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No. 811 Form ssos TRIPLICATE STATES OF Department of Commerce and Tabor BUREAU OF IMMIGRATION AND NATURALIZATION DIVISION OF NATURALIZATION DECLARATION OF INTENTION (Invalid for all purposes seven years after the date hereof) ST.ATE OF CALIFORNIA County of Los Angeles SS: In the SUPERIOR Court ofne STATE OF Lee COUNTY 3. Jack Waiter Hild aged 30 years, occupation , do declare on oath description is: Color White complexion Fair , affinu 5 feet 6 that my personal height weight 182 pounds, color of hair Brown color of eyes Brown other visible distinctive marks none ; I was born inBumath Eleace Lorrain Ear Wint Germany , on the 4th day of November Teut ano the Domini I 877 I now reside at/45 So Bunker Hill are has Angeles C. precoding Eleo I emigrated to the United States of on the vessel Friesland America from Antwerp Belgim (If the allen arrived otherwise than by vessel, the character of conveyance or name of transportation company should be given.) ; my Ist Atta foreign residence was Brunath Germany It is my bona fide intention to renounce forever all allegiance and fidelity to any foreinn Date prince, potentate, state, or sovereignty, and particularly to William II Emporary Germany , of which I am now a citizen subject arrived at the port of New York in the the foragoi State that as to Ferritury of New York on or about the District 29th day Subser of august , anno Domini I 902 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 to become a citizen of the United States of America and to permanently reside therein: Deela So HELP ME GOD. Jack (Original signature would of declarant.) Subscribed and affirmed sworn before me this to 13th [SEAL.] day m ay of , ango Domini 908 C. G. Keyes GOUNTY CLERK AND EX-ORFICIO CLERK PP Clerk of Me LOS STAME OF GALIFORNIA: THE SUPERIOR COURT IN AND FOR THE COUNTY Court. By Deputy Clerk

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1267
Source index
0
Type
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Media ID
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Size
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Document data

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Core
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Type
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Page context
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    "ocrText": "No. 811\nForm ssos\nTRIPLICATE\nSTATES OF\nDepartment of Commerce and Tabor\nBUREAU OF IMMIGRATION AND NATURALIZATION\nDIVISION OF NATURALIZATION\nDECLARATION OF INTENTION\n(Invalid for all purposes seven years after the date hereof)\nST.ATE OF CALIFORNIA\nCounty of Los Angeles\nSS:\nIn the SUPERIOR Court\nofne STATE OF Lee COUNTY\n3.\nJack Waiter Hild\naged 30\nyears,\noccupation\n, do declare on oath\ndescription is: Color White complexion Fair , affinu 5 feet 6\nthat my personal\nheight\nweight 182 pounds, color of hair Brown color of eyes Brown\nother visible distinctive marks none\n;\nI was born inBumath Eleace Lorrain Ear\nWint\nGermany\n,\non the\n4th day of November\nTeut\nano\nthe\nDomini I 877 I now reside at/45 So Bunker Hill are has Angeles C.\nprecoding\nEleo\nI emigrated to the United States of\non the vessel\nFriesland America from Antwerp Belgim\n(If the allen arrived otherwise than by vessel, the character of conveyance or name of transportation company should be given.) ; my\nIst\nAtta\nforeign residence was\nBrunath Germany\nIt is my bona fide intention to renounce forever all allegiance and fidelity to any foreinn\nDate\nprince, potentate, state, or sovereignty, and particularly to William II\nEmporary Germany\n, of which I am now a citizen\nsubject\narrived\nat the port of New York\nin the\nthe foragoi\nState\nthat as to\nFerritury of\nNew York\non or about the\nDistrict\n29th day\nSubser\nof august\n, anno Domini I 902 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\nto become a citizen of the United States of America and to permanently reside therein:\nDeela\nSo HELP ME GOD.\nJack (Original signature would of declarant.)\nSubscribed and affirmed sworn before me this\nto\n13th\n[SEAL.]\nday m ay\nof\n, ango Domini 908\nC. G. Keyes\nGOUNTY CLERK AND EX-ORFICIO CLERK PP\nClerk of Me LOS STAME OF GALIFORNIA:\nTHE SUPERIOR COURT IN AND FOR THE COUNTY Court.\nBy Deputy\nClerk"
}