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3300 ORIGINAL No: 3x04 ORIGINAL 121 STATES OF STATEO Department nf Commerce and Tabor Deparfutent of and 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 daté hereof) STATE of CALTRORNIA) In the SUPERIOR Court STATE OF CALIEORMIA In the SUPERIOR Court County of Los dugeles SS : County of Jor A. SS : IN AND FOR Los ANOELES COUNTY, of IN AND FOR Los ANGELES COUNTY. of THE SYATE OF CALIFORNIA, 3. michailo Budinich years, 3. David - Emanuel Gustapan THE STATE OF CALIFORNIA. , aged 30 aged 29 years, occupation merchant do declare on oath affirm that my personal occupation Carpenter do declare on oath that my personal description is: Color White complexion Dark height 6 feet 2 inches, description is: Color White complexion Fair affirm height 5 , feet weight 240 pounds, color of hair Black color of eyes Black weight 172 pounds, color of hair Blonde color of eyes Blue other visible distinctive marks none other visible distinctive marks none : I was born in Bancica Austria : I was born in Karsted Dweden , on the 26 day of July anno , on the 29 Domini 1880 ; I now reside at 412 Ord St Los angeles Cal Domini I 882 I now reside at 1203 Cast 45th Los Angeles Cal day of January anno I emigrated to the United States of America from naptes Italy I Esperia emigrated to the Caronia United States of America from Catentarg Sweden on the vessel : my last on the vessel [If the alien arrived otherwise thag/by vessel, the character of conveyance or name of transportation company should be given.] foreign residence was Regerstad Gweden company [If the allen arrived odierwise than by vessel, the character of conveyance or transportation should be given.) ; my last foreign residence was Banciei 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 Pramis Josept prince, potentate, state, or sovereignty, and particularly to Gustavris V King Emperor of Austria citizen of which I am now a subject ; I of Sweden , of which 1 am now a subject citizen : I arrived at the port of newyork in the arrived at the port State of new Your in the State Territory of newyork on or about the 22 day Territory District of September , 903 anno Domini I I am not an anarchist: I am not a of District new york of new anno Domini I gov. on am or about not an the anarchist; 20 I am not day 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. Alihailo Budincich So HELP ME God. 19.4 Anch (Original signature of declarant.) (Original signature declarant.) Cristafron of Subscribed and sworn affirmed to before me this 14 Subscribed and sworn to before me this 14 Paffirmed [SEAL.] day of Fibrusy , anno Domini 1911 [SEAL. day of February anno Domini 1911 H.J.LELANDE COUNTY AN EX OLERK H. J. LELANDE THE URT IN do D FOR THE COUNTY COUNTY CLERK AND EX OFFICIO OLERK OF THE SUPERIOR - AND FOR DE DOU OF LOS OF GALIPORNIA. OF COS ANCELES STATE of Clerk of the Court. By $ gason deputy Clerk. By of Clerk. Court. Clm the

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Type
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Document identity
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Page context
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    "ocrText": "3300\nORIGINAL\nNo: 3x04\nORIGINAL\n121\nSTATES OF\nSTATEO\nDepartment nf Commerce and Tabor\nDeparfutent of and\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 daté hereof)\nSTATE of CALTRORNIA)\nIn the\nSUPERIOR Court\nSTATE OF CALIEORMIA\nIn the SUPERIOR Court\nCounty of Los dugeles\nSS :\nCounty of Jor A.\nSS :\nIN AND FOR Los ANOELES COUNTY,\nof\nIN AND FOR Los ANGELES COUNTY.\nof\nTHE SYATE OF CALIFORNIA,\n3.\nmichailo Budinich\nyears,\n3. David - Emanuel Gustapan\nTHE STATE OF CALIFORNIA.\n, aged 30\naged 29 years,\noccupation\nmerchant\ndo declare on oath\naffirm\nthat my personal\noccupation Carpenter\ndo\ndeclare on oath\nthat my personal\ndescription is: Color White complexion Dark height 6 feet 2 inches,\ndescription is: Color White complexion Fair affirm height\n5\n,\nfeet\nweight 240 pounds, color of hair Black color of eyes Black\nweight 172 pounds, color of hair Blonde color of eyes Blue\nother visible distinctive marks\nnone\nother visible distinctive marks\nnone\n: I was born in Bancica Austria\n:\nI was born in Karsted Dweden\n,\non the\n26\nday of July\nanno\n, on the 29\nDomini 1880 ; I now reside at 412 Ord St Los angeles Cal\nDomini I 882 I now reside at 1203 Cast 45th Los Angeles Cal\nday of January anno\nI emigrated to the United States of America from naptes Italy\nI\nEsperia\nemigrated to the Caronia United States of America from Catentarg Sweden\non the vessel\n:\nmy\nlast\non\nthe\nvessel\n[If the alien arrived otherwise thag/by vessel, the character of conveyance or name of transportation company should be given.]\nforeign residence was Regerstad Gweden company\n[If the allen arrived odierwise than by vessel, the character of conveyance or transportation should be given.)\n; my last\nforeign residence was\nBanciei 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 Pramis Josept\nprince, potentate, state, or sovereignty, and particularly to Gustavris V King\nEmperor of Austria\ncitizen\nof which I am now a subject ;\nI\nof Sweden\n, of which 1 am now a subject citizen : I\narrived at the port of\nnewyork\nin the\narrived at the port\nState\nof new Your\nin the\nState\nTerritory of\nnewyork\non or about the\n22\nday\nTerritory\nDistrict\nof\nSeptember , 903\nanno Domini I I am not an anarchist: I am not a\nof\nDistrict new york of new anno Domini I gov. on am or about not an the anarchist; 20 I am not day 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.\nAlihailo Budincich\nSo HELP ME God.\n19.4\nAnch\n(Original signature of declarant.)\n(Original signature declarant.) Cristafron\nof\nSubscribed and sworn affirmed to before me this\n14\nSubscribed and sworn to before me this 14\nPaffirmed\n[SEAL.]\nday of Fibrusy , anno Domini 1911\n[SEAL.\nday of February anno Domini 1911\nH.J.LELANDE\nCOUNTY AN EX OLERK\nH. J. LELANDE THE URT IN do D FOR THE COUNTY\nCOUNTY CLERK AND EX OFFICIO OLERK OF\nTHE SUPERIOR - AND FOR DE DOU\nOF LOS OF GALIPORNIA.\nOF COS ANCELES STATE of\nClerk of the\nCourt.\nBy\n$ gason deputy Clerk.\nBy of Clerk. Court.\nClm the"
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