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25
ORIGINAL
u. S. DEPARTMENT OF LABOR
OF LABOR
ORIGINAL
No. 8512
RATURALIZATION SERVICE
Kibe AVE
No. 8513
on
STATES or
STATES
DECLARATION OF INTENTION
DECLARATION 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
Caunty of Los Angeles
nl
In the SURERIOR
Court
STATE OF CALIFORMA
Caunty of Los Angeles
nl In the SUPERIOR Court
The State of California.
ss:
The State of California
to
of
In and for Los Angeles County
to
of
in and for Los Angeles County
g, may Curring s aged 2.2 years,
g, James Peimulis aged
29 years,
do declare on oath that my personal
occupation description is: Color white complexion medium height 5 feet 2 inches,
occupation Farmer do declare on oath that my personal
description is: Color white complexion medium height 11 inches,
weight to 7 pounds, color of hair known color of eyes Brown
None
weight 165 pounds, color of hair Black color of eyes Brown
other visible distincaive marks
was born in Tuura Neva Scatea Canada
other visible distinctive marks Scan right eyecrow
I
I was
on the
10
Fah
anno Domini 813
now reside
on
at 708
Herkimer day of
the 26th day of October 885
born in Kapsi, Parpolis, graen
anno Domini I
now
reside
at
3114
(Give number, street, city or
I emigrated to the United States of America from
madem Junction
E5th (Give st number street, Los city or town, and State.) angeles, Cal
I emigrated
main
Central
on the vessel
: my last
on the vessel
to the United States of America from Piradue, greese
unknown : my last
(If the allen offerwise then by easel, the chargeter compana be
givin.)
foreign residence was
amberst Cauary
(It the allen arrived otherwise than by the character of conveyance or of transportation company shonld be given.)
foreign residence was Tupolic, greese
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 Constantine
George V, King of Great Britain and
of whom I am now a subject;
arrived at the port of Danelboro
King of the Hellenes of whom I am now a subject:
I
in the
I arrived at the poft of
on or
about the 31 day
new york
in the
State of
December anno Domini - gif I am not an anarchist: I am nota
many
State of
of
of
march new york on or about the 19
day
, anno Domini a 901 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 polygamyia and it is my intention in good faith
to become a citizen of the United States of América and to permanently reside therein:
to become a citizen of the United States of America and to permanently reside therein:
So HELP ME GOD.
So HELP MB God.
rehaved
effectives Mary declarsat.) Century
de
January Gsimilar 000
(Original alganture of declarant.)
to
Subscribed and sworn to before me in the office of the Clerk of
Court this day of march Domini
to prit Subscribed and sworn to before me in the office of the Clerk of
101
[SEALJ] anne
anno 195
[SEAL.] Court this X8 day of Znar anno Domini 1915
II. J Lelande THE COUNTY
COUNTY CLERK AND EX-OFFICIO DF
LUS.ANGELES STATE OF CALIFORNIA.
H. J. Telande SURETIOR the
COUNTY CLERK AND EX-OFFICIO CLENK of
countr.
OF LOS ANGELES, STATE OF CALIFORICIA.
Clank of the
By 14-86 Court Clerk.
Clerk of the
Court
By Liggare Human Deputy Clork.
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Document data
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"ocrText": "24\n25\nORIGINAL\nu. S. DEPARTMENT OF LABOR\nOF LABOR\nORIGINAL\nNo. 8512\nRATURALIZATION SERVICE\nKibe AVE\nNo. 8513\non\nSTATES or\nSTATES\nDECLARATION OF INTENTION\nDECLARATION 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\nCaunty of Los Angeles\nnl\nIn the SURERIOR\nCourt\nSTATE OF CALIFORMA\nCaunty of Los Angeles\nnl In the SUPERIOR Court\nThe State of California.\nss:\nThe State of California\nto\nof\nIn and for Los Angeles County\nto\nof\nin and for Los Angeles County\ng, may Curring s aged 2.2 years,\ng, James Peimulis aged\n29 years,\ndo declare on oath that my personal\noccupation description is: Color white complexion medium height 5 feet 2 inches,\noccupation Farmer do declare on oath that my personal\ndescription is: Color white complexion medium height 11 inches,\nweight to 7 pounds, color of hair known color of eyes Brown\nNone\nweight 165 pounds, color of hair Black color of eyes Brown\nother visible distincaive marks\nwas born in Tuura Neva Scatea Canada\nother visible distinctive marks Scan right eyecrow\nI\nI was\non the\n10\nFah\nanno Domini 813\nnow reside\non\nat 708\nHerkimer day of\nthe 26th day of October 885\nborn in Kapsi, Parpolis, graen\nanno Domini I\nnow\nreside\nat\n3114\n(Give number, street, city or\nI emigrated to the United States of America from\nmadem Junction\nE5th (Give st number street, Los city or town, and State.) angeles, Cal\nI emigrated\nmain\nCentral\non the vessel\n: my last\non the vessel\nto the United States of America from Piradue, greese\nunknown : my last\n(If the allen offerwise then by easel, the chargeter compana be\ngivin.)\nforeign residence was\namberst Cauary\n(It the allen arrived otherwise than by the character of conveyance or of transportation company shonld be given.)\nforeign residence was Tupolic, greese\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 Constantine\nGeorge V, King of Great Britain and\nof whom I am now a subject;\narrived at the port of Danelboro\nKing of the Hellenes of whom I am now a subject:\nI\nin the\nI arrived at the poft of\non or\nabout the 31 day\nnew york\nin the\nState of\nDecember anno Domini - gif I am not an anarchist: I am nota\nmany\nState of\nof\nof\nmarch new york on or about the 19\nday\n, anno Domini a 901 I am not an anarchist: 1 am not\na\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 polygamyia and it is my intention in good faith\nto become a citizen of the United States of América and to permanently reside therein:\nto become a citizen of the United States of America and to permanently reside therein:\nSo HELP ME GOD.\nSo HELP MB God.\nrehaved\neffectives Mary declarsat.) Century\nde\nJanuary Gsimilar 000\n(Original alganture of declarant.)\nto\nSubscribed and sworn to before me in the office of the Clerk of\nCourt this day of march Domini\nto prit Subscribed and sworn to before me in the office of the Clerk of\n101\n[SEALJ] anne\nanno 195\n[SEAL.] Court this X8 day of Znar anno Domini 1915\nII. J Lelande THE COUNTY\nCOUNTY CLERK AND EX-OFFICIO DF\nLUS.ANGELES STATE OF CALIFORNIA.\nH. J. Telande SURETIOR the\nCOUNTY CLERK AND EX-OFFICIO CLENK of\ncountr.\nOF LOS ANGELES, STATE OF CALIFORICIA.\nClank of the\nBy 14-86 Court Clerk.\nClerk of the\nCourt\nBy Liggare Human Deputy Clork."
}