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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."
}