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228
229
No. 7998
ORIGINAL
No. 2219
ORIGINAL
STATES of
STATES
of aub Waint
of Comuterte aub
BUREAU OF IMMIGRATION AND NATURALIZATION
BUREAU OF IMMIGRATION AND NATURALIZATION
DIVISION OF NATURALIZATION
DIVISION or NATURALIZATION
DECLARATION OF. INTENTION
DECLARATION OR INTENTION
(Invalid for all purposes weven years after the date
(Invalid for all gurposes seven years after the date hereof)
In the
SUPERIOR
Court
STATE of CALIFORNIA
ss:
STATE OF CALIFORNIA
In the
SUPERIOR Court
IN AND FOR Los ANGELES COUNTY,
ss:
IN 10
County of los dageles
of THE STATE OF CALIFORNIA,
County of Los Angelen
AND
of THA STATE QE ANDELES COUNTY.
FOR LOG
3.
Serad Strinburg
aged 34 years,
3.
Cornelis Johannes Van. Vliet
, aged
31.
years,
occupation ted merchank.
do declare on oath
affirm.
that my personal
occupation
Teacher
do declare affirm on oath that my personal
description
is: Color whire complexion Dark height feet 2 inches,
description
is: Color white complexion
light
,
height
feet 6 inches,
weight 175. pounds, color of hair Black color of leyes Drown
weight 138 pounds, color of hair light color
of leyés
Blue
other visible distinctive marks
none.
aldiaix
other visible distinctive marks
none
I was born in Bafajowka
:
I was born in
Defehavin
aussia
on the
25
day of
september , anno
Holland
on the
12. 1 of
day
Domini I 875 I now reside at
has Angeles
bal
Domini I 878 I now reside at
Hollynood Cal
may
, anno
inlino(
I emigrated to the United States of America from Manyon distland
Columbia
I emigrated to the United States of America from sourabaya Eask ority
on the vessel
(If the allen anrived otherwise than by yressel, the character of
beet my last
on the vessel
stansportation coppany should be given.)
[If the allen arrived otherwise than by vessel, the character of or name company should be given.] : my last
Korea
foreign residence was
Sofajowda
Russes
foreign residence was
socrabaya teach India
It is my bona fide interition 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 TI
Empiron of Russia
prince, potentate, state, sovereignty, particularly Willilming
or and to
of which I am now a citisen. subject I
Queen of it Wisherlands
of which I am now a citison subject : 1
arrived at the port of
Kewyork
to dinq adi in the
arrived at the port of
San Francisco
in the
State
newyork
s
State
of
on or about the
10 day
Dietrict
Territory of
District
California
on or about the 26' day
of
the
may
fort me, anno Domini: 905 I am not an anarchist: 1 am not
la
of January
anno Domini I 907: 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 pérmanently reside therein:
to become a citizen of the United States of America and to permanently reside therein:
So HELP ME God.
Cornelis Johannes. illist
2stael doo
08
So HELP ME GOD.
(Original algnature of
-
zin
22th
defended
risal of
Subscribed and béfore me this
endi Subscribed and before me this
22
-
[SEAL.] onns
day of Warch
anno Domini 1940
[SEAL.]
onni
day of
March
anno Domini. good
C. N
C. G. Keyes
COURTYY CLERK AND
THE BUPCRIOR COURT IN AND FOR THE DOUNTY
OCUNTY CLERK AND EX OFFICIO CLERK OP
THI cuir
Glarb STATK OF CALIFORNIA,
Gourt.
Glank US the LOS ANGELES.
Clerk.
Mentay Clerk.
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"ocrText": "228\n229\nNo. 7998\nORIGINAL\nNo. 2219\nORIGINAL\nSTATES of\nSTATES\nof aub Waint\nof Comuterte aub\nBUREAU OF IMMIGRATION AND NATURALIZATION\nBUREAU OF IMMIGRATION AND NATURALIZATION\nDIVISION OF NATURALIZATION\nDIVISION or NATURALIZATION\nDECLARATION OF. INTENTION\nDECLARATION OR INTENTION\n(Invalid for all purposes weven years after the date\n(Invalid for all gurposes seven years after the date hereof)\nIn the\nSUPERIOR\nCourt\nSTATE of CALIFORNIA\nss:\nSTATE OF CALIFORNIA\nIn the\nSUPERIOR Court\nIN AND FOR Los ANGELES COUNTY,\nss:\nIN 10\nCounty of los dageles\nof THE STATE OF CALIFORNIA,\nCounty of Los Angelen\nAND\nof THA STATE QE ANDELES COUNTY.\nFOR LOG\n3.\nSerad Strinburg\naged 34 years,\n3.\nCornelis Johannes Van. Vliet\n, aged\n31.\nyears,\noccupation ted merchank.\ndo declare on oath\naffirm.\nthat my personal\noccupation\nTeacher\ndo declare affirm on oath that my personal\ndescription\nis: Color whire complexion Dark height feet 2 inches,\ndescription\nis: Color white complexion\nlight\n,\nheight\nfeet 6 inches,\nweight 175. pounds, color of hair Black color of leyes Drown\nweight 138 pounds, color of hair light color\nof leyés\nBlue\nother visible distinctive marks\nnone.\naldiaix\nother visible distinctive marks\nnone\nI was born in Bafajowka\n:\nI was born in\nDefehavin\naussia\non the\n25\nday of\nseptember , anno\nHolland\non the\n12. 1 of\nday\nDomini I 875 I now reside at\nhas Angeles\nbal\nDomini I 878 I now reside at\nHollynood Cal\nmay\n, anno\ninlino(\nI emigrated to the United States of America from Manyon distland\nColumbia\nI emigrated to the United States of America from sourabaya Eask ority\non the vessel\n(If the allen anrived otherwise than by yressel, the character of\nbeet my last\non the vessel\nstansportation coppany should be given.)\n[If the allen arrived otherwise than by vessel, the character of or name company should be given.] : my last\nKorea\nforeign residence was\nSofajowda\nRusses\nforeign residence was\nsocrabaya teach India\nIt is my bona fide interition to renounce forever all allegiance and fidelity to any foreign\nIt\nis my bona fide intention to renounce forever all allegiance and fidelity to any foreign\nprince, potentate, state, or sovereignty, and particularly to Nicholas TI\nEmpiron of Russia\nprince, potentate, state, sovereignty, particularly Willilming\nor and to\nof which I am now a citisen. subject I\nQueen of it Wisherlands\nof which I am now a citison subject : 1\narrived at the port of\nKewyork\nto dinq adi in the\narrived at the port of\nSan Francisco\nin the\nState\nnewyork\ns\nState\nof\non or about the\n10 day\nDietrict\nTerritory of\nDistrict\nCalifornia\non or about the 26' day\nof\nthe\nmay\nfort me, anno Domini: 905 I am not an anarchist: 1 am not\nla\nof January\nanno Domini I 907: 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 pérmanently reside therein:\nto become a citizen of the United States of America and to permanently reside therein:\nSo HELP ME God.\nCornelis Johannes. illist\n2stael doo\n08\nSo HELP ME GOD.\n(Original algnature of\n-\nzin\n22th\ndefended\nrisal of\nSubscribed and béfore me this\nendi Subscribed and before me this\n22\n-\n[SEAL.] onns\nday of Warch\nanno Domini 1940\n[SEAL.]\nonni\nday of\nMarch\nanno Domini. good\nC. N\nC. G. Keyes\nCOURTYY CLERK AND\nTHE BUPCRIOR COURT IN AND FOR THE DOUNTY\nOCUNTY CLERK AND EX OFFICIO CLERK OP\nTHI cuir\nGlarb STATK OF CALIFORNIA,\nGourt.\nGlank US the LOS ANGELES.\nClerk.\nMentay Clerk."
}