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Form 9203
TRIPLICATE
making
No. / 35
STATES OF
Bepartment of Conmerce and Tabor
BUREAU OF IMMIGRATION AND NATURALIZATION
DIVISION OF NATURALIZATION
DECLARATION OF INTENTION
(Invalid for all purposes seven years after the date hereof)
In the SUPERIOR Court
ST.TITE OF CALIFORNIA
SS:
3. BernheidhC day Ranhange aged 43
County of Los Angeles
of LOSANGELESCOUNTX
years,
occupation Carpoyter
do
declare on oath that my personal
affect
description is: Color White , complexion yair height
feet
6
inches,
weight 145 pounds, color of hair None Brown color of eyes Blue
other visible distinctive marks
: I was born in nakshor
to
Devenore , on the 14 day of Dec
anno
Domini
863; I now reside at Althous California
lighth.
Yinth.
I to the United States of America from
emigrated
vessel * Helligater
; my last
on the
foreign residence was
It is my bona fide intention to renounce forever all allegiance and fidelity to any foreign
prince, potentate, state, or sovereignty, and particularly to drideneklus
King of Dammark
of which I am now a subject
the port of new York
in the
toget
arrived
State
State
Tarsitary of
new York
on or about the 7
day
Disteict
of
march , anno Domini 19044 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 teside therein
ST.
So HELP ME GOD.
Bernbarth
(Original signatur of declarant.)
The
Subscribed and sworn to before me this 23nd
thereof;
[SEAL.]
day of 2 lb
anno Domini 19.2.7
>>
c.G. KEYES, County Clerk
And Ex-officio Clerk of the SUPERIOR
By n C. Walmer Nepring
*It the allen arrved otherwise than by vessel. the chanicter of conveyance or transportation company should given.
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Document data
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DTO data
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Context sent to Scholar
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"ocrText": "Form 9203\nTRIPLICATE\nmaking\nNo. / 35\nSTATES OF\nBepartment of Conmerce and Tabor\nBUREAU OF IMMIGRATION AND NATURALIZATION\nDIVISION OF NATURALIZATION\nDECLARATION OF INTENTION\n(Invalid for all purposes seven years after the date hereof)\nIn the SUPERIOR Court\nST.TITE OF CALIFORNIA\nSS:\n3. BernheidhC day Ranhange aged 43\nCounty of Los Angeles\nof LOSANGELESCOUNTX\nyears,\noccupation Carpoyter\ndo\ndeclare on oath that my personal\naffect\ndescription is: Color White , complexion yair height\nfeet\n6\ninches,\nweight 145 pounds, color of hair None Brown color of eyes Blue\nother visible distinctive marks\n: I was born in nakshor\nto\nDevenore , on the 14 day of Dec\nanno\nDomini\n863; I now reside at Althous California\nlighth.\nYinth.\nI to the United States of America from\nemigrated\nvessel * Helligater\n; my last\non the\nforeign residence was\nIt is my bona fide intention to renounce forever all allegiance and fidelity to any foreign\nprince, potentate, state, or sovereignty, and particularly to drideneklus\nKing of Dammark\nof which I am now a subject\nthe port of new York\nin the\ntoget\narrived\nState\nState\nTarsitary of\nnew York\non or about the 7\nday\nDisteict\nof\nmarch , anno Domini 19044 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\nto become a citizen of the United States of America and to permanently teside therein\nST.\nSo HELP ME GOD.\nBernbarth\n(Original signatur of declarant.)\nThe\nSubscribed and sworn to before me this 23nd\nthereof;\n[SEAL.]\nday of 2 lb\nanno Domini 19.2.7\n>>\nc.G. KEYES, County Clerk\nAnd Ex-officio Clerk of the SUPERIOR\nBy n C. Walmer Nepring\n*It the allen arrved otherwise than by vessel. the chanicter of conveyance or transportation company should given."
}