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OCR
1388
389
tho
8376
MS.DEPARTMENT/OFLABOR
8377
U.S. OF LABOR
ORIGINAL
No.
No.
all
y
STATES
E
DECLARATION OF/INTENTION
DECL'ARATION OF/INTENTION
Invalid for all purposes seven years after the date hereof
Invalid for all purposes seven years after the date hereof
STATE OF CALIFORNIA
adt
nl
In the
SUPERIOR Court
TATE. OF CALTFORNIA
ni
In the SUPERIOR
Court
County of Los Angeles
ss:
The State of California.
in and for Los Angeles County.
County of Los Angeles
The State of California.
to
of
of in and for Lion Angolas. County,
ge, Kaspar Ovanessouich Kasparoff aged 34 years,
g, M Elizabeth Carisoloution ged for 4x
years,
roccupation Framster
do declare on oath that my personal
description isty Color white `complexion Dark height Sifeet 6 inches,
,description oocupation ist Color citize White Hensewife complexion Fan . do .declare height on oath 5 that feet my 24 personal rinches,
weight 175 pounds, color of hair Black color of eyes Broins
weight NO pounds, color of hair Brown color of eyes
Hazel
other visible distinctive marks
now
other visible
None
I was born in
Alexandrian
Russia
I.
the 10th of
was born in Barlby Grahchar England
on
day
any
anno Domini I 880. I now reside
on the
11
day of
anno Domini 1 869 I
now reside
at
1605 atlantic (Give number, street, are and State.) Long Beach Eal
at
1301 will 10th It for Ongelor Cal
city or town,
atreet, and
I emigrated to the United States of America from
BREMEN, GERMANY
I emigrated to the United States of America from
on the vessel
Brandenburg
Crabes
olly or town, Twerpost England
last
on the vesset
: my last
(Il the allen arrived otherwise thamby vessel, the conveyance or name of transportation company should be given.)
foreign residence (II the was allen arrived feeds othergine thand vessol, the character England fayance
or of transportation company should be given.)
foreign residence was
alexandhisofer Russia
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 Russias.
of whom 1 am now a subject:
V. King of Buitain and
4 arrived at the port of
in tho solt the in the
port of 16
of whom I am now a subject:
PHILADELPHIA
I arrived at the
in the
State of
adt
Penn.
on or
about the 4% day
State of
with with
NY
on or
about the 25 rday
of an. are
april
anno Domini a 912 am not an anarchist; I am not a
of
april
anno Domini - 909 I am not an anarchist: I am not a
polygamist nor la believer in the practice of polygamy: and it is my intention in good fäith
polygamist norla believer in the practice of polygamy: and it is my intention in good faith
to become a citizen of the United States of NAmerica and to permanently resider therein:
to become a citizen of the United States of America and to permanently reside therein:
So HELP ME God.
.000 3M LIBH 03
So HELP ME GOD.
GOD SUBH o
Adiana
ly
white
Harpar (Original of Harparaff
mrs Eliabeth Cause
signature
le
conginal alguasure of declarant.)
to altolD sidt lo soitto ertt Subscribed and sworn tor before me in the office of the Clerk of
lo Subscribed and to before mein the office of the Clerk of
Tomp
(SEAL.)
Court this 10th day of Fuly anno
Domini 191 5
(SEAL.]
apilito arlt Court this sworn 10 day of Menny anno Domini 191
30
H. J. Lelante or
SOUNLY CLERK AND EX-OFFICIO CLERK
COUNTY AND COFFICIO CLERK de
H. J. Lelande THE SUPERIOR COORT IN AND FOR THE GOURET
OF Los ANGELES, STATE OF CALIFORNEA
OF Los ANGELES. STATE OF CALIFORNIA.
Clerk of the
Court.
Clat of the
Court.
By
seek
Clerk.
By
Dep Clerk.
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Document data
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"ocrText": "1388\n389\ntho\n8376\nMS.DEPARTMENT/OFLABOR\n8377\nU.S. OF LABOR\nORIGINAL\nNo.\nNo.\nall\ny\nSTATES\nE\nDECLARATION OF/INTENTION\nDECL'ARATION OF/INTENTION\nInvalid for all purposes seven years after the date hereof\nInvalid for all purposes seven years after the date hereof\nSTATE OF CALIFORNIA\nadt\nnl\nIn the\nSUPERIOR Court\nTATE. OF CALTFORNIA\nni\nIn the SUPERIOR\nCourt\nCounty of Los Angeles\nss:\nThe State of California.\nin and for Los Angeles County.\nCounty of Los Angeles\nThe State of California.\nto\nof\nof in and for Lion Angolas. County,\nge, Kaspar Ovanessouich Kasparoff aged 34 years,\ng, M Elizabeth Carisoloution ged for 4x\nyears,\nroccupation Framster\ndo declare on oath that my personal\ndescription isty Color white `complexion Dark height Sifeet 6 inches,\n,description oocupation ist Color citize White Hensewife complexion Fan . do .declare height on oath 5 that feet my 24 personal rinches,\nweight 175 pounds, color of hair Black color of eyes Broins\nweight NO pounds, color of hair Brown color of eyes\nHazel\nother visible distinctive marks\nnow\nother visible\nNone\nI was born in\nAlexandrian\nRussia\nI.\nthe 10th of\nwas born in Barlby Grahchar England\non\nday\nany\nanno Domini I 880. I now reside\non the\n11\nday of\nanno Domini 1 869 I\nnow reside\nat\n1605 atlantic (Give number, street, are and State.) Long Beach Eal\nat\n1301 will 10th It for Ongelor Cal\ncity or town,\natreet, and\nI emigrated to the United States of America from\nBREMEN, GERMANY\nI emigrated to the United States of America from\non the vessel\nBrandenburg\nCrabes\nolly or town, Twerpost England\nlast\non the vesset\n: my last\n(Il the allen arrived otherwise thamby vessel, the conveyance or name of transportation company should be given.)\nforeign residence (II the was allen arrived feeds othergine thand vessol, the character England fayance\nor of transportation company should be given.)\nforeign residence was\nalexandhisofer Russia\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 Russias.\nof whom 1 am now a subject:\nV. King of Buitain and\n4 arrived at the port of\nin tho solt the in the\nport of 16\nof whom I am now a subject:\nPHILADELPHIA\nI arrived at the\nin the\nState of\nadt\nPenn.\non or\nabout the 4% day\nState of\nwith with\nNY\non or\nabout the 25 rday\nof an. are\napril\nanno Domini a 912 am not an anarchist; I am not a\nof\napril\nanno Domini - 909 I am not an anarchist: I am not a\npolygamist nor la believer in the practice of polygamy: and it is my intention in good fäith\npolygamist norla believer in the practice of polygamy: and it is my intention in good faith\nto become a citizen of the United States of NAmerica and to permanently resider therein:\nto become a citizen of the United States of America and to permanently reside therein:\nSo HELP ME God.\n.000 3M LIBH 03\nSo HELP ME GOD.\nGOD SUBH o\nAdiana\nly\nwhite\nHarpar (Original of Harparaff\nmrs Eliabeth Cause\nsignature\nle\nconginal alguasure of declarant.)\nto altolD sidt lo soitto ertt Subscribed and sworn tor before me in the office of the Clerk of\nlo Subscribed and to before mein the office of the Clerk of\nTomp\n(SEAL.)\nCourt this 10th day of Fuly anno\nDomini 191 5\n(SEAL.]\napilito arlt Court this sworn 10 day of Menny anno Domini 191\n30\nH. J. Lelante or\nSOUNLY CLERK AND EX-OFFICIO CLERK\nCOUNTY AND COFFICIO CLERK de\nH. J. Lelande THE SUPERIOR COORT IN AND FOR THE GOURET\nOF Los ANGELES, STATE OF CALIFORNEA\nOF Los ANGELES. STATE OF CALIFORNIA.\nClerk of the\nCourt.\nClat of the\nCourt.\nBy\nseek\nClerk.\nBy\nDep Clerk."
}