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216
ORIGINAL
JAMIDIRO
217
UOSDEPARTIENT/OELABOE
LABOR
ORIGINAL
No.
8204
on
No. 8205
V
E
E
4/11
q2
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
Caunty of Los Angeles
nl
In the
SUPERIOR Court
STATE
The State of California.
erlt nl
In the
SUPERIOR Court
ss:
of
in and for Los Angeles County.
County of Les Angeles
ss:
The State of California,
to
to
of
in and for Los Angeles County.
g, Jovan Salata
aged 29 years,
g, Josef Italie
aged 25 years,
occupation Laborer
do declare on oath that my personal
oocupation
dind leook
do declare on oath that my personal
description is: Color White , complexion med height feet 9 inches,
description is: Color White complexion Dark height 5 feet 6 inches,
weight 154 pounds, color of hair DKPrown colon of eyes my
weight 152 pounds, color of hair Black color of eyes Brown
other visible distinctive marks
none
axitraitab aidlaix. adde
other visible distinctive marks sear on left forcard
I was born in
Rarno
austria
a mod 2811 1
I was born in
on the
4th
day of
march
on
the 16th
mesologe
Gree
anno Domini I 885 1 now reside
day of
Ficty
,
anno Domini I 889: I now reside
at
647
Castelar at Los and angelic leae
at
(Give number, street, city or town, quate.
321 Temple at (Give number, Los street, city or town, and Angeles Atate.) leal
I emigrated to the United States of America from
HAVRE, FRANCE
sitt of
I emigrated to the United States of America from
Patrac Green
on the vessel
La quitaine
myllast
on the vessel
athena
(If the allen arrived otherwise than the character of conveyance or - of transportation company should be given.)
(II the allem errived otherwise than by vessel, the character of conveyance or name of tmasportation company should be given.)
mylast
foreign residence was
Raono austria
foreign residence was
mesologe Greeve
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
ancis Joseph, Emperor of A Instria postolie King of Hungury.
of whom I am now a subject:
Constantine King of the Hellenes of whom I am now a subject:
+ arrived at the port of
NEW YORK
to trace selt te in the
I arrived at the port of
NEW YORK
in the
State of
all NEW YORK
on or about
the 26th to day
State of
NEW YORK
on or about the
3rd day
of
are
1
march anno Domini G gos. I am not an anarchist: 11 am not
a
of
Dec nil. anno Domini 909; I am not an anarchist: 1 am not
a
polygamist nor a béliever in the practice of polygamy: and it is my intention in good fäith
polygamist non a: believer in the practice of polygamy: and it is my intention in good faith
to become a citizen of the United States of l'America and nto permanently preside therein:
to become a citizen of the United States of America and to permanently reside therein:
So HELP ME GOD.
form (Origioal of
Salata
002
So HELP ME GOD.
000
no wants have
Josef Holes
-
(Original algnature of declarant.)
to chalD ertt lo souto erlt Subscribed and sworn to beforeme in the office of the Clerk of
to MID adt To sub Subscribed and sworn to before me in the office of the Clerk of
[SEAL.]
Court this 21st day of Dec , anno Domini 191 4
101
(SEAL.) 3902 Court. this 21 day of Dec Domini
anno 191
H. J. Lelande POR the COUNTY or
COUNTY et FRK AND EX-OFFICIO CLERK
so
COUNTY CLERK AND FX-OFFICIO CLEAR or
H. J. Lelande
HE
OF LOS ANGELES, STATE OF CALIPORNIA.
W
OF LOS ANGELES, STATE OF CALIFORNA.
hap
will
Clark of the
Court.
unt
Clerk of the
Court.
By
Def
Clerk.
By
help
Clerk.
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Document data
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- Core
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- Type
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Context sent to Scholar
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"ocrText": "216\nORIGINAL\nJAMIDIRO\n217\nUOSDEPARTIENT/OELABOE\nLABOR\nORIGINAL\nNo.\n8204\non\nNo. 8205\nV\nE\nE\n4/11\nq2\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\nCaunty of Los Angeles\nnl\nIn the\nSUPERIOR Court\nSTATE\nThe State of California.\nerlt nl\nIn the\nSUPERIOR Court\nss:\nof\nin and for Los Angeles County.\nCounty of Les Angeles\nss:\nThe State of California,\nto\nto\nof\nin and for Los Angeles County.\ng, Jovan Salata\naged 29 years,\ng, Josef Italie\naged 25 years,\noccupation Laborer\ndo declare on oath that my personal\noocupation\ndind leook\ndo declare on oath that my personal\ndescription is: Color White , complexion med height feet 9 inches,\ndescription is: Color White complexion Dark height 5 feet 6 inches,\nweight 154 pounds, color of hair DKPrown colon of eyes my\nweight 152 pounds, color of hair Black color of eyes Brown\nother visible distinctive marks\nnone\naxitraitab aidlaix. adde\nother visible distinctive marks sear on left forcard\nI was born in\nRarno\naustria\na mod 2811 1\nI was born in\non the\n4th\nday of\nmarch\non\nthe 16th\nmesologe\nGree\nanno Domini I 885 1 now reside\nday of\nFicty\n,\nanno Domini I 889: I now reside\nat\n647\nCastelar at Los and angelic leae\nat\n(Give number, street, city or town, quate.\n321 Temple at (Give number, Los street, city or town, and Angeles Atate.) leal\nI emigrated to the United States of America from\nHAVRE, FRANCE\nsitt of\nI emigrated to the United States of America from\nPatrac Green\non the vessel\nLa quitaine\nmyllast\non the vessel\nathena\n(If the allen arrived otherwise than the character of conveyance or - of transportation company should be given.)\n(II the allem errived otherwise than by vessel, the character of conveyance or name of tmasportation company should be given.)\nmylast\nforeign residence was\nRaono austria\nforeign residence was\nmesologe Greeve\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\nancis Joseph, Emperor of A Instria postolie King of Hungury.\nof whom I am now a subject:\nConstantine King of the Hellenes of whom I am now a subject:\n+ arrived at the port of\nNEW YORK\nto trace selt te in the\nI arrived at the port of\nNEW YORK\nin the\nState of\nall NEW YORK\non or about\nthe 26th to day\nState of\nNEW YORK\non or about the\n3rd day\nof\nare\n1\nmarch anno Domini G gos. I am not an anarchist: 11 am not\na\nof\nDec nil. anno Domini 909; I am not an anarchist: 1 am not\na\npolygamist nor a béliever in the practice of polygamy: and it is my intention in good fäith\npolygamist non a: believer in the practice of polygamy: and it is my intention in good faith\nto become a citizen of the United States of l'America and nto permanently preside therein:\nto become a citizen of the United States of America and to permanently reside therein:\nSo HELP ME GOD.\nform (Origioal of\nSalata\n002\nSo HELP ME GOD.\n000\nno wants have\nJosef Holes\n-\n(Original algnature of declarant.)\nto chalD ertt lo souto erlt Subscribed and sworn to beforeme in the office of the Clerk of\nto MID adt To sub Subscribed and sworn to before me in the office of the Clerk of\n[SEAL.]\nCourt this 21st day of Dec , anno Domini 191 4\n101\n(SEAL.) 3902 Court. this 21 day of Dec Domini\nanno 191\nH. J. Lelande POR the COUNTY or\nCOUNTY et FRK AND EX-OFFICIO CLERK\nso\nCOUNTY CLERK AND FX-OFFICIO CLEAR or\nH. J. Lelande\nHE\nOF LOS ANGELES, STATE OF CALIPORNIA.\nW\nOF LOS ANGELES, STATE OF CALIFORNA.\nhap\nwill\nClark of the\nCourt.\nunt\nClerk of the\nCourt.\nBy\nDef\nClerk.\nBy\nhelp\nClerk."
}