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No. 1315 Form ssoa 108, 7 TRIPLICATE STATES OF - (To be making Bepartment 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 County of Los Hingetes SS : In the SUPERIOR Court of IN AND FOR Loe COUNTY, THE STATE OR CALIFORNIA, 3, Robert Epstien **** , aged 26 years, - occupation Peddler --- do declare on oath description is: Color White , complexion affirm- that my personal Light height 5 feet 6 inches, weight 156 pounds, color of hair hight , color of eyes Blue to other visible distinctive marks none. inte : I was born in Hitebok Russing , on the 7th day of Domini I 8821 now reside at 766 Eart 16 XXX Las Anyries bad Feby anno on the vessel I emigrated to the United States of America from Brimin Hermany (If German Llayd company given.) the allen arrived otherwise than by vessel, the character Inveyance name of transportation should be : my last foreign residence was Witebak Clussing 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 Superon of Russia , of which I am now a citizen subject I arrived at the port of State Niwyork. , in the Distitery of newyork. on or about the 4% day of march anno Domini I 895 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: So HELP ME GOD. Robert Epstein (Original signature of declarant.) Subscribed and affirmed- sworn to before me this 29% [SEAL.] day of January , anno Domini 1909 C. G. Keyes COUNTY CLERK AND EX-OFFICIO CLERK OF Clexk or LOG of the THE SUPERIOR COURT. IN AND FOR THE COUNTY By Jor endry , Deputy Clerk. Court 11-2526

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573
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Page context
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    "ocrText": "No. 1315\nForm ssoa\n108, 7\nTRIPLICATE\nSTATES\nOF -\n(To be making\nBepartment 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\nCounty of Los Hingetes\nSS :\nIn the SUPERIOR Court\nof\nIN AND FOR Loe COUNTY,\nTHE STATE OR CALIFORNIA,\n3,\nRobert Epstien\n****\n,\naged 26 years,\n-\noccupation Peddler\n---\ndo declare on oath\ndescription is: Color White , complexion\naffirm-\nthat my personal\nLight height 5 feet 6 inches,\nweight 156 pounds, color of hair hight , color of eyes Blue\nto\nother visible distinctive marks\nnone.\ninte\n: I was born in Hitebok\nRussing\n,\non the\n7th day of\nDomini I 8821 now reside at 766 Eart 16 XXX Las Anyries bad\nFeby\nanno\non the vessel\nI emigrated to the United States of America from Brimin Hermany\n(If German Llayd company given.)\nthe allen arrived otherwise than by vessel, the character Inveyance name of transportation should be : my\nlast\nforeign residence was\nWitebak Clussing\nIt is my bona fide intention to renounce forever all allegiance and fidelity to any foreign\nprince, potentate, state, or sovereignty, and particularly to Nicholas II\nSuperon of Russia\n, of which I am now a citizen subject I\narrived at the port of\nState\nNiwyork.\n, in the\nDistitery of newyork.\non or about the\n4% day\nof march\nanno Domini I 895 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:\nSo HELP ME GOD.\nRobert Epstein\n(Original signature of declarant.)\nSubscribed and affirmed- sworn to before me this 29%\n[SEAL.]\nday of January , anno Domini 1909\nC. G. Keyes\nCOUNTY CLERK AND EX-OFFICIO CLERK OF\nClexk or LOG\nof the THE SUPERIOR COURT. IN AND FOR THE COUNTY\nBy\nJor endry , Deputy Clerk. Court\n11-2526"
}