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Form 8203
TRIPLICAT
No.
135
je
the
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)
District of Connectiout
In the United States Circuit Court
SS :
County of Dew Haven
of
said District
3,
Simon Berman
, aged
24
years,
occupation
tailor
, do declare affirm on oath that my personal
description is: Color white
complexion dark
,
height 5. feet 51./Rches,
weight 122 pounds, color of hair
brown
color of eyes
brown
other visible distinctive marks
none
:
I was born in
Moratz, Ruasia.
on the
4th
day of
July
anno
Domini 883 : I now reside at
93. Washington Ave.1 New Haven, Conn.
I emigrated to the United States of America from
Southampton, England
on the vessel
[If the allen arrived otherwise than Philadelphia by vessel, the character of conveyance or name of transportation company should be given.) ; my last
foreign residence was
London, England
It is my bona fide intention to renounce forever all allegiance and fidelity to any foreign
prince, potentate, state, or sovereignty, and particularly to
Nicholas II
Emperor of Russia
, of which I am now a titisen subject ;
I
arrived at the port of
New York
,
in the
State
Territory of
New York
on or about the
6
Biotsict
day
of
April
,
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 intentión in good faith
to become a citizen of the United States of America and to permanently reside therein:
So HELP ME GOD.
Semon Beman
(Original signature of declarant.)
Subscribed and affiemed before me this
sworn to
18
day of November
,
anno Domini 19 07.
E Emain
By b. E. of the u. s.
Cirouit
Court.
Dp. Clerk.
Sub
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Document data
- ID
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- Core
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- Type
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DTO data
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Context sent to Scholar
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"ocrText": "Form 8203\nTRIPLICAT\nNo.\n135\nje\nthe\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)\nDistrict of Connectiout\nIn the United States Circuit Court\nSS :\nCounty of Dew Haven\nof\nsaid District\n3,\nSimon Berman\n, aged\n24\nyears,\noccupation\ntailor\n, do declare affirm on oath that my personal\ndescription is: Color white\ncomplexion dark\n,\nheight 5. feet 51./Rches,\nweight 122 pounds, color of hair\nbrown\ncolor of eyes\nbrown\nother visible distinctive marks\nnone\n:\nI was born in\nMoratz, Ruasia.\non the\n4th\nday of\nJuly\nanno\nDomini 883 : I now reside at\n93. Washington Ave.1 New Haven, Conn.\nI emigrated to the United States of America from\nSouthampton, England\non the vessel\n[If the allen arrived otherwise than Philadelphia by vessel, the character of conveyance or name of transportation company should be given.) ; my last\nforeign residence was\nLondon, England\nIt is my bona fide intention to renounce forever all allegiance and fidelity to any foreign\nprince, potentate, state, or sovereignty, and particularly to\nNicholas II\nEmperor of Russia\n, of which I am now a titisen subject ;\nI\narrived at the port of\nNew York\n,\nin the\nState\nTerritory of\nNew York\non or about the\n6\nBiotsict\nday\nof\nApril\n,\nanno Domini I 902 : I am not an anarchist: I am not\na\npolygamist nor a believer in the practice of polygamy: and it is my intentión in good faith\nto become a citizen of the United States of America and to permanently reside therein:\nSo HELP ME GOD.\nSemon Beman\n(Original signature of declarant.)\nSubscribed and affiemed before me this\nsworn to\n18\nday of November\n,\nanno Domini 19 07.\nE Emain\nBy b. E. of the u. s.\nCirouit\nCourt.\nDp. Clerk.\nSub"
}