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53
DEPARTMENT LABOR
ORIGINAL
U.S. DEPARTMENT OF LABOR
ORIGINALI
No. 8040
MATORALIZATION
ow
No. 8041
MATURALIZATION
80 08 .on
F
in
DECLARATION OF INTENTION
DECLARATION OF INTENTION
Invalid for all purposes seven years affér the date hereot
Invalid for all purposes seven years after the date hereof
STATE OF CADIFORNIAL
Caunty of Los Angeles
arli al
In the
SUPERIOR Court
In the SUPERIOR
Court
ss:
The State of California.
lo
in and for Los Angeles County.
Caunty of Los
ss:
The State of California.
of
to
of
in and for Los Angeles County.
g, games M: Kay
aged 40 years,
g, William aidam Bock aged 28 years,
occupation 1 Cerpenter
do declare on oath that my personal
description is: Color white complexion Fair height 5 feet 4 inches,
occupation Hotel Employee do declare on oath that my personal
description is: Color white complexion medium height 3 feet 6 inches)
weight 140 pounds, color of hair Browns colon of eyes Blue
weight 160 pounds, color of hair Brown color of eyes Blue
other visible distinctive marks
none
syitantheib
aldizix.
hoster
other visible distinctive marks
none
I was born in
Clifton P.E.I Cennota of
modera
1
I
on the
25th
Seft
was born in Kirchlothein, germany
day of
anno Domini 874; I now reside
on the
3
0
411 Cynthia at Sherman leae
the day of april anno Domini I 8861 now reside
at
at
(Give number, street, city dg jown, and Wate.)
I
emigrated
to
the United States of America from
I emigrated
512 to the United S grand States of (Give America number, street, from city or Ave Bremen town, and State. Los gendary angelescal last
on the vessel
Canadian Pacific Ry
my last
on the vessel
the
foreign
residence was teliption P.E.I. teanada
allen infectioninalling ensived than by - character of conveyance or - of ompany should be
my.
(If the allen arrived than by yousel, the character of convegasée or - of company should be given,)
(If
given.)
foreign residence was
Ostende, pulgausn
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 foreighi
prince, potentate, state, or sovereignty, and particularly to
prince, potentate, state, or sovereignty; and particularly to
George y Great Britain and Ireland.
of whom I am now a subject:
William II, German Emperer.
of whom I am now a subject;
1 arrived at the port of
Vanceboro
to 1104 all be in the
Larrived at the port of
Hoboken
in the
State of
mains
on or about the
State of
new fersey on or about
the 24th
day
of
anno Domini 1893 : I am not an anarchist; I am-not a
of
December anno Domini , 912 I am not an anarchist: I am not
polygamist nor a believer in the practice of polygamy; and it is my intention in good fäith
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 therein:
to become a citizen of the United States of America and to permanently reside therein:
So HELP ME GOD.
an. oa
So HELP
GOD
famo (Original makay algnature of declapant.)
Milliam adam Prock
(Original wignasure of declarant.)
Subscribed and sworn to before me in the office of the Clerk of
to and bo soitto and Subscribed and sworn to before me in the office of the Clerk of
[SEAL.]
Court this 134 day of nor.
anno Domini 191 4
[SEAL!]
ana
Court this day of now anno Domini 195
,
H. J. Extande
COUNTY CLERK AND EX-OFFICIO CLERK or
H. J. the SOPERIOR
COUNTY CLERK AND EX-OFFICIO CLERK -
the SUPERIOR: FOR-THE- COUNFY
OF LOS ANGELES. STATE OF CALIFORNIA.
OF LOS ANGELES. STATE OF CALIFORNA
Clerk of the
Court.
tino.
Clerk of the
Court.
By
beh
Clerk.
By diggic Himan
a
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"ocrText": "52\n53\nDEPARTMENT LABOR\nORIGINAL\nU.S. DEPARTMENT OF LABOR\nORIGINALI\nNo. 8040\nMATORALIZATION\now\nNo. 8041\nMATURALIZATION\n80 08 .on\nF\nin\nDECLARATION OF INTENTION\nDECLARATION OF INTENTION\nInvalid for all purposes seven years affér the date hereot\nInvalid for all purposes seven years after the date hereof\nSTATE OF CADIFORNIAL\nCaunty of Los Angeles\narli al\nIn the\nSUPERIOR Court\nIn the SUPERIOR\nCourt\nss:\nThe State of California.\nlo\nin and for Los Angeles County.\nCaunty of Los\nss:\nThe State of California.\nof\nto\nof\nin and for Los Angeles County.\ng, games M: Kay\naged 40 years,\ng, William aidam Bock aged 28 years,\noccupation 1 Cerpenter\ndo declare on oath that my personal\ndescription is: Color white complexion Fair height 5 feet 4 inches,\noccupation Hotel Employee do declare on oath that my personal\ndescription is: Color white complexion medium height 3 feet 6 inches)\nweight 140 pounds, color of hair Browns colon of eyes Blue\nweight 160 pounds, color of hair Brown color of eyes Blue\nother visible distinctive marks\nnone\nsyitantheib\naldizix.\nhoster\nother visible distinctive marks\nnone\nI was born in\nClifton P.E.I Cennota of\nmodera\n1\nI\non the\n25th\nSeft\nwas born in Kirchlothein, germany\nday of\nanno Domini 874; I now reside\non the\n3\n0\n411 Cynthia at Sherman leae\nthe day of april anno Domini I 8861 now reside\nat\nat\n(Give number, street, city dg jown, and Wate.)\nI\nemigrated\nto\nthe United States of America from\nI emigrated\n512 to the United S grand States of (Give America number, street, from city or Ave Bremen town, and State. Los gendary angelescal last\non the vessel\nCanadian Pacific Ry\nmy last\non the vessel\nthe\nforeign\nresidence was teliption P.E.I. teanada\nallen infectioninalling ensived than by - character of conveyance or - of ompany should be\nmy.\n(If the allen arrived than by yousel, the character of convegasée or - of company should be given,)\n(If\ngiven.)\nforeign residence was\nOstende, pulgausn\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 foreighi\nprince, potentate, state, or sovereignty, and particularly to\nprince, potentate, state, or sovereignty; and particularly to\nGeorge y Great Britain and Ireland.\nof whom I am now a subject:\nWilliam II, German Emperer.\nof whom I am now a subject;\n1 arrived at the port of\nVanceboro\nto 1104 all be in the\nLarrived at the port of\nHoboken\nin the\nState of\nmains\non or about the\nState of\nnew fersey on or about\nthe 24th\nday\nof\nanno Domini 1893 : I am not an anarchist; I am-not a\nof\nDecember anno Domini , 912 I am not an anarchist: I am not\npolygamist nor a believer in the practice of polygamy; and it is my intention in good fäith\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 therein:\nto become a citizen of the United States of America and to permanently reside therein:\nSo HELP ME GOD.\nan. oa\nSo HELP\nGOD\nfamo (Original makay algnature of declapant.)\nMilliam adam Prock\n(Original wignasure of declarant.)\nSubscribed and sworn to before me in the office of the Clerk of\nto and bo soitto and Subscribed and sworn to before me in the office of the Clerk of\n[SEAL.]\nCourt this 134 day of nor.\nanno Domini 191 4\n[SEAL!]\nana\nCourt this day of now anno Domini 195\n,\nH. J. Extande\nCOUNTY CLERK AND EX-OFFICIO CLERK or\nH. J. the SOPERIOR\nCOUNTY CLERK AND EX-OFFICIO CLERK -\nthe SUPERIOR: FOR-THE- COUNFY\nOF LOS ANGELES. STATE OF CALIFORNIA.\nOF LOS ANGELES. STATE OF CALIFORNA\nClerk of the\nCourt.\ntino.\nClerk of the\nCourt.\nBy\nbeh\nClerk.\nBy diggic Himan\na"
}