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46
AMIDIAO
use DEPARTMENT OF LABOR
ORIGINAL 47
No.
8034
No. 8035
40
DECLARATION
DECLARATION OFIINTENTION
Invalid for all purposes seven yeara aftér the date dereof
Invalid for all purposes seven years affér the date hereof
STATE OF GALIFORNIA
arts nl
In the
SUPERIOR Court
STATE
ori) nl
In the SURERIOR Court
Caunty of Los Angeles
ss:
122
The State of Californta,
County of Les Angeles
in
ss:
The State of California.
to
of
in and for Los Angeles County.
to
of
in and for Los Angeles County.
de mathew-mike ae) laged 25 years,
waiter
Miamethication Verbistrour aged 38 years,
occupation
do declare on oath that my personal
occupation
do declare on oath that my personal
description is: Color white complexion mide height 5 feet the inches,
.description is: Color while complexion light height feet 3 inches,
weight 140 pounds, color of hair Black color of eyes a Brown
none
other weight visible distinctive pounds, marks color Name of hair color anthose of eyes R. Brown
123 Brown
other visible distinctive marks
I
was born in Konyha, auntria to III mod
ZEVE
I.
I was born in Hallaburg
Dweden
at on the 1560 30 w day January (Give number, street, St. cley Lor angeling
the
of
anno, Domini I 889 I now reside
on the
10 day of
march anno Domini I 876. I
at Grace Hill Pasadena Cal Baye CG
now reside
or
(Give sumber, atreet, etty or town, and
I emigrated to the Uniteld States of America from
Rottendars Holland
I emigrated to the United States of America from
Rotterdam
my last
the vessel
Saconia
Twerpool England
on the vessel
on
lazzo
(If the allen arrived otherWise than by vessel, the of or - of company should be given.)
the alien arrived
my
last
foreign
residence was Kompha, austria
foreign residence was
(II Stackhalin of conveyance or Sweden - ansportation company ahould be given.)
It is my bona fide intention to renounce forever all allegiance and fidelity to any foreigh
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
Francis Joseph, Empero: of Anstria nd Apostolic King of Hungary, of whom 1 am now.a subject:
XILE
Gustavas V, King of Swedem:
of whom I am now a subject:
é arrived at the port of
new york
to 1304 stit If in the
I arrived at the port of
New york
to in the
State
of way new your on or about the
day
State of
ada 10
no
ny
on or about the
14 day
of
ma anno. Domini G 900 I am not an anarchist; 1 am not
a
of
FIRE april COLE anno Domini 1 902 I am not an anarchist: I am not
a
polygamist nor la 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 MAmerica and to permanently reside therein:
to become a citizen of the United States of America and to permanently reside therein:
So HELP ME GOD.
000 BM SLIHH cie
So HELP ME GOD.
gou BM usa 02
Matthew Mahalasmich known as Matteur algnature of Michols
Schna Christina Mondstrom
lo
(Original algnature of
to sub té- adt Subscribed and sworn to before me in the office of the Clerk of
to >hal3 to soitio Subscribed and sworn to before me in the office of the Clerk of
Court this 13" day of now anno Domini 191
pans and Court this EXIS day of Neve anno Domini 191
[SEAL.Y
101
COUNTY CLERK AND EX-OFFICIO CLERK or
CLERK AND EX-OFFICIO CLEPK OF
H. J Lelande
SUPERIOR. coun IN.
OF LOS ANGELES, STATE OF CALIFORNIA.
H. J. Exlande ANGELES STATE OF FOR-THE counce.
OF ups
and
sull' to Clerk of the
Court.
By adiggic Hearpion desperty Clerk.
By Clerk. Court.
Clat of the
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"ocrText": "46\nAMIDIAO\nuse DEPARTMENT OF LABOR\nORIGINAL 47\nNo.\n8034\nNo. 8035\n40\nDECLARATION\nDECLARATION OFIINTENTION\nInvalid for all purposes seven yeara aftér the date dereof\nInvalid for all purposes seven years affér the date hereof\nSTATE OF GALIFORNIA\narts nl\nIn the\nSUPERIOR Court\nSTATE\nori) nl\nIn the SURERIOR Court\nCaunty of Los Angeles\nss:\n122\nThe State of Californta,\nCounty of Les Angeles\nin\nss:\nThe State of California.\nto\nof\nin and for Los Angeles County.\nto\nof\nin and for Los Angeles County.\nde mathew-mike ae) laged 25 years,\nwaiter\nMiamethication Verbistrour aged 38 years,\noccupation\ndo declare on oath that my personal\noccupation\ndo declare on oath that my personal\ndescription is: Color white complexion mide height 5 feet the inches,\n.description is: Color while complexion light height feet 3 inches,\nweight 140 pounds, color of hair Black color of eyes a Brown\nnone\nother weight visible distinctive pounds, marks color Name of hair color anthose of eyes R. Brown\n123 Brown\nother visible distinctive marks\nI\nwas born in Konyha, auntria to III mod\nZEVE\nI.\nI was born in Hallaburg\nDweden\nat on the 1560 30 w day January (Give number, street, St. cley Lor angeling\nthe\nof\nanno, Domini I 889 I now reside\non the\n10 day of\nmarch anno Domini I 876. I\nat Grace Hill Pasadena Cal Baye CG\nnow reside\nor\n(Give sumber, atreet, etty or town, and\nI emigrated to the Uniteld States of America from\nRottendars Holland\nI emigrated to the United States of America from\nRotterdam\nmy last\nthe vessel\nSaconia\nTwerpool England\non the vessel\non\nlazzo\n(If the allen arrived otherWise than by vessel, the of or - of company should be given.)\nthe alien arrived\nmy\nlast\nforeign\nresidence was Kompha, austria\nforeign residence was\n(II Stackhalin of conveyance or Sweden - ansportation company ahould be given.)\nIt is my bona fide intention to renounce forever all allegiance and fidelity to any foreigh\nIt\nis 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\nFrancis Joseph, Empero: of Anstria nd Apostolic King of Hungary, of whom 1 am now.a subject:\nXILE\nGustavas V, King of Swedem:\nof whom I am now a subject:\né arrived at the port of\nnew york\nto 1304 stit If in the\nI arrived at the port of\nNew york\nto in the\nState\nof way new your on or about the\nday\nState of\nada 10\nno\nny\non or about the\n14 day\nof\nma anno. Domini G 900 I am not an anarchist; 1 am not\na\nof\nFIRE april COLE anno Domini 1 902 I am not an anarchist: I am not\na\npolygamist nor la 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 MAmerica and to permanently reside therein:\nto become a citizen of the United States of America and to permanently reside therein:\nSo HELP ME GOD.\n000 BM SLIHH cie\nSo HELP ME GOD.\ngou BM usa 02\nMatthew Mahalasmich known as Matteur algnature of Michols\nSchna Christina Mondstrom\nlo\n(Original algnature of\nto sub té- adt Subscribed and sworn to before me in the office of the Clerk of\nto >hal3 to soitio Subscribed and sworn to before me in the office of the Clerk of\nCourt this 13\" day of now anno Domini 191\npans and Court this EXIS day of Neve anno Domini 191\n[SEAL.Y\n101\nCOUNTY CLERK AND EX-OFFICIO CLERK or\nCLERK AND EX-OFFICIO CLEPK OF\nH. J Lelande\nSUPERIOR. coun IN.\nOF LOS ANGELES, STATE OF CALIFORNIA.\nH. J. Exlande ANGELES STATE OF FOR-THE counce.\nOF ups\nand\nsull' to Clerk of the\nCourt.\nBy adiggic Hearpion desperty Clerk.\nBy Clerk. Court.\nClat of the"
}