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214
No. 2703
ORIGINAL
No. 2744
ORIGINAL
STATES OF
Department of Commerce aud Tabur
Bepartmient of and Tabue
BUREAU OF IMMIGRATION AND NATURALIZATION
BUREAU OF IMMIGRATION AND NATURALIZATION
DIVISION OF NATURALIZATION
DIVISION OF NATURALIZATION
DECLARATION OF INTENTION
DECLARATION OF 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
SUPERIOR Court
County of
SS:
THE STATE OF
County of Los Angeles
SS:
THE STATE OF CALIFORNIA
of
IN AND FOR Los ANGELES COUNTY,
of
IN AND FOR Los ANGELES COUNTY
3, Gustave Thomas Roberts aged 36 years,
3. Philiph
Back
aged 20 years,
occupation
Civil Engineer
do declare affirm on oath that my personal
occupation
Butcher
do affirm on oath that my personal
declare
description is: Color White complexion Fair height 5 feet 8 inches,
description is: Color White complexion Fair height 5 feet 10 inches,
weight 140 pounds, color of hair Brown color of eyes Gray
none
weight 164 pounds, color of hair Brown color of eyes Dray
other visible distinctive marks
other visible distinctive marks
none
;
I was born in
Lyndhuret
: I was born in Merxhain
England
,
on
the
6th
day of December anno
Manhattan
Germany on the 23d day of may
, anno
Domini 883 I now reside at
Balif
Domini I 890 I now reside at
Los Angeles bal
I
emigrated to the United States of America from
I
emigrated to the United States of America from
on the vessel
Adriatic
: my last
on the vessel
Ghal Haldersea
(If the allen arrived otherwise than by vessèl, the character of conveyance or name of tpansportation compapy should be given.]
(If the allen arrived otherwise that by vessel, the character . conveyance or name of transpertation company should be given.]
: my last
foreign residence was
London England
foreign residence was
Mercheim Germany
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 Georgitating
prince, potentate, state, or sovereignty, and particularly to William II
great Britaing & Areland of which I am now a eitisen subject
I
New york
Enfuror of Germany of which I am now a eitizen
subject I
arrived at the port of
in the
arrived at the port of
new york
in the
State
Territory of
New york
on or about the 10th day
District
anno Domini 907 I am not an anarchist: I am not a
State Dietrict December of new york anno Domini 903 on I am or about not an the anarchist; am not
Territory
10th day
of July
of
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.
Grastane Thomas goo Roberts
oe
So HELP ME GOD.
(Original signature of declarant.)
Philipp Bork COD 939H
02
12th
(Origmal signature of declarant.)
Subscribed and sworn affirmed to before me this
Subscribed and sworn to before me this 14th
[SEAL.]
day of left
, anno Domini 1910
[SEAL,]
Inimoa
onh
day of Sept
anno Domini 90
Keyes
C. G. Keyes
COUNTY CLERK AND EX OFFICIO CLEAK or
THE SUPERIOR COURT IN AND FOR THE GOUNTY
THE SUPERIOR EQUIT IN AID FOR
COUNTY CLEIN AND EX ORFICIO QLERK OF
OF OF GALIFORNIA,
Counts
the OF LOS CALIFORNIA,
By mm-scott Deputy Clerk.
By AM.Scott Deputy Clerk.
Page data
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Document data
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- Core
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- Type
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DTO data
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Context sent to Scholar
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"ocrText": "214\nNo. 2703\nORIGINAL\nNo. 2744\nORIGINAL\nSTATES OF\nDepartment of Commerce aud Tabur\nBepartmient of and Tabue\nBUREAU OF IMMIGRATION AND NATURALIZATION\nBUREAU OF IMMIGRATION AND NATURALIZATION\nDIVISION OF NATURALIZATION\nDIVISION OF NATURALIZATION\nDECLARATION OF INTENTION\nDECLARATION OF 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\nSUPERIOR Court\nSTATE OF CALIFORNIA\nIn the\nSUPERIOR Court\nCounty of\nSS:\nTHE STATE OF\nCounty of Los Angeles\nSS:\nTHE STATE OF CALIFORNIA\nof\nIN AND FOR Los ANGELES COUNTY,\nof\nIN AND FOR Los ANGELES COUNTY\n3, Gustave Thomas Roberts aged 36 years,\n3. Philiph\nBack\naged 20 years,\noccupation\nCivil Engineer\ndo declare affirm on oath that my personal\noccupation\nButcher\ndo affirm on oath that my personal\ndeclare\ndescription is: Color White complexion Fair height 5 feet 8 inches,\ndescription is: Color White complexion Fair height 5 feet 10 inches,\nweight 140 pounds, color of hair Brown color of eyes Gray\nnone\nweight 164 pounds, color of hair Brown color of eyes Dray\nother visible distinctive marks\nother visible distinctive marks\nnone\n;\nI was born in\nLyndhuret\n: I was born in Merxhain\nEngland\n,\non\nthe\n6th\nday of December anno\nManhattan\nGermany on the 23d day of may\n, anno\nDomini 883 I now reside at\nBalif\nDomini I 890 I now reside at\nLos Angeles bal\nI\nemigrated to the United States of America from\nI\nemigrated to the United States of America from\non the vessel\nAdriatic\n: my last\non the vessel\nGhal Haldersea\n(If the allen arrived otherwise than by vessèl, the character of conveyance or name of tpansportation compapy should be given.]\n(If the allen arrived otherwise that by vessel, the character . conveyance or name of transpertation company should be given.]\n: my last\nforeign residence was\nLondon England\nforeign residence was\nMercheim Germany\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 Georgitating\nprince, potentate, state, or sovereignty, and particularly to William II\ngreat Britaing & Areland of which I am now a eitisen subject\nI\nNew york\nEnfuror of Germany of which I am now a eitizen\nsubject I\narrived at the port of\nin the\narrived at the port of\nnew york\nin the\nState\nTerritory of\nNew york\non or about the 10th day\nDistrict\nanno Domini 907 I am not an anarchist: I am not a\nState Dietrict December of new york anno Domini 903 on I am or about not an the anarchist; am not\nTerritory\n10th day\nof July\nof\na\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.\nGrastane Thomas goo Roberts\noe\nSo HELP ME GOD.\n(Original signature of declarant.)\nPhilipp Bork COD 939H\n02\n12th\n(Origmal signature of declarant.)\nSubscribed and sworn affirmed to before me this\nSubscribed and sworn to before me this 14th\n[SEAL.]\nday of left\n, anno Domini 1910\n[SEAL,]\nInimoa\nonh\nday of Sept\nanno Domini 90\nKeyes\nC. G. Keyes\nCOUNTY CLERK AND EX OFFICIO CLEAK or\nTHE SUPERIOR COURT IN AND FOR THE GOUNTY\nTHE SUPERIOR EQUIT IN AID FOR\nCOUNTY CLEIN AND EX ORFICIO QLERK OF\nOF OF GALIFORNIA,\nCounts\nthe OF LOS CALIFORNIA,\nBy mm-scott Deputy Clerk.\nBy AM.Scott Deputy Clerk."
}