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ORIGINAL
No.
No.-1417,
STATES or
STATES or
nf and
at and
BUREAU OF IMMIGRATION AND NATURALIZATION
BUREAU OF IMMIGRATION AND NATURALIZATION
DIVISION OF NATURALIZATION
DIVISION DF NATURALIZATION
DECLARATION OF INTENTION
DECLARATION OF. INTENTION
(Invalid for all purposes seven yeare after the date hereof)
(Invalid for all purposea seven yeara after the date hereof)
S
STATE OF CALLERMIA
In the
SUPERIOR Court
STATE D.E. CALIFORNIA
In
the SUPERIOR
ss:
Court
County of Los Angeles
- AND FOR Los ANGELES County,
County of Los Angeles
SS:
of
STATE os.
of
AND FOR Los ANDELE County,
THE STATE OR
3.
Makaim Rasich
aged 23 years,
Samuel Schiedreasx
aged 25 years,
occupation
Labour
do affirm on that my personal
declare oath
occupation
Salesman
do declare affirm on oath that my personal
description is: Color white
complexion
2 an
height 5 feet 11 inches,
description is: Color white
complexion
Dark
height feet 4 inches,
weight 180 pounds, color of hair Brown color of eyes Grey
weight 116 pounds, color of hair Black color of leyes Brown
other visible distinctive marks
none
isulto
other visible distinctive marks
none
: I was born in Gjubinje
I was born in Braila
Austria
, on the
16th
day of
Syptimon anno
Roumania
on the
12
day of
Jeby
anno
Domini 1885; I now reside ats 32 Gray SX has Angels bad
Domini I 884. I now reside at 315.California EX Los Angeles bal
1 emigrated to the United States of America from naplus Italy
1 emigrated to the United States of America from Anturpp Belgium
on the vessel
Piemonte
my last
on the vessel
Anchoria
: my last
foreign residence was
Gubinjs Austria
foreign residence was
Antury Bilgium
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 Francis Juneph
prince, potentate, state, or sovereignty, and particularly to Charles
Empiron of Austria
of which I am now a subject citizen
I
Ding of Roumania
of which I am now a citigen
subject
I
arrived at the port of
newyork.
in the
arrived at the port of
newyork
in the
State
District Territory of newyork
the 25th day
State
on or about
Territory of
District
newyork.
on or about the 12th day
of
march
lanno Domini 1 906; 1 am not an anarchist; I am not a
of
December anno Domini 1903; 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 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.
Maksin Rosich
ne
So HELP ME GOD.
y
x
Samuels Phildren t
(Original signature of declarant.)
(Original signature of declanant.)
Subscribed and sworn to before me this
affirmed
Subscribed and sworn to before me this
[SEAL!]
Inimida connte
day of March
anno Domini 1909
[SEAL"] trimed onns
day of March
anno Domini
C. a Keyen
C.-G. Keyea :
COUNTY cmc AND EX-ORFICIO
COUNTY CLERK AND EX-ORFICIO OL
Clark of the THE DO SUPERIOR ANORE COURT IN OF AND CALIFORNIA; FOR 1.
THE BUPERIOR COURT. IN AND FOR THR COUNTY
Clenk of the or Los ANGELED, STATE OF CALIFOBNIA Court.
governancy
Defects Clerk.
By
greamy Systems Clerk.
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- Type
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Document data
- ID
- 103939062
- Core
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- Type
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DTO data
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Context sent to Scholar
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"ocrText": "ORIGINAL\nNo.\nNo.-1417,\nSTATES or\nSTATES or\nnf and\nat and\nBUREAU OF IMMIGRATION AND NATURALIZATION\nBUREAU OF IMMIGRATION AND NATURALIZATION\nDIVISION OF NATURALIZATION\nDIVISION DF NATURALIZATION\nDECLARATION OF INTENTION\nDECLARATION OF. INTENTION\n(Invalid for all purposes seven yeare after the date hereof)\n(Invalid for all purposea seven yeara after the date hereof)\nS\nSTATE OF CALLERMIA\nIn the\nSUPERIOR Court\nSTATE D.E. CALIFORNIA\nIn\nthe SUPERIOR\nss:\nCourt\nCounty of Los Angeles\n- AND FOR Los ANGELES County,\nCounty of Los Angeles\nSS:\nof\nSTATE os.\nof\nAND FOR Los ANDELE County,\nTHE STATE OR\n3.\nMakaim Rasich\naged 23 years,\nSamuel Schiedreasx\naged 25 years,\noccupation\nLabour\ndo affirm on that my personal\ndeclare oath\noccupation\nSalesman\ndo declare affirm on oath that my personal\ndescription is: Color white\ncomplexion\n2 an\nheight 5 feet 11 inches,\ndescription is: Color white\ncomplexion\nDark\nheight feet 4 inches,\nweight 180 pounds, color of hair Brown color of eyes Grey\nweight 116 pounds, color of hair Black color of leyes Brown\nother visible distinctive marks\nnone\nisulto\nother visible distinctive marks\nnone\n: I was born in Gjubinje\nI was born in Braila\nAustria\n, on the\n16th\nday of\nSyptimon anno\nRoumania\non the\n12\nday of\nJeby\nanno\nDomini 1885; I now reside ats 32 Gray SX has Angels bad\nDomini I 884. I now reside at 315.California EX Los Angeles bal\n1 emigrated to the United States of America from naplus Italy\n1 emigrated to the United States of America from Anturpp Belgium\non the vessel\nPiemonte\nmy last\non the vessel\nAnchoria\n: my last\nforeign residence was\nGubinjs Austria\nforeign residence was\nAntury Bilgium\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 Francis Juneph\nprince, potentate, state, or sovereignty, and particularly to Charles\nEmpiron of Austria\nof which I am now a subject citizen\nI\nDing of Roumania\nof which I am now a citigen\nsubject\nI\narrived at the port of\nnewyork.\nin the\narrived at the port of\nnewyork\nin the\nState\nDistrict Territory of newyork\nthe 25th day\nState\non or about\nTerritory of\nDistrict\nnewyork.\non or about the 12th day\nof\nmarch\nlanno Domini 1 906; 1 am not an anarchist; I am not a\nof\nDecember anno Domini 1903; 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 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.\nMaksin Rosich\nne\nSo HELP ME GOD.\ny\nx\nSamuels Phildren t\n(Original signature of declarant.)\n(Original signature of declanant.)\nSubscribed and sworn to before me this\naffirmed\nSubscribed and sworn to before me this\n[SEAL!]\nInimida connte\nday of March\nanno Domini 1909\n[SEAL\"] trimed onns\nday of March\nanno Domini\nC. a Keyen\nC.-G. Keyea :\nCOUNTY cmc AND EX-ORFICIO\nCOUNTY CLERK AND EX-ORFICIO OL\nClark of the THE DO SUPERIOR ANORE COURT IN OF AND CALIFORNIA; FOR 1.\nTHE BUPERIOR COURT. IN AND FOR THR COUNTY\nClenk of the or Los ANGELED, STATE OF CALIFOBNIA Court.\ngovernancy\nDefects Clerk.\nBy\ngreamy Systems Clerk."
}