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480
481
Department of and Cabor
Department of Cammerce and Cabor
NATURALIZATION SERVICE
NATURALIZATION SERVICE
ORIGINAL
No.
No.
ORIGINAL
BILLES OF
BTATES OF AM
DECLARATION OF INTENTION
DECLARATION OF INTENTION
(Invalid for all purposes seven years after the date hereof)
(Invalid for all purposes seven years after the date hereof
In the SUPERIOR
Court
In the SUPERIOR
Court
ss.
The State of California.
ss.
" LOS duyeles
The State of Califerni
of in and for Angeles County.
Charles Nh, ( / 1/1
of
in and for
aged 41 years,
i.
I.
limited claim dodechreon oath that personal
my
,Tne,
occupation
do declares personal
11hli
height
5
complexion
description is: Color
complexion
water mehe.
lis
Braws individual Blue
weight 175 brair
may
nex
-
other visible distinctiv. mari:
i
Christiania trumay
I was born in
night
anumy
on the
day of
anno
111
, Benner tail May at
at
3.4 1, 1. tr.
Amence from:
Christiania mercy
I emerated to the Unite I States of America from-
Quitin
on the vouch
itedali,
italy
animal
foreign residence was
Engla.
unde to all and ridelity to any foreign
It is my bona tide intention to renounce forever all allegtanco and tidelity
and particularly to
prince, potentate, state, or sovereignty, and particularly to
of whom !am now subject:
,0f whom
, in the
I arrived at the port of
in the
&
,on or about the
day
State of
,on or about the
in
day
of
anno Domini I 11% I am not Lammot a
of
nov
anno Domini - 0.6; I am not anarchist: I am not a
polysamist nor a behever in the practice of 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.
(odgmal
G. ge Roadman
Subscribed and sworn to before me this
811
(il
Subscribed and sworn to before me this
to
day of
, anno Domini 191
3
SEAL. ]
[SEAL.]
day of
Cci
anno Domini 191
COUNTY AND EX OFFICIO CLERK OF
H. J. Lelande of
COUNTY
OF LOS ANGELES STATE CALIFORNIA
H.J. Lefa
Clork of the
Court.
Court.
9.74
Clerk of the
Bv
Clerk.
11-0526
"
By
E Etricth' x! / Clerk.
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"ocrText": "480\n481\nDepartment of and Cabor\nDepartment of Cammerce and Cabor\nNATURALIZATION SERVICE\nNATURALIZATION SERVICE\nORIGINAL\nNo.\nNo.\nORIGINAL\nBILLES OF\nBTATES OF AM\nDECLARATION OF INTENTION\nDECLARATION OF INTENTION\n(Invalid for all purposes seven years after the date hereof)\n(Invalid for all purposes seven years after the date hereof\nIn the SUPERIOR\nCourt\nIn the SUPERIOR\nCourt\nss.\nThe State of California.\nss.\n\" LOS duyeles\nThe State of Califerni\nof in and for Angeles County.\nCharles Nh, ( / 1/1\nof\nin and for\naged 41 years,\ni.\nI.\nlimited claim dodechreon oath that personal\nmy\n,Tne,\noccupation\ndo declares personal\n11hli\nheight\n5\ncomplexion\ndescription is: Color\ncomplexion\nwater mehe.\nlis\nBraws individual Blue\nweight 175 brair\nmay\nnex\n-\nother visible distinctiv. mari:\ni\nChristiania trumay\nI was born in\nnight\nanumy\non the\nday of\nanno\n111\n, Benner tail May at\nat\n3.4 1, 1. tr.\nAmence from:\nChristiania mercy\nI emerated to the Unite I States of America from-\nQuitin\non the vouch\nitedali,\nitaly\nanimal\nforeign residence was\nEngla.\nunde to all and ridelity to any foreign\nIt is my bona tide intention to renounce forever all allegtanco and tidelity\nand particularly to\nprince, potentate, state, or sovereignty, and particularly to\nof whom !am now subject:\n,0f whom\n, in the\nI arrived at the port of\nin the\n&\n,on or about the\nday\nState of\n,on or about the\nin\nday\nof\nanno Domini I 11% I am not Lammot a\nof\nnov\nanno Domini - 0.6; I am not anarchist: I am not a\npolysamist nor a behever in the practice of 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.\n(odgmal\nG. ge Roadman\nSubscribed and sworn to before me this\n811\n(il\nSubscribed and sworn to before me this\nto\nday of\n, anno Domini 191\n3\nSEAL. ]\n[SEAL.]\nday of\nCci\nanno Domini 191\nCOUNTY AND EX OFFICIO CLERK OF\nH. J. Lelande of\nCOUNTY\nOF LOS ANGELES STATE CALIFORNIA\nH.J. Lefa\nClork of the\nCourt.\nCourt.\n9.74\nClerk of the\nBv\nClerk.\n11-0526\n\"\nBy\nE Etricth' x! / Clerk."
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