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OCR
470
/
No 1962
ORIGINAL
No. 1961.
ORIGINAL
STATES of
STATES OF
Department at Commente am Tabor
Departutent of Conmerce and Timbor
BUREAU OF IMMIGIRATION AND NATURALIZATION
BUREAU OF IMMIGRATION AND NATURALIZATION
DIVISION or 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
In the SUPERIOR
STATE OF GIFORNIA)
County of Los angetes
Court
County U7 LOS Angeles
In the SUPERIOR Court
SS:
ss:
of the STATE OF CALIFORNIA,
IN AND FOR Loe ANOELES GOUNTY,
of THE STATE QE Loe ANGELES COUNTY,
3.
Gerrix Brocr.
aged 26 years,
3.
Louis Lunger.
, aged
24 years,
occupation
Carpenter
blerk.
1
do declare on oath
affirm
that my personal
occupation
, do declare affism on oath that my personal
description is:
Color whice
complexion
Dark
inches,
description is: Color
white
height
feet
6
, complexion
Fair , height feet 6 inches,
weight 155. pounds, color of hair Brown color of eyes Brown
weight of hair
135 pounds, color Brown color of eyes buy
other visible distinctive marks
none
other visible distinctive marks
none.
:
I was born in Papendreexx
; I was born in
Fule
Holland
,
on the
31.
day of
march
Hermany
on the
25 6
, anno
day of
may
, anno
Domini I 883; I now reside at 227 so main H Los Angeles bad
Domini I 88% I now reside at
Las Angeles
bal
I emigrated to the United States of America from branebrook Canada
I emigrated to the United States of America from Bremen. Germany
on the vessel
(If the
allen arrived otherwise company should be given.]
Canadian Man by vessel, the chafacter Pacific of name of transportation Ra
: my last
on the vessel
Roland
: my last
(If the allen arrived otherwise than by vessel, the character of conviyance or name of transportation company should be given.]
foreign residence was
branbrook
Canal
foreign residence was
Fulde
Fermany
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 Auchilming
prince, potentate, state, or sovereignty, and particularly to William II
Quin of th netherlands
, of which I am now a subject citisen I
Empiron of Germany
of which 1 am now a citizen subject : I
arrived at the port of
State
Boundry
in the
arrived at the port of
Baltimore
in the
Hashington
State
Texnitory of
on or about the
District
20' , day
Tessitory of
maryband
on or about the
10- day
District
of
may
anno Domini 907 I am not an anarchist: I am not a
of
September
anno Domini - 896; 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 therein:
So HELP ME GOD.
So HELP ME GOD.
Govis (Original Brow signature of declarant.)
his
hours (Original signature Lange of declarant.)
Subscribed and affismed sworn to béfore me this
Subscribed and sworn to before me this
10
N
[SEAL.]
day of December , anno Domini 1909
[SEAL.]
day of December
, anno Domini 19 09
C. G. Keyes
AND
.
C. G. Keyes
COUNTY CLERK AND EX OFFICIO OLENK of
THE AUPSRIOR COURT IN AND FOR THE COUNTY
THE BUPSRIOR COURT IN AND FOT THE COUNTY
Clerk of Pthes ANGÉLES, STAVE OF CALIFORNIA,
Court.
Clegk of the os ANGELES, STATE OF CALIF ORNIA.
Court.
By
every
Deputy Clerk.
By
Jok Onlay
Deputy
Clerk.
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"ocrText": "470\n/\nNo 1962\nORIGINAL\nNo. 1961.\nORIGINAL\nSTATES of\nSTATES OF\nDepartment at Commente am Tabor\nDepartutent of Conmerce and Timbor\nBUREAU OF IMMIGIRATION AND NATURALIZATION\nBUREAU OF IMMIGRATION AND NATURALIZATION\nDIVISION or 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\nIn the SUPERIOR\nSTATE OF GIFORNIA)\nCounty of Los angetes\nCourt\nCounty U7 LOS Angeles\nIn the SUPERIOR Court\nSS:\nss:\nof the STATE OF CALIFORNIA,\nIN AND FOR Loe ANOELES GOUNTY,\nof THE STATE QE Loe ANGELES COUNTY,\n3.\nGerrix Brocr.\naged 26 years,\n3.\nLouis Lunger.\n, aged\n24 years,\noccupation\nCarpenter\nblerk.\n1\ndo declare on oath\naffirm\nthat my personal\noccupation\n, do declare affism on oath that my personal\ndescription is:\nColor whice\ncomplexion\nDark\ninches,\ndescription is: Color\nwhite\nheight\nfeet\n6\n, complexion\nFair , height feet 6 inches,\nweight 155. pounds, color of hair Brown color of eyes Brown\nweight of hair\n135 pounds, color Brown color of eyes buy\nother visible distinctive marks\nnone\nother visible distinctive marks\nnone.\n:\nI was born in Papendreexx\n; I was born in\nFule\nHolland\n,\non the\n31.\nday of\nmarch\nHermany\non the\n25 6\n, anno\nday of\nmay\n, anno\nDomini I 883; I now reside at 227 so main H Los Angeles bad\nDomini I 88% I now reside at\nLas Angeles\nbal\nI emigrated to the United States of America from branebrook Canada\nI emigrated to the United States of America from Bremen. Germany\non the vessel\n(If the\nallen arrived otherwise company should be given.]\nCanadian Man by vessel, the chafacter Pacific of name of transportation Ra\n: my last\non the vessel\nRoland\n: my last\n(If the allen arrived otherwise than by vessel, the character of conviyance or name of transportation company should be given.]\nforeign residence was\nbranbrook\nCanal\nforeign residence was\nFulde\nFermany\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 Auchilming\nprince, potentate, state, or sovereignty, and particularly to William II\nQuin of th netherlands\n, of which I am now a subject citisen I\nEmpiron of Germany\nof which 1 am now a citizen subject : I\narrived at the port of\nState\nBoundry\nin the\narrived at the port of\nBaltimore\nin the\nHashington\nState\nTexnitory of\non or about the\nDistrict\n20' , day\nTessitory of\nmaryband\non or about the\n10- day\nDistrict\nof\nmay\nanno Domini 907 I am not an anarchist: I am not a\nof\nSeptember\nanno Domini - 896; I am not an anarchist; 1 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:\nSo HELP ME GOD.\nSo HELP ME GOD.\nGovis (Original Brow signature of declarant.)\nhis\nhours (Original signature Lange of declarant.)\nSubscribed and affismed sworn to béfore me this\nSubscribed and sworn to before me this\n10\nN\n[SEAL.]\nday of December , anno Domini 1909\n[SEAL.]\nday of December\n, anno Domini 19 09\nC. G. Keyes\nAND\n.\nC. G. Keyes\nCOUNTY CLERK AND EX OFFICIO OLENK of\nTHE AUPSRIOR COURT IN AND FOR THE COUNTY\nTHE BUPSRIOR COURT IN AND FOT THE COUNTY\nClerk of Pthes ANGÉLES, STAVE OF CALIFORNIA,\nCourt.\nClegk of the os ANGELES, STATE OF CALIF ORNIA.\nCourt.\nBy\nevery\nDeputy Clerk.\nBy\nJok Onlay\nDeputy\nClerk."
}