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OCR
410
ORIGINAL
U.S.DEPARTMENTOE LABOR
DEPARTMENT
ORIGINAL
No. 7398
NATURALIZATION
No. 7399
NADURALIZATION
our
STATES OF
STATES OF
E
DECLARATION OFD INTENTION
DECLARATION OF. INTENTION
(Invalid for all purposes seven years after the date hereof)
for all purponce neves yeara after the date hereef)
BTATE or
In the SUPERIOR
Court
STATE OF califormia
In
the SUPERIOR Court
Caunty of Los Angeles
ss:
The State: of Californial
Caunty of Los Angeles
ss:
The State of Californda.
of da and for Los Angeles Count
of
In and for Los Angeles County
ge, miss mathilde Carlota Carlson "aged 53 years,
g, John Sinternate Receardi aged 27 years,
occupation Designer
do declare on oath that my personal
occupation Shoemaker
do declare on oath that my personal
description is: Color white complexion Bruneth, height 5 feet y inches,
description is: Color white complexion Dark height feet 8 inches.
weight 105 pounds, color of hair DKBrown color of leyes Brown
weight 134 pounds, color of hair solor of eyes Black
other visible distinctive marks
Stocklolm Swaden Willand
none
other visible distinctive marks
I was born in
on the
5th of 1 nov.
I was born in benteess Entelling Italy
day
anno Domini I 858 1 now reside
on
the /3" of
day
august anno Domini i 886 1 now reside
at
50 Workester an Pisadena beal
at
(Give aumber, street, city or town, and State.)
2501 7th (Qive aumber, Ave no atreet, city or town, Angeles Cal
1 emigrated to the United States of America from LIVERPOOL, ENGLAND
1 emigrated to the United States of from
on the vessel
Expendination
my last
the vessel Tannania America
Palerms Italy
on
:
my last
(If the allen arrived others or of company should be given.)
foreign residence was
Stockholm Swiden
(If was contess by charmotor entelling company Abould Italy
the allen arrived than the of conveyous
foreign residence
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
N. King
of whom I am now a subject:
Victor TH ting of
of whom I am now a subject:
1 arrived at the port of
NEW YORK
in the
arrived at the port of
NEW TORK
in the
State of
NEW YORK
on or the
about 38th day
State of
NEW YORK
on or about the
29 day
of
any
anno. Domini 897 I am not an anarchist: 1 am not
a
of October anno Domini I 90157 am not an anarchist: I'am not
a
polygamist non 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 America and to permanently reside therein:
So HELP ME
GOD. Miss Mathilde learlots barbson
So HELP ME God.
tupo,
(Origioal algnature of declarnat.)
John Fortunate (Original algnature of declarant.) Pricerd
Subscribed and sworn to before me this
2-2 not
Subscribed and sworn to before me this
22
[SEAL
day of June
anno Domini 1914
day
of June anno Domini 191 +
H.J. Telande
COUNTY CLERK AND EX-OFFICIO or
OF LOS,ANGELES, STATE OF CALIFORNIA.
H. J. Lelande THE ERTOR TN AND FOR THE COUNTY
COUNTY CLERK AND EX-OFFICIO OF
GOURT- IN AND for the
OF LOS ANGELES. STATE OF CALIFORNIA
Clerk of the
Court.
Clerk of the
Court.
By
oph
Clerk.
By
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"ocrText": "410\nORIGINAL\nU.S.DEPARTMENTOE LABOR\nDEPARTMENT\nORIGINAL\nNo. 7398\nNATURALIZATION\nNo. 7399\nNADURALIZATION\nour\nSTATES OF\nSTATES OF\nE\nDECLARATION OFD INTENTION\nDECLARATION OF. INTENTION\n(Invalid for all purposes seven years after the date hereof)\nfor all purponce neves yeara after the date hereef)\nBTATE or\nIn the SUPERIOR\nCourt\nSTATE OF califormia\nIn\nthe SUPERIOR Court\nCaunty of Los Angeles\nss:\nThe State: of Californial\nCaunty of Los Angeles\nss:\nThe State of Californda.\nof da and for Los Angeles Count\nof\nIn and for Los Angeles County\nge, miss mathilde Carlota Carlson \"aged 53 years,\ng, John Sinternate Receardi aged 27 years,\noccupation Designer\ndo declare on oath that my personal\noccupation Shoemaker\ndo declare on oath that my personal\ndescription is: Color white complexion Bruneth, height 5 feet y inches,\ndescription is: Color white complexion Dark height feet 8 inches.\nweight 105 pounds, color of hair DKBrown color of leyes Brown\nweight 134 pounds, color of hair solor of eyes Black\nother visible distinctive marks\nStocklolm Swaden Willand\nnone\nother visible distinctive marks\nI was born in\non the\n5th of 1 nov.\nI was born in benteess Entelling Italy\nday\nanno Domini I 858 1 now reside\non\nthe /3\" of\nday\naugust anno Domini i 886 1 now reside\nat\n50 Workester an Pisadena beal\nat\n(Give aumber, street, city or town, and State.)\n2501 7th (Qive aumber, Ave no atreet, city or town, Angeles Cal\n1 emigrated to the United States of America from LIVERPOOL, ENGLAND\n1 emigrated to the United States of from\non the vessel\nExpendination\nmy last\nthe vessel Tannania America\nPalerms Italy\non\n:\nmy last\n(If the allen arrived others or of company should be given.)\nforeign residence was\nStockholm Swiden\n(If was contess by charmotor entelling company Abould Italy\nthe allen arrived than the of conveyous\nforeign residence\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\nN. King\nof whom I am now a subject:\nVictor TH ting of\nof whom I am now a subject:\n1 arrived at the port of\nNEW YORK\nin the\narrived at the port of\nNEW TORK\nin the\nState of\nNEW YORK\non or the\nabout 38th day\nState of\nNEW YORK\non or about the\n29 day\nof\nany\nanno. Domini 897 I am not an anarchist: 1 am not\na\nof October anno Domini I 90157 am not an anarchist: I'am not\na\npolygamist non 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 America and to permanently reside therein:\nSo HELP ME\nGOD. Miss Mathilde learlots barbson\nSo HELP ME God.\ntupo,\n(Origioal algnature of declarnat.)\nJohn Fortunate (Original algnature of declarant.) Pricerd\nSubscribed and sworn to before me this\n2-2 not\nSubscribed and sworn to before me this\n22\n[SEAL\nday of June\nanno Domini 1914\nday\nof June anno Domini 191 +\nH.J. Telande\nCOUNTY CLERK AND EX-OFFICIO or\nOF LOS,ANGELES, STATE OF CALIFORNIA.\nH. J. Lelande THE ERTOR TN AND FOR THE COUNTY\nCOUNTY CLERK AND EX-OFFICIO OF\nGOURT- IN AND for the\nOF LOS ANGELES. STATE OF CALIFORNIA\nClerk of the\nCourt.\nClerk of the\nCourt.\nBy\noph\nClerk.\nBy"
}