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Repartent at and
at and
NATURALIZATION SERVICE
NATURALIZATION SERVICE
No. 6642
the
ORIGINAL
No. 6643
21
STATES OF
STATES OF
DECLARATION OF INTENTION
DECLARATION OF INTENTION
(Invalid for all purposes seven years after the daté hereof)
(Involid for all purposes seyen years after the date hereof)
STATE OF CALIFORMIA
SUPERIOR Court
STATE OF
In the
The State of California.
Caunty of Los Angeles
In the SUPERIOR Court
Caunty of Los Angetes
ss:
ss:
the State of Califernia,
of
in and for Los Angeles County
ge Bernard Cetrin
of
hi and for Los Angeles County.
ge, John Asen
aged 45 years,
aged 33 years,
occupation Steel Car Repauer do declare
on oath that my personal
occupation Cless
do declare on oath that my personal
description is: complexion Dark height
Sfeet &
inches,
description is: white Color complexion Darn height
5 feet feet
weight 175 pounds, color of hair Dara
color of eyes Blue
weight 215 pounds, color of hair Dr Brownd color of eyes Dark
other visible distinctive marks None
other visible distinctive marks
Name
I was born in Genna austria
I was born in Bealyston
Russia
on the
8
day of
November anno Domini 1 86% I now reside
on the
4
day of
2009 Buth (Give It number, Prolengele stryet, elly town, Cal
July
anno Domini I 880 L now reside
at
at
2819 Winter It (Give number, atreet, To towa, and State.) Angeles Cal
or
I emigrated to the United States of America from
and Statedy Gremen Germany
I emigrated to the United States of America from
Retterdam Halland
on the vessel
Toland
: my last
on the vessel
Maasdam
(ui the allen arrived than by the character of conveyance or transportation company should be given.)
: my last
foreign residence (If was Minna by Custom
the alien arrived other than vessel, the character of transportation company ahould be given.)
foreign residence was Bealyston 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
Nicholas n. Reppesse - all the Ru
Nicholas II, Emperor of all the Ru
of whom I am now a subject
:
how a subject:
I
arrived at the port of Batternoy
in the
I arrived at the port of
NEW
, in the
State of
manyland on or about
the
-
day
State of
of
may
anno Domini 1 899: I am not an anarchist; 1 am not a
of November anno Domini 1 890; on I am or about not an the anarchist; I am not day a
NEW
polygamist nor a believer in the practice of polygamy: and it is my intention in good falth
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.
ODD
9M
So HELP ME GOD.
John (Original Ragek signature of
Bernard letrun
declarant.)
(Original algnature of declarnat.)
25
Subscribed and sworn to before me this
25
Subscribed and sworn to before me this
[SEAL.]
day November , anno Domini
of
191
[SEAL. inimoti omma
day of Seventhey anno Domini 191 3
H. J. Lelande THE COUNT
COUNTY CLERK AND EX-OFFICIO CLERK or
COUNTY CLERK AND (OPFICIO CLERK as
H. J.
OF Los ANGELES. STATE OF CALIPORNIA.
Clark of the
Court.
By Clerk. Court.
Cloyb of the
By Dip Clerk.
J.J.Channel
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"ocrText": "154\n155\nRepartent at and\nat and\nNATURALIZATION SERVICE\nNATURALIZATION SERVICE\nNo. 6642\nthe\nORIGINAL\nNo. 6643\n21\nSTATES OF\nSTATES OF\nDECLARATION OF INTENTION\nDECLARATION OF INTENTION\n(Invalid for all purposes seven years after the daté hereof)\n(Involid for all purposes seyen years after the date hereof)\nSTATE OF CALIFORMIA\nSUPERIOR Court\nSTATE OF\nIn the\nThe State of California.\nCaunty of Los Angeles\nIn the SUPERIOR Court\nCaunty of Los Angetes\nss:\nss:\nthe State of Califernia,\nof\nin and for Los Angeles County\nge Bernard Cetrin\nof\nhi and for Los Angeles County.\nge, John Asen\naged 45 years,\naged 33 years,\noccupation Steel Car Repauer do declare\non oath that my personal\noccupation Cless\ndo declare on oath that my personal\ndescription is: complexion Dark height\nSfeet &\ninches,\ndescription is: white Color complexion Darn height\n5 feet feet\nweight 175 pounds, color of hair Dara\ncolor of eyes Blue\nweight 215 pounds, color of hair Dr Brownd color of eyes Dark\nother visible distinctive marks None\nother visible distinctive marks\nName\nI was born in Genna austria\nI was born in Bealyston\nRussia\non the\n8\nday of\nNovember anno Domini 1 86% I now reside\non the\n4\nday of\n2009 Buth (Give It number, Prolengele stryet, elly town, Cal\nJuly\nanno Domini I 880 L now reside\nat\nat\n2819 Winter It (Give number, atreet, To towa, and State.) Angeles Cal\nor\nI emigrated to the United States of America from\nand Statedy Gremen Germany\nI emigrated to the United States of America from\nRetterdam Halland\non the vessel\nToland\n: my last\non the vessel\nMaasdam\n(ui the allen arrived than by the character of conveyance or transportation company should be given.)\n: my last\nforeign residence (If was Minna by Custom\nthe alien arrived other than vessel, the character of transportation company ahould be given.)\nforeign residence was Bealyston 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\nNicholas n. Reppesse - all the Ru\nNicholas II, Emperor of all the Ru\nof whom I am now a subject\n:\nhow a subject:\nI\narrived at the port of Batternoy\nin the\nI arrived at the port of\nNEW\n, in the\nState of\nmanyland on or about\nthe\n-\nday\nState of\nof\nmay\nanno Domini 1 899: I am not an anarchist; 1 am not a\nof November anno Domini 1 890; on I am or about not an the anarchist; I am not day a\nNEW\npolygamist nor a believer in the practice of polygamy: and it is my intention in good falth\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.\nODD\n9M\nSo HELP ME GOD.\nJohn (Original Ragek signature of\nBernard letrun\ndeclarant.)\n(Original algnature of declarnat.)\n25\nSubscribed and sworn to before me this\n25\nSubscribed and sworn to before me this\n[SEAL.]\nday November , anno Domini\nof\n191\n[SEAL. inimoti omma\nday of Seventhey anno Domini 191 3\nH. J. Lelande THE COUNT\nCOUNTY CLERK AND EX-OFFICIO CLERK or\nCOUNTY CLERK AND (OPFICIO CLERK as\nH. J.\nOF Los ANGELES. STATE OF CALIPORNIA.\nClark of the\nCourt.\nBy Clerk. Court.\nCloyb of the\nBy Dip Clerk.\nJ.J.Channel"
}