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480 3468 ORIGINAL No. 3469 8 481 No. STATES OF STATES OF nf Commette and Tabor Department of Commerre and Tabor BUREAU OF IMMIGRATION AND NATURALIZATION BUREAU OF IM.INGRATION 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 seyen years after the date hereof) m SUPERIOR Court MTATE STATE or CALIFORNIA) In the In the SUPERIOR County of Los Angeles SS : Downty Court - POR Lee ANGELES COUNTY ss : - POR. Lee ANGELEO COUNTY. of THE STATE of CALIPORNIA, of THE STATE er GALIPORNIA, 3. Clara Ellen Gynnican maiden name south. aged 28 years, 3. John Kose memmage , aged 27 years, occupation Henographer Fair do declare on oath affirm that my personal occupation Boot Black do declare ongoath affirm that my personal description is: Color white complexion height 5 feet inches, description is: Color White complexion Dark , height 5 feet 3 inches, weight 128 pounds, color of hair Dava Change color of eyes Brown weight 140 pounds, color of hair DK Brom color of eyes L Brown other visible distinctive marks mark on sprehead thorn Wist Prussia other visible distinctive marks Scar on right forcarm : I was born in ; I was born in Germany on the 5 day of August anno dficie argos on the 14 day of , Domini I 8821 now reside at 1243 w any anno Domini I 883 : 1 now reside at 228 so main at Las angeles bad I the United of America from HAMBURG, GERMANY emigrated to I emigrated to the United States of America from Patras Green ; my last on the vessel on the vessel (If the allen arrived otherwise conveyance sporgation company should be given.) martha than by vessel, the character Washington of or name of : my last residence (If the was allen arrived Kenitz osherwise than by vessel, the West character of conveyance Prussia of transportation company Germany ahould be given.] foreign residence was foreign argos mere 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 prince, potentate, state, or sovereignty, and particularly to citizen I Coorge I, King of the Greeks. William II, German Emperor of which I am now a subject of which I am now a subject Gitizen- : I arrived at the port of NEW YORK in the arrived at the port of NEW YORK in the State Territory of on or about the 23 day State Ferritory of NEW YORK NEW YORK District on or about the 25 day District Sept of of anno Domini - not an anarchist; I am not a Jan , anno Domini 904 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. So HELP ME God. Clara Michigan (Original signature of declarams) Fedn Ko3 Mennegs day of June and swdrn affirmed to before me anno this Domini 15th signature of declarant.) Subscribed gitts Subscribed and sworn to before me this affirmed. 15 [SEAL.] 19 11 [SEAL. day of June anno Domini 1911 CAND EX LEEANDE OL AND e courr IN AND FOR THE COURT IN AND FOR THI COUNTY By of THE thes SALIFORNIA, COUNTY Court. herk. STAVE DF Clerk of ANMEL OF GALJFORNIA, Court. By Ermid Dy

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    "ocrText": "480\n3468\nORIGINAL\nNo. 3469\n8 481\nNo.\nSTATES OF\nSTATES OF\nnf Commette and Tabor\nDepartment of Commerre and Tabor\nBUREAU OF IMMIGRATION AND NATURALIZATION\nBUREAU OF IM.INGRATION 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 seyen years after the date hereof)\nm\nSUPERIOR Court\nMTATE\nSTATE or CALIFORNIA)\nIn the\nIn the SUPERIOR\nCounty of Los Angeles\nSS :\nDownty\nCourt\n- POR Lee ANGELES COUNTY\nss :\n- POR. Lee ANGELEO COUNTY.\nof\nTHE STATE of CALIPORNIA,\nof\nTHE STATE er GALIPORNIA,\n3. Clara Ellen Gynnican maiden name south. aged\n28 years,\n3. John Kose memmage , aged 27\nyears,\noccupation Henographer\nFair\ndo\ndeclare on oath\naffirm\nthat my personal\noccupation Boot Black\ndo declare ongoath\naffirm\nthat my personal\ndescription is: Color white complexion height 5 feet\ninches,\ndescription is: Color White complexion Dark , height 5 feet 3 inches,\nweight 128 pounds, color of hair Dava Change color of eyes Brown\nweight 140 pounds, color of hair DK Brom color of eyes L Brown\nother visible distinctive marks mark on sprehead\nthorn Wist Prussia\nother visible distinctive marks Scar on right forcarm\n:\nI was born in\n;\nI was born in\nGermany\non the\n5 day of August anno\ndficie\nargos\non the\n14\nday of\n,\nDomini I 8821 now reside at\n1243 w\nany\nanno\nDomini I 883 : 1 now reside at 228 so main at Las angeles bad\nI the United of America from HAMBURG, GERMANY\nemigrated to\nI emigrated to the United States of America from\nPatras Green\n; my last\non the vessel\non the vessel\n(If the allen arrived otherwise conveyance sporgation company should be given.)\nmartha than by vessel, the character Washington of or name of\n: my last\nresidence (If the was allen arrived Kenitz osherwise than by vessel, the West character of conveyance Prussia of transportation company Germany ahould be given.]\nforeign\nresidence\nwas\nforeign\nargos\nmere\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\nprince, potentate, state, or sovereignty, and particularly to\ncitizen\nI\nCoorge I, King of the Greeks.\nWilliam II, German Emperor\nof which I am now a subject\nof which I am now a subject Gitizen- :\nI\narrived at the port of\nNEW YORK\nin the\narrived at the port of\nNEW YORK\nin the\nState\nTerritory of\non or about the\n23 day\nState\nFerritory of\nNEW YORK\nNEW YORK\nDistrict\non or about the 25 day\nDistrict\nSept\nof\nof\nanno Domini - not an anarchist; I am not a\nJan\n, anno Domini 904 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.\nSo HELP ME God.\nClara\nMichigan\n(Original signature of declarams)\nFedn Ko3 Mennegs\nday of June and swdrn affirmed to before me anno this Domini\n15th\nsignature of declarant.)\nSubscribed\ngitts\nSubscribed and sworn to before me this\naffirmed.\n15\n[SEAL.]\n19 11\n[SEAL.\nday of June\nanno Domini 1911\nCAND\nEX\nLEEANDE\nOL AND e\ncourr IN AND FOR THE\nCOURT IN AND FOR THI COUNTY\nBy of THE thes SALIFORNIA, COUNTY Court. herk.\nSTAVE DF\nClerk\nof ANMEL OF GALJFORNIA,\nCourt.\nBy\nErmid Dy"
}