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Form -
of Commence aud
NATURALIZATION SERVICE
TRIPLICATE
makle
No. 922
STATES OF 7
DECLARATION OF: INTENTION
(Invalid for all purposes seven years after the date hereof)
SUPERIOR
The State of California.
In the
Court
$TATE OF COLIFORNTA
ss:
in and for Los Angeles County.
Caunty of Los Angeles
of
3,
august Haumann
227 de years,
occupation merchant
do declaretor
description is: Color White complexion Light
Beight feet
weight 138 pounds, color of hair Light color of dyes
other visible distinçtive marks
none
I was
born in marienbad Bohemia
on the
25
day
of September anno Domini
now
at
123 brown St Los Angles
(Give number, street, city
I emigrated to the United States of America from Bologni
on the vessel
Pretoria
(if allen arrived otherwly then by vesso), the Charester of conveyance or name of transportat
foreign
residence was London England
It is my bona fide intention to renounce forever all allegiance and fidelity
tos
any
Foreign
prince, potentate, state, or sovereignty, and particularly to
Francis Joseph, Emperor of Austria
Aposts
ing of Hungary. of whom Fampnow a subject
arrived at the port of
new york
in the
State of
of July
new you
on or abous the
anno Domini 904; I am not ananarchist: I am noti
A
polygamist nor a believer in the practice of polygamy: and it is my intention in good faith
to become a citizen of the United States of America and to permanently reside therein
So HELP ME GOD.
august Original namman declarents
Subscribed and sworn to before me this 1.0
[SEAL]
day of July
anno Domini e
,
THE OCUNTS
Clerk of the LOS ANGELES, 87A - OF BALIFORNIA,
By John Defenty
the
/
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"ocrText": "Form -\nof Commence aud\nNATURALIZATION SERVICE\nTRIPLICATE\nmakle\nNo. 922\nSTATES OF 7\nDECLARATION OF: INTENTION\n(Invalid for all purposes seven years after the date hereof)\nSUPERIOR\nThe State of California.\nIn the\nCourt\n$TATE OF COLIFORNTA\nss:\nin and for Los Angeles County.\nCaunty of Los Angeles\nof\n3,\naugust Haumann\n227 de years,\noccupation merchant\ndo declaretor\ndescription is: Color White complexion Light\nBeight feet\nweight 138 pounds, color of hair Light color of dyes\nother visible distinçtive marks\nnone\nI was\nborn in marienbad Bohemia\non the\n25\nday\nof September anno Domini\nnow\nat\n123 brown St Los Angles\n(Give number, street, city\nI emigrated to the United States of America from Bologni\non the vessel\nPretoria\n(if allen arrived otherwly then by vesso), the Charester of conveyance or name of transportat\nforeign\nresidence was London England\nIt is my bona fide intention to renounce forever all allegiance and fidelity\ntos\nany\nForeign\nprince, potentate, state, or sovereignty, and particularly to\nFrancis Joseph, Emperor of Austria\nAposts\ning of Hungary. of whom Fampnow a subject\narrived at the port of\nnew york\nin the\nState of\nof July\nnew you\non or abous the\nanno Domini 904; I am not ananarchist: I am noti\nA\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.\naugust Original namman declarents\nSubscribed and sworn to before me this 1.0\n[SEAL]\nday of July\nanno Domini e\n,\nTHE OCUNTS\nClerk of the LOS ANGELES, 87A - OF BALIFORNIA,\nBy John Defenty\nthe\n/"
}