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301
305
No. 1795.
No 1796
ORIGINAL
STATES OF
STATES OF
Department of Commerce and Tabor
Bepartment of and
BUREAU OF IMMIGRATION AND NATURALIZATION
BUREAU OF IMMIGRATION AND NATURALIZATION
DIVISION OF NATURALIZATION
DIVIBION. OF NATURALIZATION
DECLARATION OF INTENTION
DECLARATION OF INTENTION
(Invalid for all purposes seven yeare after the date hereof)
(Invalid for all purposes seven yeara after the date bereof)
W.
STATE of CA LIFORNIA
ni
STATE of CALIFORNIA
County of Los tingetes
In the SUPERIOR Court
County of Los Angeles
In
the SUPERIOR Court
ss:
IN AND FOR Los ANGELES COUNTY,
SS :
of THE STATE OF CALIFORNIA,
of THE STATE DE IN CALIEQBNIA AND FOR Los ANOLLES County,
3.
John matter
, aged 53 years,
3.
John Gronge Berhouse
aged
years,
occupation
Labour
do declare on
oath
occupation
affirm
that my personal
Notes Huper
, do declare affirm on oath that my personal
description is:
Color whic
complexion
Fair
,
height
feet 9 inches,
description is: Color White complexion
Light
, height 6 feet 12 inches,
weight 170 pounds, color of hair Brown
color of eyes
Beue
weight 208 pounds, color of hair high
color of leyes
Blue
other visible distinctive marks
none
other visible distinctive marks
none
: I was born in Schoolback
I was born in
stersen
Germany
,
on the
2, 100 day of January
, anno
Germany
,
on the
28
day of
Feby
, anno
Domini 1856; I now reside at
Las Angela
of
Domini 875; I now reside at 168 x main ex Los Anycles bas
I emigrated to the United States of America from Montevicle Uruguay
I
emigrated to the United States of America from Bremen Germany
on the vessel
Columbs
: my last
on the vessel
Elbr
(If the allen arrived otherwise than by vessel, the character of conyeyance or name of transportation company should be given.)
(If the allen arrived otherwise than by vessel, the character of conveyance or name of transportation company should be given.)
; my last
foreign residence was
Montevied Unuquay
foreign residence was
Hassen Germany
It is my bona' fide intention to renounce forever all allegiance and fidelity to any foreign
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
prince, potentate, state, or sovereignty, and particularly to William II
Enipiron of burnany
of which I am now a subject 1
Emperon of Germany
of which I am now a eitimen. subject I
arrived at the port of
newyork
in the
arrived at the port of
State
State
newyork
in the
Territory of
newyork
on or about the
14th
day
Tessitory of
newforte
on or about the 12th day
District
District
of Cetabor
anno Domini 199 I am not an anarchist: I am not a
of
March
anno Domini - 882; 1 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
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.
oa
So HELP ME God.
John Walter of declarant.)
(Original signature
John (Original algnature of declarant.) IM
Subscribed and sworn to before me this
23.
Subscribed and swern to before me this
23.66
affiemed
VESEAL.]
day of systemant Domini 1909
anno
[SEAL.]
day of september Domini 09
anno 19
C. G. Keyes
C.G. Keyes
COUNTY CLENK AND EX OF.FICIO BRK OP
VHE COUNTY CI ARD
Glark of the IN CE COUNT Gourt.
of ther LOO ANORLEL 114 Court.
BUPERON
bay reputy Clerk.
By
for Contry Clerk.
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"ocrText": "301\n305\nNo. 1795.\nNo 1796\nORIGINAL\nSTATES OF\nSTATES OF\nDepartment of Commerce and Tabor\nBepartment of and\nBUREAU OF IMMIGRATION AND NATURALIZATION\nBUREAU OF IMMIGRATION AND NATURALIZATION\nDIVISION OF NATURALIZATION\nDIVIBION. OF NATURALIZATION\nDECLARATION OF INTENTION\nDECLARATION OF INTENTION\n(Invalid for all purposes seven yeare after the date hereof)\n(Invalid for all purposes seven yeara after the date bereof)\nW.\nSTATE of CA LIFORNIA\nni\nSTATE of CALIFORNIA\nCounty of Los tingetes\nIn the SUPERIOR Court\nCounty of Los Angeles\nIn\nthe SUPERIOR Court\nss:\nIN AND FOR Los ANGELES COUNTY,\nSS :\nof THE STATE OF CALIFORNIA,\nof THE STATE DE IN CALIEQBNIA AND FOR Los ANOLLES County,\n3.\nJohn matter\n, aged 53 years,\n3.\nJohn Gronge Berhouse\naged\nyears,\noccupation\nLabour\ndo declare on\noath\noccupation\naffirm\nthat my personal\nNotes Huper\n, do declare affirm on oath that my personal\ndescription is:\nColor whic\ncomplexion\nFair\n,\nheight\nfeet 9 inches,\ndescription is: Color White complexion\nLight\n, height 6 feet 12 inches,\nweight 170 pounds, color of hair Brown\ncolor of eyes\nBeue\nweight 208 pounds, color of hair high\ncolor of leyes\nBlue\nother visible distinctive marks\nnone\nother visible distinctive marks\nnone\n: I was born in Schoolback\nI was born in\nstersen\nGermany\n,\non the\n2, 100 day of January\n, anno\nGermany\n,\non the\n28\nday of\nFeby\n, anno\nDomini 1856; I now reside at\nLas Angela\nof\nDomini 875; I now reside at 168 x main ex Los Anycles bas\nI emigrated to the United States of America from Montevicle Uruguay\nI\nemigrated to the United States of America from Bremen Germany\non the vessel\nColumbs\n: my last\non the vessel\nElbr\n(If the allen arrived otherwise than by vessel, the character of conyeyance or name of transportation company should be given.)\n(If the allen arrived otherwise than by vessel, the character of conveyance or name of transportation company should be given.)\n; my last\nforeign residence was\nMontevied Unuquay\nforeign residence was\nHassen Germany\nIt is my bona' fide intention to renounce forever all allegiance and fidelity to any foreign\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\nprince, potentate, state, or sovereignty, and particularly to William II\nEnipiron of burnany\nof which I am now a subject 1\nEmperon of Germany\nof which I am now a eitimen. subject I\narrived at the port of\nnewyork\nin the\narrived at the port of\nState\nState\nnewyork\nin the\nTerritory of\nnewyork\non or about the\n14th\nday\nTessitory of\nnewforte\non or about the 12th day\nDistrict\nDistrict\nof Cetabor\nanno Domini 199 I am not an anarchist: I am not a\nof\nMarch\nanno Domini - 882; 1 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\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\n:\nSo HELP ME GOD.\noa\nSo HELP ME God.\nJohn Walter of declarant.)\n(Original signature\nJohn (Original algnature of declarant.) IM\nSubscribed and sworn to before me this\n23.\nSubscribed and swern to before me this\n23.66\naffiemed\nVESEAL.]\nday of systemant Domini 1909\nanno\n[SEAL.]\nday of september Domini 09\nanno 19\nC. G. Keyes\nC.G. Keyes\nCOUNTY CLENK AND EX OF.FICIO BRK OP\nVHE COUNTY CI ARD\nGlark of the IN CE COUNT Gourt.\nof ther LOO ANORLEL 114 Court.\nBUPERON\nbay reputy Clerk.\nBy\nfor Contry Clerk."
}