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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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Document data
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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"
}