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ORIGINAL
No. 440
STATES OF
STATES OF
of Commetce and Tabar
Department of Commetre and
BUREAU OF IMMIGRATION AND NATURALIZATION
BUREAU OF IMMIGRATION AND NATURALIZATION
DIVISION OF MATURALIZATION
DIVISION OF NATURALIZATION
z
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
Court
In
the SUPERIOR Court
County of Los Angeles
SS:
STATE OF CALIFORNIA
SS:
of
THE STATE de GALIECRINIA,
of
THE-STATE or CALIPORNIA,
Gustav Rubel OH Zanter - AND FOR Lee aged 40
years,
Michael Mas Bean -
AND FOR Los ANGELER
3,
, aged 07 years,
Baken
do declare affirm. on oath that my personal
occupation Galerman
do affirm that my personal
declare on oath
occupation
description is: Color White complexion Fair height 5 feet 2 inches,
description is: Color while complexion Fain height feet 7 inches,
weight 179 pounds, color of hair None Lighth color of eyes Blue
weight info pounds, color of hair Brount color of eyes Blue
other visible distinctive marks None
other visible distinctive marks
:
I was born in Potodam
:
1
was born in monness
Genning
on the 28 day of anno
Destland on the 29 day of May
anno
Domini
I
867 I now reside at 452 6.38.02 Rn angeles Cathe
Domini - 8701 now reside at 243. S.Ohio dh 28 Augular Sta
emigrated to the United States of America from Antwerfo Begium
I emigrated to the United States of America from Victina Be
I
on the vessel
Surtzerlandy
: my last
on the vessel *
Ben Nome
foreign residence was
Mumshen Harmany
foreign residence was
Phoenix Bet
my last
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
William
pringe,
l'
prince, Omporar cotentate, state, or sovereignty and particularly to of
Citison
I
potentate, state, sovereignty, and Callants particularly to By Kyr
which I am now a subject
of which I am now a
subject
arrived at the port of
Phicalopher
in the
arrived at the port of
State
2
State
Térritory of
day
Tervitery of
Washington Sinthly on or about the 25th day
in the
Pennylicant on or about the
Dietrict
James
Dietnick
of
anno Domini ' 8921 am not an anarchist; 1 am not
a
of
Manyo
J arino Domini - 901 I am not an anarchist; I am not a
polygahnst 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.
himley off, Lander
in
(Original of declarant.)
(Original signature of declarant.)
Subscribed and sworn to before me this
10th
Subscribed sworn to 10m
and before me this
[SEAL:
day. of Daugho apmo Domini 1907
[SEAL.]
opati
day of aug anno Domini t9
ERIC
GOURTY CLEINC wo CORFICIO OLERK -
coun
PQB THA
ggher creaty Clerk.
Bv
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"ocrText": "ORIGINAL\nNo. 440\nSTATES OF\nSTATES OF\nof Commetce and Tabar\nDepartment of Commetre and\nBUREAU OF IMMIGRATION AND NATURALIZATION\nBUREAU OF IMMIGRATION AND NATURALIZATION\nDIVISION OF MATURALIZATION\nDIVISION OF NATURALIZATION\nz\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\nCourt\nIn\nthe SUPERIOR Court\nCounty of Los Angeles\nSS:\nSTATE OF CALIFORNIA\nSS:\nof\nTHE STATE de GALIECRINIA,\nof\nTHE-STATE or CALIPORNIA,\nGustav Rubel OH Zanter - AND FOR Lee aged 40\nyears,\nMichael Mas Bean -\nAND FOR Los ANGELER\n3,\n, aged 07 years,\nBaken\ndo declare affirm. on oath that my personal\noccupation Galerman\ndo affirm that my personal\ndeclare on oath\noccupation\ndescription is: Color White complexion Fair height 5 feet 2 inches,\ndescription is: Color while complexion Fain height feet 7 inches,\nweight 179 pounds, color of hair None Lighth color of eyes Blue\nweight info pounds, color of hair Brount color of eyes Blue\nother visible distinctive marks None\nother visible distinctive marks\n:\nI was born in Potodam\n:\n1\nwas born in monness\nGenning\non the 28 day of anno\nDestland on the 29 day of May\nanno\nDomini\nI\n867 I now reside at 452 6.38.02 Rn angeles Cathe\nDomini - 8701 now reside at 243. S.Ohio dh 28 Augular Sta\nemigrated to the United States of America from Antwerfo Begium\nI emigrated to the United States of America from Victina Be\nI\non the vessel\nSurtzerlandy\n: my last\non the vessel *\nBen Nome\nforeign residence was\nMumshen Harmany\nforeign residence was\nPhoenix Bet\nmy last\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\nWilliam\npringe,\nl'\nprince, Omporar cotentate, state, or sovereignty and particularly to of\nCitison\nI\npotentate, state, sovereignty, and Callants particularly to By Kyr\nwhich I am now a subject\nof which I am now a\nsubject\narrived at the port of\nPhicalopher\nin the\narrived at the port of\nState\n2\nState\nTérritory of\nday\nTervitery of\nWashington Sinthly on or about the 25th day\nin the\nPennylicant on or about the\nDietrict\nJames\nDietnick\nof\nanno Domini ' 8921 am not an anarchist; 1 am not\na\nof\nManyo\nJ arino Domini - 901 I am not an anarchist; I am not a\npolygahnst 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.\nhimley off, Lander\nin\n(Original of declarant.)\n(Original signature of declarant.)\nSubscribed and sworn to before me this\n10th\nSubscribed sworn to 10m\nand before me this\n[SEAL:\nday. of Daugho apmo Domini 1907\n[SEAL.]\nopati\nday of aug anno Domini t9\nERIC\nGOURTY CLEINC wo CORFICIO OLERK -\ncoun\nPQB THA\nggher creaty Clerk.\nBv"
}