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DUPLICATE No. 2836 ITo the Immigration and 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) STATE OF CALIFORNIA In the SUPERIOR Court County of Los Aligeles THE STATE OF CALIFORNIA, ss : of IN AND FOR Los ANGELES COUNTY, 3. Oth Bames aged 24 years, Student do declare Foath that my personal affirm , occupation description is: Color White complexion Fair height feet inches, weight 145 pounds, color of hair Brown color of eyes Gray none other visible distinctive marks ; I was born in Balingen Germany , Las Angeles day of Dec teal , on the 24 anno Domini 885 I now reside at I emigrated to the United States of America from Antwerp Belgium Shouland ; my last on the vessel than by vessel. the character of conveyance or name of transportation company should be given.) foreign residence [If the was allen arrived otherwise Balingen Germany It is bona fide intention to renounce forever all allegiance and fidelity to any foreign prince, my potentate, state, or sovereignty, and particularly to Hilliam II emperor of Hermany of which I am now a subject; I arrived at the port of New york in the of October of new ynth on or about the 10th day State , anno Domini 906 I 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: So HELP ME GOD. other Bames. (Original signature of declarant.) Subscribed and sworn to before me this 21th day of October anno Domini 1910 [SEAL. ] C. G. Keyes COUNTY CLERK AND EX-ORFICIO CLERK OF THE SUPERIOR COURT IN AND FOR THE COUNTY OF LOS ANGELES.STATE OF CALIFORNIA, By Deputy. Clerk. In lower left hand corner Department'

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925
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Document data

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Page context
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    "ocrText": "DUPLICATE\nNo. 2836\nITo the\nImmigration\nand\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)\nSTATE OF CALIFORNIA\nIn the\nSUPERIOR Court\nCounty of Los Aligeles\nTHE STATE OF CALIFORNIA,\nss :\nof\nIN AND FOR Los ANGELES COUNTY,\n3. Oth Bames\naged 24 years,\nStudent\ndo declare Foath that my personal\naffirm\n,\noccupation description is: Color White complexion Fair height feet inches,\nweight 145 pounds, color of hair Brown color of eyes Gray\nnone\nother visible distinctive marks\n; I was born in Balingen\nGermany , Las Angeles day of Dec teal ,\non the 24\nanno\nDomini 885 I now reside at\nI\nemigrated to the United States of America from Antwerp Belgium\nShouland\n; my last\non the vessel\nthan by vessel. the character of conveyance or name of transportation company should be given.)\nforeign residence\n[If the was allen arrived otherwise Balingen Germany\nIt is bona fide intention to renounce forever all allegiance and fidelity to any foreign\nprince, my potentate, state, or sovereignty, and particularly to Hilliam II\nemperor of Hermany\nof which I am now a subject; I\narrived at the port of New york\nin the\nof October\nof new ynth\non or about\nthe 10th day\nState\n, anno Domini 906 I 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:\nSo HELP ME GOD.\nother Bames.\n(Original signature of declarant.)\nSubscribed and sworn to before me this\n21th\nday of\nOctober anno Domini 1910\n[SEAL. ]\nC. G. Keyes\nCOUNTY CLERK AND EX-ORFICIO CLERK OF\nTHE SUPERIOR COURT IN AND FOR THE COUNTY\nOF LOS ANGELES.STATE OF CALIFORNIA,\nBy\nDeputy. Clerk.\nIn lower left hand corner Department'"
}