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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.
Page data
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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."
}