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82 No.680 ORIGINAL No. 681. ORIGINAL OF STATES OF Department nf Conmence aud Department of aud Tabur 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 yeare after the date hereof) Court STATE OF CALIFORNIA in the In the ST.TTE OF County of Los Angeles SUPERION. Court SS : ss: County of FOR Lee ANGELES COUN STATE or OAL ofthe STATE er CALIPORNIA, la AND FOR Lee ANG. LED COUNTY, 3, Jacob Berman , aged 18. years, 3, Daniel tor Hickey aged 73. years, occupation Austboy do declare affirm on oath that my personal occupation bar Repairer do affirm on that my personal declare oath , description is: Color mile complexion Light height 5 feet 3%/4 inches, description is: Color while , complexion Fair , height 5 weight 130. pounds, color of hair Drown , color of eyes Blue weight 188 pounds, color of hair Blight , color of eyes Blue other visible distinctive marks none other visible distinctive marks none I was born in Bor / : : Ireland I was born in strocknagorhel Russia , on the 22. day of October anno on the N.A. of , day June , anno Domini I 889 I now reside at 402 E 47th has Angeles Calefa Domini - 8841 now reside at 1672 Sau Fernando th Cul I emigrated to the United States of America from Kishineff Russia I emigrated to the United States of America from Queenstown Ireland on the vessel Nambury : my last on the vessel Campania : my last foreign residence was Alakoadricki Russes foreign residence was Knocknagarhal Isiland 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 diclolas II prince, potentate, state, or sovereignty, and particularly to Esmard VII Emperon of Russig of which I am now a subject citisen I King of break Britain threland , of which I am now a subject citizen 1 arrived at the port of Aniforn in the arrived at the port of State State dewyork in the Territory of drawyoak on or about the 25th ande day Territory of District District sturyork on or about the 2td day of June anno Domini I 904 I. am not an anarchist: I am not a of Octobar lanno Domini 906; 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 fäith 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. oa So HELP ME GOD. Jacob (Original signature Berman of declarant.) Laniel (Original signature of declaragh Subscribed and reffirmed sworn to before me this 23 E Subscribed and affirmed sworn to before me this Lase [SEAL day of march anno Domini 19.08 [SEAL. day of nearch anno Domini 19.00 B di Moyes, DOUNTY CLERK AND EX ORFICIO CLANK 67 C.C. COONTY ANO PX ORTICIO OLRAK OW TMK SUPERIOR ODURT. IN AND FON THE GOUNTY Clark of The or OALIFORNIA, Court. Clerk of the ANDELEA RTAWE OF BALICORNIA. Tha SUPERION COURT D DOUNTY By Clerk. By Deputy Clerk. Court.

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    "ocrText": "82\nNo.680\nORIGINAL\nNo. 681.\nORIGINAL\nOF\nSTATES\nOF\nDepartment nf Conmence aud\nDepartment of aud Tabur\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 yeare after the date hereof)\nCourt\nSTATE OF CALIFORNIA\nin the\nIn the\nST.TTE OF\nCounty of Los Angeles\nSUPERION.\nCourt\nSS :\nss:\nCounty of\nFOR Lee ANGELES COUN\nSTATE or OAL\nofthe STATE er CALIPORNIA, la AND FOR Lee ANG. LED COUNTY,\n3,\nJacob Berman\n,\naged\n18. years,\n3,\nDaniel tor Hickey\naged 73. years,\noccupation Austboy\ndo declare affirm on oath that my personal\noccupation\nbar Repairer\ndo affirm on that my personal\ndeclare oath\n,\ndescription is: Color mile complexion Light height 5 feet 3%/4 inches,\ndescription is: Color while\n, complexion\nFair\n, height 5\nweight 130. pounds, color of hair Drown , color of eyes\nBlue\nweight 188 pounds, color of hair Blight , color of eyes\nBlue\nother visible distinctive marks\nnone\nother visible distinctive marks\nnone\nI was born in\nBor\n/\n:\n:\nIreland\nI was born in strocknagorhel\nRussia\n, on the\n22. day of\nOctober anno\non the\nN.A. of\n,\nday\nJune\n, anno\nDomini I 889 I now reside at 402 E 47th has Angeles Calefa\nDomini - 8841 now reside at 1672 Sau Fernando th Cul\nI emigrated to the United States of America from Kishineff Russia\nI\nemigrated to the United States of America from Queenstown Ireland\non the vessel\nNambury\n: my last\non the vessel\nCampania\n: my last\nforeign residence was\nAlakoadricki\nRusses\nforeign residence was\nKnocknagarhal Isiland\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 diclolas II\nprince, potentate, state, or sovereignty, and particularly to Esmard VII\nEmperon of Russig\nof which I am now a subject citisen\nI\nKing of break Britain threland\n,\nof which I am now a subject citizen 1\narrived at the port of\nAniforn\nin the\narrived at the port of\nState\nState\ndewyork\nin the\nTerritory of\ndrawyoak\non or\nabout the 25th ande day\nTerritory of\nDistrict\nDistrict\nsturyork\non or about the 2td day\nof\nJune\nanno Domini I 904 I. am not an anarchist: I am not a\nof\nOctobar\nlanno Domini 906; 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 fäith\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.\noa\nSo HELP ME GOD.\nJacob (Original signature Berman of declarant.)\nLaniel\n(Original signature of declaragh\nSubscribed and reffirmed sworn to before me this\n23\nE\nSubscribed and affirmed sworn to before me this\nLase\n[SEAL\nday of march\nanno Domini 19.08\n[SEAL.\nday of nearch anno Domini\n19.00\nB di Moyes,\nDOUNTY CLERK AND EX ORFICIO CLANK 67\nC.C. COONTY ANO PX ORTICIO OLRAK OW\nTMK SUPERIOR ODURT. IN AND FON THE GOUNTY\nClark of The or OALIFORNIA,\nCourt.\nClerk of the ANDELEA RTAWE OF BALICORNIA.\nTha SUPERION COURT D DOUNTY\nBy\nClerk.\nBy\nDeputy Clerk. Court."
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