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5 No.
556
em
No. 567
ORIGINAL
STATES OF
STATES OF
Department of Commerte and Tabor
Department of and Tabur
BUREAU OF /IMMIGRATION AND NATURALIZATION
BUREAU OF. IMMIGRATION AND NATURALIZATION
DIVISION OF INATURALIZATION
DIVISION OF NATURALIZATION
DECLARATION OF INTENTION
DECLARATION OFINTENTION
(Invalid for all purposes seven years/afte the date hereof)
(Invalid for all purposes seven years after the date hereof)
STATEOF CANTRONNIAL
In the
In the
of Los Angeles
of sended ales
ss:
of
of
3. Nacigaling aged 23 years,
Loo ANGELÉ County,
3, aged - AND FOR 13 Lee
ANGELES COUNTY,
years,
occupation Boiler Washin
do declare affirmin on oath that my personal
occupation
description is: Color Mahe complexion Dark affirm- heighte feet inches,
Labmen
do declare on oath that my personal
description 168 is: Color pounds, Whate color of hair complexion Schoon Dayo? color of eyes height feet inches,
weight
weight 150 pounds, color of hair Black color of eyes Brown
other visible distinctive marks
None
:
Carasco
other visible distinctive marks Sean undor left eye
I was born in
: 1 was born in Chibica
Domini I I now reside at 73 Laman M Las angeles San
Stay
on the 1st day of
,
Dept
, anno
Mankerigon on the 114 day of Jany
anno
Domini
I
emigrated to the United States of America from Genera Italy
I emigrated to the United States of America from Home thance
- 8821 now reside at 835 Cap
on the vessel
"Citlaz di Forina
my last
on the vessel *
: my last
foreign residence was
Cargan Stuay
foreign residence was
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
King of Stoly
prince, potentate, state, or sovereignty, and particularly to Victon (mamelth
of which I am now a subject
prince, Prince potentate, of state, Antenege or soyereignty, and particularly tó of which I
Nickalas
citteen
arrived at the port of New York
am now a subject 1
in the
arrived at the port of
in the
State
Sassitery of
New York
on or about the 13" day
State
Tossitory of
District
District
two your
New york
on or about the 2 day
of apre
anno Domini I 905 am not an anarchist: I am not a
of
Non
anno Domini 903 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 America and to permanently reside therein:
So HELP ME GOD.
Bartolomes Bacigalogue
So HELP ME God.
184
(Original signature of declargn.)
Subscribed and sworn to before me this
ft
(Original algnature of declarant.)
Subscribed
[SEAL.
day Jany of anno Domini 194
[SEAL"]
inimoa
day of and swern Mismed to before me anno this Domini fan 19
08
AND EX-ORFICIO
co - IN AND FOR THE
Clerk.
Clert. Courts
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"ocrText": "5 No.\n556\nem\nNo. 567\nORIGINAL\nSTATES OF\nSTATES OF\nDepartment of Commerte and Tabor\nDepartment of and Tabur\nBUREAU OF /IMMIGRATION AND NATURALIZATION\nBUREAU OF. IMMIGRATION AND NATURALIZATION\nDIVISION OF INATURALIZATION\nDIVISION OF NATURALIZATION\nDECLARATION OF INTENTION\nDECLARATION OFINTENTION\n(Invalid for all purposes seven years/afte the date hereof)\n(Invalid for all purposes seven years after the date hereof)\nSTATEOF CANTRONNIAL\nIn the\nIn the\nof Los Angeles\nof sended ales\nss:\nof\nof\n3. Nacigaling aged 23 years,\nLoo ANGELÉ County,\n3, aged - AND FOR 13 Lee\nANGELES COUNTY,\nyears,\noccupation Boiler Washin\ndo declare affirmin on oath that my personal\noccupation\ndescription is: Color Mahe complexion Dark affirm- heighte feet inches,\nLabmen\ndo declare on oath that my personal\ndescription 168 is: Color pounds, Whate color of hair complexion Schoon Dayo? color of eyes height feet inches,\nweight\nweight 150 pounds, color of hair Black color of eyes Brown\nother visible distinctive marks\nNone\n:\nCarasco\nother visible distinctive marks Sean undor left eye\nI was born in\n: 1 was born in Chibica\nDomini I I now reside at 73 Laman M Las angeles San\nStay\non the 1st day of\n,\nDept\n, anno\nMankerigon on the 114 day of Jany\nanno\nDomini\nI\nemigrated to the United States of America from Genera Italy\nI emigrated to the United States of America from Home thance\n- 8821 now reside at 835 Cap\non the vessel\n\"Citlaz di Forina\nmy last\non the vessel *\n: my last\nforeign residence was\nCargan Stuay\nforeign residence was\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\nKing of Stoly\nprince, potentate, state, or sovereignty, and particularly to Victon (mamelth\nof which I am now a subject\nprince, Prince potentate, of state, Antenege or soyereignty, and particularly tó of which I\nNickalas\ncitteen\narrived at the port of New York\nam now a subject 1\nin the\narrived at the port of\nin the\nState\nSassitery of\nNew York\non or about the 13\" day\nState\nTossitory of\nDistrict\nDistrict\ntwo your\nNew york\non or about the 2 day\nof apre\nanno Domini I 905 am not an anarchist: I am not a\nof\nNon\nanno Domini 903 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 America and to permanently reside therein:\nSo HELP ME GOD.\nBartolomes Bacigalogue\nSo HELP ME God.\n184\n(Original signature of declargn.)\nSubscribed and sworn to before me this\nft\n(Original algnature of declarant.)\nSubscribed\n[SEAL.\nday Jany of anno Domini 194\n[SEAL\"]\ninimoa\nday of and swern Mismed to before me anno this Domini fan 19\n08\nAND EX-ORFICIO\nco - IN AND FOR THE\nClerk.\nClert. Courts"
}