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173
uno
ORIGINAL
U.S. DEPARTMENT OF LABOR
M.S. DEPARTMENT OF LABOR
No. 81/00
2618
India ORIGINAL
NATURALIZATION SERVICE
No. 8161
TO an
49
DECLARATION OF INTENTION
DECLARATION OF INTENTION
Invalid for all purposes seven years after the date hereof
Invalid for all purposes seven years aftér the date hereof
STATE OF CALIFORNIA
nl
In the
SUPERIOR Court
STATEDE
nl
In the SUPERIOR
Court
Caunty of Los Angeles
ss:
The State of California.
Caunty of Las
ss:
The State of California
to
of
in and for Los Angeles County.
of
in and for Los Angeres County.
ge, mess marthamnathilda Klass aged 40 years,
g, Louing accomagzi
aged 24 years,
occupation
Domestic
do declare on oath that my personal
occupation
Compenter
,
do declare on oath that my personal
description is: Color white complexion medium height 5 feet 7 inches,
description is: Color White complexion med
height feet 24/22 inches,
weight 154 pounds, color of hair Brown color of eyes Brown
weight 143 pounds, color of hair DKBrown color of eyes Brown
other visible distinctive marks
none
other visible distinctive marks
now
I
was born 18 in Krugburg germany
I was born in
Cantellagz Bormida Italy
on the
day
of
anno
Domini
1
874
on the
5th
now
reside
day of
may
anno Domini I 890 I now reside
at
837 S. (Give number, streei, city or towa, ave. and State. Los Angelescal
at
704 no Broadway (Give pumber, or town, Los and Stato angile Eal
I emigrated to the United States
of Amelica from
Jennand
I emigrated to the United States of America from
Linoa Italy
on the vessel
; my last
on the vessel
Duca W'assta
; my last
(If the allen arrived otherwise than by veasel, the chagacter of con veyance or name of Agansportation company should be given.)
(ui the allen aczived than by vensol, the character of conveyance er asmo of transportation compenz should be given.)
foreign residence was
germany
foreign residence was
teastellagzo Barmida Italy
It is my bona fide intention to renounce forevel all allégiance 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
Victor Emmanuel III, King of Italy.
Willie - Emperory
of whom I am now a subject
of whom Eam now a subject;
I arrived at the port of
newyork
to in the
I arrived at the port of
NEW YORK
be in the
State of
new york
on or about the
to
State of
NEW YORK
day
on or about the 21st day
of april
anno Domini I 884 I am not an anarchist; 1 am not a
of
#####
any
anno Domini 912 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
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 1 America and to permanently reside therein:
So HELP ME GOD.
BM
So HELP ME GOD.
Martha (Origipial algnature of declarant.) Klose
Mathilate
0 theramile
Amarol
Louis
capo EM 02
lo
(Original algnature of declarent.)
accomoy
to
Subscribed and sworn to before me in the office of the Clerk of
to
adt to sollto ara Subscribed and sworn to before me in the office of the Clerk of
[SEAL.]
Court this gur day of Dic anno Domini 191 4
101
[SEAL.] nm
well Court this of a Dec anno Domini 191 +
H. J. Lelande THE DL CLERK COUNTY or
COUNTY CLENK AND EX-APFICIO
H.J AND AND or
COUNTY CLERK EX-OFFICIO CLERK
OF LOS ANGELES, STATE OF CALIFORNIA.
ANDELES STATE DE CALIFORNIA.
with
Clerk of the
Court.
has
Court
Analyzic Humirm Deputy Clerk.
(so by
weh Clerk,
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Document data
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- Core
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"ocrText": "172\n173\nuno\nORIGINAL\nU.S. DEPARTMENT OF LABOR\nM.S. DEPARTMENT OF LABOR\nNo. 81/00\n2618\nIndia ORIGINAL\nNATURALIZATION SERVICE\nNo. 8161\nTO an\n49\nDECLARATION OF INTENTION\nDECLARATION OF INTENTION\nInvalid for all purposes seven years after the date hereof\nInvalid for all purposes seven years aftér the date hereof\nSTATE OF CALIFORNIA\nnl\nIn the\nSUPERIOR Court\nSTATEDE\nnl\nIn the SUPERIOR\nCourt\nCaunty of Los Angeles\nss:\nThe State of California.\nCaunty of Las\nss:\nThe State of California\nto\nof\nin and for Los Angeles County.\nof\nin and for Los Angeres County.\nge, mess marthamnathilda Klass aged 40 years,\ng, Louing accomagzi\naged 24 years,\noccupation\nDomestic\ndo declare on oath that my personal\noccupation\nCompenter\n,\ndo declare on oath that my personal\ndescription is: Color white complexion medium height 5 feet 7 inches,\ndescription is: Color White complexion med\nheight feet 24/22 inches,\nweight 154 pounds, color of hair Brown color of eyes Brown\nweight 143 pounds, color of hair DKBrown color of eyes Brown\nother visible distinctive marks\nnone\nother visible distinctive marks\nnow\nI\nwas born 18 in Krugburg germany\nI was born in\nCantellagz Bormida Italy\non the\nday\nof\nanno\nDomini\n1\n874\non the\n5th\nnow\nreside\nday of\nmay\nanno Domini I 890 I now reside\nat\n837 S. (Give number, streei, city or towa, ave. and State. Los Angelescal\nat\n704 no Broadway (Give pumber, or town, Los and Stato angile Eal\nI emigrated to the United States\nof Amelica from\nJennand\nI emigrated to the United States of America from\nLinoa Italy\non the vessel\n; my last\non the vessel\nDuca W'assta\n; my last\n(If the allen arrived otherwise than by veasel, the chagacter of con veyance or name of Agansportation company should be given.)\n(ui the allen aczived than by vensol, the character of conveyance er asmo of transportation compenz should be given.)\nforeign residence was\ngermany\nforeign residence was\nteastellagzo Barmida Italy\nIt is my bona fide intention to renounce forevel all allégiance 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\nVictor Emmanuel III, King of Italy.\nWillie - Emperory\nof whom I am now a subject\nof whom Eam now a subject;\nI arrived at the port of\nnewyork\nto in the\nI arrived at the port of\nNEW YORK\nbe in the\nState of\nnew york\non or about the\nto\nState of\nNEW YORK\nday\non or about the 21st day\nof april\nanno Domini I 884 I am not an anarchist; 1 am not a\nof\n#####\nany\nanno Domini 912 I am not an anarchist: 1 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 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 1 America and to permanently reside therein:\nSo HELP ME GOD.\nBM\nSo HELP ME GOD.\nMartha (Origipial algnature of declarant.) Klose\nMathilate\n0 theramile\nAmarol\nLouis\ncapo EM 02\nlo\n(Original algnature of declarent.)\naccomoy\nto\nSubscribed and sworn to before me in the office of the Clerk of\nto\nadt to sollto ara Subscribed and sworn to before me in the office of the Clerk of\n[SEAL.]\nCourt this gur day of Dic anno Domini 191 4\n101\n[SEAL.] nm\nwell Court this of a Dec anno Domini 191 +\nH. J. Lelande THE DL CLERK COUNTY or\nCOUNTY CLENK AND EX-APFICIO\nH.J AND AND or\nCOUNTY CLERK EX-OFFICIO CLERK\nOF LOS ANGELES, STATE OF CALIFORNIA.\nANDELES STATE DE CALIFORNIA.\nwith\nClerk of the\nCourt.\nhas\nCourt\nAnalyzic Humirm Deputy Clerk.\n(so by\nweh Clerk,"
}