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TRIPLICATE
No, 2846
ITo siven making
Declaration
STATES
OF
Third.
Department of Commerce and Tahor
Fourth.
BUREAU OF IMMIGRATION AND NATURALIZATION
alno Domins 19
DIVISION OF NATURALIZATION
Si
anno Domini
nos. dack
DECLARATION OF INTENTION
Los
at
Slath.
(Invalid for all purposes seven years after the date hereof)
in
SUPERIOR Court
ms
ST.ATE. OF
In the
County of Los Angeles
ss :
THESTATE OF CALIFORNIA,
of
AND FOR LOS ANGELES COUNTY,
3, Ferdinand Otto Barger
aged 21
years,
occupation Electrician
do declare on oath that my personal
,
description is: Color White complexion Fair ,
height feet 7 inches,
Seventh.
weight
160 pounds, color of hair Brown color of eyes Blue
to organized govern
Intention to becom
other visible distinctive marks
none
to
particularly to
to reside permanent
:
I was born in
nghth. I am
Austria
on the 16th day of March
anno
Mith. I hav
,
Last Angeles Call
day
Domini I 889; I now reside
at
petition, aince the
I emigrated to the United States of America from Bremen Germany
petition.
Breshan
Tenth. , have
; my last
on the vessel
the allen arrived otherwise thayby vessel, the character of convgyance or name of transportation company should be given.
residence [If was Bladeneday austria
- was
foreign
It
is my bona fide intention to renounce forever all allegiance and fidelity to any foreigi
Attached here
prince, potentate, state, or sovereignty, and particularly to Trancignouth Confain
together
auarticat aprotoliccting geturgary of which I am now a subject;
the United States
of Galoestn
in the
arrived at the port
on or about the 8th
Declaration of Inte
State of Texas
day
of November , anno Domini 902; 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.
Caunty
to become a citizen of the United States of America and to permanently reside therein
The aforesald
So HELP ME GOD.
antents thereofi ,
For dinand (Original algnature atto of déclarant.) Kargan
Information and bei
Subscribed and sworn to before me this
2nd
gra
day of November anno Domini 19
10
and
that
[SEAL ]
dach belnd
C. G. Keyes
COUNTY CLETKE AND EX -
THE SUPERIOR COURT. IN AND FOR
immodiately procedt
of the QPLOS STATE OF CALIFORMIA,
entitied petition is
By Apm Scott
politioner
e
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"ocrText": "TRIPLICATE\nNo, 2846\nITo siven making\nDeclaration\nSTATES\nOF\nThird.\nDepartment of Commerce and Tahor\nFourth.\nBUREAU OF IMMIGRATION AND NATURALIZATION\nalno Domins 19\nDIVISION OF NATURALIZATION\nSi\nanno Domini\nnos. dack\nDECLARATION OF INTENTION\nLos\nat\nSlath.\n(Invalid for all purposes seven years after the date hereof)\nin\nSUPERIOR Court\nms\nST.ATE. OF\nIn the\nCounty of Los Angeles\nss :\nTHESTATE OF CALIFORNIA,\nof\nAND FOR LOS ANGELES COUNTY,\n3, Ferdinand Otto Barger\naged 21\nyears,\noccupation Electrician\ndo declare on oath that my personal\n,\ndescription is: Color White complexion Fair ,\nheight feet 7 inches,\nSeventh.\nweight\n160 pounds, color of hair Brown color of eyes Blue\nto organized govern\nIntention to becom\nother visible distinctive marks\nnone\nto\nparticularly to\nto reside permanent\n:\nI was born in\nnghth. I am\nAustria\non the 16th day of March\nanno\nMith. I hav\n,\nLast Angeles Call\nday\nDomini I 889; I now reside\nat\npetition, aince the\nI emigrated to the United States of America from Bremen Germany\npetition.\nBreshan\nTenth. , have\n; my last\non the vessel\nthe allen arrived otherwise thayby vessel, the character of convgyance or name of transportation company should be given.\nresidence [If was Bladeneday austria\n- was\nforeign\nIt\nis my bona fide intention to renounce forever all allegiance and fidelity to any foreigi\nAttached here\nprince, potentate, state, or sovereignty, and particularly to Trancignouth Confain\ntogether\nauarticat aprotoliccting geturgary of which I am now a subject;\nthe United States\nof Galoestn\nin the\narrived at the port\non or about the 8th\nDeclaration of Inte\nState of Texas\nday\nof November , anno Domini 902; I am not an anarchist: I am not\na\npolygamist nor a believer in the practice of polygamy; and it is my intention in good faith\nSTATE.\nCaunty\nto become a citizen of the United States of America and to permanently reside therein\nThe aforesald\nSo HELP ME GOD.\nantents thereofi ,\nFor dinand (Original algnature atto of déclarant.) Kargan\nInformation and bei\nSubscribed and sworn to before me this\n2nd\ngra\nday of November anno Domini 19\n10\nand\nthat\n[SEAL ]\ndach belnd\nC. G. Keyes\nCOUNTY CLETKE AND EX -\nTHE SUPERIOR COURT. IN AND FOR\nimmodiately procedt\nof the QPLOS STATE OF CALIFORMIA,\nentitied petition is\nBy Apm Scott\npolitioner\ne"
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