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No. 662
Form 2203
TRIPLICATE
[To be aiven to the person making
Tothe
the Declaration
STATES OF
:
4
1
,
Department of Commerce and Tabor
anno I
BUREAU OF IMMIGRATION AND NATURALIZATION
anno D
DIVISION OF NATURALIZATION
at
DECLARATION OF INTENTION
in
(Invalid for all purposes sevan years after the date hereof)
I have
STATE OF CALIVORMLA]
In the SUPERIOR
Court
County of Los Angeles
ss *
of THE STATE DF GALIPORNIA,
IN AND FOR Les ANGELES
3.
Lion Kasviner
aged 23 years,
Merchanx
do declare on oath
occupation
affirm
that my personal
Set
is: Color while complexion Fair , height 5 feet 5 inches,
to organi
description
weight 169 pounds, color of hair Brown color of eyes Gray
intention
partícular
to reside
other visible distinctive marks
:
Beyon
Elg
I was born in
Min
as
Roumania
on the
25
,
of day of January
, anno
Domini I 885 I now reside at 1478.E.23th Balifa
petition, a
petition,
I emigrated to the United States of America from
Hinnipey Canada
Tent
on the vessel
Great northern R R
; my last
should
be
given.]
said-petitio
(If
the
alien
arrived
otherwise
Pessel,
the
charactyt
of
conveyance
or
nagre/of
transportation
company
foreign residence was
Hennipeg Canada
Attar
It is my bona fide intention to renounce forever all allegiance and fidelity to any foreign
and-bubor,
prince, potentate, state, or sovereignty, and particularly to
Charles
the United
King of Roumania
, of which I am now a eitizen subject I
arrived at the port of
Neche
in the
Declai
State
Tesritory. of
north Dakota
on or about the
10th day
District
of
July
, anno Domini I 902 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
Cou
to become a citizen of the United States of America and to permanently reside therein:
The a/
contents ther
So HELP ME GOD.
Leon Kasviner
information .
(Original signature of declarant.)
Subscribed and affirmed. before me this
13th
of
sworn to
and
day
of march
anno Domini 19 08
[SEAL. ]
,
each being
immediately
COUNTY CLETK AND EX-ONFICIO CLAMK *
entitled
Clerk of th THE SUPCRIOR courr. IN ALD FOR ODUNT court
OF Lee STAVE OF CALIFORNIA,
the said
By
Clerk.
opinion, to be
1 2526
Subscribed and
anno Dom
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Document data
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- Core
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- Type
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DTO data
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Context sent to Scholar
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"ocrText": "No. 662\nForm 2203\nTRIPLICATE\n[To be aiven to the person making\nTothe\nthe Declaration\nSTATES OF\n:\n4\n1\n,\nDepartment of Commerce and Tabor\nanno I\nBUREAU OF IMMIGRATION AND NATURALIZATION\nanno D\nDIVISION OF NATURALIZATION\nat\nDECLARATION OF INTENTION\nin\n(Invalid for all purposes sevan years after the date hereof)\nI have\nSTATE OF CALIVORMLA]\nIn the SUPERIOR\nCourt\nCounty of Los Angeles\nss *\nof THE STATE DF GALIPORNIA,\nIN AND FOR Les ANGELES\n3.\nLion Kasviner\naged 23 years,\nMerchanx\ndo declare on oath\noccupation\naffirm\nthat my personal\nSet\nis: Color while complexion Fair , height 5 feet 5 inches,\nto organi\ndescription\nweight 169 pounds, color of hair Brown color of eyes Gray\nintention\npartícular\nto reside\nother visible distinctive marks\n:\nBeyon\nElg\nI was born in\nMin\nas\nRoumania\non the\n25\n,\nof day of January\n, anno\nDomini I 885 I now reside at 1478.E.23th Balifa\npetition, a\npetition,\nI emigrated to the United States of America from\nHinnipey Canada\nTent\non the vessel\nGreat northern R R\n; my last\nshould\nbe\ngiven.]\nsaid-petitio\n(If\nthe\nalien\narrived\notherwise\nPessel,\nthe\ncharactyt\nof\nconveyance\nor\nnagre/of\ntransportation\ncompany\nforeign residence was\nHennipeg Canada\nAttar\nIt is my bona fide intention to renounce forever all allegiance and fidelity to any foreign\nand-bubor,\nprince, potentate, state, or sovereignty, and particularly to\nCharles\nthe United\nKing of Roumania\n, of which I am now a eitizen subject I\narrived at the port of\nNeche\nin the\nDeclai\nState\nTesritory. of\nnorth Dakota\non or about the\n10th day\nDistrict\nof\nJuly\n, anno Domini I 902 am not an anarchist: I am not a\npolygamist nor a believer in the practice of polygamy: and it is my intention in good faith\nCou\nto become a citizen of the United States of America and to permanently reside therein:\nThe a/\ncontents ther\nSo HELP ME GOD.\nLeon Kasviner\ninformation .\n(Original signature of declarant.)\nSubscribed and affirmed. before me this\n13th\nof\nsworn to\nand\nday\nof march\nanno Domini 19 08\n[SEAL. ]\n,\neach being\nimmediately\nCOUNTY CLETK AND EX-ONFICIO CLAMK *\nentitled\nClerk of th THE SUPCRIOR courr. IN ALD FOR ODUNT court\nOF Lee STAVE OF CALIFORNIA,\nthe said\nBy\nClerk.\nopinion, to be\n1 2526\nSubscribed and\nanno Dom"
}