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474
LORIGINAL
No. 3463
No. 3462
STATES OF
STATES OF
Repartment of Commerce and Tabur
Department of and Tabor
BUREAU OF IMMIGRATION AND NATURALIZATION
BUREAU OF IMMIGRATION AND NATURALIZATION
DIVISION OF NATURALIZATION
DIVISION OF NATURALIZATION
cop
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 or CALIFORNIA)
In the
SUPERIOR Court
In the SUPERIOR
Court
County of Cos Angeles
SS:
IN AND FOR Les ANBELES.
Ounty
ss:
IN AND FOR
of
SUMK OF
of
THR STATE -
3, Christian
27 years,
3, Susan Boss
, aged
42 years,
occupation Farmer
do
declare affirm on oath that my personal
occupation Landlady
do declare on oath
affirm
that my personal
description is: Color White complexion Fair , height Teet 9 inches,
description is: Color White complexion med , height 4 feet 11 inches,
weight 168 pounds, color of hair Blonde color of eyes, alray
weight 135 pounds, color of hair DK Brown color of eyes Brown
other
visible distinctive marks Sem on left thumb
other visible distinctive marks
none
:
I was born in
Hannover
: I born in Grindilwold
was
Germany on the 18 day of march
, anno
Switzerland on the
12 day of
nov
, anno
Domini 1
884: I now reside at Bux45 Walmington baa
Domini
I 868 I now reside at 523 San Julien at Larangelis leal
I emigrated to the United States of América from ANTWERP, BELGIUM
I emigrated to the United States of America from
ANTWERP. BELGIUM
on the vessel
Wotan
: my last
on the vessel
Do not Remember
[If the allen arrived otherwise than by vessel, the character of conveyance of transportation company should be given.)
(If the allen arrived otherwise yjan by vissel, the character of conveyance or name of transportation company should be given.
;
my last
foreign residence was
Honnorer
Germany
foreign residence was
Grindelwald Smitylendand
It is my bona fide intention to renounce forever all allegiance 1 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
prince, potentate, state, or sovereignty, and particularly to
William II, German Emperes.
of which I am now a subject : 1
eitimen
The Swiss Confederation.
of which 1 am now a subject citizen : I
arrived at the port of
San Pedro
in the
arrived at the port of NEW YORK
in the
State
Teiritory of
about the 11th day
State
on or
Territory of
NEW YORK
on or about the
District
1st day
Distrist
of
may
anno Domini 910 I am not an anarchist I am not a
of
april
anno Domini I 893; 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.
Christian Wilhelm Brockmann
So HELP ME GOD.
Susan Bass
(Original signature of declarant.)
(Original signature of declarant.)
Subscribed and sworn affirmed before me this
to
12
Subscribed and sworn to before me this
uffirmed.
12
[SEAL. ]
day of June anno Domini
[SEAL.]
day of June
anno Domini 19
et - AND WHK
W. J. IN AMD FOR THE OOUNTY
H. J. LELANDE
OLENK ANIS Lank
THIK COURT IN AND FOR THE DOUNTY
Court.
Clark of
them ANGEL ATAVE OF GALIFORNIA,
Court.
By
Clerk.
By
E Estrights Clank.
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"ocrText": "474\nLORIGINAL\nNo. 3463\nNo. 3462\nSTATES OF\nSTATES OF\nRepartment of Commerce and Tabur\nDepartment of and Tabor\nBUREAU OF IMMIGRATION AND NATURALIZATION\nBUREAU OF IMMIGRATION AND NATURALIZATION\nDIVISION OF NATURALIZATION\nDIVISION OF NATURALIZATION\ncop\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 or CALIFORNIA)\nIn the\nSUPERIOR Court\nIn the SUPERIOR\nCourt\nCounty of Cos Angeles\nSS:\nIN AND FOR Les ANBELES.\nOunty\nss:\nIN AND FOR\nof\nSUMK OF\nof\nTHR STATE -\n3, Christian\n27 years,\n3, Susan Boss\n, aged\n42 years,\noccupation Farmer\ndo\ndeclare affirm on oath that my personal\noccupation Landlady\ndo declare on oath\naffirm\nthat my personal\ndescription is: Color White complexion Fair , height Teet 9 inches,\ndescription is: Color White complexion med , height 4 feet 11 inches,\nweight 168 pounds, color of hair Blonde color of eyes, alray\nweight 135 pounds, color of hair DK Brown color of eyes Brown\nother\nvisible distinctive marks Sem on left thumb\nother visible distinctive marks\nnone\n:\nI was born in\nHannover\n: I born in Grindilwold\nwas\nGermany on the 18 day of march\n, anno\nSwitzerland on the\n12 day of\nnov\n, anno\nDomini 1\n884: I now reside at Bux45 Walmington baa\nDomini\nI 868 I now reside at 523 San Julien at Larangelis leal\nI emigrated to the United States of América from ANTWERP, BELGIUM\nI emigrated to the United States of America from\nANTWERP. BELGIUM\non the vessel\nWotan\n: my last\non the vessel\nDo not Remember\n[If the allen arrived otherwise than by vessel, the character of conveyance of transportation company should be given.)\n(If the allen arrived otherwise yjan by vissel, the character of conveyance or name of transportation company should be given.\n;\nmy last\nforeign residence was\nHonnorer\nGermany\nforeign residence was\nGrindelwald Smitylendand\nIt is my bona fide intention to renounce forever all allegiance 1 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\nprince, potentate, state, or sovereignty, and particularly to\nWilliam II, German Emperes.\nof which I am now a subject : 1\neitimen\nThe Swiss Confederation.\nof which 1 am now a subject citizen : I\narrived at the port of\nSan Pedro\nin the\narrived at the port of NEW YORK\nin the\nState\nTeiritory of\nabout the 11th day\nState\non or\nTerritory of\nNEW YORK\non or about the\nDistrict\n1st day\nDistrist\nof\nmay\nanno Domini 910 I am not an anarchist I am not a\nof\napril\nanno Domini I 893; 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.\nChristian Wilhelm Brockmann\nSo HELP ME GOD.\nSusan Bass\n(Original signature of declarant.)\n(Original signature of declarant.)\nSubscribed and sworn affirmed before me this\nto\n12\nSubscribed and sworn to before me this\nuffirmed.\n12\n[SEAL. ]\nday of June anno Domini\n[SEAL.]\nday of June\nanno Domini 19\net - AND WHK\nW. J. IN AMD FOR THE OOUNTY\nH. J. LELANDE\nOLENK ANIS Lank\nTHIK COURT IN AND FOR THE DOUNTY\nCourt.\nClark of\nthem ANGEL ATAVE OF GALIFORNIA,\nCourt.\nBy\nClerk.\nBy\nE Estrights Clank."
}