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TRIPLICATE
No. 174
STATES OF
Honorable "
bast
petition
Department of Conumerce and Tabor
irst. My
BUREAU OF IMMIGRATION AND NATURALIZATION
My
DIVISION OF NATURALIZATION
I
i.
DECLARATION OF INTENTION
94
(Invalid for all purposes seven years after the date hereof)
nfth.
In the SUPERIOR Court
Sinth.
am
STATE OF CALIFORNTA\
SS :
County of Los Angeles
of LOS AMGELES COUNTY
chi
3, Anders aggesholas Klitzand aged 29
years,
occupation Paranta
do on that my personal
declare oath
description is: Color White complexion Light , height feet 9 inches,
WITH
weight 151 pounds, color of hair Light , color of eyes Blue
Seventh.
other visible distinctive marks
organized
: I was born in Visby
Intestion to become
Denmark
1st
partic jularly to
Domini I 879 : I now reside at La angeles California
on the
day of
anno
,
nide permanenti
Eighth. am
Minth have
I emigrated
to It the United States Paul of America from Gopendagun
day
my last
petition, since the
on the vessel*
petition.
foreign residence was Espentague
Tenth. have
It is my bona fide intention to renourcice forever all allegiance and fidelity to any foreign
Pettuon
prince, potentate, state, or sovereignty, and particularly to medinit will
auld
King of Seamark
of which I am now a subject
I
Attached hereto
arrived at the port of
new York
together
in the
States of
State
new York
on or about the
20
Commitate of
day
District
of Jub
anno Domini I 906 I am not an anarchist; I am not a
of Intent
,
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 America and to permanently reside therein:
STATE o
So HELP ME GOD.
address abgerholum yeltgas
Caunty
The aforesaid pel
(Original signature of declarant.)
Subscribed and sworn to before me this 18th
contents thereof; that
and belief
[SEAL.]
day of mark
, anno Domini 07
IC
c. G. KEYES, County Clerk
Hile
And Ex of the SUPERIOR
Court.
being severg@
By n. C. Water deperts
Clerk
mudiately proceding
arrived otherwise than by vessel, the character of transportation company should begives,
maitled petition la mad
sald potitioner la
to % admitted
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"ocrText": "TRIPLICATE\nNo. 174\nSTATES OF\nHonorable \"\nbast\npetition\nDepartment of Conumerce and Tabor\nirst. My\nBUREAU OF IMMIGRATION AND NATURALIZATION\nMy\nDIVISION OF NATURALIZATION\nI\ni.\nDECLARATION OF INTENTION\n94\n(Invalid for all purposes seven years after the date hereof)\nnfth.\nIn the SUPERIOR Court\nSinth.\nam\nSTATE OF CALIFORNTA\\\nSS :\nCounty of Los Angeles\nof LOS AMGELES COUNTY\nchi\n3, Anders aggesholas Klitzand aged 29\nyears,\noccupation Paranta\ndo on that my personal\ndeclare oath\ndescription is: Color White complexion Light , height feet 9 inches,\nWITH\nweight 151 pounds, color of hair Light , color of eyes Blue\nSeventh.\nother visible distinctive marks\norganized\n: I was born in Visby\nIntestion to become\nDenmark\n1st\npartic jularly to\nDomini I 879 : I now reside at La angeles California\non the\nday of\nanno\n,\nnide permanenti\nEighth. am\nMinth have\nI emigrated\nto It the United States Paul of America from Gopendagun\nday\nmy last\npetition, since the\non the vessel*\npetition.\nforeign residence was Espentague\nTenth. have\nIt is my bona fide intention to renourcice forever all allegiance and fidelity to any foreign\nPettuon\nprince, potentate, state, or sovereignty, and particularly to medinit will\nauld\nKing of Seamark\nof which I am now a subject\nI\nAttached hereto\narrived at the port of\nnew York\ntogether\nin the\nStates of\nState\nnew York\non or about the\n20\nCommitate of\nday\nDistrict\nof Jub\nanno Domini I 906 I am not an anarchist; I am not a\nof Intent\n,\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 America and to permanently reside therein:\nSTATE o\nSo HELP ME GOD.\naddress abgerholum yeltgas\nCaunty\nThe aforesaid pel\n(Original signature of declarant.)\nSubscribed and sworn to before me this 18th\ncontents thereof; that\nand belief\n[SEAL.]\nday of mark\n, anno Domini 07\nIC\nc. G. KEYES, County Clerk\nHile\nAnd Ex of the SUPERIOR\nCourt.\nbeing severg@\nBy n. C. Water deperts\nClerk\nmudiately proceding\narrived otherwise than by vessel, the character of transportation company should begives,\nmaitled petition la mad\nsald potitioner la\nto % admitted"
}