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Form 2903
TRIPLICATE
[To be alven the Declaration) to the person making
3
No.
310
:
STATES OF
Department nf Commerte 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
STATE OF CALIFORNIA
SS :
of San Diego County, California
COUNTY OF san DIEGO
CHARLES GUSTAF JACOBSON
, aged
25
years,
3.
do declare on oath that my personal
Butoher
,
occupation
description is: Color
complexion
fair
white
, height 5 feet 81 inches,
weight
167 pounds, color of hair brown
color of eyes blue
other visible distinctive marks
none
7
: I was born in
Carlakrona, Swedon
9th
day of
January
, anno
,
on the
Domini I 884 ; I now reside at
San Diego, California
I emigrated to the United States of America from
Copenhagen, Denmark
"OCEANIC"
; my last
on the vessel
[If the allen arrived otherwise than by vessel, the character of conveyance or name of transportation company should be given.]
foreign residence was
Carlskrona, Sweden
It is my bona fide intention to renounce forever all allegiance and fidelity to any foreign
GUSTAVUS v.
prince, potentate, state, or sovereignty, and particularly to
citizen
King of Sweden
of which I am now a
,
subject ; 1
in the
arrived at the port of
New York
,
State
New York
on or about the
18th
day
of
of
Oc tober
anno Domini I 901 ; 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.
Charles (Original signature Jacobrous
Esentry
of
Subscribed and before me this
sworn to
29th
day of October
, anno Domini 1909.
Wm. H. Franois
Clerk of the
SUPERIOR
Court.
By JB M Mus
Deputy Clerk.
Page data
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- Source index
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- Type
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- Size
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Document data
- ID
- 103904445
- Core
- doc
- Type
- document
DTO data
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Context sent to Scholar
Document identity
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Page context
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"ocrText": "Form 2903\nTRIPLICATE\n[To be alven the Declaration) to the person making\n3\nNo.\n310\n:\nSTATES OF\nDepartment nf Commerte 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\nSUPERIOR\nCourt\nSTATE OF CALIFORNIA\nSS :\nof San Diego County, California\nCOUNTY OF san DIEGO\nCHARLES GUSTAF JACOBSON\n, aged\n25\nyears,\n3.\ndo declare on oath that my personal\nButoher\n,\noccupation\ndescription is: Color\ncomplexion\nfair\nwhite\n, height 5 feet 81 inches,\nweight\n167 pounds, color of hair brown\ncolor of eyes blue\nother visible distinctive marks\nnone\n7\n: I was born in\nCarlakrona, Swedon\n9th\nday of\nJanuary\n, anno\n,\non the\nDomini I 884 ; I now reside at\nSan Diego, California\nI emigrated to the United States of America from\nCopenhagen, Denmark\n\"OCEANIC\"\n; my last\non the vessel\n[If the allen arrived otherwise than by vessel, the character of conveyance or name of transportation company should be given.]\nforeign residence was\nCarlskrona, Sweden\nIt is my bona fide intention to renounce forever all allegiance and fidelity to any foreign\nGUSTAVUS v.\nprince, potentate, state, or sovereignty, and particularly to\ncitizen\nKing of Sweden\nof which I am now a\n,\nsubject ; 1\nin the\narrived at the port of\nNew York\n,\nState\nNew York\non or about the\n18th\nday\nof\nof\nOc tober\nanno Domini I 901 ; I am not an anarchist; I am not a\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.\nCharles (Original signature Jacobrous\nEsentry\nof\nSubscribed and before me this\nsworn to\n29th\nday of October\n, anno Domini 1909.\nWm. H. Franois\nClerk of the\nSUPERIOR\nCourt.\nBy JB M Mus\nDeputy Clerk."
}