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No. 742 Form 2203 TRIPLICATE [Tobe given to the person making the Declaration) STATES OF V 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) STATE OF CALIFORNIA In the SUPERIOR Court SS : County of Los Angeles of THE STATE or OALIPORNIA, 3, Louis Broguine IN AND FOR Les ANGELE COUNTY aged 32 years, occupation Merchank do declare affirm on oath that my personal description is: Color while , complexion Dark , height 5 feet 9 inches, weight 145 pounds, color of hair Black , color of eyes Brown other visible distinctive marks none ; I was born in La More France on the , ox day of December , anno Domini I 875 I now reside at 856 Central ave. Lao Anyris Eal I emigrated to the United States of America from Haver France on the vessel (If the allen otherwise character conveyance or name of transportation company should be given.] arrived of : my last Garcog thangby essel ne the foreign, residence was Faint Bonnet France It is my bona fide intention to renounce forever all allegiance and fidelity to. any foreign prince, potentate, state; or sovereignty, and particularly to The Republic of France , of which I am now a citizen subjeet ; I arrived at the port of drwwork in the State Ferritory of District Arwyork on or about the 7.98 day of July , anno Domini I am not an anarchist: I am not a 1896 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 : So HELP ME GOD. Louis Broquiere of declarant.) Subscribed and affirmed before me this sworn to 15th [SEAL ] day of April , anno Domini 19. 08 COMNTY CLETK AND EX OFFICIO CLAMC OP Clerk of tht SUPERIOR COURT IN AND FOR Toll OQUNTY Court. LOS OF GALIFORNIA, By governtry Deputy Clerk. 11-2596

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Page context
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    "ocrText": "No. 742\nForm 2203\nTRIPLICATE\n[Tobe given to the person making\nthe Declaration)\nSTATES OF\nV\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)\nSTATE OF CALIFORNIA\nIn the SUPERIOR\nCourt\nSS :\nCounty of Los Angeles\nof THE STATE or OALIPORNIA,\n3,\nLouis Broguine\nIN AND FOR Les ANGELE COUNTY\naged 32 years,\noccupation\nMerchank\ndo declare affirm on oath that my personal\ndescription is: Color while , complexion Dark , height 5 feet 9 inches,\nweight 145 pounds, color of hair\nBlack\n, color of eyes\nBrown\nother visible distinctive marks\nnone\n;\nI was born in\nLa More\nFrance\non the\n, ox\nday\nof December\n, anno\nDomini I 875 I now reside at 856 Central ave. Lao Anyris Eal\nI emigrated to the United States of America from Haver France\non the vessel\n(If the allen otherwise character conveyance or name of transportation company should be given.]\narrived of : my last\nGarcog thangby essel ne the\nforeign, residence was\nFaint Bonnet France\nIt is my bona fide intention to renounce forever all allegiance and fidelity to. any foreign\nprince, potentate, state; or sovereignty, and particularly to The Republic\nof France\n,\nof which I am now a citizen subjeet ; I\narrived at the port of\ndrwwork\nin the\nState\nFerritory of\nDistrict\nArwyork\non or about the\n7.98\nday\nof\nJuly\n, anno Domini I am not an anarchist: I am not a\n1896\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 :\nSo HELP ME GOD.\nLouis\nBroquiere\nof declarant.)\nSubscribed and affirmed before me this\nsworn to\n15th\n[SEAL ]\nday of April\n, anno Domini 19. 08\nCOMNTY CLETK AND EX OFFICIO CLAMC OP\nClerk of tht SUPERIOR COURT IN AND FOR Toll OQUNTY Court.\nLOS OF GALIFORNIA,\nBy governtry\nDeputy\nClerk.\n11-2596"
}