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Form 9903 No. 9622 TRIPLICATE [Tobe alven to the person making the Declaration) STATES OF Department of Conmerce and Tabor BUREAU OF IMMIGRATION AND NATURALIZATION DIVISION OF NATURALIZATION DECLARATION OF INTENTION (Invalid for all purposes seven years after the date hereof) United States of America, In the Court SS : Eastern Listrict of Penna. United Clatos E. D, of Penna 3. Frank Seming Blancy , aged 29 years, occupation machinist , do declare affirm on oath that my personal description is: Color white , complexion dark , height feet ínches, weight 142 pounds, color of hair blkdrown , color of eyes brown other visible distinctive marks nong ; I was born in bordoug spain , on the 26 day of may anno Domini I 880. I now reside at 1345 Brandy using or Philadelphia. y I emigrated to the United States of America from Hurlog spain on the vessel almeria ; my las (If the allen arrived otherwise than by jessel, the character of conveyance or name of transportation company should be given.] foreign residence was Hurling spain It is my bona fide intention to renounce forever all allegiance and fidelity to any foreig prince, potentate, state, or sovereignty, and particularly to alphones XIII, the of spain ciéizen of which I am now a subject : arrived at the port of Phila in th State Territory District of Py on or about the 9 day of april , anno Domini - 903; I am not an anarchist: I am not 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. Blaue (Ortaloa) algnature of declarant-) Subscribed and sworn affirmed to before me this [SEAL ] day of Henry , anno Domini 19.00 B. Robb, Clerk of the Circuit Court. By they Electrical Daputy Clark.

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679
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Page context
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    "ocrText": "Form 9903\nNo.\n9622\nTRIPLICATE\n[Tobe alven to the person making\nthe Declaration)\nSTATES OF\nDepartment of Conmerce and Tabor\nBUREAU OF IMMIGRATION AND NATURALIZATION\nDIVISION OF NATURALIZATION\nDECLARATION OF INTENTION\n(Invalid for all purposes seven years after the date hereof)\nUnited States of America,\nIn the\nCourt\nSS :\nEastern Listrict of Penna.\nUnited Clatos E. D, of Penna\n3. Frank Seming Blancy\n, aged 29 years,\noccupation\nmachinist\n, do declare affirm on oath that my personal\ndescription is: Color white , complexion dark\n, height\nfeet\nínches,\nweight 142 pounds, color of hair blkdrown , color of eyes brown\nother visible distinctive marks nong\n;\nI\nwas\nborn in bordoug spain\n,\non the\n26 day of\nmay\nanno\nDomini I 880. I now reside at 1345 Brandy using or Philadelphia.\ny\nI emigrated to the United States of America from Hurlog spain\non the vessel\nalmeria\n; my las\n(If the allen arrived otherwise than by jessel, the character of conveyance or name of transportation company should be given.]\nforeign residence was\nHurling spain\nIt is my bona fide intention to renounce forever all allegiance and fidelity to any foreig\nprince, potentate, state, or sovereignty, and particularly to alphones XIII, the\nof spain\nciéizen\nof which I am now a subject :\narrived at the port of Phila\nin th\nState Territory District of Py\non or about the\n9\nday\nof\napril\n, anno Domini - 903; I am not an anarchist: I am not\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.\nBlaue\n(Ortaloa) algnature of declarant-)\nSubscribed and sworn affirmed to before me this\n[SEAL ]\nday of\nHenry , anno Domini 19.00\nB. Robb,\nClerk of the\nCircuit\nCourt.\nBy\nthey Electrical\nDaputy Clark."
}