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TRIPLICATE
No.-692.
the person
STATES OF
Department of Commerce and Tabor
BUREAU OF IMMIGRATION AND NATURALIZATION
DIVISION OF NATURALIZATION
DECLARATION OF INTENTION
_(Invalid for all purposes seven years after the date hereof)
UNITED STATES OF AMERICA,
In the
Circuit
Court
SOUTHERN DISTRICT OF CALIFORNIA,
SS :
the United States
COUNTX OF Los ANGELES,
of
Southern District of California, Southern Divi
3.
Carl Julius Johnson
aged
25
years,
occupation
Carpenter
do declare uffirm on oath that my personal
description is: Color
white
, complexion
fair
, height 5 feet 10 inches,
weight 162
pounds, color of hair
browm
,
color of eyes
blue
other visible distinctive marks
none
:
I was born in Backeho, Sweden
on the
12th
day of
April
anno
Domini I 885 ; I now reside at 321 East 67th St., Los Angolos, Calif.
I emigrated to the United States of America from Windsor, Canada.
on thexvessed
Canadian Pacific R. R.
: my last
[If the allen arrived otherwise than by vessel, the character of conveyance or name of transportation company should be given.]
foreign residence was Backebo, Sweden.
It is my bona fide intention to renounce forever all allegiance and fidelity to any foreign
prince, potentate, state, or sovereignty, and particularly to
Gustayus V, King
of Sweden
of which I am now a
subject
arrived at the port of
Detroit
in the
State
Tersitory of
Michigan
on or about the
17th
day
Distciet
of October
anno
Domini
903 1 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
to become a citizen of the United States of America and to permanently reside therein
So HELP ME GOD.
bad Julius (Original algnatupé Johnson
Subscribed and sworn to before me this
let
[SEAL ]
day of July
anno Domini 19 10.
Wm. M. Van Dyke
Clerk of the United States Circuit
Court
By Southern District Deputy of California Clerk
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"ocrText": "TRIPLICATE\nNo.-692.\nthe person\nSTATES OF\nDepartment of Commerce and Tabor\nBUREAU OF IMMIGRATION AND NATURALIZATION\nDIVISION OF NATURALIZATION\nDECLARATION OF INTENTION\n_(Invalid for all purposes seven years after the date hereof)\nUNITED STATES OF AMERICA,\nIn the\nCircuit\nCourt\nSOUTHERN DISTRICT OF CALIFORNIA,\nSS :\nthe United States\nCOUNTX OF Los ANGELES,\nof\nSouthern District of California, Southern Divi\n3.\nCarl Julius Johnson\naged\n25\nyears,\noccupation\nCarpenter\ndo declare uffirm on oath that my personal\ndescription is: Color\nwhite\n, complexion\nfair\n, height 5 feet 10 inches,\nweight 162\npounds, color of hair\nbrowm\n,\ncolor of eyes\nblue\nother visible distinctive marks\nnone\n:\nI was born in Backeho, Sweden\non the\n12th\nday of\nApril\nanno\nDomini I 885 ; I now reside at 321 East 67th St., Los Angolos, Calif.\nI emigrated to the United States of America from Windsor, Canada.\non thexvessed\nCanadian Pacific R. R.\n: my last\n[If the allen arrived otherwise than by vessel, the character of conveyance or name of transportation company should be given.]\nforeign residence was Backebo, Sweden.\nIt is my bona fide intention to renounce forever all allegiance and fidelity to any foreign\nprince, potentate, state, or sovereignty, and particularly to\nGustayus V, King\nof Sweden\nof which I am now a\nsubject\narrived at the port of\nDetroit\nin the\nState\nTersitory of\nMichigan\non or about the\n17th\nday\nDistciet\nof October\nanno\nDomini\n903 1 am not an anarchist; I am not\na\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\nSo HELP ME GOD.\nbad Julius (Original algnatupé Johnson\nSubscribed and sworn to before me this\nlet\n[SEAL ]\nday of July\nanno Domini 19 10.\nWm. M. Van Dyke\nClerk of the United States Circuit\nCourt\nBy Southern District Deputy of California Clerk"
}