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26
No. 017
ORIGINAL
No2018
ORIGINAL
STATES
OF
STATES OF
Beparintent of Commerte and Tabor
of Unmuerte aud
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)
S
STATE OF CALIFORNIA
In the SUPERIOR
STATE of CAT
County of Los ungetes
Court
County of Dos
In the SUPERIOR
ss:
ss:
Court
IN AND FOR Lee ANGELES COUNTY,
of THE STATE OF CALIFORNIA,
of THE STATE OF CALICONNIA IN AND FOR Loe ANGEL ** Cousty
3. Hymon Schwartz
aged 22 years,
3. blemen Hewellyn Willions aged 52
years,
occupation Bookuper
do declare affirm on oath that my personal
occupation Carputer
do declare on oath
affirm
that my personal
description is: Color White complexion Light height 5 feet inches,
description
is: Color White complexion Light height feet 7 inches,
weight 140 pounds, color of hair DarkBrown color of eyes They
weight 142 pounds, color of hair Brown color of eyes Hazel
other visible distinctive marks
none
other visible distinctive marks
none
:
I was born in Bolgrad
:
I
was born in Droufield
Russia
on the
12th day of February
anno
England on the 15th day of august anno
Domini I 887 : I now. reside at
Ind angeles Gal
Domini I 857; I now reside at
I
emigrated
United
States of America from Hareburg Servicing
I emigrated to the United. States of America from Kancorner banada
Pasadena Calif
to
the
on the vessel
Columbia
: my last
on the vessel
(If the allen arrived otherwise than by vessel, the Character of conveyance or name of transportation company should be given.]
allen ander otherwise than vessel, the character of conveyance or name of transportation company should be given. : my last
Victoria
foreign residence was
Hamburg Germany
foreign residence was
London England
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 Michalas II
prince, potentate, state, or sovereignty, and particularly to Edward VII
Euperor of all the Russias of
which I am now a subject citizen
X Aneland of which 1 am now a subject citizen
I
arrived at the port of
New york
in the
arrived the of Seattle
at port
in the
State
State
Territory of
New york
on or about the 17th day
Territory of
District
District
Washing tou
on or about the 2nd day
of Oct
anno Domini 900 1 am not an anarchist 1 am not a
of June
anno Domini 1907 I am not an anarchist: 1 am not a
polygamist nor a béliever 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 thereine
So HELP ME GOD.
Johnson
So HELP ME GOD.
Hyponan (Original signature of declarants
Clement Flewelly Wildgause
32
(Original signature of guclarast.)
Subscribed and affirmed sworn to before me this
Subscribed and affirmed sworn to before me this 3d
[SEAL.]
day of January anno Domini 1910
[SEAL.]
day of January anno Domini 19 10
C, G. Keyin
AND
C. a. Keyen
BRICH COURT IN AND FOR THE COUNTY
AND EX
THI COUNT IN
ANQELES STATE OF CALIFORNIA
Gourt
Clark of ANDELS 017
Clerk.
to
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Document data
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- Core
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- Type
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"ocrText": "26\nNo. 017\nORIGINAL\nNo2018\nORIGINAL\nSTATES\nOF\nSTATES OF\nBeparintent of Commerte and Tabor\nof Unmuerte aud\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)\nS\nSTATE OF CALIFORNIA\nIn the SUPERIOR\nSTATE of CAT\nCounty of Los ungetes\nCourt\nCounty of Dos\nIn the SUPERIOR\nss:\nss:\nCourt\nIN AND FOR Lee ANGELES COUNTY,\nof THE STATE OF CALIFORNIA,\nof THE STATE OF CALICONNIA IN AND FOR Loe ANGEL ** Cousty\n3. Hymon Schwartz\naged 22 years,\n3. blemen Hewellyn Willions aged 52\nyears,\noccupation Bookuper\ndo declare affirm on oath that my personal\noccupation Carputer\ndo declare on oath\naffirm\nthat my personal\ndescription is: Color White complexion Light height 5 feet inches,\ndescription\nis: Color White complexion Light height feet 7 inches,\nweight 140 pounds, color of hair DarkBrown color of eyes They\nweight 142 pounds, color of hair Brown color of eyes Hazel\nother visible distinctive marks\nnone\nother visible distinctive marks\nnone\n:\nI was born in Bolgrad\n:\nI\nwas born in Droufield\nRussia\non the\n12th day of February\nanno\nEngland on the 15th day of august anno\nDomini I 887 : I now. reside at\nInd angeles Gal\nDomini I 857; I now reside at\nI\nemigrated\nUnited\nStates of America from Hareburg Servicing\nI emigrated to the United. States of America from Kancorner banada\nPasadena Calif\nto\nthe\non the vessel\nColumbia\n: my last\non the vessel\n(If the allen arrived otherwise than by vessel, the Character of conveyance or name of transportation company should be given.]\nallen ander otherwise than vessel, the character of conveyance or name of transportation company should be given. : my last\nVictoria\nforeign residence was\nHamburg Germany\nforeign residence was\nLondon England\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 Michalas II\nprince, potentate, state, or sovereignty, and particularly to Edward VII\nEuperor of all the Russias of\nwhich I am now a subject citizen\nX Aneland of which 1 am now a subject citizen\nI\narrived at the port of\nNew york\nin the\narrived the of Seattle\nat port\nin the\nState\nState\nTerritory of\nNew york\non or about the 17th day\nTerritory of\nDistrict\nDistrict\nWashing tou\non or about the 2nd day\nof Oct\nanno Domini 900 1 am not an anarchist 1 am not a\nof June\nanno Domini 1907 I am not an anarchist: 1 am not a\npolygamist nor a béliever 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 thereine\nSo HELP ME GOD.\nJohnson\nSo HELP ME GOD.\nHyponan (Original signature of declarants\nClement Flewelly Wildgause\n32\n(Original signature of guclarast.)\nSubscribed and affirmed sworn to before me this\nSubscribed and affirmed sworn to before me this 3d\n[SEAL.]\nday of January anno Domini 1910\n[SEAL.]\nday of January anno Domini 19 10\nC, G. Keyin\nAND\nC. a. Keyen\nBRICH COURT IN AND FOR THE COUNTY\nAND EX\nTHI COUNT IN\nANQELES STATE OF CALIFORNIA\nGourt\nClark of ANDELS 017\nClerk.\nto"
}