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324 No. 2314 ORIGINAL 325 No. 2315 ORIGINAL STATES OF STATES or Reportment af and Trabne Repartment of aud Tabor BUREAU OF IMMIGRATION AND NATURALIZATION BUREAU OF IMMIGRATION AND NATURALIZATION DIVIBION or NATURALIBATION DIVISION OF NATURALIZATION DECLARATION OF INTENTION DECLARATION OF. INTENTION (Invalid for all purpones seven years after the date hereof) (Invalid for all purposes seven years after the date hereof) v STATE OF CALIFORNIA) In the SUPERIOR Court County of Los Angeles THE STATE OF CALIFORNIA, STATE County OF In the SUPERIOR SS : of Angeles THE STATE OF CALIFORNIA, Court SS: of IN AND FOR Los ANGELES COUNTY, of IN AND FOR Los ANGELES COUNTY, 3. Sam Herniki , aged 31 years, J. Felix Von Grabaki aged 41. years, occupation Failon . do declare on oath affirm- that my personal occupation Confectioner , do declare affirm on oath that my personal description is: Color white complexion Dark height 5 feet 4 inches, description is: Color white , complexion Fair height 4 feet 10 inches, weight 146 pounds, color of hair Black color of eyes Every weight 135. pounds, color of hair Brown color of eyes Genry other visible distinctive marks none other visible distinctive marks none. : I was born in Berdechew : I was born in naroaw. Russia on the 29th day of January anno Polland on the 30.d. day of may , anno Domini I 879. I now reside at has Angeles bas. Domini I 868; I now reside at United States of America from Quibers. Canada Las Angeles but I emigrated to the I emigrated to the United States of America from Bmog Italy on the vessel brand otherwise han Frank by vessal, the character of R R : my last on the vessel Holland (If the allen arrived conveyance or name consportation company should be given.] Berdechew. Russia (If the allen arrived otherwise than by vessel,th character of conveyance or name of transportation company should be given.] : my last foreign residence was foreign residence was Genoa Italy 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 nicholas II 1 Emperon of Russia of which I am now a subject eitizen ; I 1 Empiron of Russia of which I am now a citicen subject 1 arrived at the port of ningara Falls in the arrived at the port of State newfork in the Territory of newyork. on or about the 4" day State Dietrict Territory of District newyork. on or about the 27th day of June anno Domini 900 I am not an anarchist: I am not a of June anno Domini I 895 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 therein: to become a citizen of the United States of : America and to permanently reside therein: So HELP ME GOD. So HELP ME GOD. Sourn wineks Melination Felax Veri Giabili (Original signature of declarant.) 19th (Original algnature of declarant.) Subscribed and sworn affirmed to before me this Subscribed and sworn to before me this affirmed 19' [SEAL. day of April anno Domini 1910 [SEAL.] trimob day of April anno Domini 19.10 C. G. Keyes COUNTY CLERK AND OF C. G. Keyen THE SUPERIOR COURT IN AND FOB THE COUNTY OCUNTY CLERK AND EX Clarh of theor LOS ANGELES. STAVE OF CALIFORNIA. Court Clark of the OF LOS ANGELEG THE SUPERIOR COUET IN A n res THE OF By / Country Clerk. By fx Clerk.

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    "ocrText": "324\nNo. 2314\nORIGINAL\n325\nNo. 2315\nORIGINAL\nSTATES OF\nSTATES or\nReportment af and Trabne\nRepartment of aud Tabor\nBUREAU OF IMMIGRATION AND NATURALIZATION\nBUREAU OF IMMIGRATION AND NATURALIZATION\nDIVIBION or NATURALIBATION\nDIVISION OF NATURALIZATION\nDECLARATION OF INTENTION\nDECLARATION OF. INTENTION\n(Invalid for all purpones seven years after the date hereof)\n(Invalid for all purposes seven years after the date hereof)\nv\nSTATE OF CALIFORNIA)\nIn the SUPERIOR\nCourt\nCounty of Los Angeles\nTHE STATE OF CALIFORNIA,\nSTATE County OF\nIn the SUPERIOR\nSS :\nof Angeles\nTHE STATE OF CALIFORNIA,\nCourt\nSS:\nof\nIN AND FOR Los ANGELES COUNTY,\nof\nIN AND FOR Los ANGELES COUNTY,\n3.\nSam Herniki\n, aged 31 years,\nJ.\nFelix Von Grabaki\naged\n41. years,\noccupation\nFailon\n.\ndo\ndeclare on oath\naffirm- that my personal\noccupation\nConfectioner\n, do declare affirm on oath that my personal\ndescription is: Color white\ncomplexion\nDark height 5 feet 4 inches,\ndescription is: Color white , complexion\nFair height 4 feet 10 inches,\nweight 146 pounds, color of hair Black color of eyes Every\nweight 135. pounds, color of hair Brown color of eyes Genry\nother visible distinctive marks\nnone\nother visible distinctive marks\nnone.\n: I was born in Berdechew\n:\nI was born in\nnaroaw.\nRussia\non the\n29th day of\nJanuary\nanno\nPolland\non the\n30.d.\nday of\nmay\n, anno\nDomini I 879. I now reside at\nhas Angeles bas.\nDomini I 868; I now reside at\nUnited States of America from Quibers. Canada\nLas Angeles but\nI emigrated to the\nI emigrated to the United States of America from Bmog\nItaly\non the vessel\nbrand otherwise han Frank by vessal, the character of R R\n: my last\non the vessel\nHolland\n(If the allen arrived conveyance or name consportation company should be given.]\nBerdechew. Russia\n(If the allen arrived otherwise than by vessel,th character of conveyance or name of transportation company should be given.] : my last\nforeign residence was\nforeign residence was\nGenoa\nItaly\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 nicholas II\n1\nEmperon of Russia\nof which I am now a subject eitizen ; I\n1\nEmpiron of Russia\nof which I am now a citicen subject 1\narrived at the port of\nningara Falls\nin the\narrived at the port of\nState\nnewfork\nin the\nTerritory of\nnewyork.\non or about the\n4\" day\nState\nDietrict\nTerritory of\nDistrict\nnewyork.\non or about the 27th day\nof\nJune\nanno Domini 900 I am not an anarchist: I am not\na\nof\nJune\nanno Domini I 895 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 therein:\nto become a citizen of the United States of : America and to permanently reside therein:\nSo HELP ME GOD.\nSo HELP ME GOD.\nSourn wineks\nMelination\nFelax Veri Giabili\n(Original signature of declarant.)\n19th\n(Original algnature of declarant.)\nSubscribed and sworn affirmed to before me this\nSubscribed and sworn to before me this\naffirmed\n19'\n[SEAL.\nday of April\nanno Domini 1910\n[SEAL.] trimob\nday of April\nanno Domini 19.10\nC. G. Keyes\nCOUNTY CLERK AND OF\nC. G. Keyen\nTHE SUPERIOR COURT IN AND FOB THE COUNTY\nOCUNTY CLERK AND EX\nClarh of theor LOS ANGELES. STAVE OF CALIFORNIA.\nCourt\nClark of the OF LOS ANGELEG\nTHE SUPERIOR COUET IN A n res THE\nOF\nBy\n/\nCountry\nClerk.\nBy\nfx\nClerk."
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