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18
Indian
19
ORIGINAL
u.s. DEPARTMENT OF LABOR
JAVIDIRO
MIDIRO
8506
NATURALIZATIO SERVICE
No. 8507
U.S. DEPARTMENT OF LABOR
ORIGINAL
all
all
STATES
a
STATES
E
DECLARATION OF INTENTION
DECLARATION OF INTENTION
Invalid for all purposes seven years after the date hereof
Tavalia for all purposes seven years after the date hereof
STATE OF CALIFORNIA
In the
SUPERIOR Court
STATE
Caunty of Los Angeles
nf
ad) nl
The State of California.
Caunty of Los Angeles
In
the
SUPERIOR
ss:
Court
In and for Los Angeles County,
ss:
of
The State of California
to
to
of
in and for Los Angeles County,
de miss danger westrem
aged 25 years,
ge, Edgar arnold
aged 3
years,
occupation S tendgraptican do declare oath that my
on personal
occupation Signal man Santa tery do declare
on oath that my personal
description is: Color white complexion Light height 5 feet 416 inches,
description is: Color White complexion Dark height feet 11 inches,
weight 137 pounds, color of hair sight color of eyes Blue
weight 195 pounds, color of hair Brown ) color of eyes Brown
other visible distinctive marks
none
other visible distinctive marks
none
I was born
in Christiana norway
I was born in
Guilder Kent. Canada
ni
on the 21st day, of + august anno Domini I 889 I now reside
on
the
non
11th
day of
may
anno Domini I 884 I now reside
at
300 n. gran (Give number, atroet, city or town, and State.) alliambra Cal
are
at
1448 albany city Los or town, and State.) angelic lest
I
emigrated United States of America from Christiana, norway
to the
I emigrated to
on the vessel
King walla
the United-States of America from Emisson Junction Canada
my last
on the vessel
(If the allen arrived otherwise than the character of conveyance or name of transportation company should be given.)
northers Pacific Ry
my last
foreign residence was
Christiana, norway
(If the alien arrived than by veasel, the shapilter of conveyance or reasportation company should be given.)
foreign residence was
Dauphin
benada
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
Normay,
of whom I am now a subject :
Geo. v, King of Great Britain and Ireland,
of whom 1 am now a subject:
I arrived at the port of
State
new york
in the
I arrived at the port of
Pembina
to 1109 adt 10 in the
of new york
on or about the 15th day
State of
n. Daksta
on or about the 3rd to day
of June anno Domini 1 892 not an anarchist 1 am
am notia
ofron the Jan too anno Domini 907 I 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 à believer in the practice of polygamy: and it is my intention in good falth
to become a citizen of the United States of America and to permanently reside therein:
toi become a citizen of the United States of America and to permanently reside therein:
So HELP ME GOD.
Inger Westrem
age. am quan 08
So HELP ME God.
goo B.M. 9.19H 03
algnature of declarent.)
E dyas algnasure arnold of declarent.)
to edt
Subscribed and sworn to before me in the office of the Clerk of
to shald eid lo sdi Subscribed and sworn to before me in the office of the Clerk of
- [SEAL.]
Court this 17 the day of Jesse anno Domini 191
tips
(SEAL.)
jonns
January Court this day of march , anno Domini 191
H. J. Lejando EX-OFFICIO CLERK COUNTY OF
CLERICIAND
H. J.
COMERY
CLENK AN9 EX-OFFICIO CLERK of
SENTE OF CALIFORNIA.
tos
cossty.
ANCELES, STATE OF CALIFORNIA.
Clark of the
Court
vill) Clerk of the
Court.
By Syggir, Himionin Departy Clerk.
By Def -
Clerk.
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Document data
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- Core
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- Type
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"ocrText": "18\nIndian\n19\nORIGINAL\nu.s. DEPARTMENT OF LABOR\nJAVIDIRO\nMIDIRO\n8506\nNATURALIZATIO SERVICE\nNo. 8507\nU.S. DEPARTMENT OF LABOR\nORIGINAL\nall\nall\nSTATES\na\nSTATES\nE\nDECLARATION OF INTENTION\nDECLARATION OF INTENTION\nInvalid for all purposes seven years after the date hereof\nTavalia for all purposes seven years after the date hereof\nSTATE OF CALIFORNIA\nIn the\nSUPERIOR Court\nSTATE\nCaunty of Los Angeles\nnf\nad) nl\nThe State of California.\nCaunty of Los Angeles\nIn\nthe\nSUPERIOR\nss:\nCourt\nIn and for Los Angeles County,\nss:\nof\nThe State of California\nto\nto\nof\nin and for Los Angeles County,\nde miss danger westrem\naged 25 years,\nge, Edgar arnold\naged 3\nyears,\noccupation S tendgraptican do declare oath that my\non personal\noccupation Signal man Santa tery do declare\non oath that my personal\ndescription is: Color white complexion Light height 5 feet 416 inches,\ndescription is: Color White complexion Dark height feet 11 inches,\nweight 137 pounds, color of hair sight color of eyes Blue\nweight 195 pounds, color of hair Brown ) color of eyes Brown\nother visible distinctive marks\nnone\nother visible distinctive marks\nnone\nI was born\nin Christiana norway\nI was born in\nGuilder Kent. Canada\nni\non the 21st day, of + august anno Domini I 889 I now reside\non\nthe\nnon\n11th\nday of\nmay\nanno Domini I 884 I now reside\nat\n300 n. gran (Give number, atroet, city or town, and State.) alliambra Cal\nare\nat\n1448 albany city Los or town, and State.) angelic lest\nI\nemigrated United States of America from Christiana, norway\nto the\nI emigrated to\non the vessel\nKing walla\nthe United-States of America from Emisson Junction Canada\nmy last\non the vessel\n(If the allen arrived otherwise than the character of conveyance or name of transportation company should be given.)\nnorthers Pacific Ry\nmy last\nforeign residence was\nChristiana, norway\n(If the alien arrived than by veasel, the shapilter of conveyance or reasportation company should be given.)\nforeign residence was\nDauphin\nbenada\nIt. is my bona fide intention to renounce forever all allegiance and fidelity to any foreign\nIt\nis 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\nNormay,\nof whom I am now a subject :\nGeo. v, King of Great Britain and Ireland,\nof whom 1 am now a subject:\nI arrived at the port of\nState\nnew york\nin the\nI arrived at the port of\nPembina\nto 1109 adt 10 in the\nof new york\non or about the 15th day\nState of\nn. Daksta\non or about the 3rd to day\nof June anno Domini 1 892 not an anarchist 1 am\nam notia\nofron the Jan too anno Domini 907 I am not an anarchist: I am not a\npolygamist nor a believer in the practice of polygamy; and it is my intention in good faith\npolygamist nor à believer in the practice of polygamy: and it is my intention in good falth\nto become a citizen of the United States of America and to permanently reside therein:\ntoi become a citizen of the United States of America and to permanently reside therein:\nSo HELP ME GOD.\nInger Westrem\nage. am quan 08\nSo HELP ME God.\ngoo B.M. 9.19H 03\nalgnature of declarent.)\nE dyas algnasure arnold of declarent.)\nto edt\nSubscribed and sworn to before me in the office of the Clerk of\nto shald eid lo sdi Subscribed and sworn to before me in the office of the Clerk of\n- [SEAL.]\nCourt this 17 the day of Jesse anno Domini 191\ntips\n(SEAL.)\njonns\nJanuary Court this day of march , anno Domini 191\nH. J. Lejando EX-OFFICIO CLERK COUNTY OF\nCLERICIAND\nH. J.\nCOMERY\nCLENK AN9 EX-OFFICIO CLERK of\nSENTE OF CALIFORNIA.\ntos\ncossty.\nANCELES, STATE OF CALIFORNIA.\nClark of the\nCourt\nvill) Clerk of the\nCourt.\nBy Syggir, Himionin Departy Clerk.\nBy Def -\nClerk."
}