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446 No.2436 ORIGINAL No. 14.77 STATES or STATES OF af and Departuient of Unnutterce and Tabur BMREAU OF: INMIGRATION AND NATURALIZATION BUREAU OF. IMMIGRATION AND NATURALIZATION on NATURALIZATION: DIVISION OF NATURALIZATION DECLARATION OF INTENTION DECLARATION OF INTENTION (Invalid for all gurgonea seven yeara aften the date hereof): (Invalid for all purposse seyen years after the date hereof) W STATE OF CALIFORNIA In the SUPERIOR STATE OF Court County of Los Angeles THE STATE OF CALIFONNTA, County of In the SUPERIOR Court ss: SS: THE STATE OF CALIFORNIA, of IN AND FOR Los ANGELES COUNTY, of IN AND FOR Los ANGELES COUNTY, 3. Goitfried mladyka aged 25. years, 3, anthony Cerveny , aged 67 years. occupation nailer do declare affirm on oath that my personal occupation architect , do affirm. on oath that my personal declare description is: Color white complexion Dark height feet 5 inches, description is: Color White complexion Dark height 5 feet 5 inches, weight 150 pounds, colon of hair Brown colon ef leyes Brown weight 170 pounds, color of hair Brown color of eyes Brown other visible distinctive marks none other visible distinctive marks None : I was born in Krumman : I was born in nelenka Bustria on the 30' of day April * anno austria on the 6 day of July anno Domini I 885; I now reside at Los Angeles bal Domini 1 842: I now reside at Loe Angeles Early I emigrated to the United States of America from Southampton England I emigrated to the United States of America from Bremen Germany on the vessel Deurschland : my last on the vessel Staires Willielin Der Shosse : my last (II the allen anrived otherwise thank vessel the chargacter of transportation company should be given.) (If the allen arrived other 7ise than by vessel, the character of conveyance or name of transportation company should_be given.) foreign residence was London Guyland foreign residence was Bague austria It is my bona fide intention to renounce forever all allegiance and fidelity no 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 prince, potentate, state, or sovereignty, and particularly to Francis Joseph Emperon of Rustrig of which I am now a subject citicce : I Emperor of austria of which I am now a citisen subject arrived at the port of newyork in the arrived at the port of State State New ajank in the Ternitory of newyork. on or about the day of Dietrict June District New yna on or about the 15 day of anno Domini- 907 1 am not an anarchist: 1 am not a of June anno Domini 909 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 thereina to become a citizen of the United States/ of America and to permanently reside therein: So HELP ME God. Cougins signature of Weddya declarant.) So HELP. ME GOD. Anthony Ceromy signature of declarant.) no Subscribed and sworn to before me this 6's. alma Subscribed and affirmed sworn to before me this 6 [SEAL.] inimon day of Sensure anno Domini 1910 [SEAL.] day of June anno Domini 1910 o. G. Keyes C. G. Keyes DOUNTY QLERK AND EX OFFICIO CLERK OF COUNTY CLERK AND LX OFFICIO OCERK OF SUPERIOR COURT IN AND FOR THE COUNTY THE SUPERIOR COUBT. AllD FOR/THE COUNTY ANGELE ITAIK OF GALIFORNIA Court. Clerk of ther LOS ANGEL STATE OF CALIFORNAL Court Appet Clerk. By granshott Dep. Clerk.

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    "ocrText": "446\nNo.2436\nORIGINAL\nNo. 14.77\nSTATES or\nSTATES OF\naf and\nDepartuient of Unnutterce and Tabur\nBMREAU OF: INMIGRATION AND NATURALIZATION\nBUREAU OF. IMMIGRATION AND NATURALIZATION\non NATURALIZATION:\nDIVISION OF NATURALIZATION\nDECLARATION OF INTENTION\nDECLARATION OF INTENTION\n(Invalid for all gurgonea seven yeara aften the date hereof):\n(Invalid for all purposse seyen years after the date hereof)\nW\nSTATE OF CALIFORNIA\nIn the SUPERIOR\nSTATE OF\nCourt\nCounty of Los Angeles\nTHE STATE OF CALIFONNTA,\nCounty of\nIn the SUPERIOR\nCourt\nss:\nSS:\nTHE STATE OF CALIFORNIA,\nof IN AND FOR Los ANGELES COUNTY,\nof IN AND FOR Los ANGELES COUNTY,\n3.\nGoitfried mladyka\naged 25. years,\n3, anthony Cerveny\n, aged\n67 years.\noccupation\nnailer\ndo declare affirm on oath that my personal\noccupation\narchitect\n, do affirm. on oath that my personal\ndeclare\ndescription is:\nColor white\ncomplexion\nDark height feet 5 inches,\ndescription is: Color White complexion Dark height 5 feet 5 inches,\nweight 150 pounds, colon of hair Brown colon ef leyes Brown\nweight 170 pounds, color of hair Brown color of eyes Brown\nother visible distinctive marks\nnone\nother visible distinctive marks\nNone\n:\nI was born in Krumman\n: I was born in nelenka\nBustria\non the\n30' of\nday\nApril\n* anno\naustria\non the\n6\nday of July\nanno\nDomini I 885; I now reside at\nLos Angeles bal\nDomini 1 842: I now reside at\nLoe Angeles Early\nI emigrated to the United States of America from Southampton England\nI\nemigrated to the United States of America from Bremen Germany\non the vessel\nDeurschland\n: my last\non the vessel\nStaires Willielin Der Shosse : my last\n(II the allen anrived otherwise thank vessel the chargacter of transportation company should be given.)\n(If the allen arrived other 7ise than by vessel, the character of conveyance or name of transportation company should_be given.)\nforeign residence was\nLondon Guyland\nforeign residence was\nBague\naustria\nIt is my bona fide intention to renounce forever all allegiance and fidelity no 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\nprince, potentate, state, or sovereignty, and particularly to Francis Joseph\nEmperon of Rustrig\nof which I am now a subject citicce\n:\nI\nEmperor of austria of which I am now a citisen subject\narrived at the port of\nnewyork\nin the\narrived at the port of\nState\nState\nNew ajank\nin the\nTernitory of\nnewyork.\non or about the\nday\nof\nDietrict\nJune\nDistrict\nNew yna on or about the 15\nday\nof\nanno Domini- 907 1 am not an anarchist: 1 am not a\nof\nJune\nanno Domini 909 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 thereina\nto become a citizen of the United States/ of America and to permanently reside therein:\nSo HELP ME God.\nCougins signature of Weddya declarant.)\nSo HELP. ME GOD.\nAnthony Ceromy\nsignature of declarant.)\nno\nSubscribed and sworn to before me this\n6's.\nalma\nSubscribed and affirmed sworn to before me this\n6\n[SEAL.] inimon\nday of Sensure\nanno Domini 1910\n[SEAL.]\nday of June anno Domini 1910\no. G. Keyes\nC. G. Keyes\nDOUNTY QLERK AND EX OFFICIO CLERK OF\nCOUNTY CLERK AND LX OFFICIO OCERK OF\nSUPERIOR COURT IN AND FOR THE COUNTY\nTHE SUPERIOR COUBT. AllD FOR/THE COUNTY\nANGELE ITAIK OF GALIFORNIA Court.\nClerk of ther LOS ANGEL STATE OF CALIFORNAL Court\nAppet\nClerk.\nBy granshott\nDep. Clerk."
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