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132 indise 133 zamoiny ORIGINAL JAMIDIRO U.S /DEPARTMENT OF LABOR U: S.DEPARTNENT OF LABOR ORIGINAL 8620 NATURALIZATION SERVICE No. 8621 NATURALIZATION SERVICE No. .6M STATES OF DECLARATION OF INTENTION DECLARATION OF INTENTION Invalid for all purposes seven years after the date hereof Invalid for all purposes seyen years after the date hereof STATE OF california) In the SUPERIOR Court STATE OF In the SUPERIOR art nl of LOS ss: The State of Californta. Court ss: The State of California. Caunty of Los:Angetes of in and for Los Angeles County. to of in and for Los Ängeles County. de Robert John Burke 4V aged years, occupation Darby occupation Section Foreman do declare on oath that my personal g, Joseph S wrton aged 37 years, Dair do declare on oath that my personal description is: Color White complexion height feet Linches, description is: Color whiter complexion Dark height 3 feet inches, weight 2. 155 pounds, color of hair Black color of eyes Brown weight 147 pounds, color of hair Black color of eyes Brown other visible distinctivelmarks Amally lax marka other visible distinctive marks none I was born in Stertwood Cauada I 13 on the day of april anno Domini II 870 I new reside was born in manshuster, England at I States of America from Torouto Cunsda 1537 1/W (Glye number, 12th It atreet, city or towng for Angle Cal on the 15th day of September anno Domini 8781 now reside at 436 E ave (Give number, 28 atreet, city town, Los and State.) angeles, cae on emigrated the vessel to Grand the United Trunn RR I emigrated to the United adricatic States of America from diverpate, Engl and : my last on the vessel : my last (If the alien arrived than by reader, the chargoter of convéyangf name of transportation company should be given.) senents Canada (II the allen arrived otherwise than by vessel, the character of conveyance or name of transportation company should be given. foreign residence was foreign residence was manchester, England 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 fideHty. to any foreign prince, potentate, state, or sovereignty, and particularly to prince, potentate, state, or sovereignty, and particularly to George V, King of Great Britain and of whom 1 am now Sto. v, King of Great Britain and Ireland: of whom I am now a subject: I arrived at port the of Detroit in the I arrived at the port of new york to in the State of mickigan on or about the 21 day State of July anno Domini 1 891 I am not an anarchist; I am nota October Zuniyant on or about the 19 Ca day of of anno Domini i 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: toi become a citizen of the United States of America and to permanently reside therein: So HELP ME GOD. 02 So HELP ME GOD. (Origmal signaturo of declarent.) to just algnature of declarant.) to shold to collto Subscribed and sworn to before me in the office of the Clerk of to ed: to soitho sin Subscribed and sworn to before me in the office of the Clerk of 101 i [SEAL.] 30 Ccurt this 19 day of april anno Domini 191 101 (SEAL.) knys Court. this 19 the day of april anno Domini 1913 H. J. Eelande the IN AND FOR TPE COUNTY COUNTY CLERK AND EX-OFFICIO CLERK of 11.3. Lelaudo COUNTY CLERK AND CLERK or TRE OF Los ANGELES. STATE OF CALIFORNIA. LOS ANGELES, STATE OF CALIFORN Glerk of the sa Court. By Dep Clerk. Court. Clerk of the Auld By Siggare Himson Deputy us

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    "ocrText": "132\nindise 133\nzamoiny\nORIGINAL\nJAMIDIRO\nU.S /DEPARTMENT OF LABOR\nU: S.DEPARTNENT OF LABOR\nORIGINAL\n8620\nNATURALIZATION SERVICE\nNo. 8621\nNATURALIZATION SERVICE\nNo.\n.6M\nSTATES OF\nDECLARATION OF INTENTION\nDECLARATION OF INTENTION\nInvalid for all purposes seven years after the date hereof\nInvalid for all purposes seyen years after the date hereof\nSTATE OF california)\nIn the\nSUPERIOR\nCourt\nSTATE OF\nIn the\nSUPERIOR\nart nl\nof LOS\nss:\nThe State of Californta.\nCourt\nss:\nThe State of California.\nCaunty of Los:Angetes\nof\nin and for Los Angeles County.\nto\nof\nin and for Los Ängeles County.\nde\nRobert John Burke\n4V\naged\nyears,\noccupation Darby\noccupation Section Foreman do declare on oath that my personal\ng, Joseph S wrton\naged 37 years,\nDair\ndo declare on oath that my personal\ndescription is: Color White\ncomplexion\nheight\nfeet Linches,\ndescription is: Color whiter complexion Dark height 3 feet inches,\nweight 2. 155 pounds, color of hair Black color of eyes Brown\nweight 147 pounds, color of hair Black color of eyes Brown\nother visible\ndistinctivelmarks Amally lax marka\nother visible distinctive marks\nnone\nI was born in\nStertwood Cauada\nI\n13\non the\nday of\napril\nanno Domini II 870 I new reside\nwas born in manshuster, England\nat\nI States of America from Torouto Cunsda\n1537 1/W (Glye number, 12th It atreet, city or towng for Angle Cal\non the 15th day of September anno Domini 8781 now reside\nat\n436 E ave (Give number, 28 atreet, city town, Los and State.) angeles, cae\non emigrated the vessel to Grand the United Trunn RR\nI emigrated to the United adricatic States of America from diverpate, Engl and\n:\nmy last\non the vessel\n: my last\n(If the alien arrived than by reader, the chargoter of convéyangf name of transportation company should be given.)\nsenents Canada\n(II the allen arrived otherwise than by vessel, the character of conveyance or name of transportation company should be given.\nforeign residence was\nforeign residence was manchester, England\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 fideHty. to any foreign\nprince, potentate, state, or sovereignty, and particularly to\nprince, potentate, state, or sovereignty, and particularly to\nGeorge V, King of Great Britain and\nof whom 1 am now\nSto. v, King of Great Britain and Ireland:\nof whom I am now a subject:\nI arrived at port\nthe of Detroit\nin the\nI arrived at the port of\nnew york\nto in the\nState\nof mickigan on or about the\n21\nday\nState of\nJuly\nanno Domini 1 891 I am not an anarchist; I am\nnota\nOctober Zuniyant on or about the\n19 Ca day\nof\nof\nanno Domini i 912 I am not an anarchist: I 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 polygamy: and it is my intention in good faith\nto become a citizen of the United States of America and to permanently reside therein:\ntoi become a citizen of the United States of America and to permanently reside therein:\nSo HELP ME GOD.\n02\nSo HELP ME GOD.\n(Origmal signaturo of declarent.)\nto just\nalgnature of declarant.)\nto\nshold\nto\ncollto\nSubscribed and sworn to before me in the office of the Clerk of\nto ed: to soitho sin Subscribed and sworn to before me in the office of the Clerk of\n101 i [SEAL.]\n30 Ccurt this 19 day of april anno Domini 191\n101 (SEAL.)\nknys Court. this 19 the day of april anno Domini 1913\nH. J. Eelande the IN AND FOR TPE COUNTY\nCOUNTY CLERK AND EX-OFFICIO CLERK of\n11.3. Lelaudo\nCOUNTY CLERK AND CLERK or\nTRE\nOF Los ANGELES. STATE OF CALIFORNIA.\nLOS ANGELES, STATE OF CALIFORN\nGlerk of the\nsa\nCourt.\nBy Dep Clerk. Court.\nClerk of the\nAuld\nBy Siggare Himson Deputy us"
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