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Form 2903
Repartment of and
NATURALIZATION SERVICE
9.12420
54087
TRIPLICATE
[To be given to the person making
No.
the Declaration)
STATES OF INDEXED RECEIVED 1913
M
BUREAU OF
DECLARATION OF
(Invalid for all purposes seven years after the date hereof)
State of New York,
In the Circuit Court of the United States.
ss:
Southern District of New York,
SDLOMON moskoWiTZ
aged 20
years,
3.
tailor
, do declare on oath that my personal
occupation
5
6
whit
dark
, height
feet
inches,
description is: Color
complexion
brown
140
br own
pounds, color of hair
,
color of eyes
weight
other visible distinctive marks none
ROMAN ROUMANIAL
I was born in
890
1@th
September
day of
anno Domini I
;
I now reside
,
on the
125 East 4th Street
New York City, N. Y.
at
(dive number and atreet.)
Rott erdam, H lland
I emhgrated to the United States of America from Estonia
: my last
on the vessel
(if the alien arrived otherwise than by vessel, the character of conveyance Roman, or name Roumania of transportation company whould be given.)
foreign residence was
It is my bona fide intention to renounce forever all allegiance and fidelity to any foreign
Charles, King of Roumania.
princa potentate, state, or scvereignty, and particularly to
of which I am now a subject; I
New York
in the
arrived at the port of
New York
on or about the
16th
day
,
State of
of
July
, anno Domini 1.908 ; 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
to become a citizen of the United States of America and to permanently reside therein:
So HELP ME GOD.
soleman mashing
algnature of declarant.)
Subscribed and sworn to before me at New York City, N.Y., this
30th
day of
June
[SEAL]
anno
Domini 19 11.
States.
By the Circuit Court Deputa of the Unitd Clerk.
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Document data
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- Core
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- Type
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DTO data
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Context sent to Scholar
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Document source metadata
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Page context
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"ocrText": "Form 2903\nRepartment of and\nNATURALIZATION SERVICE\n9.12420\n54087\nTRIPLICATE\n[To be given to the person making\nNo.\nthe Declaration)\nSTATES OF INDEXED RECEIVED 1913\nM\nBUREAU OF\nDECLARATION OF\n(Invalid for all purposes seven years after the date hereof)\nState of New York,\nIn the Circuit Court of the United States.\nss:\nSouthern District of New York,\nSDLOMON moskoWiTZ\naged 20\nyears,\n3.\ntailor\n, do declare on oath that my personal\noccupation\n5\n6\nwhit\ndark\n, height\nfeet\ninches,\ndescription is: Color\ncomplexion\nbrown\n140\nbr own\npounds, color of hair\n,\ncolor of eyes\nweight\nother visible distinctive marks none\nROMAN ROUMANIAL\nI was born in\n890\n1@th\nSeptember\nday of\nanno Domini I\n;\nI now reside\n,\non the\n125 East 4th Street\nNew York City, N. Y.\nat\n(dive number and atreet.)\nRott erdam, H lland\nI emhgrated to the United States of America from Estonia\n: my last\non the vessel\n(if the alien arrived otherwise than by vessel, the character of conveyance Roman, or name Roumania of transportation company whould be given.)\nforeign residence was\nIt is my bona fide intention to renounce forever all allegiance and fidelity to any foreign\nCharles, King of Roumania.\nprinca potentate, state, or scvereignty, and particularly to\nof which I am now a subject; I\nNew York\nin the\narrived at the port of\nNew York\non or about the\n16th\nday\n,\nState of\nof\nJuly\n, anno Domini 1.908 ; I 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 reside therein:\nSo HELP ME GOD.\nsoleman mashing\nalgnature of declarant.)\nSubscribed and sworn to before me at New York City, N.Y., this\n30th\nday of\nJune\n[SEAL]\nanno\nDomini 19 11.\nStates.\nBy the Circuit Court Deputa of the Unitd Clerk."
}