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197
JAMIDINO
ORIGINAL
UDIS: DEPARTMENT OF LABOR
ORIGINAL
No. 8184
NATURALIZATION SERVICE
8818
on
No. 8185
3448
.oW
E
-
F
73
DECLARATION OF/INTENTION
DECLARATION OF/INTENTION
Invalid for all purposes seven years after the date hereof
Tivalia for all purposes seven years aftér the date hereof
STATE OF CALIFORNIAL
ard al
In
the SUPERIOR Court
STATES
ni
In the SUPERIOR
Court
Caunty of Los Andeles
ss:
The State of Califorgia.
County of Les Angeles
ss:
The State of California.
to
of
m and for Los Angeles County.
to
of
in and for Los Angreles County.
Issac Glrinberg
aged 19 years,
g,
Wirk Dolman
aged 40 years,
occupation blank
do declare on oath that my personal
occupation Engineer
do declare on oath that my personal
.description is: Color White complexion med height 5 feete/12 inches,
description is:l Color White complexion Fair height feet 8 inches,
weight 130 pounds, color of hair color of eyes Bromston
weight 135 pounds, color of hair : Blonde color of eyes Blue
other visible distinctive marks
none
aldizix and
other visible distinctive marks
none
I was
born in Rahaciumi Roumania ni good
2001
I was
born in maartencyly
Hollend
on the
10th
day of
Dec
anno Domini I 89511 now reside
on the 16th day of
Oct
anno Domini I 874 I now reside
at
753 to 25th (Give at number, street, for city or town, and angeles State.) but
at 398 Linda Vista (Give number, are street, city
Passhina lest
or State.)
I emigrated to the United States of America from
HAMBURG.
I emigrated to the United States of America from Rotterdam Holland
on the vessel
Kaiserin arrived otherwise than by veasel, the character anguste of aveyance or name of transportation Victoria company should be
been
new amsterdam
my
last
on the vessel
:
my last
(If the alien given.)
au the allen arrived otherwise than the chargeter of conveyance or name of tgansportation company should be given.)
foreign residence was
Racaciumi Roumania
foreign residence was
gest Holland
It is my bona fide intention to renounce forever all allegiance and fidelity to any foreign
It is my bona fide intention to renounite forever all allegiance and fidelity to any foreign
prince, potentate, state, or sovereignty, and particularly to
10
prince, potentate, state, or sovereignty, and particularly to
Charles, King of Roumania,
of whom I am now a subject
of whom 1 am now a subject:
4 arrived at the port of
Hobaken
to two air to in the
I arrived at the port of
NEW YORK
in the
State of
all 1111 new Jusing
on or
about the 1st to day
State of
sidt
NEW YORK
on or about the 17th day
of
me
may
anno Domini 912 I am not an anarchist; I am not a
of
Sept
anno Domini a q10; I am not an anarchist: I am nota
polygamist nor a believer in the practice of polygamys and it is my intention in good fäith
polygamist non 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. lipid benefits
doo BIM 08
So HELP ME GOD.
Issac Gecenlerg
(Original alguature of declarant.)
durabat to vantof
Dirk Dalman n o2
(Origioal algnature of
to artr. to coitto selt Subscribed and sworn to before me in the office of the Clerk of
shald lo bailto orts Subscribed and sworn to before me in the office of the Clerk of
[SEAL.] anne
Court this 16th day of be
anno Domini 19:4
let (SEAL).) ane
Court this 16th day: of Dec. , Domini
anno 195
H. J. Lelando
COUNTY TRK AND EX-OFFICIO CLERK or
COUNTY CLERK AND EX-OFFICIO CLERK or
soa. THE COUNTY.
H.J. soa. the
cedars
OF LOS STATE DE LIFORNIA
OF CALI
vill
Clerk of the
Court.
salt
Clerk of the
Court.
By
E-Smith deep
Clerk.
by
E.E. Smith Dep.
Clerk.
-
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Document data
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- Type
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"ocrText": "196\n197\nJAMIDINO\nORIGINAL\nUDIS: DEPARTMENT OF LABOR\nORIGINAL\nNo. 8184\nNATURALIZATION SERVICE\n8818\non\nNo. 8185\n3448\n.oW\nE\n-\nF\n73\nDECLARATION OF/INTENTION\nDECLARATION OF/INTENTION\nInvalid for all purposes seven years after the date hereof\nTivalia for all purposes seven years aftér the date hereof\nSTATE OF CALIFORNIAL\nard al\nIn\nthe SUPERIOR Court\nSTATES\nni\nIn the SUPERIOR\nCourt\nCaunty of Los Andeles\nss:\nThe State of Califorgia.\nCounty of Les Angeles\nss:\nThe State of California.\nto\nof\nm and for Los Angeles County.\nto\nof\nin and for Los Angreles County.\nIssac Glrinberg\naged 19 years,\ng,\nWirk Dolman\naged 40 years,\noccupation blank\ndo declare on oath that my personal\noccupation Engineer\ndo declare on oath that my personal\n.description is: Color White complexion med height 5 feete/12 inches,\ndescription is:l Color White complexion Fair height feet 8 inches,\nweight 130 pounds, color of hair color of eyes Bromston\nweight 135 pounds, color of hair : Blonde color of eyes Blue\nother visible distinctive marks\nnone\naldizix and\nother visible distinctive marks\nnone\nI was\nborn in Rahaciumi Roumania ni good\n2001\nI was\nborn in maartencyly\nHollend\non the\n10th\nday of\nDec\nanno Domini I 89511 now reside\non the 16th day of\nOct\nanno Domini I 874 I now reside\nat\n753 to 25th (Give at number, street, for city or town, and angeles State.) but\nat 398 Linda Vista (Give number, are street, city\nPasshina lest\nor State.)\nI emigrated to the United States of America from\nHAMBURG.\nI emigrated to the United States of America from Rotterdam Holland\non the vessel\nKaiserin arrived otherwise than by veasel, the character anguste of aveyance or name of transportation Victoria company should be\nbeen\nnew amsterdam\nmy\nlast\non the vessel\n:\nmy last\n(If the alien given.)\nau the allen arrived otherwise than the chargeter of conveyance or name of tgansportation company should be given.)\nforeign residence was\nRacaciumi Roumania\nforeign residence was\ngest Holland\nIt is my bona fide intention to renounce forever all allegiance and fidelity to any foreign\nIt is my bona fide intention to renounite forever all allegiance and fidelity to any foreign\nprince, potentate, state, or sovereignty, and particularly to\n10\nprince, potentate, state, or sovereignty, and particularly to\nCharles, King of Roumania,\nof whom I am now a subject\nof whom 1 am now a subject:\n4 arrived at the port of\nHobaken\nto two air to in the\nI arrived at the port of\nNEW YORK\nin the\nState of\nall 1111 new Jusing\non or\nabout the 1st to day\nState of\nsidt\nNEW YORK\non or about the 17th day\nof\nme\nmay\nanno Domini 912 I am not an anarchist; I am not a\nof\nSept\nanno Domini a q10; I am not an anarchist: I am nota\npolygamist nor a believer in the practice of polygamys and it is my intention in good fäith\npolygamist non 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\nME God. lipid benefits\ndoo BIM 08\nSo HELP ME GOD.\nIssac Gecenlerg\n(Original alguature of declarant.)\ndurabat to vantof\nDirk Dalman n o2\n(Origioal algnature of\nto artr. to coitto selt Subscribed and sworn to before me in the office of the Clerk of\nshald lo bailto orts Subscribed and sworn to before me in the office of the Clerk of\n[SEAL.] anne\nCourt this 16th day of be\nanno Domini 19:4\nlet (SEAL).) ane\nCourt this 16th day: of Dec. , Domini\nanno 195\nH. J. Lelando\nCOUNTY TRK AND EX-OFFICIO CLERK or\nCOUNTY CLERK AND EX-OFFICIO CLERK or\nsoa. THE COUNTY.\nH.J. soa. the\ncedars\nOF LOS STATE DE LIFORNIA\nOF CALI\nvill\nClerk of the\nCourt.\nsalt\nClerk of the\nCourt.\nBy\nE-Smith deep\nClerk.\nby\nE.E. Smith Dep.\nClerk.\n-"
}