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No. 830 Ferm 2903 TRIPLICATE 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) STATE OF CALTFORNIA In the SUPERIOR Court SS : County of Los Angeles THE STATE of OF CALIFORNIA FON Lee COUNTY, 3, Herman Birnbaum , aged 34 years, occupation Failon , do declare affirm on oath that my personal description is: Color White complexion Dark height 5 feet 4 inches, weight 136 pounds, color of hair Brown color of eyes Brown other visible distinctive marks none : J was born in Bacau Gommania , on the 28th Delober day of , anno Domini 873 I now reside at 504 s Fremont SK Las Angeles bal I emigrated to the United States of America from baore France on the vessel (If the allen arrived otherwise than by vessel. the charagter of conveyance or name of transportation company should be given.] ; my last Gascogne foreign residence was Paris 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 Charles King of Roumanig , of which I am now a subject eitizen : I arrived at the port of State chew York in the Ferritory of District Averyork on or about the 25th day of August anno Domini 902 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. Herman Birnbaum (Óriginal signature of declarant.) Subscribed and affirmed sworn to before me this 20th [SEAL. ] day of may , anno Domini 19 08. C. G. Keyes COUNTY CLERK AND EX-OFFICIO OLERK OF , Clerk of thoe DE THE CUPERIOR COURT. IN AND FOR THE COUNTY By generary specty Clerk. Court.

Page data

Page
883
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Document data

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Type
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Page context
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    "ocrText": "No. 830\nFerm 2903\nTRIPLICATE\nSTATES\nOF\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 CALTFORNIA\nIn the SUPERIOR\nCourt\nSS :\nCounty of Los Angeles\nTHE STATE\nof\nOF CALIFORNIA FON Lee COUNTY,\n3,\nHerman Birnbaum\n, aged\n34 years,\noccupation\nFailon\n, do declare affirm on oath that my personal\ndescription is: Color White complexion Dark height 5 feet 4 inches,\nweight 136 pounds, color of hair Brown color of eyes Brown\nother visible distinctive marks\nnone\n:\nJ was born in\nBacau\nGommania\n,\non the\n28th Delober\nday of\n, anno\nDomini 873 I now reside at 504 s Fremont SK Las Angeles bal\nI emigrated to the United States of America from\nbaore France\non the vessel\n(If the allen arrived otherwise than by vessel. the charagter of conveyance or name of transportation company should be given.] ; my last\nGascogne\nforeign residence was\nParis 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\nCharles\nKing of Roumanig\n, of which I am now a subject eitizen :\nI\narrived at the port of\nState\nchew York\nin the\nFerritory of\nDistrict\nAveryork\non or about the 25th day\nof August\nanno Domini 902 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.\nHerman Birnbaum\n(Óriginal signature of declarant.)\nSubscribed and affirmed sworn to before me this\n20th\n[SEAL. ]\nday of may\n, anno Domini 19 08.\nC. G. Keyes\nCOUNTY CLERK AND EX-OFFICIO OLERK OF\n,\nClerk of thoe DE\nTHE CUPERIOR COURT. IN AND FOR THE COUNTY\nBy\ngenerary specty Clerk. Court."
}