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239
O.S.DEPARTMENT OF LABOR
ORIGINAL
dino
U.S.DEPARTMENT OF LABOR
ORIGINAL
775E
NATURALIZATION SERVICE
No.
CEN
en
No. 7717
NATURALIZATION SERVICE
the
STATES
OF
DECLARATION OF INTENTION
DECLLARATIOND OF. INTENTION
Z
Invalid for all purposes seven years after the date hereof
RInvalid for all purposes seven years after the date hereof
STATE OF CALIFORNTE
In
the
SUPERIOR Court
STATE: OF OALIFORNIAL
In
the SUPERIOR Court
Caunty of Los Angeles
ss:
The State of Californta.
Caunty of Los'Angeles
ss:
The State of California.
of
in and for Los Angeles Coun
of
in and for Inc Anceles Courty.
miscKatherine ge Dictoria Arlagh aged
38
years,
description is: Color. White complexion Dark height feet 6 inches,
occupation Propessional mury do declare on oath that my personal
ge, Herman foltrrow
aged 28 years,
occupation
Carpens
do declare on oath that my personal
description is: Color whites complexion medium height feet 6 inches,
weight 120 pounds, color of color of eyes Every
weight 136 pounds, color of hair Brown color of eyes Bluegray
other visible distinetiyé marks none
other visible distinctive marks
none
I was born in Tenento Canada
I was born in
Keiv Russia
on the
11
day of December anno Domini 87VT now, reside
on the
5th day of June
anno Domini I 886 1 now reside
at
916 Westtake (dive are number, street, for 4by town, and Btate.) Angeles cal
thronts Causetary
at 1026 w Temples (Give umber, street, dity or st tiown, and State.) Sos angeles, Cal
I emigrated to the United States) of America from
I emigrated to the United States of America from
Bremen,
germany
on the vessel
the alien Tew your Central RR
: my last
on the vessel
Cassel
: my last
residence was Darento Canada
(II arrived than by veasel, the of or name of transportation company
should be given.)
(If the allen arrived otherwise than by vessel, the character of conveyance or pransportation company should be given.)
foreign
foreign residence
was Kischinov, Russia
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
George y, King of Great Britain and Irolar
of whom 1 am now a subject:
Nicholas II; Imperer of all the Russias
of whom 1 am now a subject:
1 arrived at the port of Fall
Magn
la thou. and th in the
I arrived at
My
the port Texas of galveston
to
in the
State of
on or about the
so to day
State of
on or about the 16th day
of august , Domini not an anarchist: I am not a
anno I
of June anno Domini - 913 I am not an anarchist: I not
am 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.
Tbinmic Boltunam
fathering (Origioal alguature Mcloria of declarant.) TIM Arstagh
(Original algnature of declarant.)
Subscribed and sworn to before me this
8
zirit
Subscribed and sworn to before me this
8 its
[SEAL.]
day of Sept Domini 191
anno "
[SEAL.] nunoa onnu:
day of S ept
, anno Domini 191 *
H. J. Lelande EX-OFFICIO CLERK or
COUNTY CLERK AND
(COUNTY CLERK AND EX-OFFICIO CLERE or
AN
n.
J. Lelande
sue
OF LOS ANGELES. STATE OF CALIFORIVIA.
of Los ANGELES. STATE of CALIFORNIA.
Clarks the
Clerk of the
Court.
By in Court. Clerk.
By Siggic Himinim Depenty Clerh.
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"ocrText": "228\n239\nO.S.DEPARTMENT OF LABOR\nORIGINAL\ndino\nU.S.DEPARTMENT OF LABOR\nORIGINAL\n775E\nNATURALIZATION SERVICE\nNo.\nCEN\nen\nNo. 7717\nNATURALIZATION SERVICE\nthe\nSTATES\nOF\nDECLARATION OF INTENTION\nDECLLARATIOND OF. INTENTION\nZ\nInvalid for all purposes seven years after the date hereof\nRInvalid for all purposes seven years after the date hereof\nSTATE OF CALIFORNTE\nIn\nthe\nSUPERIOR Court\nSTATE: OF OALIFORNIAL\nIn\nthe SUPERIOR Court\nCaunty of Los Angeles\nss:\nThe State of Californta.\nCaunty of Los'Angeles\nss:\nThe State of California.\nof\nin and for Los Angeles Coun\nof\nin and for Inc Anceles Courty.\nmiscKatherine ge Dictoria Arlagh aged\n38\nyears,\ndescription is: Color. White complexion Dark height feet 6 inches,\noccupation Propessional mury do declare on oath that my personal\nge, Herman foltrrow\naged 28 years,\noccupation\nCarpens\ndo declare on oath that my personal\ndescription is: Color whites complexion medium height feet 6 inches,\nweight 120 pounds, color of color of eyes Every\nweight 136 pounds, color of hair Brown color of eyes Bluegray\nother visible distinetiyé marks none\nother visible distinctive marks\nnone\nI was born in Tenento Canada\nI was born in\nKeiv Russia\non the\n11\nday of December anno Domini 87VT now, reside\non the\n5th day of June\nanno Domini I 886 1 now reside\nat\n916 Westtake (dive are number, street, for 4by town, and Btate.) Angeles cal\nthronts Causetary\nat 1026 w Temples (Give umber, street, dity or st tiown, and State.) Sos angeles, Cal\nI emigrated to the United States) of America from\nI emigrated to the United States of America from\nBremen,\ngermany\non the vessel\nthe alien Tew your Central RR\n: my last\non the vessel\nCassel\n: my last\nresidence was Darento Canada\n(II arrived than by veasel, the of or name of transportation company\nshould be given.)\n(If the allen arrived otherwise than by vessel, the character of conveyance or pransportation company should be given.)\nforeign\nforeign residence\nwas Kischinov, Russia\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\nGeorge y, King of Great Britain and Irolar\nof whom 1 am now a subject:\nNicholas II; Imperer of all the Russias\nof whom 1 am now a subject:\n1 arrived at the port of Fall\nMagn\nla thou. and th in the\nI arrived at\nMy\nthe port Texas of galveston\nto\nin the\nState of\non or about the\nso to day\nState of\non or about the 16th day\nof august , Domini not an anarchist: I am not a\nanno I\nof June anno Domini - 913 I am not an anarchist: I not\nam 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.\nTbinmic Boltunam\nfathering (Origioal alguature Mcloria of declarant.) TIM Arstagh\n(Original algnature of declarant.)\nSubscribed and sworn to before me this\n8\nzirit\nSubscribed and sworn to before me this\n8 its\n[SEAL.]\nday of Sept Domini 191\nanno \"\n[SEAL.] nunoa onnu:\nday of S ept\n, anno Domini 191 *\nH. J. Lelande EX-OFFICIO CLERK or\nCOUNTY CLERK AND\n(COUNTY CLERK AND EX-OFFICIO CLERE or\nAN\nn.\nJ. Lelande\nsue\nOF LOS ANGELES. STATE OF CALIFORIVIA.\nof Los ANGELES. STATE of CALIFORNIA.\nClarks the\nClerk of the\nCourt.\nBy in Court. Clerk.\nBy Siggic Himinim Depenty Clerh."
}