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ICATE or ARNIVAL FOR MATURALIZATION PERPOSES
(For use of allens arriving in United States after June 29, 1906. Immediately prior to Serial
Department at Commerce and
IMMIGRATION SERVIÕE
.
60851-3-484484
PORT OF Now Yesk. Ang. 9, 1912.
The immigration records at this port show the following as to the alien named below:
Name of alien: Banmenn, Jacob
Date of arrival: July 14. 1907
Line. Ham Ampry
Name of vessel:* Amerika
Agrountrude
(2itle) Aeting Commissioner.
Or railroad company, or any other conveyance.
11-4391
TRIPCICATE
Form 2903
[To be given to the getson making
No. 294
the Declaration)
STATES OF
in
Department of Commerce and Tabor
min.
BUREAU OF IMMIGRATION AND NATURALIZATION
DIVISION OF NATURALIZATION
6
DECLARATION OF INTENTION
(Invalid for all purposes seven years after the date hereof)
to orge
Circuit
Court
intenti
In the
UNITED or AMERICA.
ss :
the United States
partier
SOUTHERN DISTRICT Las OF ANGELES CALIFORNIA,
Southern of Di trict of California
hern Divisir
to resie
COUNIX on
3.
jaiot Bauman
, aged 35 years,
do
declare on oath that my personal
the
Rabbi
Affiam
inches,
occupation description 130 pounds, White color of hair complexion Brown Dark , color of , eyes height Blown
ofthis
is: Color
weight
other visible marks ; none I was born in Madislawa
asid
distinctive
Russia
the Hth
day of September , anno
893; I now reside , at 913/12/16 Temple St., Rostangiles Hermany laulit.
on
Domini I emigrated to the United 11 amerika States than by of vessel, America the character from of cofveyange Hambutq or name of transportation company should be given.) : my
last
De
on
foreign fide intention to renounce forever all allegiance nicholas and fidelity II to any foreign
the vessel residence (If the was allen arrived othepylise sagarow, Russia
82
It is my bona state, or sovereignty, and particularly to
prince,
Emperor potentate, of Russia
of which I am now a dititien subject : I
Th
,
in the
arrived at the port of
new york
or about the 11th
day
State
new Mark
on
of
District of July a believer in the practice of polygamy; and it is my intention reside in good therein:
, anno Domini 907 I am not an anarchist: 1 am not faith a
polygamist nor a citizen of the United States of America and to permanently
to become
SO HELP ME GOD.
Jacob Barman (Original signature of declarant.)
12.
12th
Subscribed afficmed
and before this
sworn to me
day of august
anno Domini 1909
[SEAL 1
wm. m. yau MUMY
Court
Clerly of the Kaited States District Circuit of California
By mithumary Southern Deputy
Clark
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"ocrText": "ICATE or ARNIVAL FOR MATURALIZATION PERPOSES\n(For use of allens arriving in United States after June 29, 1906. Immediately prior to Serial\nDepartment at Commerce and\nIMMIGRATION SERVIÕE\n.\n60851-3-484484\nPORT OF Now Yesk. Ang. 9, 1912.\nThe immigration records at this port show the following as to the alien named below:\nName of alien: Banmenn, Jacob\nDate of arrival: July 14. 1907\nLine. Ham Ampry\nName of vessel:* Amerika\nAgrountrude\n(2itle) Aeting Commissioner.\nOr railroad company, or any other conveyance.\n11-4391\nTRIPCICATE\nForm 2903\n[To be given to the getson making\nNo. 294\nthe Declaration)\nSTATES OF\nin\nDepartment of Commerce and Tabor\nmin.\nBUREAU OF IMMIGRATION AND NATURALIZATION\nDIVISION OF NATURALIZATION\n6\nDECLARATION OF INTENTION\n(Invalid for all purposes seven years after the date hereof)\nto orge\nCircuit\nCourt\nintenti\nIn the\nUNITED or AMERICA.\nss :\nthe United States\npartier\nSOUTHERN DISTRICT Las OF ANGELES CALIFORNIA,\nSouthern of Di trict of California\nhern Divisir\nto resie\nCOUNIX on\n3.\njaiot Bauman\n, aged 35 years,\ndo\ndeclare on oath that my personal\nthe\nRabbi\nAffiam\ninches,\noccupation description 130 pounds, White color of hair complexion Brown Dark , color of , eyes height Blown\nofthis\nis: Color\nweight\nother visible marks ; none I was born in Madislawa\nasid\ndistinctive\nRussia\nthe Hth\nday of September , anno\n893; I now reside , at 913/12/16 Temple St., Rostangiles Hermany laulit.\non\nDomini I emigrated to the United 11 amerika States than by of vessel, America the character from of cofveyange Hambutq or name of transportation company should be given.) : my\nlast\nDe\non\nforeign fide intention to renounce forever all allegiance nicholas and fidelity II to any foreign\nthe vessel residence (If the was allen arrived othepylise sagarow, Russia\n82\nIt is my bona state, or sovereignty, and particularly to\nprince,\nEmperor potentate, of Russia\nof which I am now a dititien subject : I\nTh\n,\nin the\narrived at the port of\nnew york\nor about the 11th\nday\nState\nnew Mark\non\nof\nDistrict of July a believer in the practice of polygamy; and it is my intention reside in good therein:\n, anno Domini 907 I am not an anarchist: 1 am not faith a\npolygamist nor a citizen of the United States of America and to permanently\nto become\nSO HELP ME GOD.\nJacob Barman (Original signature of declarant.)\n12.\n12th\nSubscribed afficmed\nand before this\nsworn to me\nday of august\nanno Domini 1909\n[SEAL 1\nwm. m. yau MUMY\nCourt\nClerly of the Kaited States District Circuit of California\nBy mithumary Southern Deputy\nClark"
}