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OCR
3300
E
373
STATES OF
STATES OF
Bepartment of and Tabur
Bepartment of Commette and Tabor
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 hereol)
(Invalid for all purposes seven years after the date hereof)
P
STATE or
In
the SUPERIOR
Court
CATIFORNTA
In the
SUPERIOR Court
of Loss Angeles
ss:
AND FOR Les Deunvv.
ss:
35mg the districtive DAS
ot Los Angeles
IN AND FOR Les AWGELEO
of
of
THE STATE -
3, John Petrovich
aged 21 years,
3,
Clara Thereer Romback
, aged 24 years,
occupation Bus Deriver
do declare affirm on oath that my personal
occupation nurse
do declare affirm on oath that my personal
description is: Color while compléxion Fair , height 5 feet
description is: Color White : complexion
Fair
,
height feet 41/2nches,
weight 165 pounds, color of hair L Brown color of eyes thry
weight 123 pounds, color of hair Brown
color of eyes
Brown
other visible distinctive marks
none
other visible distinctive marks
more
:
I was born in Zakena austria
:
I was born in
Lulea
on the
25 day of march
Swiden
,
, anno
on the
8
day of
Dec
, anno
Domini 1890 : I now reside at 447 Coconora at Los angeles bal
Domini I 886 : I now reside at 152 E 36th at Los angeles tene
I
emigrated to the United States of America from HAMBURG
I
emigrated to the United States of America from Kristrania norway
on the vessel
Do not Remember
: my last
on the vessel
Oscar II
[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 Pname of transportation company should be given.)
; my last
foreign residence was
Zakena austria
Lulea
o
foreign residence was
Swiden
It is my bona fide intention to renounce forever all allegiance and fitdélity 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
prince, potentate, state, or sovereignty, and particularly to
Francis Joseph, Emperor of Austria and Aposolic King of Hungary. of which I am now a
I
Gustavus V, King of Swedeu.
subject
of which 1 am now a citizen subject I
NEW YORK
arrived at the port of
in the
arrived at the port of NEW YORK
in the
State
Territery of
NEW YORK
State
on or about the 25
day
Territory of
NEW YORK
on or about the
10th day
District
District
If
nov.
anno Domini ' 904: I am not an anarchist: 1 am not a
of
Sept
anno Domini I 902; I 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.
John Petroriet
So HELP ME God.
Clars
(Original algnature of declarant.)
sie
(Ortginal signature of declarant.)
Subscribed and sworn affirmed to before me this
11th
Subscribed and sworn to before me this
11th
affirmed
[SEAL.]
day of may ,
anno Domini 1911
[SEAL.] ódino
day of may
, anno Domini 1911
M.JALELANDE
H. J/LELANDE
COURTY
-
THE - AND POR THI
the QMA
GOUNTY OLERK AND or
Clerk of the LOS Court.
Clerk of the THE SUPERION COURT IN AND FOR THE BOUN Court.
By
Elimith day Clerk.
By
Edsmith by Clerk.
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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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"ocrText": "3300\nE\n373\nSTATES OF\nSTATES OF\nBepartment of and Tabur\nBepartment of Commette and Tabor\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 hereol)\n(Invalid for all purposes seven years after the date hereof)\nP\nSTATE or\nIn\nthe SUPERIOR\nCourt\nCATIFORNTA\nIn the\nSUPERIOR Court\nof Loss Angeles\nss:\nAND FOR Les Deunvv.\nss:\n35mg the districtive DAS\not Los Angeles\nIN AND FOR Les AWGELEO\nof\nof\nTHE STATE -\n3, John Petrovich\naged 21 years,\n3,\nClara Thereer Romback\n, aged 24 years,\noccupation Bus Deriver\ndo declare affirm on oath that my personal\noccupation nurse\ndo declare affirm on oath that my personal\ndescription is: Color while compléxion Fair , height 5 feet\ndescription is: Color White : complexion\nFair\n,\nheight feet 41/2nches,\nweight 165 pounds, color of hair L Brown color of eyes thry\nweight 123 pounds, color of hair Brown\ncolor of eyes\nBrown\nother visible distinctive marks\nnone\nother visible distinctive marks\nmore\n:\nI was born in Zakena austria\n:\nI was born in\nLulea\non the\n25 day of march\nSwiden\n,\n, anno\non the\n8\nday of\nDec\n, anno\nDomini 1890 : I now reside at 447 Coconora at Los angeles bal\nDomini I 886 : I now reside at 152 E 36th at Los angeles tene\nI\nemigrated to the United States of America from HAMBURG\nI\nemigrated to the United States of America from Kristrania norway\non the vessel\nDo not Remember\n: my last\non the vessel\nOscar II\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 Pname of transportation company should be given.)\n; my last\nforeign residence was\nZakena austria\nLulea\no\nforeign residence was\nSwiden\nIt is my bona fide intention to renounce forever all allegiance and fitdélity 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\nprince, potentate, state, or sovereignty, and particularly to\nFrancis Joseph, Emperor of Austria and Aposolic King of Hungary. of which I am now a\nI\nGustavus V, King of Swedeu.\nsubject\nof which 1 am now a citizen subject I\nNEW YORK\narrived at the port of\nin the\narrived at the port of NEW YORK\nin the\nState\nTerritery of\nNEW YORK\nState\non or about the 25\nday\nTerritory of\nNEW YORK\non or about the\n10th day\nDistrict\nDistrict\nIf\nnov.\nanno Domini ' 904: I am not an anarchist: 1 am not a\nof\nSept\nanno Domini I 902; I 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.\nJohn Petroriet\nSo HELP ME God.\nClars\n(Original algnature of declarant.)\nsie\n(Ortginal signature of declarant.)\nSubscribed and sworn affirmed to before me this\n11th\nSubscribed and sworn to before me this\n11th\naffirmed\n[SEAL.]\nday of may ,\nanno Domini 1911\n[SEAL.] ódino\nday of may\n, anno Domini 1911\nM.JALELANDE\nH. J/LELANDE\nCOURTY\n-\nTHE - AND POR THI\nthe QMA\nGOUNTY OLERK AND or\nClerk of the LOS Court.\nClerk of the THE SUPERION COURT IN AND FOR THE BOUN Court.\nBy\nElimith day Clerk.\nBy\nEdsmith by Clerk."
}