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181
ORIGINAL
U.S. DEPARTMENT OF LABOR
ORIGINAL
8108
No. 8169
RATURALIBATION SERVICE
No.
dire
F
57
DECLARATION OF INTENTION
DECLARATION OF l'INTENTION
Invalid for all purposes seven years after the date hereof
Invalid for all purposes seven years after the dáte liereof
STATE OF CALIFORNIA)
nl
In the
SUPERIOR Court
cil Fronning
nl
In
the SURERIOR Court
Caunty of Los Angeles
ss:
The State of California.
in and for Los Angeles County.
Caunty of Los Angeles
ss:
The State of California.
to
of
of
in and for Las Angreles County.
g,
Gerrit Roast
aged 25 years,
g, nicolai William Bahnmann aged 355
years,
occupation
Florist
do declare on oath that my personal
occupation minister
do declare on oath that my personal
description is: Color White complexion Light height 6 feet
inches,
description is: Color White complexion med height
feet
7
inches,
weight 185 pounds, color of hair Brown à color of leyes in Brown
weight 162 pounds, color of hair Brown color of eyes Blue
other visible distinctive marks
none
aidialy.
nadto
other visible distinctive marks
none
I was born in Haarlemimerneer nethislands
I was born in
Berdjanst Russia that Britain
Became subject of
on
the 23rd of
day
april
anno Domini I 889: I now reside
on the
12th day of Filly
, anno Domini I 879 I now réside
at
638 no. Verdugo st Burbank leal
at 44 Calavera st Pasadena less
(quit number, street, city or town, and Steje.)
(Give number, street, elty or town, and State.)
I emigrated to the United States of America from Rotterdam netherlands
I
emigrated to the United States of America from mission junction Canada
on the vessel
Ryndam
my last
on the vessel
(If the alien arrived than by weanol, the character of conveyance or name of company ahould be given.)
northern Pacific By
: my last
(II the allen arrived otherwies than by vessed, the character of convey - of ansportation company should be
foreign residence was Haartenmence netherlands
given.)
foreign residence was
Hague benada
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
Queen of the Nethirlands.
of whom I am now a subject:
of Great Britain and Ireland.
of whom I am now a subject:
4 arrived at the port of
Hoboken
to rioa adt to in the
I arrived at the port, of
Summe
in the
State of
m.g.
on or
about the 1st day
State of
add
Wash
on or about the 20th day
of
ma
april
anno Domini 909: 1 am not an anarchist: I am not
a
of
april
anno Domini 0 912 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 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.
uoa BM oe
So HELP ME Gop.
en 1.13H oa
quint (Origioal algnature Roest of declarent.)
Micolar William
to
signature of declarant.)
5im 10 soillo orti Subscribed and sworn to before mel in the office of the Clerk of
to edt to sdi Subscribed and sworn to before me in the office of the Clerk of
[SEAL.]
Court this 10% day of 3 her anno Domini 191 4
101
[SEAL.] 00
walk Court this day of Dec
anno Domini 191 4
COUNTY CLERK AND EX-OFFICIO CLERK of
AND EX-OFFICIO GLERK or
H.J. Lelando AUD. FOR THE
COUNTY
H.J. IN AND FOR THE
OF LOS A OF CALIFORNA
OF CALIFORNICE
sill
Clerk of the
Court.
sill
Clerk of the
Court.
By
Edmith Def Clerk.
By
Emith help
Clerk.
14-06
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"ocrText": "180\n181\nORIGINAL\nU.S. DEPARTMENT OF LABOR\nORIGINAL\n8108\nNo. 8169\nRATURALIBATION SERVICE\nNo.\ndire\nF\n57\nDECLARATION OF INTENTION\nDECLARATION OF l'INTENTION\nInvalid for all purposes seven years after the date hereof\nInvalid for all purposes seven years after the dáte liereof\nSTATE OF CALIFORNIA)\nnl\nIn the\nSUPERIOR Court\ncil Fronning\nnl\nIn\nthe SURERIOR Court\nCaunty of Los Angeles\nss:\nThe State of California.\nin and for Los Angeles County.\nCaunty of Los Angeles\nss:\nThe State of California.\nto\nof\nof\nin and for Las Angreles County.\ng,\nGerrit Roast\naged 25 years,\ng, nicolai William Bahnmann aged 355\nyears,\noccupation\nFlorist\ndo declare on oath that my personal\noccupation minister\ndo declare on oath that my personal\ndescription is: Color White complexion Light height 6 feet\ninches,\ndescription is: Color White complexion med height\nfeet\n7\ninches,\nweight 185 pounds, color of hair Brown à color of leyes in Brown\nweight 162 pounds, color of hair Brown color of eyes Blue\nother visible distinctive marks\nnone\naidialy.\nnadto\nother visible distinctive marks\nnone\nI was born in Haarlemimerneer nethislands\nI was born in\nBerdjanst Russia that Britain\nBecame subject of\non\nthe 23rd of\nday\napril\nanno Domini I 889: I now reside\non the\n12th day of Filly\n, anno Domini I 879 I now réside\nat\n638 no. Verdugo st Burbank leal\nat 44 Calavera st Pasadena less\n(quit number, street, city or town, and Steje.)\n(Give number, street, elty or town, and State.)\nI emigrated to the United States of America from Rotterdam netherlands\nI\nemigrated to the United States of America from mission junction Canada\non the vessel\nRyndam\nmy last\non the vessel\n(If the alien arrived than by weanol, the character of conveyance or name of company ahould be given.)\nnorthern Pacific By\n: my last\n(II the allen arrived otherwies than by vessed, the character of convey - of ansportation company should be\nforeign residence was Haartenmence netherlands\ngiven.)\nforeign residence was\nHague benada\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\nQueen of the Nethirlands.\nof whom I am now a subject:\nof Great Britain and Ireland.\nof whom I am now a subject:\n4 arrived at the port of\nHoboken\nto rioa adt to in the\nI arrived at the port, of\nSumme\nin the\nState of\nm.g.\non or\nabout the 1st day\nState of\nadd\nWash\non or about the 20th day\nof\nma\napril\nanno Domini 909: 1 am not an anarchist: I am not\na\nof\napril\nanno Domini 0 912 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 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.\nuoa BM oe\nSo HELP ME Gop.\nen 1.13H oa\nquint (Origioal algnature Roest of declarent.)\nMicolar William\nto\nsignature of declarant.)\n5im 10 soillo orti Subscribed and sworn to before mel in the office of the Clerk of\nto edt to sdi Subscribed and sworn to before me in the office of the Clerk of\n[SEAL.]\nCourt this 10% day of 3 her anno Domini 191 4\n101\n[SEAL.] 00\nwalk Court this day of Dec\nanno Domini 191 4\nCOUNTY CLERK AND EX-OFFICIO CLERK of\nAND EX-OFFICIO GLERK or\nH.J. Lelando AUD. FOR THE\nCOUNTY\nH.J. IN AND FOR THE\nOF LOS A OF CALIFORNA\nOF CALIFORNICE\nsill\nClerk of the\nCourt.\nsill\nClerk of the\nCourt.\nBy\nEdmith Def Clerk.\nBy\nEmith help\nClerk.\n14-06"
}