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178
No2667
ORIGINAL
NO2688
the STATES OF
STATES of
Bepartutent of Connuerce and
Departutent of aud Tahor
BUREAU OF: IMMIGRATION AND NATURALIZATION
BUREAU OF IMMIGRATION AND NATURALIZATION
DIVISION OF. NATURALIZATION
DIVISION OF NATURALIZATION
DECLARATION OF INTENTION
DECLARATION OFC INTENTION
(Invalid for all purposes seven years after the date hereof)
(Invalid for all purposes seven years after the date hereof)
STATE OF
In the SUPERIOR
Court
STATE OF CALIFORNIA
In the
Primary of LON timpates
SS:
THE STATE OF
'ounty of Los Angeles
SS
OF CAT
Court
of
IN AND FOR Los ANGELES COUNTY.
of
IN AND FOR Los ANOELES COUNIT.
3. Erich Koeppin
aged 27 years,
3. Louis anteen Broutourch 25
aged
years,
occupation Manager
do declare -affirm on oath that my personal
occupation Baker
do declare affirm- on oath that my personal
description is: Color White complexion Fair height 5
feets.3 inches,
description is: Color White complexion Fair
, height 5 feet 9 inches,
weight 148 pounds, color of hair Brown color of eyes thay
weight 170 pounds, color of hair Brown , color of leyes Blue
other visible distinctive marks Male on neck
other visible distinctive marks
None
: I born in Berlin
was
:
I was born in Cautat
Germany , on the
5
day of December anno
austria
, on the
77 day of February anno
Domini I 882 I now reside at
Los Angeles Balif
Domini I 885; I now reside at
I emigrated to the-United States of America from Have France
Los Angeles Calif
I emigrated to the United States of America from Bemen Germany
the vessel Mneisenan
on the vessel
Laurine
on
: my last
(If the allen arrived otherwise_than by vessel, the character of conveyance or name of transportation company should be given.]
(If the allen arrived otherwise than by vessel, the character of conveyance name of transportation company should be given.) ; my last
know
foreign residence was
Berlin Germany
foreign residence was
Caolat austria
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 William II
prince, potentate, state, or sovereignty, and particularly to
Conference of Germany of which I am now a subject citizen
I
*
Enterer of Austria of which I am now a subject citizen
I
arrived at the port of
new york
in the
arrived at the port of
State
Kew York
, in the
State
Restitory of
Dietrict
New york
on or about the 24
day
Ferritory of
District
New york on or about
the 2
day
of
December anno Domini 908 I am not an anarchist: am not a
of July
anno Domini 904 I I am not an anarchist: l'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.
writingham
(Criginal of GOD declarant.) an
So HELP ME GOD.
Louis antun Broutovich
(Original signature of declarant.)
Subscribed and sworn affiemed to before me this 29
Subscribed and affirmed sworn to before me this 29
[SEAL.]
anna
day of august anno Domini 1910
[SEAL4
day of - august anno Domini 1910
C. G. Keyes
C. G. Keyes
COUNTY OLERK AND EX- ORFICIO OF
THE SUPERIOR courr. IN AND PON THE COUNTY
COUNTY OLLDK AND EX ORFICIO CLERK OF
thear Loa OF CALIFORNIA,
theor LOS ANGELES, STAKE OF GALIFORNIA,
THE SUPERIOR COURT IN AND POR THE COUNTY
By Anscott
Deputy Clerk.
By Deputy Clerk.
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Document data
- ID
- 103940588
- Core
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- Type
- document
DTO data
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Context sent to Scholar
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"ocrText": "178\nNo2667\nORIGINAL\nNO2688\nthe STATES OF\nSTATES of\nBepartutent of Connuerce and\nDepartutent of aud Tahor\nBUREAU OF: IMMIGRATION AND NATURALIZATION\nBUREAU OF IMMIGRATION AND NATURALIZATION\nDIVISION OF. NATURALIZATION\nDIVISION OF NATURALIZATION\nDECLARATION OF INTENTION\nDECLARATION OFC 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\nIn the SUPERIOR\nCourt\nSTATE OF CALIFORNIA\nIn the\nPrimary of LON timpates\nSS:\nTHE STATE OF\n'ounty of Los Angeles\nSS\nOF CAT\nCourt\nof\nIN AND FOR Los ANGELES COUNTY.\nof\nIN AND FOR Los ANOELES COUNIT.\n3. Erich Koeppin\naged 27 years,\n3. Louis anteen Broutourch 25\naged\nyears,\noccupation Manager\ndo declare -affirm on oath that my personal\noccupation Baker\ndo declare affirm- on oath that my personal\ndescription is: Color White complexion Fair height 5\nfeets.3 inches,\ndescription is: Color White complexion Fair\n, height 5 feet 9 inches,\nweight 148 pounds, color of hair Brown color of eyes thay\nweight 170 pounds, color of hair Brown , color of leyes Blue\nother visible distinctive marks Male on neck\nother visible distinctive marks\nNone\n: I born in Berlin\nwas\n:\nI was born in Cautat\nGermany , on the\n5\nday of December anno\naustria\n, on the\n77 day of February anno\nDomini I 882 I now reside at\nLos Angeles Balif\nDomini I 885; I now reside at\nI emigrated to the-United States of America from Have France\nLos Angeles Calif\nI emigrated to the United States of America from Bemen Germany\nthe vessel Mneisenan\non the vessel\nLaurine\non\n: my last\n(If the allen arrived otherwise_than by vessel, the character of conveyance or name of transportation company should be given.]\n(If the allen arrived otherwise than by vessel, the character of conveyance name of transportation company should be given.) ; my last\nknow\nforeign residence was\nBerlin Germany\nforeign residence was\nCaolat austria\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 William II\nprince, potentate, state, or sovereignty, and particularly to\nConference of Germany of which I am now a subject citizen\nI\n*\nEnterer of Austria of which I am now a subject citizen\nI\narrived at the port of\nnew york\nin the\narrived at the port of\nState\nKew York\n, in the\nState\nRestitory of\nDietrict\nNew york\non or about the 24\nday\nFerritory of\nDistrict\nNew york on or about\nthe 2\nday\nof\nDecember anno Domini 908 I am not an anarchist: am not a\nof July\nanno Domini 904 I I am not an anarchist: l'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.\nwritingham\n(Criginal of GOD declarant.) an\nSo HELP ME GOD.\nLouis antun Broutovich\n(Original signature of declarant.)\nSubscribed and sworn affiemed to before me this 29\nSubscribed and affirmed sworn to before me this 29\n[SEAL.]\nanna\nday of august anno Domini 1910\n[SEAL4\nday of - august anno Domini 1910\nC. G. Keyes\nC. G. Keyes\nCOUNTY OLERK AND EX- ORFICIO OF\nTHE SUPERIOR courr. IN AND PON THE COUNTY\nCOUNTY OLLDK AND EX ORFICIO CLERK OF\nthear Loa OF CALIFORNIA,\ntheor LOS ANGELES, STAKE OF GALIFORNIA,\nTHE SUPERIOR COURT IN AND POR THE COUNTY\nBy Anscott\nDeputy Clerk.\nBy Deputy Clerk."
}