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434 435 Repartminit a and NATURALIZATION SERVICE MATURALIZATION SERVIQE No. 6422 ORIGINAL No. 6423 or E STATES DECLARATION OF INTENTION DECLARATION OF INTENTION (Involld for all purposes seven years after the date hercet) (levalid for all aurgesse seven yeare after the date hereef) STATE OF CALIFORNIA County of Angeles In the SUPERIOR STATE OF SUPERIOR Court In the Court ss: The State of California. Caunty of Angales ss: The State of California. of in and for Los Angeles County. of in and for Los Angeles County. ge, Kazimir Szidlowshi aged 29 years, 3, miss Ellen angust ta Hammari aged 49 years, occupation machinit do declare on oath that my personal occupation Seamstress , do declare on oath that my personal description is: Color white complexion Dark height 5 feet 7 inches, description is: Color white complexion Fair height 5 feet 3 inches, weight 165 pounds, color of hair DKBroom color of eyes abay weight 120 pounds, color of hair L. Brown ncolor of eyes Blue other visible distinctive marks none other visible distinctive marks none I was born in Felari Russia I was born in Pataholan Swvden on the 4th of day anno Domini 883 I now reside on the 1 day of sept , anno Domini I 864 I now reside -the Dec at 6521/2 San Fernande at Lov angeles teal at 344 Lincoln are Pasadena Cal (Glive number, street, city or towa, and State.) (Give number, alreet, city or town, and State.) l'emigrated to the United States of America from HAMBURG, GERMANY I emigrated to the United States of América from deverpool, England on the vessel Patricia my last on the vessel : my last (If the allen arrived otherwise than " vonsel, thé phagacter of conveyance or name of transportation company should be given.) (u the allen vomol, the chamoter of convegance or - af company should be given.) City of chester foreign residence was Lawkowa Russia foreign residence was Commlerge, Sweden 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 an allegiance and fidelity to any foreign prince, potentate, state, or sovereignty, and particularly to prince, potentate, state, or sovereignty, and particularly to Nicholas II, Emperor of all the Russlas. of whom 1 am now a subject : Qustayus V. King of Swo of whom I am now a subject: I arrived at the port of NEW YORK in the 1 arrived at the port of new york in the , State of NEW YORK on or about the 25th day State of of Dec anno Domini 904 I am not an anarchist; 1 am not a of S ept new york on or about the 16 the day anno Domini 1885 am not an anarchist; 1 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. Kazimien Sandlowsk Mis ollen appests of declarant.) Haminar (Original algnatuy of declarant.) algnature 307 issue Subscribed and sworn to before me this Both Subscribed and sworn to before me this [SEAL.] day of Sept , anno Domini 191- [SEAL inimed onné day of Sepet anno Domini 1913 COUNTY et TRK AND EX-OFFICIO CLERK OF COUNTY CLERN ase EX-OFFICIO CLERK OF H. J. Letantte the SUPERTON COURT *ND for THE H.J. AND ROA THE IN LOS ANGELES. STATE OF CALIFORNIA. OF LOS ANGELES. STATE OF CALIFORNIA. Clerk of the Court. Clerh of the Court. Ry Dep Clerk. Bv diggie Homen Depty Clerk.

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    "ocrText": "434\n435\nRepartminit\na and\nNATURALIZATION SERVICE\nMATURALIZATION SERVIQE\nNo. 6422\nORIGINAL\nNo. 6423\nor\nE\nSTATES\nDECLARATION OF INTENTION\nDECLARATION OF INTENTION\n(Involld for all purposes seven years after the date hercet)\n(levalid for all aurgesse seven yeare after the date hereef)\nSTATE OF CALIFORNIA\nCounty of Angeles\nIn the SUPERIOR\nSTATE OF\nSUPERIOR\nCourt\nIn the\nCourt\nss:\nThe State of California.\nCaunty of Angales\nss:\nThe State of California.\nof\nin and for Los Angeles County.\nof\nin and for Los Angeles County.\nge, Kazimir Szidlowshi\naged 29 years,\n3, miss Ellen angust ta Hammari aged 49\nyears,\noccupation\nmachinit\ndo declare on oath that my personal\noccupation\nSeamstress\n,\ndo declare on oath that my personal\ndescription is: Color white\ncomplexion Dark height 5 feet 7 inches,\ndescription is: Color white complexion Fair height 5 feet 3 inches,\nweight 165 pounds, color of hair DKBroom color of eyes\nabay\nweight 120 pounds, color of hair L. Brown ncolor of eyes Blue\nother visible distinctive marks\nnone\nother visible distinctive marks\nnone\nI was born in\nFelari\nRussia\nI was born in Pataholan Swvden\non the\n4th of\nday\nanno Domini 883 I now reside\non the\n1 day of sept , anno Domini I 864 I now reside\n-the\nDec\nat\n6521/2 San Fernande at Lov angeles teal\nat 344 Lincoln are Pasadena Cal\n(Glive number, street, city or towa, and State.)\n(Give number, alreet, city or town, and State.)\nl'emigrated to the United States of America from HAMBURG, GERMANY\nI emigrated\nto the United States of América from deverpool, England\non the vessel\nPatricia\nmy last\non the vessel\n: my last\n(If the allen arrived otherwise than \" vonsel, thé phagacter of conveyance or name of transportation company should be given.)\n(u the allen vomol, the chamoter of convegance or - af company should be given.)\nCity of chester\nforeign residence was\nLawkowa Russia\nforeign residence\nwas Commlerge, Sweden\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 an allegiance and fidelity to any foreign\nprince, potentate, state, or sovereignty, and particularly to\nprince, potentate, state, or sovereignty, and particularly to\nNicholas II, Emperor of all the Russlas.\nof whom 1 am now a subject :\nQustayus V. King of Swo\nof whom I am now a subject:\nI arrived at the port of\nNEW YORK\nin the\n1 arrived at the port of\nnew york\nin the\n,\nState of\nNEW YORK\non or about the\n25th day\nState of\nof\nDec\nanno Domini 904 I am not an anarchist; 1 am not a\nof\nS ept\nnew york\non or about the 16 the day\nanno Domini 1885 am not an anarchist; 1 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.\nKazimien Sandlowsk\nMis ollen appests of declarant.) Haminar\n(Original algnatuy of declarant.)\nalgnature\n307\nissue\nSubscribed and sworn to before me this\nBoth\nSubscribed and sworn to before me this\n[SEAL.]\nday of Sept\n, anno Domini 191-\n[SEAL inimed onné\nday of Sepet\nanno Domini 1913\nCOUNTY et TRK AND EX-OFFICIO CLERK OF\nCOUNTY CLERN ase EX-OFFICIO CLERK OF\nH. J. Letantte the SUPERTON COURT *ND for THE\nH.J. AND ROA THE\nIN\nLOS ANGELES. STATE OF CALIFORNIA.\nOF LOS ANGELES. STATE OF CALIFORNIA.\nClerk of the\nCourt.\nClerh of the\nCourt.\nRy\nDep\nClerk.\nBv diggie Homen Depty Clerk."
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