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Department Omumerre and IMMIGRATION BERVICE No. 488. PORT OF Baltimere, Nevember 8, 1912. The immigration records at this port show the following as to the alien named below: Name of alien: Adam Reitenbach, Date of arrival: Nevember 1, 1907, Name of vessel:* "Breslau", North German Lleydine Form 2308 gos. No. 2128 TRIPLICATE (Tobe alven to the person the Declaration) STATES OF Bepartment 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 CALTRORNIA In the SUPERIOR Court County of Los Angeles ss : THE STATE OF CALIPORNIA, of IN AND FOR Los ANGELES 3. Adam Reidenbach , aged 26 years, occupation Labour , do declare affiem- on oath that my personal description is: Color White complexion Dark height feet inches, weight pounds, color of hair Brown color of eyes Brown other visible distinctive marks none : I was born in Doroutal Hungary on the 10 day of Fet , anno Domini 1 884 I now reside at 1 emigrated to the United States of America from Bremen German Los Angeles Early on the vessel Breslan (If the allen arrived otherwise than vessel, the character of conveyance or name of transpo tation company should be given-] : my last foreign residence was Foroutal Hungara It is my bona fide intention to renounce forever all allegiance and fidelity to any foreign prince, potentate, state, or sovereignty, and particularly to Fransis far apostolic Hing of Hungary of which I am now a citizen subject I arrived the of Biltimore at port in the State Territary District of Waryland on or about the l day of Nov anno Domini 907 1 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. Adam back ros (Ortginal algnature of declarent.) Subscribed and affrimed sworn to before me this 38 [SEAL<] day of March anno Dlomini 19 10 o. e. Keyes

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528
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Page context
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    "seq": 528,
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    "ocrText": "Department Omumerre and\nIMMIGRATION BERVICE\nNo. 488.\nPORT OF\nBaltimere,\nNevember 8, 1912.\nThe immigration records at this port show the following as to the alien named below:\nName of alien:\nAdam Reitenbach,\nDate of arrival:\nNevember 1, 1907,\nName of vessel:*\n\"Breslau\", North German Lleydine\nForm 2308\ngos.\nNo. 2128\nTRIPLICATE\n(Tobe alven to the person\nthe Declaration)\nSTATES OF\nBepartment 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 CALTRORNIA\nIn the\nSUPERIOR\nCourt\nCounty of Los Angeles\nss :\nTHE STATE OF CALIPORNIA,\nof\nIN AND FOR Los ANGELES\n3. Adam Reidenbach\n, aged 26 years,\noccupation\nLabour\n, do declare affiem- on oath that my personal\ndescription is: Color White complexion Dark height feet\ninches,\nweight\npounds, color of hair Brown color of eyes Brown\nother visible distinctive marks\nnone\n: I was born in Doroutal\nHungary on\nthe\n10\nday\nof\nFet\n, anno\nDomini 1 884 I now reside at\n1 emigrated to the United States of America from Bremen German\nLos Angeles Early\non the vessel Breslan\n(If the allen arrived otherwise than vessel, the character of conveyance or name of transpo tation company should be given-]\n: my last\nforeign residence was\nForoutal Hungara\nIt is my bona fide intention to renounce forever all allegiance and fidelity to any foreign\nprince, potentate, state, or sovereignty, and particularly to Fransis far\napostolic Hing of Hungary of which I am now a citizen subject\nI\narrived the of Biltimore\nat port\nin the\nState\nTerritary\nDistrict\nof Waryland\non or about the l\nday\nof Nov\nanno Domini 907 1 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.\nAdam back\nros\n(Ortginal algnature of declarent.)\nSubscribed and affrimed sworn to before me this\n38\n[SEAL<]\nday of March anno Dlomini 19 10\no. e. Keyes"
}