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Form 2903
No. 882
the peti
TRIPLICATE
First.
Declaration)
STATES OF in
Second
Third.
Fourth
anno Domini
anno Domini
Department of Commerce and Tabor
Fifth.
BUREAU OF IMMIGRATION AND NATURALIZATION
at
DIVISION OF NATURALIZATION
Sixth. I
in
on
I have
DECLARATION OF INTENTION
(Invalid for all purposes seven years after the date hereof)
District
In the
STATE OF COLORADO,
Court
SS :
CITY AND COUNTY OF DENVER.
of
J.
pohn Mayer THE
CITY AND COUNTY Ur STATE OF COLORADG,
aged 24 years,
Seventh. 1
Carpenter
to organized
occupation
do declare affirm on oath that my personal
intention to becon
description is: Color While , complexion Fair
, height 6 inches,
particularly to
weight 140 pounds, color of hair tair
color of eyes
blue
to reside permane
righth. I d
other visible distinctive marks
none
Kinth
the
10ad
:
I was 24. born in Palanka Hungang
this petition, sine
the
day of fanuary anno
of this petition.
on
Domini I 885 now reside at 4170 Varain Colo.
Tenth. has
I
emigrated to the Unlited, States of America from Rotterdam Holland
said patition was
on
the vessel Statlendam
(If the allen arrived otherwise than by vessel, character of conveyance transportation should given.)
; my last
Attached heret
foreign residence was
Planka, Cungang company be
my affidavit and the
It is my bona fide intention to renounce forever all allegiançe and fidelity to any foreign
Apostolic King of Hungary of which I am now a subject citizen
prince, potentate, state, or sovereignty, and particularly to Frances Joseph
Declaration of
I
arrived State at the nort of new York
Territory of
of District march
Ney york
about the 10th
in the
on
or
day
STAT
, anno Domini I 902 I am not an anarchist; I am not a
Daul
Thé aforesaid pe
polygamist nor a believer in the practice of polygamy; and it is my intention in good (aith
contente thereofs that
to become a citizen of the United States of America and to permanently reside therein:
information and belief
So HELP ME GOD.
John mayer
an
(Original signature of sectarant.)
20th
and
bE
Subscribed and affirmed sworn to before me this
each Belny du
[SEAL. ]
day of april
, anno Domini 19 009
immédiately
Perry District a. lelay
petition la
19.
the sold potilioner
Clerk of the
Court.
SLAE
By
& R allen Deputy Clerk.
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"ocrText": "Form 2903\nNo. 882\nthe peti\nTRIPLICATE\nFirst.\nDeclaration)\nSTATES OF in\nSecond\nThird.\nFourth\nanno Domini\nanno Domini\nDepartment of Commerce and Tabor\nFifth.\nBUREAU OF IMMIGRATION AND NATURALIZATION\nat\nDIVISION OF NATURALIZATION\nSixth. I\nin\non\nI have\nDECLARATION OF INTENTION\n(Invalid for all purposes seven years after the date hereof)\nDistrict\nIn the\nSTATE OF COLORADO,\nCourt\nSS :\nCITY AND COUNTY OF DENVER.\nof\nJ.\npohn Mayer THE\nCITY AND COUNTY Ur STATE OF COLORADG,\naged 24 years,\nSeventh. 1\nCarpenter\nto organized\noccupation\ndo declare affirm on oath that my personal\nintention to becon\ndescription is: Color While , complexion Fair\n, height 6 inches,\nparticularly to\nweight 140 pounds, color of hair tair\ncolor of eyes\nblue\nto reside permane\nrighth. I d\nother visible distinctive marks\nnone\nKinth\nthe\n10ad\n:\nI was 24. born in Palanka Hungang\nthis petition, sine\nthe\nday of fanuary anno\nof this petition.\non\nDomini I 885 now reside at 4170 Varain Colo.\nTenth. has\nI\nemigrated to the Unlited, States of America from Rotterdam Holland\nsaid patition was\non\nthe vessel Statlendam\n(If the allen arrived otherwise than by vessel, character of conveyance transportation should given.)\n; my last\nAttached heret\nforeign residence was\nPlanka, Cungang company be\nmy affidavit and the\nIt is my bona fide intention to renounce forever all allegiançe and fidelity to any foreign\nApostolic King of Hungary of which I am now a subject citizen\nprince, potentate, state, or sovereignty, and particularly to Frances Joseph\nDeclaration of\nI\narrived State at the nort of new York\nTerritory of\nof District march\nNey york\nabout the 10th\nin the\non\nor\nday\nSTAT\n, anno Domini I 902 I am not an anarchist; I am not a\nDaul\nThé aforesaid pe\npolygamist nor a believer in the practice of polygamy; and it is my intention in good (aith\ncontente thereofs that\nto become a citizen of the United States of America and to permanently reside therein:\ninformation and belief\nSo HELP ME GOD.\nJohn mayer\nan\n(Original signature of sectarant.)\n20th\nand\nbE\nSubscribed and affirmed sworn to before me this\neach Belny du\n[SEAL. ]\nday of april\n, anno Domini 19 009\nimmédiately\nPerry District a. lelay\npetition la\n19.\nthe sold potilioner\nClerk of the\nCourt.\nSLAE\nBy\n& R allen Deputy Clerk."
}