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patêntate dainst all ent To the Honoral PLIGATE The pet 2192 Form 9903 U. S. DEPARTMENT OF LABOR TRIPLICATE 21871 NATURALIZATION SERVICE the Decloration) Third. Fourth No. STATES Domini Sixth. DECLARATION OF INTENTION Invalid for all purposes seven years after the date hereof State of New Jersey, ss: Essex County In the Court of Common Pleas of Essex County, N.J. ge, Harry level. machinit aged 33 years, occupation declare on oath that my personal Seventi description is: Color white, complexion dark 5 feet to organized weight 155 pounds, color of hair albo color of eyes height fale inches, to other visible distinctive marks no particularly third minia to reside per I was born in on 2 Thay of anno Domini I 886. I now Eighth reside Minth at New Jersey. 25 I emigrated to the United Bathe States (Give number, street, and from eity " town) Reveposi- of Ameriea this petition on the vessel - of this petité my last foreign residence (If the was allen afum Liransportation I am company should be given) Tenth. married; the name of my wife is Benie she was born at Anna everact. said petteton and now resides at It is my bona fide intention to renounce forever all allegiance and fidelity to any foreign Attach prince, petentate, state, or sovereignty, and particularly to thear Govern together with ifmenia the of environ of whom I am now a subject; States of An I arrived at port State of 25 in the Feb-ury on or about the day Declaration of anno Domini 905 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. x Harry (Original Sever aignature of doclarant) Subscribed and sworn to before me in the office of the Oferk of said Court The at Newark, N. J., this $ [SEAL] anno Domini 191 8 day, of fept- contents family and bellef, myst of Deputy Clerk Court Common Pleas. By and esch being immediately entitled pati

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Page
49
Source index
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Type
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    "ocrText": "patêntate\ndainst all\nent\nTo the Honoral\nPLIGATE\nThe pet\n2192\nForm 9903\nU. S. DEPARTMENT OF LABOR\nTRIPLICATE\n21871\nNATURALIZATION SERVICE\nthe Decloration)\nThird.\nFourth\nNo.\nSTATES\nDomini\nSixth.\nDECLARATION OF INTENTION\nInvalid for all purposes seven years after the date hereof\nState of New Jersey,\nss:\nEssex County\nIn the Court of Common Pleas of Essex County, N.J.\nge, Harry level.\nmachinit\naged 33 years,\noccupation\ndeclare on oath that my personal\nSeventi\ndescription is: Color white, complexion dark 5 feet\nto organized\nweight 155 pounds, color of hair albo color of eyes height fale inches,\nto\nother visible distinctive marks\nno\nparticularly\nthird\nminia\nto reside\nper\nI was born in\non\n2 Thay of anno Domini I 886. I now\nEighth\nreside\nMinth\nat\nNew Jersey.\n25\nI emigrated to the United\nBathe\nStates (Give number, street, and from eity \" town) Reveposi-\nof Ameriea\nthis petition\non the vessel\n-\nof this petité\nmy last\nforeign residence (If the was allen afum Liransportation I am\ncompany should be given)\nTenth.\nmarried;\nthe\nname\nof my wife\nis Benie she was born at Anna\neveract.\nsaid petteton\nand now resides at\nIt is my bona fide intention to renounce forever all allegiance and fidelity to any foreign\nAttach\nprince, petentate, state, or sovereignty, and particularly to thear Govern\ntogether with\nifmenia the of environ of whom I\nam now a subject;\nStates of An\nI arrived at port\nState of\n25\nin the\nFeb-ury\non or about the\nday\nDeclaration\nof\nanno Domini 905 I am not an anarchist; I am not\na\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.\nx Harry (Original Sever aignature of doclarant)\nSubscribed and sworn to before me in the office of the Oferk of said Court\nThe\nat Newark, N. J., this\n$\n[SEAL]\nanno Domini\n191 8 day,\nof\nfept-\ncontents\nfamily\nand bellef,\nmyst of Deputy Clerk\nCourt Common Pleas.\nBy\nand\nesch being\nimmediately\nentitled pati"
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