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390
391
SAMSDIA
U:S/DERARTMENT OF LABOR
ORIGINAL
JAMIDIRO
UOSADEPARTMENTOOELABOR
ORIGINAL
No. 7878
No. 7879
Gab. ph
DECLARATION OF INTENTION
DECLARATION OFOINTENTION
for all purposes seven years aftér the date hereof
Finvalid for all purposes seven the date hereof
STATE OF
County of Las Andeline to
nt
In the
SUPERIOR
The State of California:
Court
STMIT or
nl
In
the
SUPERIOR
Court
of
ss:
The State of California.
of
in and for Los Angeles County.
Counay
Lox
to
of
in and for Los Angalse County.
ge, morson ganding accountan drunk aged
D2
years,
ge Womenik Gallagzo
aged 25. years,
occupation
do declare on oath that my personal
occupation Laboran
do declare on oath that my personal
description is: Color white complexion Dark height 5 feet 7Kinches,
description is: Color White complexion Dark
height feet t inches,
weight 128 pounds, color of hair Black color of eyes Brown
weight 145 pounds, color of hair McDonoun color of éyes Brown
other visible distinctive marks
none
sudiety
other
visible distinctive marks scaron neck
I
was born in Port Hope Ontaris; Canada
I was
born in Genare marino Italy
on the 22nd day of Sam any 8771
anno Domini I now reside
on the 24th day of July
anno Domini I 889 I now reside
at 2420 B rotakly an state.) Los angeles, Cal
at
atreet, city or town, and
102 no. main (Give number, st. atreet, city town, Los and State.) angeles Eal
or
I emigrated to the United States of America from Vancouver, B.C
I emigrated to the United States of America from
NAPLES ITALY
on the vessel
Private automobile
: my last
onithe vessel
Princiss grine wo
: my last
(If the allen argived otherwine than by vossel, the character of conveyance or name of transportation company should be given.)
(It the alien aprived otherwise than the character of conveyance or name of transportation company (ahould be given.)
foreign residence was vancouver, B. C
foreign residence was
Genace marino Staty
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 towany foreign
prince, potentate, state, or sovereignty, and particularly to
prince, potentate, state, or sovereignty, and (particularly to
George * for and Ireland.
of whom I am now a subject:
Victor Emmanuel III, King of Ital
of whom I am now a subject:
I arrived at the port of
B baine
in nou in the
at the port of
NEW YORK
to tho adt 11. in the
State of 27
on or about the day
State of
adi
NEW YORK
on or, about the 26th day
of September anno, Domini a 913: I am not an anarchist; 1 am not a
ofen
FILE 1 april 1 anno Domini 906 1 am not an anarchist: Lam not
a
polygamist. nor a believer in the practice of polygamy; and it is my intention in good faîth
polygamist nor a believer in the practice of polygamy D 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 MB GOD.
100 BM 02
So HELP ME GOD.
of Homewith
Gabryzo
not BH 02
hundred
Cigarettes
be
(Original algnature
zidt
Subscribed and sworn to before me this
13th
1
8x
Subscribed and sworn to before me this
13th
aldi
[SEAL.] nimoQ gans
day of Oct
anno Domini 19154
day of
oct
[SEAL.] oans
,
anno Domini 19t
4
H: J. Lelande THE EX-OPFICIO CLERK or
COUNTY CLERK AND
to
COUNTE CLERK AND EX-OFFICIE CLERE -
SUPERION sount IN.
COURTIEN FOR THE
OF STATE OF CALIFORNIA.
-
OF Las ANGELES. STATE OF CALIFOBNIA
Clerk of the
Court.
sill to Clerh of the
Court.
By digardian Deputy Clerk.
seh
Clerk.
16-00
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"ocrText": "390\n391\nSAMSDIA\nU:S/DERARTMENT OF LABOR\nORIGINAL\nJAMIDIRO\nUOSADEPARTMENTOOELABOR\nORIGINAL\nNo. 7878\nNo. 7879\nGab. ph\nDECLARATION OF INTENTION\nDECLARATION OFOINTENTION\nfor all purposes seven years aftér the date hereof\nFinvalid for all purposes seven the date hereof\nSTATE OF\nCounty of Las Andeline to\nnt\nIn the\nSUPERIOR\nThe State of California:\nCourt\nSTMIT or\nnl\nIn\nthe\nSUPERIOR\nCourt\nof\nss:\nThe State of California.\nof\nin and for Los Angeles County.\nCounay\nLox\nto\nof\nin and for Los Angalse County.\nge, morson ganding accountan drunk aged\nD2\nyears,\nge Womenik Gallagzo\naged 25. years,\noccupation\ndo declare on oath that my personal\noccupation Laboran\ndo declare on oath that my personal\ndescription is: Color white complexion Dark height 5 feet 7Kinches,\ndescription is: Color White complexion Dark\nheight feet t inches,\nweight 128 pounds, color of hair Black color of eyes Brown\nweight 145 pounds, color of hair McDonoun color of éyes Brown\nother visible distinctive marks\nnone\nsudiety\nother\nvisible distinctive marks scaron neck\nI\nwas born in Port Hope Ontaris; Canada\nI was\nborn in Genare marino Italy\non the 22nd day of Sam any 8771\nanno Domini I now reside\non the 24th day of July\nanno Domini I 889 I now reside\nat 2420 B rotakly an state.) Los angeles, Cal\nat\natreet, city or town, and\n102 no. main (Give number, st. atreet, city town, Los and State.) angeles Eal\nor\nI emigrated to the United States of America from Vancouver, B.C\nI emigrated to the United States of America from\nNAPLES ITALY\non the vessel\nPrivate automobile\n: my last\nonithe vessel\nPrinciss grine wo\n: my last\n(If the allen argived otherwine than by vossel, the character of conveyance or name of transportation company should be given.)\n(It the alien aprived otherwise than the character of conveyance or name of transportation company (ahould be given.)\nforeign residence was vancouver, B. C\nforeign residence was\nGenace marino Staty\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 towany foreign\nprince, potentate, state, or sovereignty, and particularly to\nprince, potentate, state, or sovereignty, and (particularly to\nGeorge * for and Ireland.\nof whom I am now a subject:\nVictor Emmanuel III, King of Ital\nof whom I am now a subject:\nI arrived at the port of\nB baine\nin nou in the\nat the port of\nNEW YORK\nto tho adt 11. in the\nState of 27\non or about the day\nState of\nadi\nNEW YORK\non or, about the 26th day\nof September anno, Domini a 913: I am not an anarchist; 1 am not a\nofen\nFILE 1 april 1 anno Domini 906 1 am not an anarchist: Lam not\na\npolygamist. nor a believer in the practice of polygamy; and it is my intention in good faîth\npolygamist nor a believer in the practice of polygamy D 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 MB GOD.\n100 BM 02\nSo HELP ME GOD.\nof Homewith\nGabryzo\nnot BH 02\nhundred\nCigarettes\nbe\n(Original algnature\nzidt\nSubscribed and sworn to before me this\n13th\n1\n8x\nSubscribed and sworn to before me this\n13th\naldi\n[SEAL.] nimoQ gans\nday of Oct\nanno Domini 19154\nday of\noct\n[SEAL.] oans\n,\nanno Domini 19t\n4\nH: J. Lelande THE EX-OPFICIO CLERK or\nCOUNTY CLERK AND\nto\nCOUNTE CLERK AND EX-OFFICIE CLERE -\nSUPERION sount IN.\nCOURTIEN FOR THE\nOF STATE OF CALIFORNIA.\n-\nOF Las ANGELES. STATE OF CALIFOBNIA\nClerk of the\nCourt.\nsill to Clerh of the\nCourt.\nBy digardian Deputy Clerk.\nseh\nClerk.\n16-00"
}