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1097 Form 8203 TRIPLICATE No.150 the person makiog Declaration STATES OF To the Honon The per First. Second. Department of Commerce and Tabor Third. Fourth. BUREAU OF IMMIGRATION AND NATURALIZATION anno Domini DIVISION OF NATURALIZATION anno Domini Fifth. 1 DECLARATION OF INTENTION at Sinth. (Invalid for all purposes seven years after the date hereof) in SUPERIOR for I have ST.ITE OF CALIFORNTA In the Court SS : County of of LOS ANGELES COUNTY an Jozs 3, adanda aged 20 years, Df occupation nishuman do declare on oath affiom that my personal description is: Color White complexion Dank , height 5 feet / 0 inches, Seventh. weight 165 pounds, color of hair Black , color of eyes Beach to organized gove intention to bec other visible distinctive marks particularly to I was born in Dalmai to reside permane : austria Eighth. I on the ist , day of any anno Vinth. Domini I 886 I now reside at San Pedro Califor nia 15 petition, since the I emigrated to the United States of America from Havri petition. * Italia Tenth. hat on the vessel : my last IN AND THE foreign residence was Dalmaci said petition was It is my bona fide intention to renounce forever all allegiance and fidelity to any foreign Attached her prince, potentate, state, or sovereignty, and particularly to Francis Joseph and Labor, together Empar of austria Humpain of which I am now a subject the United States of I arrived at the port of new Flore , in the State new York Déclaration of Tessitory of on or about the 15 day of District march anno Domini 904 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 STATE Count to become a citizen of the United States of America and to permanently reside therein The aforesaid P So HELP ME GOD. contents thereof: the you Filanda information and belie sworn to 2nd (Original signature of declarant.) Subscribed and before me this m day of march Ken [SEAL.] anno Domini 1907 and each being severally C.G. KEYES, County Clerk And Ex-officio Clerk of the SUPERIOR Court. immediately preceding entitled petition is mas By n. C Nation Desperty Clerk. the aaid petitioner la a *If the allen arrived otherwise than by vessel, the character of conveyance or name of transportation company should be given. opinion, to be admitted Subscribed and sworis to anno Domini 19.

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606
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Page context
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    "ocrText": "1097\nForm 8203\nTRIPLICATE\nNo.150\nthe person makiog\nDeclaration\nSTATES OF\nTo the Honon\nThe per\nFirst.\nSecond.\nDepartment of Commerce and Tabor\nThird.\nFourth.\nBUREAU OF IMMIGRATION AND NATURALIZATION\nanno Domini\nDIVISION OF NATURALIZATION\nanno Domini\nFifth. 1\nDECLARATION OF INTENTION\nat\nSinth.\n(Invalid for all purposes seven years after the date hereof)\nin\nSUPERIOR\nfor\nI\nhave\nST.ITE OF CALIFORNTA\nIn the\nCourt\nSS :\nCounty of\nof LOS ANGELES COUNTY\nan\nJozs 3, adanda\naged 20 years,\nDf\noccupation\nnishuman\ndo declare on oath\naffiom\nthat my personal\ndescription is: Color White complexion Dank\n, height 5 feet / 0 inches,\nSeventh.\nweight 165 pounds, color of hair Black , color of eyes Beach\nto organized gove\nintention to bec\nother visible distinctive marks\nparticularly to\nI was born in Dalmai\nto reside permane\n:\naustria\nEighth. I\non the ist\n,\nday of any\nanno\nVinth.\nDomini I 886 I now reside at San Pedro Califor nia\n15\npetition, since the\nI emigrated to the United States of America from Havri\npetition.\n* Italia\nTenth. hat\non the vessel\n: my last\nIN AND\nTHE\nforeign residence was Dalmaci\nsaid petition was\nIt is my bona fide intention to renounce forever all allegiance and fidelity to any foreign\nAttached her\nprince, potentate, state, or sovereignty, and particularly to Francis Joseph\nand Labor, together\nEmpar of austria Humpain of which I am now a subject\nthe United States\nof\nI\narrived at the port of new Flore\n, in the\nState\nnew York\nDéclaration of\nTessitory of\non or about the 15\nday\nof District march\nanno Domini 904 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\nSTATE\nCount\nto become a citizen of the United States of America and to permanently reside therein\nThe aforesaid\nP\nSo HELP ME GOD.\ncontents thereof: the\nyou Filanda\ninformation and belie\nsworn to 2nd\n(Original signature of declarant.)\nSubscribed and before me this\nm\nday of march\nKen\n[SEAL.]\nanno Domini 1907\nand\neach being severally\nC.G. KEYES, County Clerk\nAnd Ex-officio Clerk of the SUPERIOR Court.\nimmediately preceding\nentitled petition is mas\nBy n. C Nation Desperty Clerk.\nthe aaid petitioner la a\n*If the allen arrived otherwise than by vessel, the character of conveyance or name of transportation company should be given.\nopinion, to be admitted\nSubscribed and sworis to\nanno Domini 19."
}