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146
UPS/DEPARTMENT OF LABOR
ORIGINAL
DANIDIPO
Mos. DEPARTMENT OF LASOR
No. 7634
RATURALIZATION SERVICE
No. 7635
AW
DECLARATION OF/INTENTION
DECLARATION OF/INTENTION
Invalid for all purposes seven years after the daterhereof
Invalid for all'purposes/seven-years vafter the date hereof
STATE OF CALIFORNIA
nl
Caunty of Los angetes
In the
SUPERIOR Court
STATE
In the
SUPERIOR
sdit
nl
Court
R/A
ss:
The State of California.
County of Los Angoles
The State of California.
ss:
of
dn and for Los Angeles County
to
of
in and for Los Angeles Court
g,
Robert Gardines
aged 25years,
g, albert Frederick Loust aged 1 22
years,
occupation 201 fabauren
,
do declare on bath that my personal
occupation
Printer
2
do declare on oath that my personal
description is: complexion Light height inches,
descriptión is:i Color white complexion Fair height
feet
11
inches,
weight 160 pounds, color of hair Auburn color of eyes Blue
weight 164 pounds; color of hair Brown color of leyes Blue
other
visible distinctive marks none syitzarized aldialy Jadto
I was born in Belfast
Vrelend
other visible distinctive marks none
I was born in
diverpool England
1
on the
Line
at County Farm has number, itreet, city or town, Angeles and State Co cof
9
day, of
Jan
anno Domini 1 589 now reside
on the 22nd day of February anno Domini I 892 I now reside
to
at 1915 Belmont ave Pacadema, Cal
(Give number, atreet, or town, and State.)
I emigrated to the United States of America from
on the vessel Baltre
I emigrated to the United States of America from
diverpool, England
(If the was allen Belfant arrived the character of conveyance Indana or company shoul
baza my last
on the vessel
arabic
my last
be given.)
(If the allen anrived otherwine than by veasel, the character of conveyance or name of transportation company should he given.)
foreign residence
foreign residence was
diverpore, England
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
statestog
prince, potentate, state, or sovereignty, and particularly to
Geo, y, King of Great Br ritain and ly
of whom I am now a subject
@éorge M, King of Great Britain and Ireland.
of whom 1 am now a subject:
1 arrived at the port of NEW YORK
to add is in the
I arrived at the port of
new york
in the
State of
NEW YORK
on or about the
2
day
State of
of
april anno Domini - 910. I am not an anarchist; I am not
a
of October
new york
on or about the 27th day
anno Domini a 904 I am not an anarchist: I am nota
polygamist nor a believer in the practice of polygamy: and it is my intention in good fäith
polygamist nori: 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.
Thiode 000 SUM 02
Robert Sandever
So HELP ME GOD.
Albert Fredench copo au Lunt
(Original alguature of declarant.)
la
(Original algnasure of declarant.)
eir
Subscribed and sworn to before me this
18
aid)
Subscribed and sworn to before me this
18th
[SEAL.]
anne
day of august anno Domini right
[SEAL.
himoO onni: 15th day of aug , anno
Domini 1914
COUNTY CLERK AND EX-OFFICIO CLERK OF
EQUNTY CLERK AND EX-OFFICIO CLERK QE
H, J. Lelende als caunt ADAMATION THE. COUNTY
10
J. Lelande JLT KNGELES. STATE OF CALIFORNIA.
EQ8. THE
LOS ANGELES. STATE DE CALIPORNIA.
two
Clerk of the
Glerk of the
Court.
By Court. Clerk.
Jula
By diggic Human Deputy Clerk.
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"ocrText": "146\nUPS/DEPARTMENT OF LABOR\nORIGINAL\nDANIDIPO\nMos. DEPARTMENT OF LASOR\nNo. 7634\nRATURALIZATION SERVICE\nNo. 7635\nAW\nDECLARATION OF/INTENTION\nDECLARATION OF/INTENTION\nInvalid for all purposes seven years after the daterhereof\nInvalid for all'purposes/seven-years vafter the date hereof\nSTATE OF CALIFORNIA\nnl\nCaunty of Los angetes\nIn the\nSUPERIOR Court\nSTATE\nIn the\nSUPERIOR\nsdit\nnl\nCourt\nR/A\nss:\nThe State of California.\nCounty of Los Angoles\nThe State of California.\nss:\nof\ndn and for Los Angeles County\nto\nof\nin and for Los Angeles Court\ng,\nRobert Gardines\naged 25years,\ng, albert Frederick Loust aged 1 22\nyears,\noccupation 201 fabauren\n,\ndo declare on bath that my personal\noccupation\nPrinter\n2\ndo declare on oath that my personal\ndescription is: complexion Light height inches,\ndescriptión is:i Color white complexion Fair height\nfeet\n11\ninches,\nweight 160 pounds, color of hair Auburn color of eyes Blue\nweight 164 pounds; color of hair Brown color of leyes Blue\nother\nvisible distinctive marks none syitzarized aldialy Jadto\nI was born in Belfast\nVrelend\nother visible distinctive marks none\nI was born in\ndiverpool England\n1\non the\nLine\nat County Farm has number, itreet, city or town, Angeles and State Co cof\n9\nday, of\nJan\nanno Domini 1 589 now reside\non the 22nd day of February anno Domini I 892 I now reside\nto\nat 1915 Belmont ave Pacadema, Cal\n(Give number, atreet, or town, and State.)\nI emigrated to the United States of America from\non the vessel Baltre\nI emigrated to the United States of America from\ndiverpool, England\n(If the was allen Belfant arrived the character of conveyance Indana or company shoul\nbaza my last\non the vessel\narabic\nmy last\nbe given.)\n(If the allen anrived otherwine than by veasel, the character of conveyance or name of transportation company should he given.)\nforeign residence\nforeign residence was\ndiverpore, England\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\nstatestog\nprince, potentate, state, or sovereignty, and particularly to\nGeo, y, King of Great Br ritain and ly\nof whom I am now a subject\n@éorge M, King of Great Britain and Ireland.\nof whom 1 am now a subject:\n1 arrived at the port of NEW YORK\nto add is in the\nI arrived at the port of\nnew york\nin the\nState of\nNEW YORK\non or about the\n2\nday\nState of\nof\napril anno Domini - 910. I am not an anarchist; I am not\na\nof October\nnew york\non or about the 27th day\nanno Domini a 904 I am not an anarchist: I am nota\npolygamist nor a believer in the practice of polygamy: and it is my intention in good fäith\npolygamist nori: 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 GOD.\nThiode 000 SUM 02\nRobert Sandever\nSo HELP ME GOD.\nAlbert Fredench copo au Lunt\n(Original alguature of declarant.)\nla\n(Original algnasure of declarant.)\neir\nSubscribed and sworn to before me this\n18\naid)\nSubscribed and sworn to before me this\n18th\n[SEAL.]\nanne\nday of august anno Domini right\n[SEAL.\nhimoO onni: 15th day of aug , anno\nDomini 1914\nCOUNTY CLERK AND EX-OFFICIO CLERK OF\nEQUNTY CLERK AND EX-OFFICIO CLERK QE\nH, J. Lelende als caunt ADAMATION THE. COUNTY\n10\nJ. Lelande JLT KNGELES. STATE OF CALIFORNIA.\nEQ8. THE\nLOS ANGELES. STATE DE CALIPORNIA.\ntwo\nClerk of the\nGlerk of the\nCourt.\nBy Court. Clerk.\nJula\nBy diggic Human Deputy Clerk."
}