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184 No. the 7638 485 the $76.97 ORIGINAL No. 434/ ORIGINAL STATES OF STATES OF Department of Onmmetce aud Repartutent of Enmitterce and Tabar BUREAU OF IMMIGRATION AND NATURALIZATION BUREAU OF IMMIGRATION AND NATURALIZATION DIVISION OF 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) In the SUPERIOR Court STATE OF CALIFORNIA In the SUPERIOR Court STATE of CALIFORNUL SS : County of Los Angeles SS: County of Los Limatin August Melyth of in THI STATE OF of THE BTATE or AND FOR Les S IN AND Por Lee ANGELE 3, aged years, 3. aged 25 years, occupation Labmen do declare on oath that my persoral occupation Merchant do affirm on that my personal declare oath description is: Color Mikh complexion Stain height feet inches, weight color of hair Light color of eyes ,description is: Color White complexion Dark height 5 feet inches, weight 140 pounds, color of hair Brown color of eyes other visible distinctive marks Scan on for fread other Chaddarton visible distinctive marks Fatlooed auchm on fright hand : I was born in on the Germany on : the was 2 day of may I born in Bromen 31 day of January anno anno Domini I 875 I now reside Grand Las aughter Call Domini - 883 now reside at Avalon California I emigrated to the United States of America from Wininer Canada I emigrated to the United States of America from Bennew Senmany on the vessel Minneapola AlPaul Saml the last on the vessel foreign residence was Baemer Germany Adaeph : my last foreign residence was Brandm Canada It is my bona fide intention to renounce forever all allegiandeyland 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 of which I am citinen now a I prince Detentate, state, or sovereignty, and particularly Milian to of which + am now a subject citizen subject 1 arrived at the port of Mannapor in the arrived at the port of Deattle in the State of Manumental Tessitory on or about the 20 and day State Tessitery of Neverbon / anno Dommi 903 1 am not an anarchist: I am not a Mashinglin on or about the 15 day Bistrict of District Septicultin anno Domini go - I am not an anarchist: 1 am not a of polygamist non 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. Lindo Thewris So HELP ME GOD. Fredrick allien (Original signature of declagant.) (Original signatue of declarant.) Subscribed ald) Subscribed and sworn to before me this [SEAL.] day of and wew to before me anno this Domini ey 19 [SEAL. day of Oct the anno Domini 19 of LERK COFFICIO Clerk Clerk. Court. Clanh-of the COURT TN AND FOR COUME

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    "ocrText": "184\nNo. the\n7638\n485\nthe\n$76.97\nORIGINAL\nNo. 434/\nORIGINAL\nSTATES OF\nSTATES OF\nDepartment of Onmmetce aud\nRepartutent of Enmitterce and Tabar\nBUREAU OF IMMIGRATION AND NATURALIZATION\nBUREAU OF IMMIGRATION AND NATURALIZATION\nDIVISION OF 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)\nIn the SUPERIOR Court\nSTATE OF CALIFORNIA\nIn\nthe SUPERIOR\nCourt\nSTATE of CALIFORNUL\nSS :\nCounty of Los Angeles\nSS:\nCounty of Los\nLimatin August Melyth of in THI\nSTATE OF\nof\nTHE BTATE or\nAND FOR Les S\nIN AND Por Lee ANGELE\n3,\naged\nyears,\n3.\naged 25 years,\noccupation\nLabmen\ndo declare on oath that my persoral\noccupation\nMerchant\ndo affirm on that my personal\ndeclare oath\ndescription is: Color Mikh complexion Stain height feet inches,\nweight color of hair Light color of eyes\n,description is: Color White complexion Dark height 5 feet inches,\nweight 140 pounds, color of hair Brown color of eyes\nother visible distinctive marks Scan on for fread\nother\nChaddarton\nvisible distinctive marks Fatlooed auchm on fright hand\n:\nI was born in\non the\nGermany on : the was 2 day of may\nI born in Bromen\n31 day of January anno\nanno\nDomini\nI\n875 I now reside Grand Las aughter Call\nDomini - 883 now reside at Avalon California\nI emigrated to the United States of America from Wininer Canada\nI\nemigrated to the United States of America from Bennew Senmany\non\nthe vessel Minneapola AlPaul Saml the last\non the vessel\nforeign residence was Baemer Germany\nAdaeph\n: my last\nforeign residence was\nBrandm Canada\nIt is my bona fide intention to renounce forever all allegiandeyland 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 of which I am\ncitinen\nnow a\nI\nprince Detentate, state, or sovereignty, and particularly Milian to of which + am now a subject citizen\nsubject\n1\narrived\nat the port of Mannapor\nin the\narrived at the port of\nDeattle\nin the\nState of Manumental\nTessitory\non or about the 20 and day\nState\nTessitery of\nNeverbon / anno Dommi 903 1 am not an anarchist: I am not a\nMashinglin\non or about the 15 day\nBistrict\nof District Septicultin\nanno Domini\ngo\n-\nI am not an anarchist: 1 am not\na\nof\npolygamist non 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.\nLindo Thewris\nSo HELP ME GOD.\nFredrick allien\n(Original signature of declagant.)\n(Original signatue of declarant.)\nSubscribed\nald)\nSubscribed and sworn to before me this\n[SEAL.]\nday of and wew to before me anno this Domini ey 19\n[SEAL.\nday of\nOct\nthe\nanno Domini 19 of\nLERK COFFICIO\nClerk\nClerk. Court.\nClanh-of the COURT\nTN AND FOR COUME"
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