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76 ORIGINAL JAMIQURIO U.S. DEPARTMENT OF LABOR UJS.DEPASTMENTOELABOR ORIGINAL 7064 NATURALIZATION No. No. 7065 hans MV 7 STATES OF DECLARATION OFD INTENTION DECLARATION FOINTENTION (Invalid for all purgonee seven yeors after the date hereof) (Involld forall purposes sevee years after the date héreof) STATE OF CALIFORNIA nI In the SUPERIOR Court STATE OF The State of Californta: Caunty Log nt In the SUPERIOR Court Caunty of Los Angeles ss: of in and for Los Angeles County. ss: The State of California. ofin and for Los Angeles County. g, Sava vasiljevich aged 22 years, g, Drag aged 21 years, occupation Labour do declare on oath that my personal occupation Farmer description iss Color white complexion Dark height 3 feet 9 description is: Color white complexion Farm do declare on oath that my personal inches, height 3 inches, weight 150 pounds, color of hair Black. color of eyes Brown weight 142 pounds, color of hair Blende color of eyes: Blue other visible distinctive marks none other visible distinctive marks none I was born 15th in Ljubinje austria I was born in Les Bayards Divitzerland on the day of January anno Domini I 8921 now reside on the 28 day of august anno Domini 8921 now reside at 328 Se Roy st. Sos angeles, Cal at emigrated to the United States of America from Erleste, austria (Give aumber, atreet, clay or town, and number, atreet, alty Angeles or towa, systate.) Cal I I emigrated to the United States of America from austro amerikans my last Florida Have Traney on the vessel on the vessel : my last (If the allen arrived otherwise thas by vousel, the character of conveyance on name of transportation company should be given.) foreign residence the was allen Bayards than the chargeter of Switzerland - of transpustation should be given.) foreign residence was Sjubinje, austrial It is my bona fide intention to renounce forever all allegiance and fidelity to any foreign It is my bona fide intention to fenounce forever all allegiance and fidelity to any foreign prince, potentate, state, or sovereignty, and particularly to prince, potentate, state, or sovereignty, and particularly to Francis Joseph of fungary of whom 1 am now a subject: The Swiss Confederation. of whom I am now a subject: 1 arrived at the port of new york in the 1 arrived at the port of NEW YORK to 1104 oril in the State of new york on or about the 22 day State of adt NEW YORK on or about the so day of may anno Domini a 909 1 am not an anarchist ! am not a of I August anno Domini ( 911: 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 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 1 America and to permanently reside therein: So HELP ME God. Savadasisevich MOD SIAL 5.13A So HELP ME GOD. Iaul Bridali Drez (Original algnatore of declarant.) (Origluel algnasure of 16 the aint Subscribed andasworn to before me this Subscribed and sworn to before me this 16 [SEAL.] onm day of man anno Domint 191 [SEAL.] day of march , anno Donfini 195 l TRK AND OF TRAND H. J. Felande COUNTY - AN-AND. CLERK AND EX-OFFICIO CLERK OF H. J: Telamite LOS STATE OF CALIFORNIA: STATE or CALIPORNIA. Clerk of the Court. the Clezk 6) the Court By Siggie Human Depty - de Clerh. the By 14-08 Clerk.

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    "ocrText": "76\nORIGINAL\nJAMIQURIO\nU.S. DEPARTMENT OF LABOR\nUJS.DEPASTMENTOELABOR\nORIGINAL\n7064\nNATURALIZATION\nNo.\nNo. 7065\nhans\nMV\n7\nSTATES OF\nDECLARATION OFD INTENTION\nDECLARATION FOINTENTION\n(Invalid for all purgonee seven yeors after the date hereof)\n(Involld forall purposes sevee years after the date héreof)\nSTATE OF CALIFORNIA\nnI\nIn the\nSUPERIOR\nCourt\nSTATE OF\nThe State of Californta:\nCaunty Log\nnt\nIn the SUPERIOR\nCourt\nCaunty of Los Angeles\nss:\nof\nin and for Los Angeles County.\nss:\nThe State of California.\nofin and for Los Angeles County.\ng, Sava vasiljevich\naged 22 years,\ng, Drag\naged 21 years,\noccupation Labour\ndo declare on oath that my personal\noccupation Farmer\ndescription iss Color white complexion Dark height 3 feet 9\ndescription is: Color white complexion Farm\ndo declare on oath that my personal\ninches,\nheight 3 inches,\nweight 150 pounds, color of hair Black. color of eyes Brown\nweight 142 pounds, color of hair Blende color of eyes: Blue\nother visible distinctive marks\nnone\nother visible distinctive marks none\nI\nwas born 15th in Ljubinje austria\nI\nwas born in Les Bayards Divitzerland\non the\nday of January anno Domini I 8921 now reside\non the\n28 day of august anno Domini 8921 now\nreside\nat\n328 Se Roy st. Sos angeles, Cal\nat\nemigrated to the United States of America from Erleste, austria\n(Give aumber, atreet, clay or town, and\nnumber, atreet, alty Angeles or towa, systate.) Cal\nI\nI emigrated to the United States of America from\naustro amerikans\nmy last\nFlorida\nHave Traney\non the vessel\non the vessel\n: my last\n(If the allen arrived otherwise thas by vousel, the character of conveyance on name of transportation company should be given.)\nforeign residence the was allen Bayards than the chargeter of Switzerland - of transpustation should be\ngiven.)\nforeign\nresidence was Sjubinje, austrial\nIt is my bona fide intention to renounce forever all allegiance and fidelity to any foreign\nIt is my bona fide intention to fenounce forever all allegiance and fidelity to any foreign\nprince, potentate, state, or sovereignty, and particularly to\nprince, potentate, state, or sovereignty, and particularly to\nFrancis Joseph\nof fungary of whom 1 am now a subject:\nThe Swiss Confederation.\nof whom I am now a subject:\n1\narrived at the port of new york\nin the\n1 arrived at the port of\nNEW YORK\nto 1104 oril in the\nState of\nnew york\non or about the 22\nday\nState of\nadt\nNEW YORK\non or about the\nso\nday\nof may\nanno Domini a 909 1 am not an anarchist ! am not a\nof\nI\nAugust anno Domini ( 911: I am not an anarchist: 1 am not\na\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 1 America and to permanently reside therein:\nSo HELP ME God.\nSavadasisevich\nMOD SIAL 5.13A\nSo HELP ME GOD.\nIaul Bridali Drez\n(Original algnatore of declarant.)\n(Origluel algnasure of\n16\nthe\naint Subscribed andasworn to before me this\nSubscribed and sworn to before me this\n16\n[SEAL.] onm\nday of man anno Domint 191\n[SEAL.]\nday of march , anno Donfini 195 l\nTRK AND OF\nTRAND\nH. J. Felande COUNTY - AN-AND.\nCLERK AND EX-OFFICIO CLERK OF\nH. J: Telamite\nLOS STATE OF CALIFORNIA:\nSTATE or CALIPORNIA.\nClerk of the\nCourt.\nthe\nClezk 6) the\nCourt\nBy Siggie Human Depty - de Clerh.\nthe\nBy 14-08 Clerk."
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