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268 ORIGINAL No. 766 ORIGINAL the STATES OF STATES éts an at Commerce aud Tabur Repartutent at Conmerce aud Tabur HOITAS BUREAU OF IMMIGRATION AND NATURALIZATION ,BUREAU OF IMMIGRATION AND NATURALIZATION DIVISION OF NATURALIZATION DIVISION OF NATURALIZATION 20 MOITARA a DECLARATION OF INTENTION DECLARATION y (Invalid for all purposes seven years after the date hereof) (Invalid for all purposes seven years after the date hereof) ATTATE of in the SUPERIOR Court STATE OF In the SUPERICE County of ss: County of Los Angelos ss: Court STATE OF FOR Lea Couwry, - STATE QE FOR Les COUNTY, 3. Friderick D algas HY aged 43. years, 3. Nick Manjick aged H years, occupation Labour do declare affirm on oath that my personal occupation Labour do declare affirm on oath that my personal description is: Color while complexion Fair height 5 feet 7 inches, description is: Color white complexion Danie height 6 feet 3 inches, weight 175 pounds, color of hair Dark color of eyes Blue solos weight 185. pounds, color of hair Brown color of eyes Brown other visible distinctive marks now other visible distinctive marks non sitiety I was born in Denmart 18th dryoum I was born in Gubinje on the day of dovement anno Pustria , on the 27th day of September A anno Domini I 864 I now reside at 312 East 2 has Angela bal Domini 885 : I now reside at 657 Burney In has Angelis Cal I emigrated to the United States of America from Sunig Canada I emigrated to the United States of America from Raguzah Rudria on the vessel * Monarch : my last on the vessel Sicilia my last foreign residence was Sernia banada DI foreign residence was of Drus anod un Kjubinja Austria 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 Frebrick VIII prince, state, or and Sung of Dinmark of which I am now a citiaen 1 Empiron of Rustria of which d am now a eitizen potentate, sovereignty, particularly to Francis Joseph subject subject : 1 Port Kuron to arrived at the port of in the arrived at the port of Jhwyork wis in the State Michigan on or about the 28th day State Ferritory of Territory of shurfork on or about the 24th District District day of July anno Domini I 9021 am not an anarchist: 1 am not a of duit DE vil at EL von January anno Domini 903 I 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 et to A 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. Fredenick (Original declerant.) Dalgus So HELP ME GOD. Rick signature of 14th yamful algnajore of declarant.) Subscribed and sworn to before me this affirmed Subscribed and sworn alliemed to before rae this 24th clay of April vsb [SEAL. anno Domini 19 or ISEAS day of April 2 anno Domini CG DOUNT AND EX OFPICIO DI THI SUPERION SOUET IN AND FOR THE COUNT THI GOUNTY Clerk of ther LOS REAS OF Court. BUP Enion COURT Clark of the Clerk.

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    "ocrText": "268\nORIGINAL\nNo. 766\nORIGINAL\nthe STATES\nOF\nSTATES\néts an\nat Commerce aud Tabur\nRepartutent at Conmerce aud Tabur\nHOITAS\nBUREAU OF IMMIGRATION AND NATURALIZATION\n,BUREAU OF IMMIGRATION AND NATURALIZATION\nDIVISION OF NATURALIZATION\nDIVISION OF NATURALIZATION\n20 MOITARA\na\nDECLARATION OF INTENTION\nDECLARATION\ny\n(Invalid for all purposes seven years after the date hereof)\n(Invalid for all purposes seven years after the date hereof)\nATTATE of\nin the\nSUPERIOR Court\nSTATE OF\nIn the SUPERICE\nCounty of\nss:\nCounty of Los Angelos\nss:\nCourt\nSTATE OF FOR Lea Couwry,\n-\nSTATE QE FOR Les COUNTY,\n3.\nFriderick D algas HY\naged 43. years,\n3.\nNick Manjick\naged\nH years,\noccupation\nLabour\ndo declare affirm on oath that my personal\noccupation\nLabour\ndo declare affirm on oath that my personal\ndescription is: Color while\ncomplexion\nFair\nheight 5 feet 7 inches,\ndescription is: Color white\ncomplexion\nDanie\nheight 6 feet 3\ninches,\nweight 175 pounds, color of hair Dark color of eyes Blue\nsolos\nweight 185. pounds, color of hair Brown color of eyes Brown\nother visible distinctive marks\nnow\nother visible distinctive marks\nnon\nsitiety\nI was born in\nDenmart\n18th\ndryoum\nI was born in Gubinje\non the\nday of\ndovement anno\nPustria\n, on the\n27th\nday of\nSeptember\nA\nanno\nDomini I 864 I now reside at 312 East 2 has Angela bal\nDomini\n885 : I now reside at 657 Burney In has Angelis Cal\nI emigrated to the United States of America from\nSunig Canada\nI\nemigrated to the United States of America from Raguzah Rudria\non the vessel *\nMonarch\n:\nmy last\non the vessel\nSicilia\nmy last\nforeign residence was\nSernia banada DI\nforeign residence was\nof\nDrus\nanod\nun\nKjubinja Austria\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 Frebrick VIII\nprince, state, or and\nSung of Dinmark\nof which I am now a\ncitiaen\n1\nEmpiron of Rustria of which d am now a eitizen\npotentate, sovereignty, particularly to Francis Joseph\nsubject\nsubject : 1\nPort Kuron\nto\narrived at the port of\nin the\narrived at the port of\nJhwyork\nwis\nin the\nState\nMichigan\non or about the 28th day\nState\nFerritory of\nTerritory of\nshurfork\non or about the\n24th\nDistrict\nDistrict\nday\nof\nJuly\nanno Domini I 9021 am not an anarchist: 1 am not a\nof\nduit\nDE\nvil\nat\nEL\nvon\nJanuary\nanno Domini 903 I am not an anarchist I am not\na\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\net\nto\nA\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.\nFredenick (Original declerant.) Dalgus\nSo HELP ME GOD.\nRick\nsignature of\n14th\nyamful\nalgnajore of declarant.)\nSubscribed and sworn to before me this\naffirmed\nSubscribed and sworn alliemed to before rae this\n24th\nclay of April\nvsb\n[SEAL.\nanno Domini 19 or\nISEAS\nday of April 2 anno Domini\nCG\nDOUNT AND EX OFPICIO DI\nTHI SUPERION SOUET IN AND FOR THE COUNT\nTHI GOUNTY\nClerk of ther LOS REAS OF Court.\nBUP\nEnion\nCOURT\nClark of the\nClerk."
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