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16 IRO ORIGINAL UOSADERARTMENTORLABOS LIAMIDIRO ORIGINAL de No. 8004 .oW No. 8005 .oW TATESIOF a DECLARATION OF INTENTION DECLARATION DROINTENTION Tivalia for all purposes seven years after the date/hereof invalid for all ypurposes seven years after the date hereof S STATE OF artt ni In the SUPERIOR Court adt nl In the SUPERIOR Caunty Los Angeles ss: the State of California. County of Los Court DA ss: The State of California. lo of in and for Los Angeles County. lo of in and for Los Angeles County. de Sam Patella aged $225 years, (Divorced Farmy willent wells Sumber aged 48 years, occupation do declare on oath that my personal occupation Rancla description is: Color White complexion Dark height s feet is do declare on oath that my personal inches, description is: Color white complexion medium cheight 6 feet 1/4 inches weight 157 pounds, color of hair Dr. Brown Color of eyes Brown weight 165 pounds, colar of hair Brown color of eyes Brown other visible distinctivé marks' name aldialv other visible distinctive marks zone I was born in booleon Italy ni wood 26V7 I I was born in B including Canada on the 16 day of march anno Domini I 892 now reside on the 28th day of august anno Domini I 866i I now reside at Cit German Boyle are for Angele Stator Cal Barous 9202 at étty down, and 2506 E Broadway aumber, elly - I to emigrated the Unknown United States of America from Palerons Italy I emigrated to the United States of America from Durby Canad a on the vessel : my last on the vessel (If the alien arrived official than by the character of conveyang transportation company should be given.) residence was Dertean Teaty de the allow thea by the chamater of or aamo of given.) grand private Trunk trousportation Ry be : my last foreign foreign residence was Burchiton, can aida 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 Victor Emmanuel un, King of Sen form of whom I am now a subject: Geq, Y. Kitts B. itam and Ireland) of whom I am now a subject: , arrived at the port of torographicity in the I arrived at the port of newport to +++++ in the State of add wode 10 nay on or about the 16 day State of vermont on or about the 18th day - of ou DHC: July anno Domini G 899 I am not an anarchist: I am not a of as December anno Domini a 902 am not an anarchist; Lam 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 inten tion in good faith to become a citizen of the United States of : America and to permanently reside therein: to become a citizen of the United States of America and to permanently reside thereins So HELP ME GOD. So HELP ME GOD. Sam Patella (Original algnasure of doclarant.) wraft meaning V lessons W Wither Wells (Original algnature Sunbury of declarant.) N 8M 19H 62 to ortr lo alls Subscribed and sworn to before me in the office of the Clerk of Court this 6 day of Nave lo arti to soltto arb Subscribed and sworn to before me la the office of the Clerk of anno Domini 191 tor inna was Court clay, of Now anno Domini 191 H. J. Lelande CLERK of COURTY CLERK AND EX-OFFICIO COUNTY H. J. Eelande COUNTY CLERK AMO EX-OFFÍCIO CLERK OF fort COURT TN° AND THE OF los ANGELES, STATE OF CALIFORNIA. OF LOS ANGELES, STATE OF CALIFORNIA. thin Clerk of the Court. two Clerk of the Court. as by sep Clerk. By Siggi Hospital Desirty 11-04 Clerk. e

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    "ocrText": "16\nIRO\nORIGINAL\nUOSADERARTMENTORLABOS\nLIAMIDIRO\nORIGINAL\nde\nNo. 8004\n.oW\nNo. 8005\n.oW\nTATESIOF\na\nDECLARATION OF INTENTION\nDECLARATION DROINTENTION\nTivalia for all purposes seven years after the date/hereof\ninvalid for all ypurposes seven years after the date hereof\nS\nSTATE OF\nartt ni\nIn the\nSUPERIOR Court\nadt nl\nIn the\nSUPERIOR\nCaunty Los Angeles\nss:\nthe State of California.\nCounty of Los\nCourt DA\nss:\nThe State of California.\nlo\nof\nin and for Los Angeles County.\nlo\nof\nin and for Los Angeles County.\nde Sam Patella\naged $225 years,\n(Divorced\nFarmy\nwillent wells Sumber aged 48\nyears,\noccupation\ndo declare on oath that my personal\noccupation\nRancla\ndescription is: Color White complexion Dark height s feet is\ndo declare on oath that my personal\ninches,\ndescription is: Color white complexion medium cheight 6 feet 1/4 inches\nweight 157 pounds, color of hair Dr. Brown Color of eyes Brown\nweight 165 pounds, colar of hair Brown color of eyes Brown\nother visible distinctivé marks'\nname\naldialv\nother visible distinctive marks\nzone\nI was born in booleon Italy\nni wood 26V7 I\nI was\nborn in B including Canada\non the\n16\nday of\nmarch anno Domini I 892 now\nreside\non\nthe\n28th\nday\nof\naugust\nanno\nDomini\nI\n866i\nI\nnow\nreside\nat Cit German Boyle are for Angele Stator Cal Barous 9202\nat\nétty down, and\n2506 E Broadway aumber, elly -\nI to\nemigrated the Unknown United States of America from Palerons Italy\nI emigrated\nto the United States of America from Durby Canad a\non the vessel\n: my last\non the vessel\n(If the alien arrived official than by the character of conveyang transportation company should be given.)\nresidence\nwas\nDertean\nTeaty\nde the allow thea by the chamater of or aamo of given.)\ngrand private Trunk trousportation Ry be\n: my last\nforeign\nforeign\nresidence\nwas\nBurchiton, can aida\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\nVictor Emmanuel un, King of\nSen form\nof whom I am now a subject:\nGeq, Y. Kitts B. itam and Ireland)\nof whom I am now a subject:\n, arrived at the port of\ntorographicity in the\nI arrived at the port of newport\nto +++++ in the\nState of\nadd wode 10 nay\non or about the\n16\nday\nState of\nvermont\non or about the 18th day\n-\nof ou DHC: July\nanno Domini G 899 I am not an anarchist: I am not\na\nof as December anno Domini a 902 am not an anarchist; Lam not a\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 inten tion in good faith\nto become a citizen of the United States of : America and to permanently reside therein:\nto become a citizen of the United States of America and to permanently reside thereins\nSo HELP ME GOD.\nSo HELP ME GOD.\nSam Patella\n(Original algnasure of doclarant.)\nwraft meaning V lessons W Wither Wells (Original algnature Sunbury of declarant.) N 8M 19H 62\nto\nortr\nlo\nalls Subscribed and sworn to before me in the office of the Clerk of\nCourt this 6 day of Nave\nlo\narti to soltto arb Subscribed and sworn to before me la the office of the Clerk of\nanno Domini 191\ntor inna\nwas Court clay, of Now anno Domini 191\nH. J. Lelande CLERK of\nCOURTY CLERK AND EX-OFFICIO\nCOUNTY\nH. J. Eelande\nCOUNTY CLERK AMO EX-OFFÍCIO CLERK OF\nfort COURT TN° AND THE\nOF los ANGELES, STATE OF CALIFORNIA.\nOF LOS ANGELES, STATE OF CALIFORNIA.\nthin\nClerk of the\nCourt.\ntwo\nClerk of the\nCourt.\nas by sep Clerk.\nBy Siggi Hospital Desirty 11-04 Clerk.\ne"
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