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TRIPLICATE
No. 1957
STATES OF
Department of Commerce and Tabur
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 Angeles
SS :
IN AND FOR Los ANGELES COUNTY,
of THE STATE QE CALIFORNIA.
Grorge Adam Schulz
, aged 30
years,
3.
Baker
do declare on oath that my personal
occupation
,
affirm
description is:
Color white
complexion
Fair
, height feetd inches,
weight 185. pounds, color of hair Brown color of eyes Blue
none.
other visible distinctive marks
: I was born in Eutrusbing
Germany
on the
6th of
day
April
anno
,
Domini 879 I now reside at 321 ar Las Angeles but
I emigrated to the United States of America from Hambary Gurmany
on the vessel
Normania
: my last
(If the allen arrived otherwiss ther by vessel, the character of conveyance or agme of transportation company should be given.]
foreign residence was
Wilungen
Germany
It is my bona fide intention to renounce forever all allegiance and fidelity to any foreign
prince, potentate, state, or sovereignty, and particularly to William II
Emperon of Germany
of which I am now a subject
( theyrook
in the
arrived at the port of
on or about the
15th day
State
Tassitery of
newyork
Bistrict
november. anno Domini 1 895 I am not an anarchist; 1 am not
a
of
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.
signature
of thele
2d
Subscribed and sworn to before me this
[SEAL.]
day of September anno Domini 19 09
C. G. Keyes
COUNTY CLERIC AND EX-ORPICIO CLERK
Clark of DE Court.
AND FOR THE COUNTY
By
greaky Deputy Clerk.
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"ocrText": "TRIPLICATE\nNo. 1957\nSTATES OF\nDepartment of Commerce and Tabur\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\nthe SUPERIOR Court\nCounty of Los Angeles\nSS :\nIN AND FOR Los ANGELES COUNTY,\nof THE STATE QE CALIFORNIA.\nGrorge Adam Schulz\n, aged 30\nyears,\n3.\nBaker\ndo declare on oath that my personal\noccupation\n,\naffirm\ndescription is:\nColor white\ncomplexion\nFair\n, height feetd inches,\nweight 185. pounds, color of hair Brown color of eyes Blue\nnone.\nother visible distinctive marks\n: I was born in Eutrusbing\nGermany\non the\n6th of\nday\nApril\nanno\n,\nDomini 879 I now reside at 321 ar Las Angeles but\nI emigrated to the United States of America from Hambary Gurmany\non the vessel\nNormania\n: my last\n(If the allen arrived otherwiss ther by vessel, the character of conveyance or agme of transportation company should be given.]\nforeign residence was\nWilungen\nGermany\nIt is my bona fide intention to renounce forever all allegiance and fidelity to any foreign\nprince, potentate, state, or sovereignty, and particularly to William II\nEmperon of Germany\nof which I am now a subject\n( theyrook\nin the\narrived at the port of\non or about the\n15th day\nState\nTassitery of\nnewyork\nBistrict\nnovember. anno Domini 1 895 I am not an anarchist; 1 am not\na\nof\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.\nsignature\nof thele\n2d\nSubscribed and sworn to before me this\n[SEAL.]\nday of September anno Domini 19 09\nC. G. Keyes\nCOUNTY CLERIC AND EX-ORPICIO CLERK\nClark of DE Court.\nAND FOR THE COUNTY\nBy\ngreaky Deputy Clerk."
}