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FRIPL
No. 219
STATES
OF
the
Department of Commerce and Eabur
BUREAU OF IMMIGRATION AND NATURALIZATION
DIVIBION OF NATURALIZATION
DECLARATION OF INTENTION
(Invalid for all purposes seven years after the date hereof)
UNITED STATES OF AMERICA,
In the
Circuit
SOUTHERN DISTRICT OF CALIFORNIA,
COUNTY OF Los ANGELES.
X
SS:
of the United Statesp
Paul Cusin Southern
District of Califorina,
3.
aged
26
occupation Liquor Dealer do declare affiam on oath
that my perso
description is: Cblor white complexion fair height Steel 9
ind
weight 156 pounds, color of hair brodon com of eyes gray
other visible distinctive marks none
I was born in Progens Suitzer
Domini I ff : I now reside at 145y Mast 20th St, Les anything Cate
on
the 12th day of may
I
emigrated to the United States of America from Havor Jrane
Ia Savoie
my
on foreign residence was Lausanne, Switzulam fore
the vessel*
prince, potentate, state, or soyereignty, and particularly to the Republic
It is my bona fide intention to renounce forever all allegiance and fidelity to any
Switzuland
of which I am now a
arrived at the port
State
Tessitory of
of District October intention. in good
number of anno Domini I 901 on I am or about not an the anarchist: 4th 1 am no
fa
polygamist nor a believer in the practice of polygamy : and it is my
to become a citizen of the United States of America and to permanenty de thete D.
So ME
HBLP GOD.
Saul leng
(Original signature of declarant.)
Subscribed and sworn affiemed to before me this 10th
day of October
anno Domini 1907
[SEAL J
Wm. M. Van Dyke.
Clerk of the United
States Circnit
By chainwither Distrio Deputy of, Calif
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"ocrText": "FRIPL\nNo. 219\nSTATES\nOF\nthe\nDepartment of Commerce and Eabur\nBUREAU OF IMMIGRATION AND NATURALIZATION\nDIVIBION OF NATURALIZATION\nDECLARATION OF INTENTION\n(Invalid for all purposes seven years after the date hereof)\nUNITED STATES OF AMERICA,\nIn the\nCircuit\nSOUTHERN DISTRICT OF CALIFORNIA,\nCOUNTY OF Los ANGELES.\nX\nSS:\nof the United Statesp\nPaul Cusin Southern\nDistrict of Califorina,\n3.\naged\n26\noccupation Liquor Dealer do declare affiam on oath\nthat my perso\ndescription is: Cblor white complexion fair height Steel 9\nind\nweight 156 pounds, color of hair brodon com of eyes gray\nother visible distinctive marks none\nI was born in Progens Suitzer\nDomini I ff : I now reside at 145y Mast 20th St, Les anything Cate\non\nthe 12th day of may\nI\nemigrated to the United States of America from Havor Jrane\nIa Savoie\nmy\non foreign residence was Lausanne, Switzulam fore\nthe vessel*\nprince, potentate, state, or soyereignty, and particularly to the Republic\nIt is my bona fide intention to renounce forever all allegiance and fidelity to any\nSwitzuland\nof which I am now a\narrived at the port\nState\nTessitory of\nof District October intention. in good\nnumber of anno Domini I 901 on I am or about not an the anarchist: 4th 1 am no\nfa\npolygamist nor a believer in the practice of polygamy : and it is my\nto become a citizen of the United States of America and to permanenty de thete D.\nSo ME\nHBLP GOD.\nSaul leng\n(Original signature of declarant.)\nSubscribed and sworn affiemed to before me this 10th\nday of October\nanno Domini 1907\n[SEAL J\nWm. M. Van Dyke.\nClerk of the United\nStates Circnit\nBy chainwither Distrio Deputy of, Calif"
}