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386 3387 JAMIDIRO JAMIDIRO UDIS. DEPARTMENT OF LABOR No. 8374 CATURALIZATION SERVICE 8375 ORIGINAL No. E DECLARATION OF INTENTION DECLARATION OF INTENTION Invalid for all purposes seven years after the date hereof Invalid for all purposes seven yeary after the date hereof ST.ATE OF CALIFORNIA } SUPERIOR Courty of Loo Angebes al In the Court ATE OF nl In the SUPERIOR ss: The State of California, Caunty of Los Angeles Court $S: to of in and for Los Angeles County. The State of California. ef and for Los Augales County. Joshm Henze laged 28 years, g, John Surthik aged 22 years, oocupation Bracklayer do declare on oath that my personal loccupation Blackenith , do declare on oath that my personal description is: Color White complexion med height Unfeet 4 inches, description is: Color white complexion med , height feet 7 inches, weight 135 pounds, color of hair Brown color of eyes Blue weight 170 pounds, color of hair Brown color of eyes From other visible distinctive marks none other visible distinctive marks none terito I was born in Jedometice Bohemia austria I was born in Strity morania austria on the 212 day of may anno Domini I 886; I now reside on the 16th day of Fiely anno Domini I 892 1 now reside at 330 Buena Vista st. Los angelie leal at (Give number, street, eity or town, and State.) 207 new High (Give number, at street, or Lor State.) angibe leal city town, and I emigrated to the United States of America from BREMBN, GERMANY I emigrated to the United States of America from BREMBIN, GERMANY on the vessel Koln : my last onithervessel Gassel my last (If the allen arrived otherwisp-than by vessel, the character of conveyance or name of transportation company should be given.) (II the allen arrived the character of conveyance or - of company whould be given.) foreign residence was Lom Bohemia austria foreign residence was stritez austria 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 Prancis Joseph, Emperor of Austria and Apostelic Kha of of whom I am now subject: Joseph, King of a of whom I am now a subject; 4 arrived at the port of GALVESTON to in the I arrived at the port of GALVESTON in the State of Texas on or about the 27th day State of adt twods Taxas on or about the 29th day of on mell June anno Domini G 912 1 am not an anarchist: 1 am not a of mi. march anno Domini G 913: I am not an anarchist; 1 am not a polygamist nor la believer in the practice of polygamy: and it is my intention in good fäith polygamist nor a believer in the practice of polygamy; and it is my intention in good faith toi become a citizen of the United States of 1 America and to permanently reside therein: toi become a citizen of the United States of America and to permanently reside therein: So 02 So HELP ME GOD. to John (Origioal signature .000 of Henzil BM quan mind to John (Origiaal Quith algnature of declarent.) orla lo soitto arti Subscribed and sworn to before me in the office of the Clerk of to arlt to somo Subscribed and sworn to before me in the office of the Clerk of to (SEAL.) Court this 10th day of Feely anno Domini 191 101, (SEAL) Ans public Court this day of Fecty anno Domini 19r H.J.Leler POR THE EX-OFFICIO CLERK of COUNTY CLERK. AND EX-OFFICIO CLERK-OF H. J. Lelande THE SUPERIOR COURT IN AND FOR THE COUNTY COUNET DECALIFORNIA. LOS ANGELES, STATE OF CALIFORNIA, with to Clerk of the Court. Clerit of the Court. EEdmitt By Def Clerk. By Dech Clerk.

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    "ocrText": "386\n3387\nJAMIDIRO\nJAMIDIRO\nUDIS. DEPARTMENT OF LABOR\nNo. 8374\nCATURALIZATION SERVICE\n8375\nORIGINAL\nNo.\nE\nDECLARATION OF INTENTION\nDECLARATION OF INTENTION\nInvalid for all purposes seven years after the date hereof\nInvalid for all purposes seven yeary after the date hereof\nST.ATE OF CALIFORNIA\n}\nSUPERIOR\nCourty of Loo Angebes\nal\nIn the\nCourt\nATE OF\nnl\nIn the SUPERIOR\nss:\nThe State of California,\nCaunty of Los Angeles\nCourt\n$S:\nto\nof\nin and for Los Angeles County.\nThe State of California.\nef and for Los Augales County.\nJoshm Henze\nlaged 28 years,\ng, John Surthik\naged 22 years,\noocupation Bracklayer\ndo declare on oath that my personal\nloccupation Blackenith\n, do declare on oath that my personal\ndescription is: Color White complexion med height Unfeet 4 inches,\ndescription is: Color white\ncomplexion med\n, height feet 7 inches,\nweight 135 pounds, color of hair Brown color of eyes Blue\nweight 170 pounds, color of hair Brown color of eyes From\nother visible distinctive marks\nnone\nother visible distinctive marks\nnone\nterito\nI was born\nin Jedometice Bohemia austria\nI was\nborn in Strity morania austria\non the\n212\nday of\nmay\nanno Domini I 886; I\nnow reside\non the 16th day of Fiely\nanno Domini I 892 1 now reside\nat\n330 Buena Vista st. Los angelie leal\nat\n(Give number, street, eity or town, and State.)\n207 new High (Give number, at street, or Lor State.) angibe leal\ncity town, and\nI emigrated to the United States of America from\nBREMBN, GERMANY\nI emigrated to the United States of America from\nBREMBIN, GERMANY\non the vessel\nKoln\n:\nmy last\nonithervessel\nGassel\nmy last\n(If the allen arrived otherwisp-than by vessel, the character of conveyance or name of transportation company should be given.)\n(II the allen arrived the character of conveyance or - of company whould be given.)\nforeign residence was\nLom Bohemia austria\nforeign residence was\nstritez\naustria\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\nPrancis Joseph, Emperor of Austria and Apostelic Kha of of\nwhom\nI\nam\nnow\nsubject:\nJoseph,\nKing of\na\nof whom I am now a subject;\n4 arrived at the port of\nGALVESTON\nto in the\nI arrived at the port of\nGALVESTON\nin the\nState of\nTexas\non or about the 27th day\nState of\nadt twods Taxas\non or about the 29th day\nof\non mell June anno Domini G 912 1 am not an anarchist: 1 am\nnot\na\nof mi.\nmarch\nanno Domini G 913: I am not an anarchist; 1 am not\na\npolygamist nor la believer in the practice of polygamy: and it is my intention in good fäith\npolygamist nor a believer in the practice of polygamy; and it is my intention in good faith\ntoi become a citizen of the United States of 1 America and to permanently reside therein:\ntoi become a citizen of the United States of America and to permanently reside therein:\nSo\n02\nSo HELP ME GOD.\nto\nJohn (Origioal signature .000 of\nHenzil\nBM quan\nmind\nto\nJohn (Origiaal Quith algnature of declarent.)\norla lo soitto arti Subscribed and sworn to before me in the office of the Clerk of\nto arlt to somo Subscribed and sworn to before me in the office of the Clerk of\nto\n(SEAL.)\nCourt this 10th day of Feely\nanno Domini 191\n101, (SEAL)\nAns public Court this day of Fecty anno\nDomini 19r\nH.J.Leler POR THE\nEX-OFFICIO CLERK of\nCOUNTY CLERK. AND EX-OFFICIO CLERK-OF\nH. J. Lelande THE SUPERIOR COURT IN AND FOR THE COUNTY\nCOUNET\nDECALIFORNIA.\nLOS ANGELES, STATE OF CALIFORNIA,\nwith\nto Clerk of the\nCourt.\nClerit of the\nCourt.\nEEdmitt\nBy\nDef\nClerk.\nBy\nDech\nClerk."
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