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92 98 0.8./DEPARTMENT OF LABOR ORIGINAL OF LABOR ORIGINAL No. 7080 No. 7581 0563 to STATESIO E DECLARATION DECLARATION OF:INTENTION Z Pinvalid for all purposes seven years after the date hereof Mivalid for all purposes seven years aften the date/hereof STATE OF n) In the SUPERIOR Court STATE OF ortt at In the SUPERIOR Court Oaunty of Los Angeles The State of California. Caunty of Los Andel es be MT ss: The State of California. m and for Tos Anmeles Counts insured of to of la and for Los Angeles County. Hereh Simhe filterstion Penourn as Harry Silberstone aged 28 years, Jean Lamaison aged 38 years, occupation Failor do declare on oath that my personal occupation. stock -raiser do declare on oath that my personal description is: Color White complexion med height feet 11 inches, description is:l Color white complexion Dark height feet 8 inches, weight 215 pounds, color of hair Brown , color of eyes Blue weight 155 pounds, color of hair Black color of eyes Brown other visible distinctive marks Scaron forehesd aldialy sadto other visible distinctive marks none I was born in Galaty Roumania ai mod RISH 1 I was born in an Bager DD "oform France on the 10 day of Dec anno. Domini 1 885. I now reside on the 15th day of march anno Domini I 876; I now reside at 510 W. Temple at for angeler leal at walnut Cal (Give number, atreet, city or town, (Give atreet, city or town, and State.) I emigrated to the United States of America from I remigrated to the United States of America from Haver, France on the vessel Grand Trunk Ry leaza my last on the vessel Polaria : my last (If the allen arrived ptherwise the et conveyance of transportation company should be given.) (It the allen arrived otherwise than by vensel, the character of conveyance or name of transpogtation company should be given.) foreign residence was monthed termida foreign residence was am Bager D. oforon, France 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 Charles, King of Roumania. of whom I am now a subject: The Freach Republie of whom I am now a subjecto ceteren I arrived at the port of DETROIT in the I arrived at the port of State of mich on or about the 29th day new york in the State of new york on or about the day 3rd of seft anno Domini 1902 I am not an anarchist: I am not a of Juby anno Domini 1 8957 am not an anarchist; I 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 America and to permanently reside therd So HELP ME GOD. commonly as Harry Silverstone HELP ME Fibersh Smoke Lilberstein (Original algnature of declarant.) to layer (Original adgnasure of declarant.) EM Subscribed and sworn to before me this commonly 6th am en Subscribed and sworn to before me this 6 the [SEAL. nimoQ onns. day of ang , anno Domini 191 4 [SEAL. onns to day of ang anno Domini 1914 GUNTY CLERK AND EX-OFFICIO CLERK of J. Lelaado COUNTY CLERK AMD EX-OFFICIO CLERK of the AJ. Lelande the you 21 AND FOR THE GOUNCIR AND soa THE COUNTY OF LOS ANCELES, STATE OF ALIFORNIA. OF LOS ANGELES STATE a - SAS Clerk of the Court. Clerk of the Court. By Easmith beh Clerk. 14-46 a By Lizza Hissoun D specity Clerk.

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    "ocrText": "92\n98\n0.8./DEPARTMENT OF LABOR\nORIGINAL\nOF LABOR\nORIGINAL\nNo.\n7080\nNo.\n7581\n0563 to\nSTATESIO\nE\nDECLARATION\nDECLARATION OF:INTENTION\nZ\nPinvalid for all purposes seven years after the date hereof\nMivalid for all purposes seven years aften the date/hereof\nSTATE OF\nn)\nIn the\nSUPERIOR Court\nSTATE OF\nortt at\nIn the SUPERIOR\nCourt\nOaunty of Los Angeles\nThe State of California.\nCaunty of Los Andel es be MT\nss:\nThe State of California.\nm and for Tos Anmeles Counts\ninsured\nof\nto\nof la and for Los Angeles County.\nHereh Simhe filterstion\nPenourn as Harry Silberstone\naged 28 years,\nJean Lamaison\naged 38 years,\noccupation Failor\ndo declare on oath that my personal\noccupation. stock -raiser do declare on oath that my personal\ndescription is: Color White complexion med\nheight feet 11 inches,\ndescription is:l Color white complexion Dark height feet 8 inches,\nweight 215 pounds, color of hair Brown , color of eyes Blue\nweight 155 pounds, color of hair Black color of eyes Brown\nother visible distinctive marks Scaron forehesd\naldialy sadto\nother visible distinctive marks\nnone\nI was born in\nGalaty Roumania\nai mod RISH 1\nI was born in an Bager DD \"oform France\non\nthe 10\nday of\nDec\nanno. Domini 1 885. I now reside\non the 15th day of march\nanno Domini I 876; I now reside\nat\n510 W. Temple at for angeler leal\nat\nwalnut Cal\n(Give number, atreet, city or town,\n(Give atreet, city or town, and State.)\nI emigrated to the United States of America from\nI remigrated to the United States of America\nfrom Haver, France\non the vessel\nGrand Trunk Ry\nleaza my last\non the vessel\nPolaria\n: my last\n(If the allen arrived ptherwise the et conveyance of transportation company\nshould\nbe\ngiven.)\n(It the allen arrived otherwise than by vensel, the character of conveyance or name of transpogtation company should be given.)\nforeign residence was monthed termida\nforeign\nresidence was am Bager D. oforon, France\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\nCharles, King of Roumania.\nof whom I am now a subject:\nThe Freach Republie\nof whom I am now a subjecto\nceteren\nI arrived at the port of\nDETROIT\nin the\nI arrived at the port of\nState of\nmich\non or about the 29th day\nnew york\nin the\nState of\nnew york on or about the day\n3rd\nof\nseft\nanno Domini 1902 I am not an anarchist: I am not a\nof Juby\nanno Domini 1 8957 am not an anarchist; I 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 America and to permanently reside therd\nSo HELP ME GOD.\ncommonly as Harry Silverstone\nHELP ME\nFibersh Smoke Lilberstein\n(Original algnature of declarant.)\nto layer\n(Original adgnasure of declarant.) EM\nSubscribed and sworn to before me this\ncommonly 6th\nam\nen Subscribed and sworn to before me this\n6 the\n[SEAL. nimoQ onns.\nday of\nang\n, anno Domini 191 4\n[SEAL. onns to day\nof ang\nanno Domini 1914\nGUNTY CLERK AND EX-OFFICIO CLERK of\nJ. Lelaado\nCOUNTY CLERK AMD EX-OFFICIO CLERK of\nthe\nAJ. Lelande the you 21 AND FOR THE\nGOUNCIR\nAND soa THE COUNTY\nOF LOS ANCELES, STATE OF ALIFORNIA.\nOF LOS ANGELES STATE\na\n-\nSAS\nClerk of the\nCourt.\nClerk of the\nCourt.\nBy\nEasmith\nbeh\nClerk.\n14-46\na By Lizza Hissoun D specity Clerk."
}