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200 a / 201 ORIGINAL OF EABOR JAUTIDIRO ORIGINAL No. 8138 NATURALIZATION SERVICE on No. 8189 .0W 11 4 P DECLARATION OFJINTENTION DECLARATION Mávalid for all purposes seven years after the date hereof Invalid for all purposes seven years'aftér the dáte hereof STATE OF CALIFORNI.A In the SUPERIOR County of Tos tingetes Court OF ada al In the SUPERIOR ss: The State of California. Caunty of Las Angeles ss: .22 The Stäte of Californiar Court to of in and for Los Angeles County. 10 of in and for Los Angeles County. Alfred Thorwald Petersen aged 43 years, g, Attensy Shaw Den aged 19 yyears, occupation Baker do declare on oath that my personal occupation Anney Hand do declare on oath that my personal description is: Color White complexion Dair height 93 feet' a inches, description is: Color White complexion Fals weight 145 pounds, color of hair Brown color of height leyes Blue inches, feet 8 1/2 weight 150 pounds, color of hajr Blender color of eyes Blue other visible distinctive marks name other I was born in leapenhagen Denmark was visible born in distinctive Numtewnards marks ba Dewn chinas Ireland none I on the 12 day of march anno Domini I 871 I now reside on the no day of Sept anno Domini I 895 1 now reside at emigrated to the United States of (Glye America number, Street, from city to of townyan Hambung State.) Angeles Cal Germany at (Give number, Ar atreet, city/or town, and Angeles Cal. I I emigrated on the vessel augusta Farrived otherwias Victeria veasel, the chargeter of conveyance or : my last on the vessel to the beltis United States of America from England : myilast company should be given.) foreign residence was Hamburg Termany foreign residence (11 the was alien anrived Newtownards than by ydusel, the character of conveyancgro ADawn Ireland be 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 princé, potentate, state, or sovereignty, and particularly to prince, potentate, state, or sovereignty, and particularly to Christian X they Hemmark of whom I am now a subject; Gep. v. King of Great Britain and of whom I am now a subject: I arrived at the port of your to nod 2011 is le in the I arrived at the port of NEW YORK in the State of adt women of October the armo Domini goe I am not an anarchist; I am not N.Y on or about the 15 day State of adi tuado NEW YORK on or about the 812 day a of Sept me anno Domini 1 913. I am not an anarchist: 1 am not a polygamist nor la believer in the practice of polygamy; and di is my intention in good faith polygamist nor a believer in the practice of polygamy: and it is my intention in good faith toi 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. 002 3M 9,18M oe Petersen So HELP ME GOD. 000 EM to alfred Thorwald (Original algnature of declarant.) la natarials Henry Shaw (Original algnature of declarent.) lo and to soitto silt Subscribed and sworn to before me in the office of the Clerk of to saitto ada Subscribed and sworn to before me in the office of the Clerk of spt (SEAL.) of Court this 7 day of Dis , anno Domini 191 (SEAL.) wall Court this 17 day of December anno Domini 191 H. J: Eelande COUNTY CLERK AND EX-OFFICIO CLERK OF No SOUNTY CLERK AND EX-OFFICIO CLERE - H. J. Letanute VOPANTOR COURT COURDE OF Los ANGELES. STATE OF CALIFORIVAL OF LOS ANGELES. STATE of the MIS to Clerk of the Court. the By tha Clerk, Court. * of, By Clark.

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    "ocrText": "200\na\n/\n201\nORIGINAL\nOF EABOR\nJAUTIDIRO\nORIGINAL\nNo. 8138\nNATURALIZATION SERVICE\non\nNo. 8189\n.0W\n11\n4\nP\nDECLARATION OFJINTENTION\nDECLARATION\nMávalid for all purposes seven years after the date hereof\nInvalid for all purposes seven years'aftér the dáte hereof\nSTATE OF CALIFORNI.A\nIn the\nSUPERIOR\nCounty of Tos tingetes\nCourt\nOF\nada al\nIn the\nSUPERIOR\nss:\nThe State of California.\nCaunty of Las Angeles\nss:\n.22\nThe Stäte of Californiar\nCourt\nto\nof\nin and for Los Angeles County.\n10\nof\nin and for Los Angeles County.\nAlfred Thorwald Petersen\naged 43 years,\ng, Attensy Shaw\nDen\naged 19 yyears,\noccupation Baker\ndo declare on oath that my personal\noccupation Anney Hand\ndo declare on oath that my personal\ndescription is: Color White complexion Dair height 93\nfeet' a inches,\ndescription is: Color White complexion Fals\nweight\n145 pounds, color of hair Brown color of height leyes Blue inches,\nfeet\n8 1/2\nweight 150 pounds, color of hajr Blender color of eyes Blue\nother visible distinctive marks name\nother\nI\nwas born in leapenhagen Denmark\nwas visible born in distinctive Numtewnards marks ba Dewn chinas Ireland\nnone\nI\non the\n12\nday of march anno Domini I 871 I now\nreside\non\nthe no\nday of Sept\nanno\nDomini\nI\n895\n1 now reside\nat\nemigrated to the United States of (Glye America number, Street, from city to of townyan Hambung State.) Angeles Cal Germany\nat\n(Give number, Ar atreet, city/or town, and Angeles Cal.\nI\nI emigrated\non\nthe vessel augusta Farrived otherwias Victeria veasel, the chargeter of conveyance or\n: my last\non\nthe\nvessel\nto the beltis United States of America from England\n: myilast\ncompany should be given.)\nforeign residence was\nHamburg Termany\nforeign\nresidence (11 the was alien anrived Newtownards than by ydusel, the character of conveyancgro ADawn Ireland be\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\nprincé, potentate, state, or sovereignty, and particularly to\nprince, potentate, state, or sovereignty, and particularly to\nChristian X they Hemmark of whom I am now a subject;\nGep. v. King of Great Britain and\nof whom I am now a subject:\nI arrived at the port of\nyour\nto nod 2011 is le in the\nI arrived at the port of\nNEW YORK\nin the\nState of\nadt women\nof October the armo Domini goe I am not an anarchist; I am not\nN.Y\non or about the\n15 day\nState of\nadi\ntuado NEW YORK\non or about the\n812\nday\na\nof Sept\nme\nanno Domini 1 913. I am not an anarchist: 1 am not\na\npolygamist nor la believer in the practice of polygamy; and di is my intention in good faith\npolygamist nor a believer in the practice of polygamy: and it is my intention in good faith\ntoi 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.\n002 3M 9,18M oe\nPetersen\nSo HELP ME GOD.\n000 EM\nto\nalfred Thorwald (Original algnature of declarant.)\nla natarials\nHenry Shaw\n(Original algnature of declarent.)\nlo and to soitto silt Subscribed and sworn to before me in the office of the Clerk of\nto saitto ada Subscribed and sworn to before me in the office of the Clerk of\nspt (SEAL.)\nof Court this 7 day of Dis , anno Domini 191\n(SEAL.)\nwall Court this 17 day of December anno Domini 191\nH. J: Eelande COUNTY\nCLERK AND EX-OFFICIO CLERK OF\nNo\nSOUNTY CLERK AND EX-OFFICIO CLERE -\nH. J. Letanute VOPANTOR COURT COURDE\nOF Los ANGELES. STATE OF CALIFORIVAL\nOF LOS ANGELES. STATE of\nthe\nMIS\nto\nClerk of the\nCourt.\nthe\nBy tha Clerk, Court.\n* of,\nBy\nClark."
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