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1213 No. 1214 Form 2208 TRIPLICATE ITo be siven_to the person making the Declaration) STATES OF Honorable the The petition of Firat. My place of - Second. My occupatio Department of Commerce and Tabor Third. 1 born on BUREAU OF IMMIGRATION AND NATURALIZATION Fourth. 1 emigrated DIVISION OF NATURALIZATION Domini 1904 an Domini 1904 on ti DECLARATION OF INTENTION Fifth. 1 declared my Les ANDELE (Invalid for all purposes seven years after the date hereof) Sinth. 1 am in Karlin STATE OF CALIFORNIA) In the SUPERIOR Court County of Los Angeles SS : 1 have up children, an STATR OF CALIFORNIA. AND FOR Loe ANGELES COUNTY, Joseph Anton Parizek Joseph 3. aged 94. Bertha years, occupation Laborar Rudalfh do declare affirm on oath that my personal Blanche description is: Color White complexion Light height Leet 5 rinches, Seventh. I am not a weight 132 pounds, color of hair Light , color of eyes Blue do organized government. I other visible distinctive marks none. intention to become a citize partiqularly to Franc : I was born in ' Prague to reside permanently in the Bohnmia , on the 27 day of november Kighth. I am able to 8 , anno Minth: have resided Domini I 884 I now reside at 1631 Champlainsterace Loo Anydes Ed 12 day of I emigrated to the United States of America from Bremen Germany petition, since the 23 petition. on the vessel Branhmburg ; my last Tenth. , have not here (If the alien arrived otherwise than by vessel, the character or name of transportation company should be given.) foreign residence was Prague Bohemic pettion - donied by # It is my bona fide intention to renounce forever all allegiance and fidelity to any foreign prince, potentate, state, or sovereignty, and particularly to Francis Joseph Attached hereto and ma Empiron of Dustria Lober, together with my , of which I am now a subject eitizem United States of America. arrived at the port of Baltemon in the State Territory District of maryband on or about the 12 day Declaration of Intention of April , anno Domini 904 I 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 ITATEOR to become a citizen of the United States of America and to permanently reside therein: So HELP ME GOD. Joseph (Original Anton signature of declarant.) Tarizeh The aforesald petitioner contents thereof: that the said Subscribed and sworn to before me this 11 % Information and bellef and the affirmed [SEAL.] day of December , anno Domini 19 or and tired 21 C. G. Keyes each being acverally, duly, COUNTY OLERK AND EX-OFFICIO CLAIK OF Clerk of the LOS ANOBLES, STAVE OF GALIFORNIA: THI BUPERIOR COURT IN AND FON T OjUNTY Gourt Immediately preceding the date By Janemary Clerk. entitled la made contini the sold la . person admitted . and to before anno Dombri 19 1.1

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document
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Page context
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    "ocrText": "1213\nNo. 1214\nForm 2208\nTRIPLICATE\nITo be siven_to the person making\nthe Declaration)\nSTATES OF\nHonorable the\nThe petition of\nFirat. My place of -\nSecond. My occupatio\nDepartment of Commerce and Tabor\nThird. 1 born on\nBUREAU OF IMMIGRATION AND NATURALIZATION\nFourth. 1 emigrated\nDIVISION OF NATURALIZATION\nDomini 1904 an\nDomini 1904 on ti\nDECLARATION OF INTENTION\nFifth. 1 declared my\nLes ANDELE\n(Invalid for all purposes seven years after the date hereof)\nSinth. 1 am\nin\nKarlin\nSTATE OF CALIFORNIA)\nIn the SUPERIOR Court\nCounty of Los Angeles\nSS :\n1 have up children, an\nSTATR OF CALIFORNIA.\nAND FOR Loe ANGELES COUNTY,\nJoseph Anton Parizek\nJoseph\n3.\naged 94.\nBertha\nyears,\noccupation\nLaborar\nRudalfh\ndo declare affirm on oath that my personal\nBlanche\ndescription is:\nColor White\ncomplexion Light height Leet 5 rinches,\nSeventh. I am not a\nweight 132 pounds, color of hair Light , color of eyes\nBlue\ndo organized government. I\nother visible distinctive marks\nnone.\nintention to become a citize\npartiqularly to\nFranc\n:\nI was born in\n'\nPrague\nto reside permanently in the\nBohnmia\n,\non the\n27\nday of november\nKighth. I am able to 8\n, anno\nMinth: have resided\nDomini I 884 I now reside at 1631 Champlainsterace Loo Anydes Ed\n12\nday of\nI emigrated to the United States of America from Bremen Germany\npetition, since the 23\npetition.\non the vessel\nBranhmburg\n; my last\nTenth. , have not here\n(If the alien arrived otherwise than by vessel, the character or name of transportation company should be given.)\nforeign residence\nwas Prague Bohemic\npettion - donied by #\nIt is my bona fide intention to renounce forever all allegiance and fidelity to any foreign\nprince, potentate, state, or sovereignty, and particularly to Francis Joseph\nAttached hereto and ma\nEmpiron of Dustria\nLober, together with my\n, of which I am now a subject eitizem\nUnited States of America.\narrived at the port of\nBaltemon\nin the\nState\nTerritory\nDistrict of maryband\non or about the\n12 day\nDeclaration of Intention\nof\nApril\n, anno Domini 904 I am not an anarchist: I am not\na\npolygamist nor a believer in the practice of polygamy: and it is my intention in good faith\nITATEOR\nto become a citizen of the United States of America and to permanently reside therein:\nSo HELP ME GOD.\nJoseph (Original Anton signature of declarant.) Tarizeh\nThe aforesald petitioner\ncontents thereof: that the said\nSubscribed and sworn to before me this\n11 %\nInformation and bellef and the\naffirmed\n[SEAL.]\nday of December\n, anno Domini 19 or\nand\ntired 21\nC. G. Keyes\neach\nbeing acverally, duly,\nCOUNTY OLERK AND EX-OFFICIO CLAIK OF\nClerk of the LOS ANOBLES, STAVE OF GALIFORNIA:\nTHI BUPERIOR COURT IN AND FON T OjUNTY\nGourt\nImmediately preceding the date\nBy\nJanemary\nClerk.\nentitled la made contini\nthe sold la . person\nadmitted\n.\nand to before\nanno Dombri 19 1.1"
}