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No. 1101.
Form 2203
TRIPLICATE
[To be given to the person making
the Declaration)
STATES OF 23669
Department of Commerte and Tabor
BUREAU OF IMMIGRATION AND NATURALIZATION
A.
DIVISION OF NATURALIZATION
OCT 8 4 1913
BUREAU or
ATURALIZATION
DECLARATION OF INTENTION NED
(Invalid for all purposes seven years after the date hereof)
STATEOF
to or
In the Court
County of Los Angeles
inte
SS :
IN AND FOR Los ANGELES COUNTY
of HI ar CALIDOUNTA,
3.
William, Jean Asmussen
aged 32 years,
occupation
Rancher
do declare on oath that my personal
affirm
the
description is: Color white
complexion
Fair
height 5 feet 6. inches,
this
weight 176 pounds, color of hair Brown color of eyes Blue
other visible distinctive marks
none
;
I was born in
Allong
Germany
on the
22 of
day
April
, anno
Domini 876; I now reside at
Pascing Cal
I emigrated to the United States of America from newcastle Australia
on the vessel
Sonoma
; my last
(If the allen arrived otherwise than the character
conveyance or game of transportation company should be given.
foreign residence was
Syoney Australia
It is my bona fide intention to renounce forever all allegiance and fidelity to any foreign
prince, potentate, state, or sovereignty, and particularly to William II
Empiron of Germany
*
, of which I am now a citizen subject I
arrived at the port of
Port townshend
in the
State
Territory of
Hastington
on or about the
in day
Distriet
of
may
anno Domini 1900 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 or America ana to permanently reside therein
So HELP ME GOD.
William fear of declarant.)
Subscribed and affirmed sworn before me this
to
14th
[SEAL.]
day
of October
anno Domini 19 ,08
C. G. Keyes
COUNTY ot KEK AND EX-ORFICIO CLERK OF
Clerit
of
oquer IN AND FON THE COUNT Court.
or
By
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": "No. 1101.\nForm 2203\nTRIPLICATE\n[To be given to the person making\nthe Declaration)\nSTATES OF 23669\nDepartment of Commerte and Tabor\nBUREAU OF IMMIGRATION AND NATURALIZATION\nA.\nDIVISION OF NATURALIZATION\nOCT 8 4 1913\nBUREAU or\nATURALIZATION\nDECLARATION OF INTENTION NED\n(Invalid for all purposes seven years after the date hereof)\nSTATEOF\nto or\nIn the Court\nCounty of Los Angeles\ninte\nSS :\nIN AND FOR Los ANGELES COUNTY\nof HI ar CALIDOUNTA,\n3.\nWilliam, Jean Asmussen\naged 32 years,\noccupation\nRancher\ndo declare on oath that my personal\naffirm\nthe\ndescription is: Color white\ncomplexion\nFair\nheight 5 feet 6. inches,\nthis\nweight 176 pounds, color of hair Brown color of eyes Blue\nother visible distinctive marks\nnone\n;\nI was born in\nAllong\nGermany\non the\n22 of\nday\nApril\n, anno\nDomini 876; I now reside at\nPascing Cal\nI emigrated to the United States of America from newcastle Australia\non the vessel\nSonoma\n; my last\n(If the allen arrived otherwise than the character\nconveyance or game of transportation company should be given.\nforeign residence was\nSyoney Australia\nIt is my bona fide intention to renounce forever all allegiance and fidelity to any foreign\nprince, potentate, state, or sovereignty, and particularly to William II\nEmpiron of Germany\n*\n, of which I am now a citizen subject I\narrived at the port of\nPort townshend\nin the\nState\nTerritory of\nHastington\non or about the\nin day\nDistriet\nof\nmay\nanno Domini 1900 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 or America ana to permanently reside therein\nSo HELP ME GOD.\nWilliam fear of declarant.)\nSubscribed and affirmed sworn before me this\nto\n14th\n[SEAL.]\nday\nof October\nanno Domini 19 ,08\nC. G. Keyes\nCOUNTY ot KEK AND EX-ORFICIO CLERK OF\nClerit\nof\noquer IN AND FON THE COUNT Court.\nor\nBy\nClerk."
}