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Form 8903
763364
Repartment of and Kabror
NATURALIZATION SERVICE
No. 45987
TRIPLICATE
[To be alven to the person making
the Declaration)
STATES OF 45 1913 #
DECLARATION OF INTENTION
(Invalid for all purposes seven years after the date hereof
EXAMINER
State of New York,
ss:
In the Circuit Court of the United States.
Southern District of New York,
3.
MAX SKENITSER
,
aged 26
years,
occupation
brualmaker
do declare on oath that my personal
,
description is: Color
wh demplexion
fair
, height feet inches,
weight
138 pounds, color of hair
black
color of eyes
brown
non
other visible distinctive marks
I was born in
WARSAW RUSSIA
25th
day of
June
anno Domini I
884
I
now reside
on the
,
at
55 Norfolk Street
, New York City, N. Y
(dive number and atreet.)
I emigrated to the United States of America from
Hanburs. Germany
on the vessel
Patricia
: my last
(if the alien arrived otherwise than by veasel, the character of conveyance of name of transportation company whonld be given.)
foreign residence was
Warsaw, Russia
It is my bona fide intention to renounce forever all allegiance and fidelity to any foreign
prince, potentate, state, or sovereignty, and particularly to
Mohola II, Empi of of LILE Russies
of which I am now a subject;
New York
,
in the
arrived at the port of
State of
New York
on or about the
2lat
day
of
July
anno Domini I 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.
Mary (Origiaal siguature of declarant.)
Chemisor
Subscribed and sworn to before me at New York City, N. Y., this
27th
das
October
[SEAL]
your
Bv ty anno Domiph 19 10 the Circuit Court of the United Clerk.
States,
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Document data
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- Core
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Context sent to Scholar
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"ocrText": "Form 8903\n763364\nRepartment of and Kabror\nNATURALIZATION SERVICE\nNo. 45987\nTRIPLICATE\n[To be alven to the person making\nthe Declaration)\nSTATES OF 45 1913 #\nDECLARATION OF INTENTION\n(Invalid for all purposes seven years after the date hereof\nEXAMINER\nState of New York,\nss:\nIn the Circuit Court of the United States.\nSouthern District of New York,\n3.\nMAX SKENITSER\n,\naged 26\nyears,\noccupation\nbrualmaker\ndo declare on oath that my personal\n,\ndescription is: Color\nwh demplexion\nfair\n, height feet inches,\nweight\n138 pounds, color of hair\nblack\ncolor of eyes\nbrown\nnon\nother visible distinctive marks\nI was born in\nWARSAW RUSSIA\n25th\nday of\nJune\nanno Domini I\n884\nI\nnow reside\non the\n,\nat\n55 Norfolk Street\n, New York City, N. Y\n(dive number and atreet.)\nI emigrated to the United States of America from\nHanburs. Germany\non the vessel\nPatricia\n: my last\n(if the alien arrived otherwise than by veasel, the character of conveyance of name of transportation company whonld be given.)\nforeign residence was\nWarsaw, Russia\nIt is my bona fide intention to renounce forever all allegiance and fidelity to any foreign\nprince, potentate, state, or sovereignty, and particularly to\nMohola II, Empi of of LILE Russies\nof which I am now a subject;\nNew York\n,\nin the\narrived at the port of\nState of\nNew York\non or about the\n2lat\nday\nof\nJuly\nanno Domini I 906 : I am not an anarchist; I am not a\n,\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.\nMary (Origiaal siguature of declarant.)\nChemisor\nSubscribed and sworn to before me at New York City, N. Y., this\n27th\ndas\nOctober\n[SEAL]\nyour\nBv ty anno Domiph 19 10 the Circuit Court of the United Clerk.\nStates,"
}