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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."
}