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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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"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"
}