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816 317 No. 1807. ORIGINAL No. 1808. ORIGINAL STATES of STATES of Department of Commerce and Tabar Departmient of Commerce and Tabor BUREAU OF IMMIGRATION AND NATURALIZATION BUREAU OF IMMIGRATION AND NATURALIZATION DIVISION OF NATURALIZATION DIVISION OF NATURALIZATION DEOLARATION 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 CALTPORNIA In the SUPERIOR Court STATE DE CALLERNIA County of -Los Angeles ss: IN AND FOR Los ANGELES Couwny, In the SUPERIOR Court of THE STATE OF CALIFORNIA, County of Los a Ingeles SS: of THE STATE OF CALIFORNIA, IN AND FOR Los ANGLLES COUNTY, 3, Alburx Alex Brownstein , aged 19. years, 3. Laurent Therrien aged 49 years, occupation Clerk. do declare affirm on oath that my personal occupation Labour do declare on outh affirm that my personal description is: Color while complexion Dark , height 5 feet 4 inches, description is: Color whire complexion Fair height 5 feet 7/1 inches, weight 112 pounds, color of hair Black color of eyes Brown. weight of 178 pounds, color hair Brown color of eyes Ery other visible distinctive marks none other visible distinctive marks none : I was born in Belgrad I was born in Quelones aussing , on the 25 of day October anno Canada on the 26' day of Domini 1 889 : I now reside at 307 Eask Pico St. has Angeles Cal July anno I emigrated to the United States of, America from Antwirp Begium I emigrated to the United States of America from Rousland Canuals Domini - 860 I now reside at 332 East 2 has Angelis Eal on the vessel Fanland : my last (II the allen arrived otherwise thanbb vessel, the character of conveyance.gr name of transportation company should be given.) on the vessel (If the allen arrived otherwistripa by vessel, the charanter of conveys or name of transportation company should be g ven.] Ferry : my last foreign residence was Bolgrad Russes foreign residence was Rassland Canada 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 Necholas II Emperor of aussia of which I am now a subject citizen prince, potentate, state, or sovereignty, and particularly to Comangr 1 newyork Heny of Greas Britain Xoreand of which I am now a subject citizen, I arrived at the port of in the arrived State at the port of Bountry in the Territory of newyork. on or about the 6't. day State Perritery of mashington on or about the 14 day of Bietrict Accember District anno Domini 906; I am not an anarchist: 1 am not a of June anno Domini 1. 889 I 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 thereins So HELP MB GOD. 7 So HELP ME GOD. Albert Alex Brownstein Lamant Thersien SM (Original signature of declarant.) (Original signature of declarant.) Subscribed and affirmed sworn to before me this 27th 1 Subscribed and sworn affirmed to before me this 27 [SEAL, day of Sapx anno Domini 19 09 [SEAL!] day of systimar anno Domini 01 G. Keyes GOUNTY CLERK AND OFFICIO or 0. G. Keyer THE COP noa COURTE 104 AID FOR THE COUNT Clerk of ther Los AMGELES,STAN CALIFORNIA, Court. Glank of the By governg reputy Clerk. By

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    "ocrText": "816\n317\nNo. 1807.\nORIGINAL\nNo. 1808.\nORIGINAL\nSTATES of\nSTATES of\nDepartment of Commerce and Tabar\nDepartmient of Commerce and Tabor\nBUREAU OF IMMIGRATION AND NATURALIZATION\nBUREAU OF IMMIGRATION AND NATURALIZATION\nDIVISION OF NATURALIZATION\nDIVISION OF NATURALIZATION\nDEOLARATION 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 CALTPORNIA\nIn the SUPERIOR\nCourt\nSTATE DE CALLERNIA\nCounty of -Los Angeles\nss:\nIN AND FOR Los ANGELES Couwny,\nIn the SUPERIOR Court\nof THE STATE OF CALIFORNIA,\nCounty of Los a Ingeles\nSS:\nof THE STATE OF CALIFORNIA,\nIN AND FOR Los ANGLLES COUNTY,\n3,\nAlburx Alex Brownstein\n, aged 19. years,\n3.\nLaurent Therrien\naged 49 years,\noccupation\nClerk.\ndo declare affirm on oath that my personal\noccupation\nLabour\ndo declare on outh\naffirm\nthat my personal\ndescription is: Color while\ncomplexion\nDark\n, height 5 feet 4 inches,\ndescription is: Color whire complexion Fair height 5 feet 7/1 inches,\nweight 112 pounds, color of hair Black\ncolor of eyes\nBrown.\nweight of\n178 pounds, color hair Brown color of eyes Ery\nother visible distinctive marks\nnone\nother visible distinctive marks\nnone\n: I was born in Belgrad\nI was born in Quelones\naussing\n,\non the\n25 of\nday\nOctober\nanno\nCanada\non the\n26'\nday of\nDomini 1 889 : I now reside at 307 Eask Pico St. has Angeles Cal\nJuly\nanno\nI emigrated to the United States of, America from Antwirp Begium\nI emigrated to the United States of America from Rousland Canuals\nDomini - 860 I now reside at 332 East 2 has Angelis Eal\non the vessel\nFanland\n: my last\n(II the allen arrived otherwise thanbb vessel, the character of conveyance.gr name of transportation company should be given.)\non the vessel\n(If the allen arrived otherwistripa by vessel, the charanter of conveys or name of transportation company should be g ven.]\nFerry\n: my last\nforeign residence was\nBolgrad Russes\nforeign residence was\nRassland Canada\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 Necholas\nII\nEmperor of aussia\nof which I am now a subject citizen\nprince, potentate, state, or sovereignty, and particularly to Comangr\n1\nnewyork\nHeny of Greas Britain Xoreand of which I am now a subject citizen,\nI\narrived at the port of\nin the\narrived\nState\nat the port of Bountry\nin the\nTerritory of\nnewyork.\non or about the\n6't.\nday\nState\nPerritery\nof mashington\non or about the\n14 day\nof Bietrict Accember\nDistrict\nanno Domini 906; I am not an anarchist: 1 am not a\nof\nJune\nanno Domini 1. 889 I 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 thereins\nSo HELP MB GOD.\n7\nSo HELP ME GOD.\nAlbert Alex Brownstein\nLamant Thersien SM\n(Original signature of declarant.)\n(Original signature of declarant.)\nSubscribed and affirmed sworn to before me this 27th 1\nSubscribed and sworn affirmed to before me this\n27\n[SEAL,\nday of Sapx\nanno Domini 19 09\n[SEAL!]\nday of systimar\nanno Domini 01\nG. Keyes\nGOUNTY CLERK AND OFFICIO or\n0. G. Keyer\nTHE COP noa COURTE 104 AID FOR THE COUNT\nClerk of ther Los AMGELES,STAN CALIFORNIA, Court.\nGlank of the\nBy\ngoverng reputy Clerk.\nBy"
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