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121
ORIGINAL
JAMIDIRO
ULISL/DEPARTMENTOFLABOR:
U.S. DEPARTNENT
ORIGINAL
No.
7108
cons AV
No. 7109
ou
STATES OR
STATES OF
7
DECLARATION OF. INTENTION
DECLARATION OF. INTENTION
(lavalid for all purposes seven years after the date hereof)
(lévalid for all purposes seven years after the date hereof)
STATE OF CALIFORNIA)
Caunty of Los Angeles
od ni
In the
SUPERIOR
The State of
Court
STATE OF CALIFORNIA
nl
In the
SUPERIOR
ss:
Caunty of Dos Angeles
Court
DE
ss:
The State of Califerale.
of
In and for Los Angeles County.
try
of
In and for Los Angeles County.
g, Carl Ferdinand Frederitan aged 32 years,
occupation Elevator man do declare on oath that my personal
occupation carpenter
g, Josep B forklund
aged 32 years,
do declare on oath that my personal
description is: Color white complexion Fair height 5 feet frinches,
description is: Color write complexion Fair height feet o inches,
weight 180 pounds, color of hair Bloude none color of eyes gray
weight 154 pounds, color of hair Brown color of eyes Blue
other visible distinctive marks
born in Faurles Denmark
other visible distinctive marks 4th finger lifthand off at goint
I was
I
was born in Boars, sweden
on
at 1117 E 7th (Give number, Los atreet, city or town, angeles, and State.) Cal
the 18th day of June
anno Domini I 881 1 now reside
on
the 19th day of march anno Domini I 882
I
now
reside
at
I emigrated to the United States of America from Christiana, nomery
264 the (Give number, st. Los town, and State.) angeles, cal
or
Oscart
I emigrated to the United States of America from southampton England
on the vessel
my last
on the vessel
Paul
(If the alien arrived otherwise than by veasel, the chagacter of conveyance on of transportation company ahould be given.)
: my last
(If the alien arrived otherwise thank the chargeter of conveyance or name of transportation company ahould be sigen.)
foreign residence was Copentiagen Denmark
foreign residence was gotenborg, Sweden
It is my bona fide intention to renounce forever all allegiance and fidelity to any foreign
It is my bona fide interstion to renounce foreveb all allegiance and fidelity to wany foreign
prince, potentate, state, or sovereignty, and particularly to
prince, potentate, state, or sovereignty, and particularly to
Christit of Denmark
of whom I am now a subject:
Gustayus V, King of Sweden.
of whom 1 am now a subject:
I arrived at the port of
new york
to
in the
arrived at the port of
State of
new york
on or about the 4th
new york
in the
day
State of
a
of
October anno Domini - 905 am not an anarchist; I am notia
new york on or about the 3rd
day
of or november anno Domini I 909 I am not an anarchist: I am not
polygamist nor a believer in the practice of polygamy: and it is my intention in good faîth
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
hard Tendinded Indeninance
So HELP ME GOD.
(Original rignatore of docismant.)
Jose (Orlging agnature of declarant.) oe
the
Subscribed and sworn to before me this
30
zirli 9r Subscribed and sworn to before me this
30 the
[SEAL.]
day of march anno Domini 191
[SEAL.] apns
day of march Domini 1914
I. J. Lelando
COUNTY CLERK AND EX-OPFICIO - or
COUNTY CLERK AND EX-OFFICIO CLERK or
THE COUNTY
H. J. Eelande
count IN zas tue
OF LOS ANGELES. STATE of CA IFORNTA.
CF LOS ANGELES. STATE OF CA IFORNIA.
Clerk of the
Court.
hao
Clern of the
Court.
By do epty Clerk.
del
By Liggie Human Depty 16-50 Clerk.
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Document data
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"ocrText": "120\n121\nORIGINAL\nJAMIDIRO\nULISL/DEPARTMENTOFLABOR:\nU.S. DEPARTNENT\nORIGINAL\nNo.\n7108\ncons AV\nNo. 7109\nou\nSTATES OR\nSTATES OF\n7\nDECLARATION OF. INTENTION\nDECLARATION OF. INTENTION\n(lavalid for all purposes seven years after the date hereof)\n(lévalid for all purposes seven years after the date hereof)\nSTATE OF CALIFORNIA)\nCaunty of Los Angeles\nod ni\nIn the\nSUPERIOR\nThe State of\nCourt\nSTATE OF CALIFORNIA\nnl\nIn the\nSUPERIOR\nss:\nCaunty of Dos Angeles\nCourt\nDE\nss:\nThe State of Califerale.\nof\nIn and for Los Angeles County.\ntry\nof\nIn and for Los Angeles County.\ng, Carl Ferdinand Frederitan aged 32 years,\noccupation Elevator man do declare on oath that my personal\noccupation carpenter\ng, Josep B forklund\naged 32 years,\ndo declare on oath that my personal\ndescription is: Color white complexion Fair height 5 feet frinches,\ndescription is: Color write complexion Fair height feet o inches,\nweight 180 pounds, color of hair Bloude none color of eyes gray\nweight 154 pounds, color of hair Brown color of eyes Blue\nother visible distinctive marks\nborn in Faurles Denmark\nother visible distinctive marks 4th finger lifthand off at goint\nI was\nI\nwas born in Boars, sweden\non\nat 1117 E 7th (Give number, Los atreet, city or town, angeles, and State.) Cal\nthe 18th day of June\nanno Domini I 881 1 now reside\non\nthe 19th day of march anno Domini I 882\nI\nnow\nreside\nat\nI emigrated to the United States of America from Christiana, nomery\n264 the (Give number, st. Los town, and State.) angeles, cal\nor\nOscart\nI emigrated to the United States of America from southampton England\non the vessel\nmy last\non the vessel\nPaul\n(If the alien arrived otherwise than by veasel, the chagacter of conveyance on of transportation company ahould be given.)\n: my last\n(If the alien arrived otherwise thank the chargeter of conveyance or name of transportation company ahould be sigen.)\nforeign residence was Copentiagen Denmark\nforeign residence was gotenborg, Sweden\nIt is my bona fide intention to renounce forever all allegiance and fidelity to any foreign\nIt is my bona fide interstion to renounce foreveb all allegiance and fidelity to wany foreign\nprince, potentate, state, or sovereignty, and particularly to\nprince, potentate, state, or sovereignty, and particularly to\nChristit of Denmark\nof whom I am now a subject:\nGustayus V, King of Sweden.\nof whom 1 am now a subject:\nI arrived at the port of\nnew york\nto\nin the\narrived at the port of\nState of\nnew york\non or about the 4th\nnew york\nin the\nday\nState of\na\nof\nOctober anno Domini - 905 am not an anarchist; I am notia\nnew york on or about the 3rd\nday\nof or november anno Domini I 909 I am not an anarchist: I am not\npolygamist nor a believer in the practice of polygamy: and it is my intention in good faîth\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\nhard Tendinded Indeninance\nSo HELP ME GOD.\n(Original rignatore of docismant.)\nJose (Orlging agnature of declarant.) oe\nthe\nSubscribed and sworn to before me this\n30\nzirli 9r Subscribed and sworn to before me this\n30 the\n[SEAL.]\nday of march anno Domini 191\n[SEAL.] apns\nday of march Domini 1914\nI. J. Lelando\nCOUNTY CLERK AND EX-OPFICIO - or\nCOUNTY CLERK AND EX-OFFICIO CLERK or\nTHE COUNTY\nH. J. Eelande\ncount IN zas tue\nOF LOS ANGELES. STATE of CA IFORNTA.\nCF LOS ANGELES. STATE OF CA IFORNIA.\nClerk of the\nCourt.\nhao\nClern of the\nCourt.\nBy do epty Clerk.\ndel\nBy Liggie Human Depty 16-50 Clerk."
}