years,
%, albert George Sly
, aged 40 years,
occupation Barber
do declare on oath that my personal
occupation
Salesman
do declare on oath that my personal
description is: Color White complexion Dark
height S feet 3/4 -inches,
description is: Color White complexion Fair
height
5 feet 8'tz inches,
weight 13v pounds, color of hair Dark
color of eyes B.Brown
weight 162 pounds, color of hair Brown color of eyes Blue
I other was visible born in distinctive meenscortze marks noue Russia
other visible distinctive marks
none
I was born in
on the
IV day of ept
anno Domini P83 I now reside
on the
16th day of march
Worn England
, anno Domini I 873; I now reside
at 1169 8-51 st (Give Las city Angele or - applyinate. Cal
at
1602 n. 12th (Give at Los State.) angeles teal
on the vessel Ds Calumbia
1 emigrated to the United States of America from
Antwerp Belgaum
number, street, city or town, and
I emigrated to the United States of America from
Sarnia Canada
: my last
on the vessel
Grand Frank By
: my last
(If given.)
the alion arrived otherying than by vessol, the charagter or of Atalion company should be
foreign residence was
meenkarge Russia
(If the allen arrived otherwie than by veasel, the character of conveyance or name of transportation should be given.)
foreign residence was
Brantford Onlarco Canada
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
Nicholas II, Emperor of all the Rus
V. King of Great Britain and Ireland.
of whom I am now a subject :
of whom 1 am now a subject:
1 arrived at the port of
NEW YORK
in the
I arrived at the port- of
Port Huron
in the
State of
NEW YORK
6
on or about the
day
State of
mich
on or about the 20th day
of
august anno Domini I 906 1 am not an anarchist: 1 not a
am
of
april
.
anno Domini 1910 I am not an anarchist: I 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 fäith
to become a citizen of the United States of America and to permanently reside themein:
to become a citizen of the United States of America and to permanently reside therein:
So HELP ME GOD.
So HELP ME. GOD.
faill (Origioal shulty of
albrt George Sly
Algnature
(Original signata of
Subscribed and swonn to before me this
2
Subscribed and sworn to before me this
2 and
[SEAL]
day of July , anno Domini 19T 3
[SEAL.]
day
of July , anno Domini 191
3
H. J. Telanité THE
COUNTY CLERK AND EX-OFFICIO CLERIC or
COURTY eurex A"D EX-OFFICIO CLIBE or
110 "AND
THE courn
OF LOS ANGELES. STATE OF CALIFORNIA.
ANGELES STATE OF CALIFORNIA.
Clak of the
Court.
Clerk of the
Court.
By
Clerk.
By
Def
Clerk.
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"ocrText": "114\n115\n- aub\nat anh\nNATURALIZATION\nNATURALIZATION SERVIOE\nNe. 61.02\nNo. 6103\nORIGINAL\nin\nSTATES OF\nSTATES OF:\nE\nDECLARATION OF INTENTION\nDECLARATION OF INTENTION\n(levolid for - purposes seven yeare after the date horeof)\nfor - purposes eeven yeare after the date horcof)\nS\nSTATE OF CALIFORNIÁ)\nIn the\nSUPERIOR Court\nSTATE,0 FCM FORMIAY\nS\nnl\nIn the\nSUPERIOR Court\nCauncy of Los\nss:\nCalifornia\nCaunty of Los Angeles\nss:\nThe State of\nof\nAngeles County.\nof\nin and for Los Angeles County.\n%, Dam Shultz\naged 29 years,\n%, albert George Sly\n, aged 40 years,\noccupation Barber\ndo declare on oath that my personal\noccupation\nSalesman\ndo declare on oath that my personal\ndescription is: Color White complexion Dark\nheight S feet 3/4 -inches,\ndescription is: Color White complexion Fair\nheight\n5 feet 8'tz inches,\nweight 13v pounds, color of hair Dark\ncolor of eyes B.Brown\nweight 162 pounds, color of hair Brown color of eyes Blue\nI other was visible born in distinctive meenscortze marks noue Russia\nother visible distinctive marks\nnone\nI was born in\non the\nIV day of ept\nanno Domini P83 I now reside\non the\n16th day of march\nWorn England\n, anno Domini I 873; I now reside\nat 1169 8-51 st (Give Las city Angele or - applyinate. Cal\nat\n1602 n. 12th (Give at Los State.) angeles teal\non the vessel Ds Calumbia\n1 emigrated to the United States of America from\nAntwerp Belgaum\nnumber, street, city or town, and\nI emigrated to the United States of America from\nSarnia Canada\n: my last\non the vessel\nGrand Frank By\n: my last\n(If given.)\nthe alion arrived otherying than by vessol, the charagter or of Atalion company should be\nforeign residence was\nmeenkarge Russia\n(If the allen arrived otherwie than by veasel, the character of conveyance or name of transportation should be given.)\nforeign residence was\nBrantford Onlarco Canada\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\nNicholas II, Emperor of all the Rus\nV. King of Great Britain and Ireland.\nof whom I am now a subject :\nof whom 1 am now a subject:\n1 arrived at the port of\nNEW YORK\nin the\nI arrived at the port- of\nPort Huron\nin the\nState of\nNEW YORK\n6\non or about the\nday\nState of\nmich\non or about the 20th day\nof\naugust anno Domini I 906 1 am not an anarchist: 1 not a\nam\nof\napril\n.\nanno Domini 1910 I am not an anarchist: I am not a\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 fäith\nto become a citizen of the United States of America and to permanently reside themein:\nto become a citizen of the United States of America and to permanently reside therein:\nSo HELP ME GOD.\nSo HELP ME. GOD.\nfaill (Origioal shulty of\nalbrt George Sly\nAlgnature\n(Original signata of\nSubscribed and swonn to before me this\n2\nSubscribed and sworn to before me this\n2 and\n[SEAL]\nday of July , anno Domini 19T 3\n[SEAL.]\nday\nof July , anno Domini 191\n3\nH. J. Telanité THE\nCOUNTY CLERK AND EX-OFFICIO CLERIC or\nCOURTY eurex A\"D EX-OFFICIO CLIBE or\n110 \"AND\nTHE courn\nOF LOS ANGELES. STATE OF CALIFORNIA.\nANGELES STATE OF CALIFORNIA.\nClak of the\nCourt.\nClerk of the\nCourt.\nBy\nClerk.\nBy\nDef\nClerk."
}