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No. 26425
Form 2:00
TRIPLICATE
Declaration)
STATES OF
Department of Commerce and Tubur
BUREAU OF IMMIGRATION AND NATURALIZATION
DIVISION OF NATURALIZATION
DECLARATION OF INTENTION
(Invalid for all purposes seven years after the date hereof)
State of New York,
Circuit
In the
Court
Southern Distrigt of New York, ss:
the United States
of
aged 2v- years,
occupation description is: Marcot Color while complexion dark do declare height on oath 521 that feet my personal inches,
weight 130 pounds, color of hair black
color of eyes brown
other visible distinctive marks
your
I was borp
in
on
the
2vt1-
9
Jassy
day of
anno
Domini
I now reside at
Street Ofty of Dew York.
1
emigrated I to the of Ameriea from Genrun
on the vessel
last
foreign residence
It
is my bona foreign
(If fide was intention arrived to renounce by vesso the forever cortveyance all allegiance or and fidelity of Roumania, to any : my
prince, potentate, state, or sovereignty, and particularly to Charles, King
of which I am now a subject
I
New York
arrived at the port of
in the
State
Terri
november
New Youk
15-
Dir
of
of anno Domini 907 on 1 am or about not an the anarchist: 1 am not day
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.
Hairn signature Josip B
12-
[SEAL ]
Subscribed day of and Elerk sivorn your ofthe to before me this U. 8. Dirouis
anno Domini 19 09
Court.
By
Deputy Clerk
/
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Document data
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Context sent to Scholar
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"ocrText": "No. 26425\nForm 2:00\nTRIPLICATE\nDeclaration)\nSTATES OF\nDepartment of Commerce and Tubur\nBUREAU OF IMMIGRATION AND NATURALIZATION\nDIVISION OF NATURALIZATION\nDECLARATION OF INTENTION\n(Invalid for all purposes seven years after the date hereof)\nState of New York,\nCircuit\nIn the\nCourt\nSouthern Distrigt of New York, ss:\nthe United States\nof\naged 2v- years,\noccupation description is: Marcot Color while complexion dark do declare height on oath 521 that feet my personal inches,\nweight 130 pounds, color of hair black\ncolor of eyes brown\nother visible distinctive marks\nyour\nI was borp\nin\non\nthe\n2vt1-\n9\nJassy\nday of\nanno\nDomini\nI now reside at\nStreet Ofty of Dew York.\n1\nemigrated I to the of Ameriea from Genrun\non the vessel\nlast\nforeign residence\nIt\nis my bona foreign\n(If fide was intention arrived to renounce by vesso the forever cortveyance all allegiance or and fidelity of Roumania, to any : my\nprince, potentate, state, or sovereignty, and particularly to Charles, King\nof which I am now a subject\nI\nNew York\narrived at the port of\nin the\nState\nTerri\nnovember\nNew Youk\n15-\nDir\nof\nof anno Domini 907 on 1 am or about not an the anarchist: 1 am not day\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.\nHairn signature Josip B\n12-\n[SEAL ]\nSubscribed day of and Elerk sivorn your ofthe to before me this U. 8. Dirouis\nanno Domini 19 09\nCourt.\nBy\nDeputy Clerk\n/"
}