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290
291
No. 1781
No. 1782
ORICINAL
STATES or
STATES
Department nf Conmerce and
Repartment of Commerce and Tabur
BUREAU OF IMMIGRATION AND NATURALIZATION
BUREAU OF IMMIGRATION AND NATURALIZATION
DIVIBION OF NATURALIZATION
DIVISION OF NATURALIZATION
DECLARATION OF INTENTION
DECLARATION OF INTENTION
(Invalid for all purposes seven years after the date hereof)
(Invalid for all purposes seven years after the date hereof)
STATE OF CALIFORNIA
In the SUPERIOR Court
STATE OF CALLFORNIA
S
County of Los
ss:
IN AND FOR Los ANGELES COUNTY,
County Los Angetes
ss :
In the SUPERIOR Court
of THE STATE OF CALIFORNIA
of THE STATE ne. ANGELES
3,
David Schwartz
aged
22 years,
3.
Eris Helfer
occupation
Thuhax
aged 26 years.
do declare affirm on oath that my personal
occupation
Forman
is: Color while
, do declare affirm on oath that my personal
description
complexion Davis height feet 9 inches,
description is: Color
while
complexion
Light
,
height
weight 145 pounds, color of hair Black color of eyes Brown
feet 9 inches,
weight 193 pounds, color of hair light
color of eyes Blue
other distinctive marks Sear on. Chin
visible
other visible distinctive marks
none.
:
I was born in
braiona
was born in
SForkholm
Roumania
on the
10
day of
may
anno
Sweam
31.
0A.
on the
Domini 889 : I now reside at 323 East Anshington A Bel
day of January
, anno
I emigrated to the United States of America from Hambury Germany
Domini 883 I now reside at 1342 Eart 33 has Anyales bad
Patricia
I emigrated to the United States of America from Liverpool England
on the vessel
: my last
(If the allen anrived otherwise than by vessel, the character of conveyance or name of transportation company should be given.]
on the vessel
Sumia
(II
foreign residence was
Mamburg Germany
the allen arrived otherwise thap by vessel. the character of conveyance or name.or transportation company should be given.) : my last
foreign residence was
Stackholm
Sweam
It is my bona fide intention to renounce forever all allegiance and fidelity to any foreign
Charles
It is my bona fide intention to renounce forever all allegiance and fidelity to any foreign
prince, potentate, state, or sovereignty, and particularly to
prince, potentate, state, or sovereignty, and particularly to Gustavus
r.
King of Roumania
of which 1 am now a subject: I
thing of Fre den
, of which I am now a citiaon subject
I
arrived at the port of
Amyook
in the
arrived at the port of
Boston
State
hawyork
on or about
the 25m day
in the
State
Territory of
Fermitosy of
massachusitis
District
on or about the
29
day
of District Septimitor
anno Domini 906: 1 am not an anarchist: 1 am not a
of
January
anno Domini 1 905 am not an anarchist: 1 am not
a
polygamist nor a believer in the practice of polygamy: and it is my intention in good faith
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:
to become a citizen of the United States of America and to permanently reside therein:
So HELP ME GOD.
& Davide
So HELP ME GOD.
Eain cope
(Ortginal signature of
(Original signatural declarant.)
Helf
Subscribed and sworn affinmed to before me this
17th
Subscribed and affirmed sworn to before me this
17.
[SEAL.]
brits
day of September anno Domini 19 ay
[SEAL.]
day of September
anno Domini 19 09
C. G. Keyes
C. G. Keyes
COUNTY CLERK AND EX OFJFICIO OLERK DV
DOUNTY
Clank of ANGEA
SUPERIOR COURT IN ALD FOR THE COUNTY
Court.
THI
SUPERION
Glank of ANGELE
By
Clerk.
By
465 Clerk.
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"ocrText": "290\n291\nNo. 1781\nNo. 1782\nORICINAL\nSTATES or\nSTATES\nDepartment nf Conmerce and\nRepartment of Commerce and Tabur\nBUREAU OF IMMIGRATION AND NATURALIZATION\nBUREAU OF IMMIGRATION AND NATURALIZATION\nDIVIBION OF NATURALIZATION\nDIVISION OF NATURALIZATION\nDECLARATION OF INTENTION\nDECLARATION OF INTENTION\n(Invalid for all purposes seven years after the date hereof)\n(Invalid for all purposes seven years after the date hereof)\nSTATE OF CALIFORNIA\nIn the SUPERIOR Court\nSTATE OF CALLFORNIA\nS\nCounty of Los\nss:\nIN AND FOR Los ANGELES COUNTY,\nCounty Los Angetes\nss :\nIn the SUPERIOR Court\nof THE STATE OF CALIFORNIA\nof THE STATE ne. ANGELES\n3,\nDavid Schwartz\naged\n22 years,\n3.\nEris Helfer\noccupation\nThuhax\naged 26 years.\ndo declare affirm on oath that my personal\noccupation\nForman\nis: Color while\n, do declare affirm on oath that my personal\ndescription\ncomplexion Davis height feet 9 inches,\ndescription is: Color\nwhile\ncomplexion\nLight\n,\nheight\nweight 145 pounds, color of hair Black color of eyes Brown\nfeet 9 inches,\nweight 193 pounds, color of hair light\ncolor of eyes Blue\nother distinctive marks Sear on. Chin\nvisible\nother visible distinctive marks\nnone.\n:\nI was born in\nbraiona\nwas born in\nSForkholm\nRoumania\non the\n10\nday of\nmay\nanno\nSweam\n31.\n0A.\non the\nDomini 889 : I now reside at 323 East Anshington A Bel\nday of January\n, anno\nI emigrated to the United States of America from Hambury Germany\nDomini 883 I now reside at 1342 Eart 33 has Anyales bad\nPatricia\nI emigrated to the United States of America from Liverpool England\non the vessel\n: my last\n(If the allen anrived otherwise than by vessel, the character of conveyance or name of transportation company should be given.]\non the vessel\nSumia\n(II\nforeign residence was\nMamburg Germany\nthe allen arrived otherwise thap by vessel. the character of conveyance or name.or transportation company should be given.) : my last\nforeign residence was\nStackholm\nSweam\nIt is my bona fide intention to renounce forever all allegiance and fidelity to any foreign\nCharles\nIt is my bona fide intention to renounce forever all allegiance and fidelity to any foreign\nprince, potentate, state, or sovereignty, and particularly to\nprince, potentate, state, or sovereignty, and particularly to Gustavus\nr.\nKing of Roumania\nof which 1 am now a subject: I\nthing of Fre den\n, of which I am now a citiaon subject\nI\narrived at the port of\nAmyook\nin the\narrived at the port of\nBoston\nState\nhawyork\non or about\nthe 25m day\nin the\nState\nTerritory of\nFermitosy of\nmassachusitis\nDistrict\non or about the\n29\nday\nof District Septimitor\nanno Domini 906: 1 am not an anarchist: 1 am not a\nof\nJanuary\nanno Domini 1 905 am not an anarchist: 1 am not\na\npolygamist nor a believer in the practice of polygamy: and it is my intention in good faith\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:\nto become a citizen of the United States of America and to permanently reside therein:\nSo HELP ME GOD.\n& Davide\nSo HELP ME GOD.\nEain cope\n(Ortginal signature of\n(Original signatural declarant.)\nHelf\nSubscribed and sworn affinmed to before me this\n17th\nSubscribed and affirmed sworn to before me this\n17.\n[SEAL.]\nbrits\nday of September anno Domini 19 ay\n[SEAL.]\nday of September\nanno Domini 19 09\nC. G. Keyes\nC. G. Keyes\nCOUNTY CLERK AND EX OFJFICIO OLERK DV\nDOUNTY\nClank of ANGEA\nSUPERIOR COURT IN ALD FOR THE COUNTY\nCourt.\nTHI\nSUPERION\nGlank of ANGELE\nBy\nClerk.\nBy\n465 Clerk."
}