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242 243 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"
}