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316 No. 216
317
ORIGINAL
the
No. 37
STATES
STATES OF
a
Repartment of aud Tabur
Department of aud Tinhar
BUREAU OF IMMIGRATION AND NATURALIZATION
BUREAU OF IMMIGRATION AND NATURALIZATION
DIVISION OF NATURALIZATION
DIVISION OF NATURALIZATION
V
S
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 CALLFORNIA
In the
SUPERIOR: Gourt
STATE OF
In the
County of Los Angeles
SS
SS:
PREBTOR Court
of
dir
Countylof Los
Marphil Social
- AND FOR Los COUNTY,
aged 48 "years,
tran Vargar of
DE STATE OF CALIFORNIA,
- AND FOR Los ANGELES COUNTV,
3.
3,
aged (37 years,
Farmer
do declare on oath that my personal
description occupation is: Color White complexion ARM affism height 5 feet 8 inches,
occupation
Labmen
do
declare on oath
that my personal
description is: Color White complexion Dark affirm height 5 feet inches,
weight 150 pounds, color of color of eyes! Broom
weight 166 pounds, color of hair Black color of eyes Brown
other visible distinctive marks Scar on right hand
other visible distinctive marks 3-feign of right hand
: I was born in Pratteln
31
Mayce
:
I was born in Guanajuate
Canterfaud
on the
day of Dec
anno
on the
I 869 I now reside at Topango Canon To augok b. Palfa
It day of June
anno
Domini
858 I now reside at Ballona C. Catfa
Domini
I emigrated to the United States of America from Have France
I
emigrated to the United States of America from Guanapiate Mexica
on the vessel
Normandic
: my last
on the vessel*
Mexican Central B R
: my last
foreign
residence was Pratteln Amberland
foreign residence was
Guanapuate Mexico
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, my potentate, fide state, or sovereignty, and forever particularly allegiance to fidelity any foreign
It
is bona intention to renounce all and to
of Santaland
,
of which I am now a subject citizen
:
I
arrived at the port of
in the
arrived at the port of
Ol Pace
of which I am now a citizen
subjest
State
New York
Dear
:
in the
Cassitory of
New York on or about
5th day
State
the
Ferritory of
Texas
of District June
District
on or about the 17 day
: anno Domini 885 am not an anarchist: 1 am not
a
of
Dec
/ anno Domini I 899 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
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 Ameriea and to permanently reside therein:
So HELP ME GOD.
Theophil Som
oa
So HBEP ME
GOD, Julian X of declarant.) 1.mm
forginal signature of declarant
Subscribed and affymed before me this 42
lottletten
sworn to
Subscribed
[SEAL: inistio pars
day of
anno Domini 1997
[SEAL: enta:
day of and sworn.ty before me anno this Domini 1/1 997
COUNTY AND OLERIC or
AND
COUNTY
Cyliega
Court.
By the
BX OFFICIO CLERK eburt
Los ANDELES,
By -
Clerk.
Clerk,
11-0000
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- Type
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"ocrText": "316 No. 216\n317\nORIGINAL\nthe\nNo. 37\nSTATES\nSTATES OF\na\nRepartment of aud Tabur\nDepartment of aud Tinhar\nBUREAU OF IMMIGRATION AND NATURALIZATION\nBUREAU OF IMMIGRATION AND NATURALIZATION\nDIVISION OF NATURALIZATION\nDIVISION OF NATURALIZATION\nV\nS\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 CALLFORNIA\nIn the\nSUPERIOR: Gourt\nSTATE OF\nIn the\nCounty of Los Angeles\nSS\nSS:\nPREBTOR Court\nof\ndir\nCountylof Los\nMarphil Social\n- AND FOR Los COUNTY,\naged 48 \"years,\ntran Vargar of\nDE STATE OF CALIFORNIA,\n- AND FOR Los ANGELES COUNTV,\n3.\n3,\naged (37 years,\nFarmer\ndo declare on oath that my personal\ndescription occupation is: Color White complexion ARM affism height 5 feet 8 inches,\noccupation\nLabmen\ndo\ndeclare on oath\nthat my personal\ndescription is: Color White complexion Dark affirm height 5 feet inches,\nweight 150 pounds, color of color of eyes! Broom\nweight 166 pounds, color of hair Black color of eyes Brown\nother visible distinctive marks Scar on right hand\nother visible distinctive marks 3-feign of right hand\n: I was born in Pratteln\n31\nMayce\n:\nI was born in Guanajuate\nCanterfaud\non the\nday of Dec\nanno\non the\nI 869 I now reside at Topango Canon To augok b. Palfa\nIt day of June\nanno\nDomini\n858 I now reside at Ballona C. Catfa\nDomini\nI emigrated to the United States of America from Have France\nI\nemigrated to the United States of America from Guanapiate Mexica\non the vessel\nNormandic\n: my last\non the vessel*\nMexican Central B R\n: my last\nforeign\nresidence was Pratteln Amberland\nforeign residence was\nGuanapuate Mexico\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, my potentate, fide state, or sovereignty, and forever particularly allegiance to fidelity any foreign\nIt\nis bona intention to renounce all and to\nof Santaland\n,\nof which I am now a subject citizen\n:\nI\narrived at the port of\nin the\narrived at the port of\nOl Pace\nof which I am now a citizen\nsubjest\nState\nNew York\nDear\n:\nin the\nCassitory of\nNew York on or about\n5th day\nState\nthe\nFerritory of\nTexas\nof District June\nDistrict\non or about the 17 day\n: anno Domini 885 am not an anarchist: 1 am not\na\nof\nDec\n/ anno Domini I 899 I 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 Ameriea and to permanently reside therein:\nSo HELP ME GOD.\nTheophil Som\noa\nSo HBEP ME\nGOD, Julian X of declarant.) 1.mm\nforginal signature of declarant\nSubscribed and affymed before me this 42\nlottletten\nsworn to\nSubscribed\n[SEAL: inistio pars\nday of\nanno Domini 1997\n[SEAL: enta:\nday of and sworn.ty before me anno this Domini 1/1 997\nCOUNTY AND OLERIC or\nAND\nCOUNTY\nCyliega\nCourt.\nBy the\nBX OFFICIO CLERK eburt\nLos ANDELES,\nBy -\nClerk.\nClerk,\n11-0000"
}