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No. 816 TRIPLICATE STATES or Department of Commerce and Eabor BUREAU OF IMMIGRATION AND NATURALIZATION DIVISION OF NATURALIZATION DECLARATION OF INTENTION (Invalid for all purposes seven yeara after the date hereof) STATE OF CALIFORMIA County of Los Angeles In the SUPERIOR Cour SS : Ohe STATE OF BALIPORNIA IN AND FOR Lee ANSELE COUNTY 3. games Benera aged 32 years occupation Labora do declare affirm on oath that my persona) and.th description is: Color White complexion Dark height 5 feet inches weight 163 pounds, color of hair Black color of eyes Grey other visible distinctive marks none a governn : I was born in Valtetream Greece on the 12th day of m any anno perman m Domini I 876. I now reside at 25 5th St Santa monica leae To the I emigrated to the United States of America from Pereos Gruce precedin on the vessel my last (If the allen arrived otherwise than by vessel, the of name given-] Hamburg character of transportation company should be foreign residence was athens gruce It is my bona fide intention to renounce forever all allegiance and fidelity to any foreign prince, potentate, state, or sovereignty, and particularly to George T King of Gruce , of which I am now a subject arrived at the port of New York in the State Territory of New York on or about the 12th day District the forego of guely anno Domini I 902 1 am not an anarchist: I am not a that as to Subac 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 therem So HELP ME GOD. former (Original signaturre Benera of declarant.) Subscribed and sworn to before me this 15th affiemed ISEAL.] day of may anno Domini 19 Keyes COUNTY CLERK AND EX-ORFICIO CLERK OF Cler AND FOR THE COURTY Court. OF By R operity Clerk.

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    "ocrText": "No. 816\nTRIPLICATE\nSTATES or\nDepartment of Commerce and Eabor\nBUREAU OF IMMIGRATION AND NATURALIZATION\nDIVISION OF NATURALIZATION\nDECLARATION OF INTENTION\n(Invalid for all purposes seven yeara after the date hereof)\nSTATE OF CALIFORMIA\nCounty of Los Angeles\nIn the SUPERIOR\nCour\nSS :\nOhe STATE OF BALIPORNIA IN AND FOR Lee ANSELE COUNTY\n3. games Benera\naged 32 years\noccupation\nLabora\ndo declare affirm on oath that my persona)\nand.th\ndescription is: Color White complexion Dark height 5 feet inches\nweight 163 pounds, color of hair Black color of eyes Grey\nother visible distinctive marks none\na\ngovernn\n:\nI was born in Valtetream\nGreece\non the\n12th day of\nm any\nanno\nperman\nm\nDomini I 876. I now reside at 25 5th St Santa monica leae\nTo\nthe\nI emigrated to the United States of America from Pereos Gruce\nprecedin\non the vessel\nmy last\n(If the allen arrived otherwise than by vessel, the of name given-]\nHamburg character of transportation company should be\nforeign residence was\nathens gruce\nIt is my bona fide intention to renounce forever all allegiance and fidelity to any foreign\nprince, potentate, state, or sovereignty, and particularly to George T\nKing of Gruce\n,\nof which I am now a subject\narrived at the port of New York\nin the\nState\nTerritory of\nNew York\non or\nabout the 12th day\nDistrict\nthe forego\nof guely\nanno Domini I 902 1 am not an anarchist: I am not a\nthat as to\nSubac\nnor 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 therem\nSo HELP ME GOD.\nformer (Original signaturre Benera of declarant.)\nSubscribed and sworn to before me this 15th\naffiemed\nISEAL.]\nday of may\nanno Domini 19\nKeyes\nCOUNTY CLERK AND EX-ORFICIO CLERK OF\nCler\nAND FOR THE COURTY\nCourt.\nOF\nBy R operity\nClerk."
}