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TRIPLICATE
the Honora
Form tipa
(To be given to the person making
The peti
No. 1270
the Declaration)
First.
STATES OF
Second.
Third.
Fourth.
anno Domini
Department of Commerce and Tabor
anno Domini
BUREAU OF IMMIGRATION AND NATURALIZATION
Fifth.
DIVISION OF NATURALIZATION
Sixth.
in
DECLARATION OF INTENTION
I
(Invalid for all purposes seven years after the date hereof)
State of New York,
In the
Circnit
Court
ss:
of
the United States
Southern District of New York,
3. Adolf Kadesh
aged 21 years,
Seventi
occupation
barber
do declare on oath that my personal
to organized
affirm
description is: Color white
complexion
fair
height 5 feet 6 inches,
Intention to
weight 125 pounds, color of hair brown
color of eyes hazel
particularly
to reside pert
,
Eighth
other visible distinctive marks none
Minth
minsh
60
:
! was born in
Russia
on the
6th
day of Felruary anno
petition, sind
petition.
Domini I 885 I now reside , at 41 Forcythe St, Gity of New
York.
Tenth.
to the United States of America from antwerp, Belquin
I emigrated Vaderland
: my last
on the vessel*
Minsk Russia
Attach
foreign residence was
Habor, 1
It is my bona fide intention to renounce forever all allegiance and fidelity to any foreign
the United -
prince, potentate, state, or sovereignty, and particularly to Nicholas II, Emperor of Russia.
eitizen
, of which I am now a subject
I
Declar
arrived at the port of
dew Yock.
in the
State
on or about the
6th day
Territory of
New Xack.
District of February anno Domini I 906: 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
The a
contents th
to become a citizen of the United States of America and to permanently reside therein
Information
So HELF ME GOD.
Addelf Kadesh
(Original signature of declarant.)
Subscribed before me this 27th
and
each being
of anno 19
pomini
Immediatel
entitled pet
otherwise
the By day, evi Cherk of Denamen the of transportation Ciromit company Depy
the said pe
U. S.
Court.
opinion, to
Clerk
Subscribed
anno
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- Core
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"ocrText": "TRIPLICATE\nthe Honora\nForm tipa\n(To be given to the person making\nThe peti\nNo. 1270\nthe Declaration)\nFirst.\nSTATES OF\nSecond.\nThird.\nFourth.\nanno Domini\nDepartment of Commerce and Tabor\nanno Domini\nBUREAU OF IMMIGRATION AND NATURALIZATION\nFifth.\nDIVISION OF NATURALIZATION\nSixth.\nin\nDECLARATION OF INTENTION\nI\n(Invalid for all purposes seven years after the date hereof)\nState of New York,\nIn the\nCircnit\nCourt\nss:\nof\nthe United States\nSouthern District of New York,\n3. Adolf Kadesh\naged 21 years,\nSeventi\noccupation\nbarber\ndo declare on oath that my personal\nto organized\naffirm\ndescription is: Color white\ncomplexion\nfair\nheight 5 feet 6 inches,\nIntention to\nweight 125 pounds, color of hair brown\ncolor of eyes hazel\nparticularly\nto reside pert\n,\nEighth\nother visible distinctive marks none\nMinth\nminsh\n60\n:\n! was born in\nRussia\non the\n6th\nday of Felruary anno\npetition, sind\npetition.\nDomini I 885 I now reside , at 41 Forcythe St, Gity of New\nYork.\nTenth.\nto the United States of America from antwerp, Belquin\nI emigrated Vaderland\n: my last\non the vessel*\nMinsk Russia\nAttach\nforeign residence was\nHabor, 1\nIt is my bona fide intention to renounce forever all allegiance and fidelity to any foreign\nthe United -\nprince, potentate, state, or sovereignty, and particularly to Nicholas II, Emperor of Russia.\neitizen\n, of which I am now a subject\nI\nDeclar\narrived at the port of\ndew Yock.\nin the\nState\non or about the\n6th day\nTerritory of\nNew Xack.\nDistrict of February anno Domini I 906: 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\nThe a\ncontents th\nto become a citizen of the United States of America and to permanently reside therein\nInformation\nSo HELF ME GOD.\nAddelf Kadesh\n(Original signature of declarant.)\nSubscribed before me this 27th\nand\neach being\nof anno 19\npomini\nImmediatel\nentitled pet\notherwise\nthe By day, evi Cherk of Denamen the of transportation Ciromit company Depy\nthe said pe\nU. S.\nCourt.\nopinion, to\nClerk\nSubscribed\nanno"
}