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56
No. 30144
ORIGINAL
No. 3045
ORIGINAL
STATES OF
STATES OF
is
Repartment of Contherce and Tabor
Department of Conmerce and Kabor
BUREAU OF IMMIGRATION AND NATURALIZATION
BUREAU OF IMMIGRATION AND NATURALIZATION
DIVISION OF NATURALIZATION
DIVISION OF NATURALIZATION
DECLARATION OF INTENTION
DECLARATION OF INTENTION
a
(Invalid for all purposes/seven years after the date hereol)
(Invalid for all purposes seven years after the date hereof)
TATE OF CALIFORNIA
SUPERIOR Court
STATE OF
In the
County of Los Angeles
County of Tos
In the
SUPERIOR Court
ss:
SS:
of
INAND FOR Los ANGELES COUNTY.
of
IN AND Lea
malaness 26
THE STATE or GALIFORNIA,
occupation 3. Jacobrieft Calpenter Bourgerie
THE STATE OF CAL LIFORNIA,
years,
,
aged 44
years,
Labour
do affirm that my personal
declare on oath
obcupation
do declare on oath
affirm
that my personal
description is: Color white complexion Fair height 5 feet 2 Linches,
description is: Color White complexion Light 5 96
, height feet inches,
weight 130 pounds, color of hair Darle Brown, color of eyes Gray
weight 165 pounds, color of hair Light , color of eyes Blue
other visible distinctive marks
none
other visible distinctive marks
none
:
I
was born in Seganne
: I was born in new Brunswide Kent Co
Gruw
,
on the
22
154 Richmondelk Pasadine Cas
day of July
anno
Canada
,
on the
19
day of January
, anno
Domini 1885; I now reside at
Domini 867 ; I now reside at 1054 moth St Las anythe Cas
I emigrated to the United States of America from Patros Green
I emigrated to the United States of America from new Brunswich
Sl Aminiant : my last
By Rais
on the vessel
en the vessel
Boston of maine R R.
(II the allen arrived otherwise thand 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 or name of transportation company should be given.]
; my last
foreign residence was
Beganne R Greece
foreign residence was new Brunswick Canada
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
George I
prince, potentate, state, or sovereignty, and particularly to Georger
being of the Greeks
of which I am now a subject I
citizen.
arrived at the port of
new your
thing of Great Boston Britain W Ireland of which I am now a subject
I
in the
arrivéd at the port of
in the
State
State
Territery of
new yoh
on or about the
25
day
Territory of
mass
on, or about the
17
District
District
day
of april
, anno Domini I 900 I am not an anarchist: I am not a
of December anno Domini I 8851 am not an anarchist; I 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.
So HELP ME GOD.
gottend angelon Malamen
(Origina) signature os/declarant.)
fauth. (Original signature of declarant.) Boungens
Subscribed and sworn affirmed to before me
this
17
Subscribed and sworn to before me this
affirmed
17
[SEAL.]
day of January .
, anno Domini 1911
[SEAL.]
day of January
, anno Domini 19 11
H. J. LELANDE
H.J. LELANDE
COUNTY OLERK AND EX-OPFICIO OLERK OF
COUNTY CLERK AND EX OFFICIO OF
Clerk of ANGEL EB. STASE OR
THE SUPERIOR COURT. IN AND FOR THE COUNTY Court.
Clerk of
SUPERIOR COURT IN AND FOR THE COUNTY
LOA. OR.CALIFORNIA
Court.
By farms
Deficient Clerk.
By garama
Defunty
Clerk.
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"ocrText": "56\nNo. 30144\nORIGINAL\nNo. 3045\nORIGINAL\nSTATES OF\nSTATES OF\nis\nRepartment of Contherce and Tabor\nDepartment of Conmerce and Kabor\nBUREAU OF IMMIGRATION AND NATURALIZATION\nBUREAU OF IMMIGRATION AND NATURALIZATION\nDIVISION OF NATURALIZATION\nDIVISION OF NATURALIZATION\nDECLARATION OF INTENTION\nDECLARATION OF INTENTION\na\n(Invalid for all purposes/seven years after the date hereol)\n(Invalid for all purposes seven years after the date hereof)\nTATE OF CALIFORNIA\nSUPERIOR Court\nSTATE OF\nIn the\nCounty of Los Angeles\nCounty of Tos\nIn the\nSUPERIOR Court\nss:\nSS:\nof\nINAND FOR Los ANGELES COUNTY.\nof\nIN AND Lea\nmalaness 26\nTHE STATE or GALIFORNIA,\noccupation 3. Jacobrieft Calpenter Bourgerie\nTHE STATE OF CAL LIFORNIA,\nyears,\n,\naged 44\nyears,\nLabour\ndo affirm that my personal\ndeclare on oath\nobcupation\ndo declare on oath\naffirm\nthat my personal\ndescription is: Color white complexion Fair height 5 feet 2 Linches,\ndescription is: Color White complexion Light 5 96\n, height feet inches,\nweight 130 pounds, color of hair Darle Brown, color of eyes Gray\nweight 165 pounds, color of hair Light , color of eyes Blue\nother visible distinctive marks\nnone\nother visible distinctive marks\nnone\n:\nI\nwas born in Seganne\n: I was born in new Brunswide Kent Co\nGruw\n,\non the\n22\n154 Richmondelk Pasadine Cas\nday of July\nanno\nCanada\n,\non the\n19\nday of January\n, anno\nDomini 1885; I now reside at\nDomini 867 ; I now reside at 1054 moth St Las anythe Cas\nI emigrated to the United States of America from Patros Green\nI emigrated to the United States of America from new Brunswich\nSl Aminiant : my last\nBy Rais\non the vessel\nen the vessel\nBoston of maine R R.\n(II the allen arrived otherwise thand 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 or name of transportation company should be given.]\n; my last\nforeign residence was\nBeganne R Greece\nforeign residence was new Brunswick Canada\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\nGeorge I\nprince, potentate, state, or sovereignty, and particularly to Georger\nbeing of the Greeks\nof which I am now a subject I\ncitizen.\narrived at the port of\nnew your\nthing of Great Boston Britain W Ireland of which I am now a subject\nI\nin the\narrivéd at the port of\nin the\nState\nState\nTerritery of\nnew yoh\non or about the\n25\nday\nTerritory of\nmass\non, or about the\n17\nDistrict\nDistrict\nday\nof april\n, anno Domini I 900 I am not an anarchist: I am not a\nof December anno Domini I 8851 am not an anarchist; I 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.\nSo HELP ME GOD.\ngottend angelon Malamen\n(Origina) signature os/declarant.)\nfauth. (Original signature of declarant.) Boungens\nSubscribed and sworn affirmed to before me\nthis\n17\nSubscribed and sworn to before me this\naffirmed\n17\n[SEAL.]\nday of January .\n, anno Domini 1911\n[SEAL.]\nday of January\n, anno Domini 19 11\nH. J. LELANDE\nH.J. LELANDE\nCOUNTY OLERK AND EX-OPFICIO OLERK OF\nCOUNTY CLERK AND EX OFFICIO OF\nClerk of ANGEL EB. STASE OR\nTHE SUPERIOR COURT. IN AND FOR THE COUNTY Court.\nClerk of\nSUPERIOR COURT IN AND FOR THE COUNTY\nLOA. OR.CALIFORNIA\nCourt.\nBy farms\nDeficient Clerk.\nBy garama\nDefunty\nClerk."
}