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274 275 0100 JAMIDIRO LABOR ORIGINAL 8262 AATURALIZATION SÉRVICE No. 8263 OF E DECLARATION OF INTENTION DECLARATION OF INTENTION Invalid for all purpeses seven years after the date hereof Invalid for all purposes seven years after the date hereof STATE OF CALIFORNIA SUPERIOR adt In the The State of STATE D SURERIOR nl Court In Caunty of Los Angeles In the The State of California Court ss: -22 Caunty of Los Angeles ss: lo of in and for Los Angeles County. to of in and for Los Angeles County. ge, George Busboy Chullack aged 19 years, g, antonio Loper Garcia aged 31 years, occupation do declare on oath that my personal occupation marine Fureman do declare on oath that my personal description is: Color medium height S feet inches, description is: Color White complexion Dark height feet 8 inches, weight 142 pounds, color of hair Brown color of eyes. q Brown weight 148 pounds, color of hair Black , color of Brown eyes other visible distinctive marks none indio. other visible distinctive marks none l' was born in Croatia, austria I was born. in Linares Spain on the 17th day of april anno Domini 1895 I now reside on the 21st of march day anno Domini I 883; I now reside at 903 E 1st st (Give number, street, city Son town, and Btate. angeles, Cal at 250 4 4th st San Pedro bal or (Give number, atreet, city or town, Kitate.) I emigrated to the United States of America from Triestes, austria I emigrated to the United States of America from Sibraltan England on the vessel Pannonia my last on the vessel (II the allen ansived otberwine than by vessel, the character of conveyance on name of transportation company ahould be given.) (If the alies or thansportation company ahould be given.) City arrived of the new character of conveyance Castle name of my last foreign résidence was mostar, austria foreign residence. was Gibratter 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 prince, potentate, state, or sovereignty, and particularly to Francia Joseph, Emperor of Austria and Apostolic King of Hungary, of whom I am now a subject: King of Spain GALVESTON alfonso X III of whom I am now a subject: 4 arrived at the port of new york in the I arrived at the port of in the State of of noneyour new on or about the 28th State of Tapar on or about the 13th day anno Domini a 911 I am not an anarchist: I am not a of June Domini 898; I I a anno I am not an anarchist: am not polygamist nor a believer in the practice of and it is my intention in good faith polygamist nors 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. So Service dginal Thullack algnature of declarant.) HELP ME GOD. antouis hopes garcia (Original signalure of declafant.) TO 20513 etti to sollio silt Subscribed and sworn to: before que in the office of the Clerk of to Subscribed and sworn to béfore me in the office of the Clerk of a tex Court this 12 day of Jan COSPICANT EX-OFFICIO anno CLERK Domini OF 191 101 [SEAL.] Court this 12th day of Jan anno Domini 194 H. J: Lelando AUDLEOR THE h. I Lelande COUNTY CLERK AND EX-OFFICIO CLERK DE COUNTY THE. COUNTY OF Los ANGLLES. OF CALIFORNIA. OF Los ANSELES. STATE OF CALIFORNIA. Clark of the Court. Clerk of the Court. By Liffin Homeone Department E By Esmith Leep Clerk.

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