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2375 12647 TRIPLICATE Form state siven - the No. 21 M STATES OF. NATURAL BURE 1913 AMINES Department of Commerce and BUREAU OF IMMIGRATION AND NATURALIZATION DIVISION OF NATURALIZATION Ihave 5 children, Emil DECLARATION OF INTENTION Rndolf (Invalid for all purposes seven years after the date hereof) Stephena Ema State of Wisconsin In the burchit Court Joseph SS : Chippeno Country of lihippens County Seventh. I am not a a , aged 5.2 years, to organized government. I occupation Sugar maker 3. Joseph Peitach intention to become a citize do declare on oath that my personal affirm particularly to Frau description is: Color White , complexion high , height 5 feet 7 inches, to reside permanently in the sighth. I amable to weight 170 pounds, color of hair Brown , color of eyes Blue Winth. I have resided 6 none the day of other visible distinctive marks this petition, since the 1 : I was born in Hohenstadt of this petition. Tenth I have not her austria on the 19th day of January , anno Domini 1855 I now reside at bhippens Falls, Misconsin said. patition --- denéed by I emigrated to the United States of America from Retermen, Germany Attached hereto and me Hanover : my last my affidavit and the on the vessel * foreign residence was Rysiceni, Romania It is my bona fide intention to renounce forever all allegiance and fidelity to any foreign prince; potentate, state, or sovereignty, and particularly to Trancis Joseph citiaon Emperon of Austria of which I am now a subject 1 Raltimore in the arrived at the port of State District maryland on or about the 9th day Territory of of July , anno Domini 1906 : I am not an anarchist: 1 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. Joseph gietsch (Orlgina signature of declarant.) Subscribed and sworn affiemed to before me this 13th day of September anno Domini 19472 b.E.Preston any Clerk of the bireus Court. Clork

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    "ocrText": "2375\n12647\nTRIPLICATE\nForm\nstate siven -\nthe\nNo. 21\nM\nSTATES OF. NATURAL BURE\n1913\nAMINES\nDepartment of Commerce and\nBUREAU OF IMMIGRATION AND NATURALIZATION\nDIVISION OF NATURALIZATION\nIhave 5 children,\nEmil\nDECLARATION OF INTENTION\nRndolf\n(Invalid for all purposes seven years after the date hereof)\nStephena\nEma\nState of Wisconsin\nIn the\nburchit\nCourt\nJoseph\nSS :\nChippeno Country\nof lihippens County\nSeventh. I am not a a\n, aged 5.2\nyears,\nto organized government. I\noccupation Sugar maker\n3. Joseph Peitach\nintention to become a citize\ndo\ndeclare on oath that my personal\naffirm\nparticularly to\nFrau\ndescription is: Color White\n, complexion high\n,\nheight 5 feet 7 inches,\nto reside permanently in the\nsighth. I amable to\nweight 170 pounds, color of hair Brown\n, color of eyes Blue\nWinth. I have resided\n6\nnone\nthe\nday of\nother visible distinctive marks\nthis petition, since the 1\n: I was born in Hohenstadt\nof this petition.\nTenth I have not her\naustria\non the 19th\nday of January\n, anno\nDomini 1855 I now reside at bhippens Falls, Misconsin\nsaid. patition --- denéed by\nI emigrated to the United States of America from Retermen, Germany\nAttached hereto and me\nHanover\n: my last\nmy affidavit and the\non the vessel *\nforeign residence was Rysiceni, Romania\nIt is my bona fide intention to renounce forever all allegiance and fidelity to any foreign\nprince; potentate, state, or sovereignty, and particularly to Trancis Joseph\ncitiaon\nEmperon of Austria\nof which I am now a subject\n1\nRaltimore\nin the\narrived at the port of\nState\nDistrict\nmaryland\non or about the 9th\nday\nTerritory of\nof July\n, anno Domini 1906 : I am not an anarchist: 1 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.\nJoseph gietsch\n(Orlgina signature of declarant.)\nSubscribed and sworn affiemed to before me this 13th\nday of September anno Domini 19472\nb.E.Preston\nany\nClerk of the bireus\nCourt.\nClork"
}