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Form ssos
TRIPLICATE
making
No.
STATES OF
Department of Conmerce and Tabor
anno
BUREAU OF IMMIGRATION AND NATURALIZATION
anno
DIVISION OF NATURALIZATION
DECLARATION OF INTENTION
in
(Invalid for all purposes seven years after the date hereof)
in haw
In the
SUPERIOR
STATE OF CALIFORNIA
Court
County of Los Angeles
ss.
of the Country
3,
aged 97 years,
Mechanical
do declare on oath that my personal
affirm
occupation is: Color that , complexion Jash height feet
Anches
to
description weight 168 pounds, color of hair Brown color of eyes'
Stue
intent
other visible distinctive marks None
to
; I was born in Carleted
Ander
on the 20 day of (ungach
anno
petitie
Domini I 879 I now. reside at 356 So Carle
petitie
I emigrated to the United States of America from Companies Corden
their Olon
; my last
on the vessel *
foreign residence was
Condited Deraden
is my bona fide intention to renounce forever all allegiance and fidelity to any foreign
and
It
the
prince, motentate, state, sovereignty,
or and particularly to
the port of of Coradon New of
citimen
which I am now a subject
1
Decla
, in the
arrived at
State
Tessitory-of
New 2/05
on or about the 17 day
District
of
Octoben
, anno Domini I 905 T 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
to become a citizen of the United States of America and to permanently reside therein:
conter
inforn
So HELP ME GOD.
barl Sam Wahl
(Original signature of declarant.)
Subscribed and affirmed sworn to before me this 26%
and
** [SEAL and
day of apart anno Domini 1907
C.G. KEYES, County Clerk
entitle
And Ex of the
SUPERIOR Court.
the
Clerk.
By
2598
Page data
- Page
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- Source index
- 0
- Type
- photo
- Media ID
- 0190d71a168be08b
- Size
- unknown
Document data
- ID
- 103951565
- Core
- doc
- Type
- document
DTO data
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Context sent to Scholar
Document identity
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Document source metadata
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Document source extras
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Page context
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"ocrText": "Form ssos\nTRIPLICATE\nmaking\nNo.\nSTATES OF\nDepartment of Conmerce and Tabor\nanno\nBUREAU OF IMMIGRATION AND NATURALIZATION\nanno\nDIVISION OF NATURALIZATION\nDECLARATION OF INTENTION\nin\n(Invalid for all purposes seven years after the date hereof)\nin haw\nIn the\nSUPERIOR\nSTATE OF CALIFORNIA\nCourt\nCounty of Los Angeles\nss.\nof the Country\n3,\naged 97 years,\nMechanical\ndo declare on oath that my personal\naffirm\noccupation is: Color that , complexion Jash height feet\nAnches\nto\ndescription weight 168 pounds, color of hair Brown color of eyes'\nStue\nintent\nother visible distinctive marks None\nto\n; I was born in Carleted\nAnder\non the 20 day of (ungach\nanno\npetitie\nDomini I 879 I now. reside at 356 So Carle\npetitie\nI emigrated to the United States of America from Companies Corden\ntheir Olon\n; my last\non the vessel *\nforeign residence was\nCondited Deraden\nis my bona fide intention to renounce forever all allegiance and fidelity to any foreign\nand\nIt\nthe\nprince, motentate, state, sovereignty,\nor and particularly to\nthe port of of Coradon New of\ncitimen\nwhich I am now a subject\n1\nDecla\n, in the\narrived at\nState\nTessitory-of\nNew 2/05\non or about the 17 day\nDistrict\nof\nOctoben\n, anno Domini I 905 T am not an anarchist I 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:\nconter\ninforn\nSo HELP ME GOD.\nbarl Sam Wahl\n(Original signature of declarant.)\nSubscribed and affirmed sworn to before me this 26%\nand\n** [SEAL and\nday of apart anno Domini 1907\nC.G. KEYES, County Clerk\nentitle\nAnd Ex of the\nSUPERIOR Court.\nthe\nClerk.\nBy\n2598"
}