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449
Erpartment of Connuerce and Kaber
Repoctment at - Kaher
NATURALIZATION SERVICE
NATURALIZATION SERVICE
No. 5436
2017
ORIGINAL
No. 5437
F
E
ORIGINAL
S
- STATES OF
STATES OF
DECLARATION OF INTENTION
DECLARATION OF INTENTION
(Invalid for all purposes seven years after the date hereof)
(lavalid for all purposes seven years after the date hereof)
STATE OF
In the
SUPERIOR
Court
STATE OF
Caunty of Los Angeles
ss:
The State of Califórnia:
Caunty of
In the SUPERIOR Court
ss:
of in and for Los Amgeles County.
The State of California.
of in and for Los Angeles County.
y, Savarin Stombyar
aged 21 years,
ge, Charles Earnest Petterd
occupation Steward
aged 27 years,
occupation
Carpenter
do declare on oath that my personal
do declare on oath that my personal
description is: Color White complexion Fair height feet 9 inches,
description is: Color White complexion med height feet 11 inches,
weight 160 pounds, color of hair Blonde color of eyes Blue
weight 170 pounds, color of hair
Brown color of eyes Prom
other visible distinctive marks
more
other visible distinctive marks
none
Cerezuny Russia
I was born in Launceston
1 was born in
australia
on the
8th day of
Jan.
anno Domini I 882 I now reside
on the
21 et day of
,
June
, anno Domini I 885; I now, reside
at
223 E. an 38 Lor angeles cal
at
83112 W. 1st at Los angeles beal
(Give number, street, city or town, and State.)
(Give number, street, city or toven, and State.)
I emigrated to the United States of America from
BREMEN, GERMANY
I emigrated to the United States of America from
Wellington new zealand
òn the vessel
maine
: my last
on the vessel
mariford
(II the allen arrived otherwise than - the character of conveyance or name of transportation company should be given.)
(If the allen arrived otherwise than by the character of conveyance or name of transportation company should be given.)
; my last
foreign residence was
enizury Russia
foreign residence was
Christchuct new zealand
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
of whom I am now a subject:
(loorge v, King of Creat Reitain and Ireland.
Nicholas II, Emperor of all the Ruasias.
of whom I am now a subject;
F arrived at the port of
BALTIMORE
in the
I arrived at the port of $AN FRANCISCO
in the
State of
manyland
on or about the
7 of
day
State of
California
on or about the 9th day
. anno Domini , 911 : I am not an anarchist; I am not a
of
Oct
of
June
anno Domini I 910. 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.
Aawaxin stembays
Chasles Emertfellar
Iginal signatare of declarant.)
of declarent.)
Subscribed and sworn to before me this
19th
Subscribed and sworn to before me this
19th
[SEAL.]
day of
Jely
, anno Domini 1913
[SEAL ]
day of
Beby
,
anno Domini 191 3
GLERK er
COUNTY CLERK AND EX-OFFICIO CLERK or
H.
THE
H. J: Lefande
the surcaron COUNTY
OF LOS ANGELES. STATE OF
Clerk of the
Court.
Clerk of the
Court.
By
Def Clerk.
By
Del
Clerk.
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"ocrText": "448\n449\nErpartment of Connuerce and Kaber\nRepoctment at - Kaher\nNATURALIZATION SERVICE\nNATURALIZATION SERVICE\nNo. 5436\n2017\nORIGINAL\nNo. 5437\nF\nE\nORIGINAL\nS\n- STATES OF\nSTATES OF\nDECLARATION OF INTENTION\nDECLARATION OF INTENTION\n(Invalid for all purposes seven years after the date hereof)\n(lavalid for all purposes seven years after the date hereof)\nSTATE OF\nIn the\nSUPERIOR\nCourt\nSTATE OF\nCaunty of Los Angeles\nss:\nThe State of Califórnia:\nCaunty of\nIn the SUPERIOR Court\nss:\nof in and for Los Amgeles County.\nThe State of California.\nof in and for Los Angeles County.\ny, Savarin Stombyar\naged 21 years,\nge, Charles Earnest Petterd\noccupation Steward\naged 27 years,\noccupation\nCarpenter\ndo declare on oath that my personal\ndo declare on oath that my personal\ndescription is: Color White complexion Fair height feet 9 inches,\ndescription is: Color White complexion med height feet 11 inches,\nweight 160 pounds, color of hair Blonde color of eyes Blue\nweight 170 pounds, color of hair\nBrown color of eyes Prom\nother visible distinctive marks\nmore\nother visible distinctive marks\nnone\nCerezuny Russia\nI was born in Launceston\n1 was born in\naustralia\non the\n8th day of\nJan.\nanno Domini I 882 I now reside\non the\n21 et day of\n,\nJune\n, anno Domini I 885; I now, reside\nat\n223 E. an 38 Lor angeles cal\nat\n83112 W. 1st at Los angeles beal\n(Give number, street, city or town, and State.)\n(Give number, street, city or toven, and State.)\nI emigrated to the United States of America from\nBREMEN, GERMANY\nI emigrated to the United States of America from\nWellington new zealand\nòn the vessel\nmaine\n: my last\non the vessel\nmariford\n(II the allen arrived otherwise than - the character of conveyance or name of transportation company should be given.)\n(If the allen arrived otherwise than by the character of conveyance or name of transportation company should be given.)\n; my last\nforeign residence was\nenizury Russia\nforeign residence was\nChristchuct new zealand\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\nof whom I am now a subject:\n(loorge v, King of Creat Reitain and Ireland.\nNicholas II, Emperor of all the Ruasias.\nof whom I am now a subject;\nF arrived at the port of\nBALTIMORE\nin the\nI arrived at the port of $AN FRANCISCO\nin the\nState of\nmanyland\non or about the\n7 of\nday\nState of\nCalifornia\non or about the 9th day\n. anno Domini , 911 : I am not an anarchist; I am not a\nof\nOct\nof\nJune\nanno Domini I 910. 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.\nAawaxin stembays\nChasles Emertfellar\nIginal signatare of declarant.)\nof declarent.)\nSubscribed and sworn to before me this\n19th\nSubscribed and sworn to before me this\n19th\n[SEAL.]\nday of\nJely\n, anno Domini 1913\n[SEAL ]\nday of\nBeby\n,\nanno Domini 191 3\nGLERK er\nCOUNTY CLERK AND EX-OFFICIO CLERK or\nH.\nTHE\nH. J: Lefande\nthe surcaron COUNTY\nOF LOS ANGELES. STATE OF\nClerk of the\nCourt.\nClerk of the\nCourt.\nBy\nDef Clerk.\nBy\nDel\nClerk."
}