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82 83 AMEDUTO ORIGINAL JAMIANTO OF CABOR UNS.DEPARTMENT ORIGINAL 8560 NATURALIZATION Band No. 8571 NATURALIZATION No. all DECLARATION OF INTENTION DECLARATION OF INTENTION Invalid for all purposes seven years after the date hereof Hnvalid for all parposes seven years after the date hereof: STATE OF CALIFORNIA) art n° In the SUPERIOR Court STATE OF and nt In the SUPERIOR County of Los Angeles ss: The State of Califorfila. Caunty of Los Angeles Court ss: The State of California. of in and for Los Angeles County. to of in and for Los Angeles County. aus William Pieter te Grownkins aged 19 years, g, Hilma Cartern aged 32 occupation Stenografter Book Keeper do déclare on oath that my personal occupation Stenographer years, do declare on oath that my personal description is: Color White complexion staff height feet 1 inches, description is: Color which complexion Fair height 5 feet 6 inches, weight 160 pounds, color of hair Black ) color of eyes Brown weight 128 pounds, colon of hair Dr Brown color of eyes Grey other visible distinctive marks none stately other visible distinctive nane marks I was born in Pretoria Francisal Parents British subjects at mod I was born in Tenkaping Sweden onithe 14th day of sept. anno Domini 895.19 now reside on the 6 day of June anno Domini I 882 now reside at 225 E 10th at Longoseach leal Cols in at (Give number, atreet, city or town, and Btate.) 14276. N. (Gite number, manpool atreet, for angele is. Cal I emigrated to the United States of America from Ratterdam Halland 1 emigrated to Patadam it reactive : the Unknown United States of America from Copenchagen Lenmark on the vessel my last on the vessel (u the allen arrived otherwise than by the charnoter of conveyance) name of transportation company should be given.) (If the alien and ved than by the character of conveyance or name ortasion compagy should be given. my last foreign residence was arnhem Holland foreign residence was Tedraping Sweeten Itlis my bona fide intention to renounce forever all allegiance and fidelity to any foreign 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 Geerge V, King of Great Britain and of whom 1 am now a subject: Gusteyus of Sweden of whom I am now subject: 1 arrived at the port of NEW YORK in the State of adj NEW YORK on or about the 11th day drarrived State of at the port indi of lunda Yey Jana y its 1200 - adi 252. a in the on or about the day ofo ma mor (anno Domini- 907 I am not an anarchist: I am not a of on July toa anno Dominix 887 I am not an anarchist I am not a polygamist nor à believer in the practice of polygamy: and it is my intention in good faith polygamist nor 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 thetein: toi become a acitizen of: the United States of America and to permanently reside therein: So HELP ME God. Willem Dictiv te groen GOD EUM LIBH oa So HELP ME GOD. millions (Origioal of declarnat.) lo Appeal Hilma Carlson (Original signature of declarent.) erb to salito adt Subscribed and sworn to before me in the office of the Clerk of 10 which and to add Subscribed and sworn to before mè in the office of the Clerk of [SEAL.] tita Court this 75 day of april anno Domini 191 Hiet (SEAL. ans Court this 7 day of april anno Domini 191 5 AND CLERK. DE COUNTY ELERK AND TX-OFFICIO CLERK of H.J. Lelande THE EUPTRION COURT IN AND FOR THE COUNTY to H. J. Lelando MPLRIOR co 400 TOR YRE COUNTY Clark of the LOS ANGELES. STATE OF CALIFORNIA. Court. Clerk of the ANGELES, STATE CALIFORNIA OF By Clerk. her By Agepounce Dyp Clerk. Court

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    "ocrText": "82\n83\nAMEDUTO\nORIGINAL\nJAMIANTO\nOF CABOR\nUNS.DEPARTMENT\nORIGINAL\n8560\nNATURALIZATION\nBand\nNo. 8571\nNATURALIZATION\nNo.\nall\nDECLARATION OF INTENTION\nDECLARATION OF INTENTION\nInvalid for all purposes seven years after the date hereof\nHnvalid for all parposes seven years after the date hereof:\nSTATE OF CALIFORNIA)\nart\nn°\nIn the\nSUPERIOR Court\nSTATE OF\nand\nnt\nIn the\nSUPERIOR\nCounty of Los Angeles\nss:\nThe State of Califorfila.\nCaunty of Los Angeles\nCourt\nss:\nThe State of California.\nof\nin and for Los Angeles County.\nto\nof\nin and for Los Angeles County.\naus William Pieter te Grownkins aged 19\nyears,\ng,\nHilma Cartern\naged\n32\noccupation Stenografter Book Keeper do déclare on oath that my personal\noccupation\nStenographer\nyears,\ndo declare on oath that my personal\ndescription is: Color White complexion staff height feet 1 inches,\ndescription is: Color which complexion Fair height 5 feet 6 inches,\nweight 160 pounds, color of hair Black\n)\ncolor\nof\neyes\nBrown\nweight 128 pounds, colon of hair Dr Brown color of eyes Grey\nother visible\ndistinctive marks none\nstately\nother visible distinctive nane\nmarks\nI was born in Pretoria Francisal\nParents British subjects\nat\nmod\nI\nwas born in Tenkaping\nSweden\nonithe\n14th day of sept.\nanno Domini 895.19 now reside\non the\n6\nday of June\nanno Domini I 882 now reside\nat 225 E 10th at Longoseach leal Cols\nin\nat\n(Give number, atreet, city or town, and Btate.)\n14276. N. (Gite number,\nmanpool\natreet,\nfor angele is. Cal\nI emigrated to the United\nStates of America from Ratterdam Halland\n1 emigrated to\nPatadam it reactive :\nthe Unknown United States of America from Copenchagen Lenmark\non the vessel\nmy last\non the vessel\n(u the allen arrived otherwise than by the charnoter of conveyance) name of transportation company should be given.)\n(If the alien and ved than by the character of conveyance or name ortasion compagy should be given.\nmy last\nforeign residence was arnhem Holland\nforeign residence\nwas Tedraping Sweeten\nItlis my bona fide intention to renounce forever all allegiance and fidelity to any foreign\nmy 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\nGeerge V, King of Great Britain and\nof whom 1 am now a subject:\nGusteyus of Sweden\nof whom I am now subject:\n1 arrived at the port of\nNEW YORK\nin\nthe\nState of\nadj NEW YORK\non or about the\n11th day\ndrarrived State of at the port indi of lunda Yey Jana y its 1200 - adi 252. a in the\non or about the\nday\nofo ma\nmor (anno Domini- 907 I am not an anarchist: I am not\na\nof\non July toa\nanno Dominix 887 I am not an anarchist I am not\na\npolygamist nor à believer in the practice of polygamy: and it is my intention in good faith\npolygamist nor 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 thetein:\ntoi become a acitizen of: the United States of America and to permanently reside therein:\nSo HELP ME God.\nWillem Dictiv te groen\nGOD EUM LIBH oa\nSo HELP ME GOD.\nmillions\n(Origioal of declarnat.)\nlo\nAppeal\nHilma Carlson\n(Original signature of declarent.)\nerb to salito adt Subscribed and sworn to before me in the office of the Clerk of\n10\nwhich and to add Subscribed and sworn to before mè in the office of the Clerk of\n[SEAL.]\ntita Court this 75 day of april anno Domini\n191\nHiet\n(SEAL. ans Court this 7 day of april anno Domini 191 5\nAND CLERK. DE\nCOUNTY ELERK AND TX-OFFICIO CLERK of\nH.J. Lelande THE EUPTRION COURT IN AND FOR THE COUNTY\nto\nH. J. Lelando MPLRIOR co 400 TOR YRE COUNTY\nClark of the LOS ANGELES. STATE OF CALIFORNIA.\nCourt.\nClerk of the ANGELES, STATE CALIFORNIA\nOF\nBy\nClerk.\nher\nBy Agepounce Dyp Clerk. Court"
}