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ORIGINAL
AMTR no
U.S.DEPARTMENT: OF LABOR
ORIGINAL
OF LABOR
87.00
NATURALIZATION SERVICE
No.
reare .MM
No. 8731
NATURALIZATION SERVICE
OF
DECLARATION OF INTENTION
DECLARATION
Invalid for all purposes seven years after the date/hereof
Univalid for all purposes seven years after the date hereof
STATE OF CALIFORYIA)
SUPERIOR
Court
STATE OF CALLEORNIA)
SUPEIRIOR
In the
Caunty of LOS Angetes
al
In the
Court
Caunty of Los Angeles
The State of California.
ss:
ss:
The State of Califernia.
of
in and for Los Angeles County.
10
of
in and for Los Angeles County.
Omil Hunuch august Ballbuck aged 40
years,
aged 36 years,
occupation Bricklaye,
miss Hilma Rosagra Karr
do declare on oath that my personal
occupation
nurse
do declare on oath that my personal
description
is: complexion Fair
height Steet inches,
weight 185 pounds, color of hair Dark
, color of eyes Blue
description iss Color White complexion Light height feet 8 inches,
weight 140 pounds, color of hair from color of eyes 4 Blue
other visible distinctive marks mene
other visible distinctive marks
none
I was born in
Ganehow
Germany
I was born in
Goteboy Sweden
on the
9
day of
January
anno Domini 88V. now reside
on the
/
10th
day of
1
april
anno Domini I 879. now reside
at
1035 Park (Give number, street, city State.) Angele Caly
at
2214 3 as al ocean Park k-less
or
Hambung Germany
(Give aumber, street, city or town, and State.)
I emigrated to the, United States of America from
1 emigrated to the United States of America from
SOUTHAMPTON, ENGLANDI
on the vessel Batavia
my last
on the vessel
Oceanic
:
my last
residence (If the was allen Namburg by the character of Germany of transportation company
arrived veasel, conveyand name should be given.)
(If the alien arrived otherwise the conveyance or name of Ampaportation company should be given.)
foreign
foreign residence was
Swoken's
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 T any foreign
prince, potentate, state, or sovereignty, and particularly to
prince, potentate, state, or sovereignty, and particularly to
no
William II, German Emperor
of whom I am now a subject:
Guatavus V, King of Swedehl
of whom I am now a subject:
1 State. arrived of at the port of on or
non in the
I arrived at the port of
NEW YORK
in 1104 side 1R br in the
about the 55 day
State of
NEW YORK
on or about the
1st day
of april
anno Domini I 906 I am not an anarchist: I am notia
of ma June anno, Domini 909 I 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 (por a believen in the practice of polygamy a and it is my intention 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 therein:
So HELP ME GOD.
003
So HELP ME GOD.
00 am
qmil Heirrid layad Bollbred
(Original of declarant.)
le topitalio)
min Helmin (Original algnature of Rosagra declornat.) Ware
to erlt lo odr Subscribed and sworn to before me in the office of the Clerk of
to arti lo somfio ert Subscribed and sworn to before me in the office of the Clerk of
tior [SEAL.]
Court this 17 day of may , anno Domini 191 5
Citie
[SEAL.]
pana
Court this 17th day of may anno
Domini 191
H. J.Lelande
COUNTY CLERK AND EX-OPFICIO CLERK OF
10. - ase 12
CLERK AND EX article CLERE de
THESUPORION fon GOUNTY
OF LOS ANGELES. STATE OF CALIFORNIA.
- withe H.J. STATE OF
Clerk of the
Clerk of the
Court
By
FJODennell
Dap Clerk. Court.
1 girl
By
Deta
Clerk.
16-66
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"ocrText": "242\n243\nORIGINAL\nAMTR no\nU.S.DEPARTMENT: OF LABOR\nORIGINAL\nOF LABOR\n87.00\nNATURALIZATION SERVICE\nNo.\nreare .MM\nNo. 8731\nNATURALIZATION SERVICE\nOF\nDECLARATION OF INTENTION\nDECLARATION\nInvalid for all purposes seven years after the date/hereof\nUnivalid for all purposes seven years after the date hereof\nSTATE OF CALIFORYIA)\nSUPERIOR\nCourt\nSTATE OF CALLEORNIA)\nSUPEIRIOR\nIn the\nCaunty of LOS Angetes\nal\nIn the\nCourt\nCaunty of Los Angeles\nThe State of California.\nss:\nss:\nThe State of Califernia.\nof\nin and for Los Angeles County.\n10\nof\nin and for Los Angeles County.\nOmil Hunuch august Ballbuck aged 40\nyears,\naged 36 years,\noccupation Bricklaye,\nmiss Hilma Rosagra Karr\ndo declare on oath that my personal\noccupation\nnurse\ndo declare on oath that my personal\ndescription\nis: complexion Fair\nheight Steet inches,\nweight 185 pounds, color of hair Dark\n, color of eyes Blue\ndescription iss Color White complexion Light height feet 8 inches,\nweight 140 pounds, color of hair from color of eyes 4 Blue\nother visible distinctive marks mene\nother visible distinctive marks\nnone\nI was born in\nGanehow\nGermany\nI was born in\nGoteboy Sweden\non the\n9\nday of\nJanuary\nanno Domini 88V. now reside\non the\n/\n10th\nday of\n1\napril\nanno Domini I 879. now reside\nat\n1035 Park (Give number, street, city State.) Angele Caly\nat\n2214 3 as al ocean Park k-less\nor\nHambung Germany\n(Give aumber, street, city or town, and State.)\nI emigrated to the, United States of America from\n1 emigrated to the United States of America from\nSOUTHAMPTON, ENGLANDI\non the vessel Batavia\nmy last\non the vessel\nOceanic\n:\nmy last\nresidence (If the was allen Namburg by the character of Germany of transportation company\narrived veasel, conveyand name should be given.)\n(If the alien arrived otherwise the conveyance or name of Ampaportation company should be given.)\nforeign\nforeign residence was\nSwoken's\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 T any foreign\nprince, potentate, state, or sovereignty, and particularly to\nprince, potentate, state, or sovereignty, and particularly to\nno\nWilliam II, German Emperor\nof whom I am now a subject:\nGuatavus V, King of Swedehl\nof whom I am now a subject:\n1 State. arrived of at the port of on or\nnon in the\nI arrived at the port of\nNEW YORK\nin 1104 side 1R br in the\nabout the 55 day\nState of\nNEW YORK\non or about the\n1st day\nof april\nanno Domini I 906 I am not an anarchist: I am notia\nof ma June anno, Domini 909 I 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 (por a believen in the practice of polygamy a and it is my intention 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 therein:\nSo HELP ME GOD.\n003\nSo HELP ME GOD.\n00 am\nqmil Heirrid layad Bollbred\n(Original of declarant.)\nle topitalio)\nmin Helmin (Original algnature of Rosagra declornat.) Ware\nto erlt lo odr Subscribed and sworn to before me in the office of the Clerk of\nto arti lo somfio ert Subscribed and sworn to before me in the office of the Clerk of\ntior [SEAL.]\nCourt this 17 day of may , anno Domini 191 5\nCitie\n[SEAL.]\npana\nCourt this 17th day of may anno\nDomini 191\nH. J.Lelande\nCOUNTY CLERK AND EX-OPFICIO CLERK OF\n10. - ase 12\nCLERK AND EX article CLERE de\nTHESUPORION fon GOUNTY\nOF LOS ANGELES. STATE OF CALIFORNIA.\n- withe H.J. STATE OF\nClerk of the\nClerk of the\nCourt\nBy\nFJODennell\nDap Clerk. Court.\n1 girl\nBy\nDeta\nClerk.\n16-66"
}