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OCR
409
ut and
NATURALIZATION SERVICE
No. 6897
acao
ORIGINAL
STATES OF
E
DECLARATION OF INTENTION
(Invalid for all purposes seven years after the date hereof)
STATE or
Caunty of Los Angetes
In
Court
ss:
The State of California
ofin and for Tos Angeles County.
g, Douse de Haan
occupation
Painter
aged 27 years,
do declare on oath that my personal
description isit Color White complexion Fan
height
5 feet 8 inches,
weight 145 pounds, color of hair L Brown color of eyes Blue
other visible distinctive marks
none
I was born in
Berlikum Vreeland Halland
on the
25th day of Sept.
anno Domini I 886 I now reside
at
944 mentor (Give number, are
Pasadena Eal
street, city or town, and State.)
I emigrated to the United States of America from
Rotterdam Holland
on the vessel
(Il
the alien arrived by veasel, the character of conveyanco or name of transportation company should be given.)
Ryndam
my last
foreign residence was
Bertishan
Halland
It is my bona fide intention to renounce forever all allegiance and fidelity to any foreign
prince, potentate, state, or sovereignty, and particularly to
Wilhelmina, Queen of the Nethwriands.
of whom 1 am now a subject:
I arrived at the port of
NEW YORK
in the
State of
NEW YORK
on about the 19th day
or
of
april
anno Domini 1912 I 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
to become a citizen of the United States of America and to permanently reside therein:
So HELP ME GOD.
Doure de Haan
(Original algnature of declarant.)
Subscribed and 3worn to before me this
26th
[SEAL.]
day of
Jan
, anno Domini 1912
COURTY CLERK AND EX-OFFICIO CLERK DF
H. J. Lelande HE SILEZRIOS CAURL IN AND FOB THE COUNTY
OF LOS ANGELES, STATE OF CALIFORNTA
Clerk of the
Court.
By
Def Clérk.
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- Type
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Document data
- ID
- 103943427
- Core
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- Type
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DTO data
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Context sent to Scholar
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Page context
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"ocrText": "409\nut and\nNATURALIZATION SERVICE\nNo. 6897\nacao\nORIGINAL\nSTATES OF\nE\nDECLARATION OF INTENTION\n(Invalid for all purposes seven years after the date hereof)\nSTATE or\nCaunty of Los Angetes\nIn\nCourt\nss:\nThe State of California\nofin and for Tos Angeles County.\ng, Douse de Haan\noccupation\nPainter\naged 27 years,\ndo declare on oath that my personal\ndescription isit Color White complexion Fan\nheight\n5 feet 8 inches,\nweight 145 pounds, color of hair L Brown color of eyes Blue\nother visible distinctive marks\nnone\nI was born in\nBerlikum Vreeland Halland\non the\n25th day of Sept.\nanno Domini I 886 I now reside\nat\n944 mentor (Give number, are\nPasadena Eal\nstreet, city or town, and State.)\nI emigrated to the United States of America from\nRotterdam Holland\non the vessel\n(Il\nthe alien arrived by veasel, the character of conveyanco or name of transportation company should be given.)\nRyndam\nmy last\nforeign residence was\nBertishan\nHalland\nIt is my bona fide intention to renounce forever all allegiance and fidelity to any foreign\nprince, potentate, state, or sovereignty, and particularly to\nWilhelmina, Queen of the Nethwriands.\nof whom 1 am now a subject:\nI arrived at the port of\nNEW YORK\nin the\nState of\nNEW YORK\non about the 19th day\nor\nof\napril\nanno Domini 1912 I 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\nto become a citizen of the United States of America and to permanently reside therein:\nSo HELP ME GOD.\nDoure de Haan\n(Original algnature of declarant.)\nSubscribed and 3worn to before me this\n26th\n[SEAL.]\nday of\nJan\n, anno Domini 1912\nCOURTY CLERK AND EX-OFFICIO CLERK DF\nH. J. Lelande HE SILEZRIOS CAURL IN AND FOB THE COUNTY\nOF LOS ANGELES, STATE OF CALIFORNTA\nClerk of the\nCourt.\nBy\nDef Clérk."
}