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Form 2903
No. 1405
TRIPLICATE
to therperson making
a the Declaration)
STATES OF
Department of Conumerce and Tabor
BUREAU OF IMMIGRATION AND NATURALIZATION
DIVISION OF NATURALIZATION
DECLARATION OF INTENTION
(Invalid for all purposes seven years after the date hereof)
i
County of Los Angeles
ITE OF CALIFORNIAL
In the SUPERIOR Court
SS :
ofthe STATE OF CALIFORNIA,
IN AND FOR Los ANGELES COUNTY,
3,
Charles Chicapular
aged nt years,
occupation
merchank
do affirm on that my personal
declare oath
description is: Color whis , Dark , height 5 feet 512 Linches,
complexion
weight 165 pounds, color of hair Black.
, color of eyes
Brown
other visible distinctive marks
none
; I was born in Tripolity
Green
on the
5's
day of
July
, anno
Domini I 884 ; I now reside at 700 Castalar St. Low bas
I emigrated the United States of America from Near France
to
on the vessel
French Line
(If the allen arrived otherwise than by vessel, the character of conyeyance or name of transportation company should be given.]
; my last
foreign residence was
Inpolity Greece
It is my bona fide intention to renounce forever all allegiance and fidelity to any foreign
prince, potentate, state, or sovereignty, and particularly to Gronge I
Hing of Greece
,
of which I am now a citizen
subject
;
I
arrived at the port of
newyork
in the
State
Territery of
newyork
on or about the
12
District
day
of
October
anno Domini 1901 I am not an anarchist: 1 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.
Charlo Chairopular
(Original signature of declarant.)
Subscribed and sworn to before me this
16
affirmed
[SEAL.]
day of march
anno Domini 1909
C. G. Keyes
COUNTY GLEDK AND EX-ORFICIO CLERICOP
Clark of ANGELES, BTAVE OF CALIFORNIA
THE SUPERIOR COURT. IN AND FOR TAE COUNTY
By
garenday
Depects
Clark.
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- Type
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Document data
- ID
- 103951565
- Core
- doc
- Type
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DTO data
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Context sent to Scholar
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Document source metadata
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Page context
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"ocrText": "Form 2903\nNo. 1405\nTRIPLICATE\nto therperson making\na the Declaration)\nSTATES OF\nDepartment of Conumerce and Tabor\nBUREAU OF IMMIGRATION AND NATURALIZATION\nDIVISION OF NATURALIZATION\nDECLARATION OF INTENTION\n(Invalid for all purposes seven years after the date hereof)\ni\nCounty of Los Angeles\nITE OF CALIFORNIAL\nIn the SUPERIOR Court\nSS :\nofthe STATE OF CALIFORNIA,\nIN AND FOR Los ANGELES COUNTY,\n3,\nCharles Chicapular\naged nt years,\noccupation\nmerchank\ndo affirm on that my personal\ndeclare oath\ndescription is: Color whis , Dark , height 5 feet 512 Linches,\ncomplexion\nweight 165 pounds, color of hair Black.\n, color of eyes\nBrown\nother visible distinctive marks\nnone\n; I was born in Tripolity\nGreen\non the\n5's\nday of\nJuly\n, anno\nDomini I 884 ; I now reside at 700 Castalar St. Low bas\nI emigrated the United States of America from Near France\nto\non the vessel\nFrench Line\n(If the allen arrived otherwise than by vessel, the character of conyeyance or name of transportation company should be given.]\n; my last\nforeign residence was\nInpolity Greece\nIt is my bona fide intention to renounce forever all allegiance and fidelity to any foreign\nprince, potentate, state, or sovereignty, and particularly to Gronge I\nHing of Greece\n,\nof which I am now a citizen\nsubject\n;\nI\narrived at the port of\nnewyork\nin the\nState\nTerritery of\nnewyork\non or about the\n12\nDistrict\nday\nof\nOctober\nanno Domini 1901 I am not an anarchist: 1 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.\nCharlo Chairopular\n(Original signature of declarant.)\nSubscribed and sworn to before me this\n16\naffirmed\n[SEAL.]\nday of march\nanno Domini 1909\nC. G. Keyes\nCOUNTY GLEDK AND EX-ORFICIO CLERICOP\nClark of ANGELES, BTAVE OF CALIFORNIA\nTHE SUPERIOR COURT. IN AND FOR TAE COUNTY\nBy\ngarenday\nDepects\nClark."
}