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108
107
No. 1598
ORIGINAL
No 4599
OBIGINAL
STATES OF
STATES OF
Repartment of Commerce and Nabor
Department of Conumerce and 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 years after the date hereof)
STATE OF CALLFORNIA
In the
SUPERIOR Court
STATE OF CALIFORNIA
County of Los Angeles
ss:
IN AND FOR Los ANGELES COUNT
County of Los Angeles
ss:
In the SUPERISA
Court
S
ofthe STATE QE CALIFORNIA.
of THE RTATE or Loa
3.
Jacob Goldbury
aged zz. years,
3.
Otto Ernest Schmuggles
,
aged 30. years,
occupation
Failon
do declare affirm on oath that my personal
occupation
Waiter
do declare on oath
description is: Color whis
affirm
that my personal
complexion Dark , height 5 feet inches,
description is: Color while complexion Light , height 5 feet
inches,
weight 135. pounds, color of hair
Brown
color of leyes
Brown
weight 110 pounds, color of hair Light , color of eyes Grey
other visible distinctive marks
none
other visible distinctive marks
work
none
: I was born in Minete
Russia
,
on the
20th of December
day
* anno
Germany
I was born in menselwitz
on the
10th
day of
Domini I 887 : I now reside at 1041 so olive A Los Anyrh Oal
may
, anno
Domini I 879 I now reside at
Sania morning bal
I emigrated to United States of America from Anturpp Brlgium
the
I
Friedland
emigrated to the United States of America from Hamburg Germany
on the vessel
4 my last
on the vessel
(If the allén arrived otherwise than by vessel, the character of donvervance or name of transportation company should be given.)
(If the allen arrived than by vessel, the aracter of conveyance or name of
Kaiserin otherwise Augusts Victoria
transportation
Minak
company
should
be
given.)
: my last
foreign residence was
Russia
foreign residence was
humany
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 Nicholas II
prince, potentate, state, or sovereignty, and particularly to William II
Emper of Russia
citimen
of which I am now a subject
I
Cemperon of bumany
of which 1 am now a créizen
subject
I
arrived at. the port of
cturyors
in the
arrived at the port of
State
Aneyyork.
14th day
State
dewyork
in the
Temitory of
on or about the
Tessitory of
District
District
stewyork
on or about the 29th day
of August
anno Domini 1904 I am not an anarchist; I am not a
of
April
anno Domini 906; 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
to become a citizen of the United States of America and to permanently reside theiein:
to become a citizen of the United States of America and to permanently reside therein:
So HELP ME GOD.
facel signature uno
o2
Goldbag
So HELP ME GOD.
éclarant.)
Other (Original Envent signature of dehmitylex declarant.)
Subscribed and Affiemed sworn to before me this
21th
day of F
Subscribed and affirmed sworn to before me this 21 m
[SEAL.]
erviti
anno Domini
[SEAL.]
day of June
anno Domini 19 09
C. G. Keyes
a
THE SUPERIOR COURT IN AND FOR HIK COUNTY
GOUNTY
Glerk of the OS ANGELES, BTATE OF GALIFORNIA.
Court.
Glark of the OP LOS ANGELES STATE OF CALIFORNIA,
THE BUPERIOR COURT IN FOR THE OQUNTY or
By
gro Contray
Clerk.
granday
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"ocrText": "108\n107\nNo. 1598\nORIGINAL\nNo 4599\nOBIGINAL\nSTATES OF\nSTATES OF\nRepartment of Commerce and Nabor\nDepartment of Conumerce and 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 years after the date hereof)\nSTATE OF CALLFORNIA\nIn the\nSUPERIOR Court\nSTATE OF CALIFORNIA\nCounty of Los Angeles\nss:\nIN AND FOR Los ANGELES COUNT\nCounty of Los Angeles\nss:\nIn the SUPERISA\nCourt\nS\nofthe STATE QE CALIFORNIA.\nof THE RTATE or Loa\n3.\nJacob Goldbury\naged zz. years,\n3.\nOtto Ernest Schmuggles\n,\naged 30. years,\noccupation\nFailon\ndo declare affirm on oath that my personal\noccupation\nWaiter\ndo declare on oath\ndescription is: Color whis\naffirm\nthat my personal\ncomplexion Dark , height 5 feet inches,\ndescription is: Color while complexion Light , height 5 feet\ninches,\nweight 135. pounds, color of hair\nBrown\ncolor of leyes\nBrown\nweight 110 pounds, color of hair Light , color of eyes Grey\nother visible distinctive marks\nnone\nother visible distinctive marks\nwork\nnone\n: I was born in Minete\nRussia\n,\non the\n20th of December\nday\n* anno\nGermany\nI was born in menselwitz\non the\n10th\nday of\nDomini I 887 : I now reside at 1041 so olive A Los Anyrh Oal\nmay\n, anno\nDomini I 879 I now reside at\nSania morning bal\nI emigrated to United States of America from Anturpp Brlgium\nthe\nI\nFriedland\nemigrated to the United States of America from Hamburg Germany\non the vessel\n4 my last\non the vessel\n(If the allén arrived otherwise than by vessel, the character of donvervance or name of transportation company should be given.)\n(If the allen arrived than by vessel, the aracter of conveyance or name of\nKaiserin otherwise Augusts Victoria\ntransportation\nMinak\ncompany\nshould\nbe\ngiven.)\n: my last\nforeign residence was\nRussia\nforeign residence was\nhumany\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 Nicholas II\nprince, potentate, state, or sovereignty, and particularly to William II\nEmper of Russia\ncitimen\nof which I am now a subject\nI\nCemperon of bumany\nof which 1 am now a créizen\nsubject\nI\narrived at. the port of\ncturyors\nin the\narrived at the port of\nState\nAneyyork.\n14th day\nState\ndewyork\nin the\nTemitory of\non or about the\nTessitory of\nDistrict\nDistrict\nstewyork\non or about the 29th day\nof August\nanno Domini 1904 I am not an anarchist; I am not a\nof\nApril\nanno Domini 906; I 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 theiein:\nto become a citizen of the United States of America and to permanently reside therein:\nSo HELP ME GOD.\nfacel signature uno\no2\nGoldbag\nSo HELP ME GOD.\néclarant.)\nOther (Original Envent signature of dehmitylex declarant.)\nSubscribed and Affiemed sworn to before me this\n21th\nday of F\nSubscribed and affirmed sworn to before me this 21 m\n[SEAL.]\nerviti\nanno Domini\n[SEAL.]\nday of June\nanno Domini 19 09\nC. G. Keyes\na\nTHE SUPERIOR COURT IN AND FOR HIK COUNTY\nGOUNTY\nGlerk of the OS ANGELES, BTATE OF GALIFORNIA.\nCourt.\nGlark of the OP LOS ANGELES STATE OF CALIFORNIA,\nTHE BUPERIOR COURT IN FOR THE OQUNTY or\nBy\ngro Contray\nClerk.\ngranday"
}