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Form asoa TRIPLICATE No. 3034 (To be the Declaration STATES OF 8345 Department of Conmerce and Tabur smitca BUREAU OF IMMIGRATION AND NATURALIZATION DIVISION OF NATURALIZATION . anno Domint 1 DECLARATION OF INTENTION Fifth. I (Invalid for all purposes seven years after the date hereof) ny Sixth. 1 In the sur Court in STATE OF SS : I haves County of Los Angeles of IN AND THE STATE OF 3, matija Felaj , aged 25 years, Bartender , do declare on oath that my personal occupation Mouts description is: Color White complexion If arle height 5 feet 9 inches, weight 164 pounds, color of hair of ark color of eyes Brown Saventh to organized 4 other visible distinctive marks intention to b ; I was born in Z emin Austria particularly t to reside perm Hungine on the , 14th day of april anno Eighth. Domini 1886; I now reside at 214 Wiston St Los angeles Cas Ninth the 23 I emigrated to the United States of America from Finme Austria this netition, (If the allen arrived otherwise than Panonia by vessel, the character of conveyance or name of transportation company should be given.) ; my last of this petition on the vessel Tenth. Z emun Austria foreign residence was It is bona fide intention to renounce forever all allegiance and fidelity to any foreign prince, my potentate, state, or sovereignty, and particularly to Framis Joseph 8 Attached King of anstria , of which I am how a subject: I my amdavit an arrived at the port of new York in the State of new York on or about the 22nd day Declarati of October , anno Domini 1906; I 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: ST. € So HELP ME GOD. allatya Felay the afor Original signature contents there 12th Subscribed and sworn to before me this information a day January of , anno Domini 1911 [SEAL.] A and OOWNTY AND EX OFFICIO CLERK - H. J. LELANDI ETHE SUPERIOR COUST IN AND FOR THE COUNTY each being asve Clerk of the Lee ANDELKO. AVE GALIFERNIA. OF Court. By 7 Jadoma Deputy Clerk. immediately p pétitica 01 the anla opinias,

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673
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    "ocrText": "Form asoa\nTRIPLICATE\nNo. 3034\n(To be\nthe Declaration\nSTATES OF 8345\nDepartment of Conmerce and Tabur\nsmitca\nBUREAU OF IMMIGRATION AND NATURALIZATION\nDIVISION OF NATURALIZATION\n.\nanno Domint 1\nDECLARATION OF INTENTION\nFifth. I\n(Invalid for all purposes seven years after the date hereof)\nny\nSixth. 1\nIn the sur Court\nin\nSTATE OF\nSS :\nI haves\nCounty of Los Angeles\nof\nIN AND\nTHE STATE OF\n3,\nmatija Felaj\n, aged 25\nyears,\nBartender\n, do declare on oath that my personal\noccupation\nMouts\ndescription is: Color White complexion If arle height 5 feet 9 inches,\nweight 164 pounds, color of hair of ark color of eyes Brown\nSaventh\nto organized 4\nother visible distinctive marks\nintention to b\n; I was born in Z emin Austria\nparticularly\nt\nto reside perm\nHungine\non the\n,\n14th day of april\nanno\nEighth.\nDomini\n1886; I now reside at 214 Wiston St Los angeles Cas\nNinth\nthe\n23\nI emigrated to the United States of America from Finme Austria\nthis netition,\n(If the allen arrived otherwise than Panonia by vessel, the character of conveyance or name of transportation company should be given.) ; my\nlast\nof this petition\non the vessel\nTenth.\nZ emun Austria\nforeign residence was\nIt is bona fide intention to renounce forever all allegiance and fidelity to any foreign\nprince, my potentate, state, or sovereignty, and particularly to Framis Joseph\n8\nAttached\nKing of anstria\n, of which I am how a subject: I\nmy amdavit an\narrived at the port of\nnew York\nin the\nState of\nnew York\non or about the\n22nd day\nDeclarati\nof\nOctober\n, anno Domini 1906; I 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:\nST.\n€\nSo HELP ME GOD.\nallatya Felay\nthe afor\nOriginal signature\ncontents there\n12th\nSubscribed and sworn to before me this\ninformation a\nday January of ,\nanno Domini 1911\n[SEAL.]\nA\nand\nOOWNTY AND EX OFFICIO CLERK -\nH. J. LELANDI ETHE SUPERIOR COUST IN AND FOR THE COUNTY\neach being asve\nClerk of the Lee ANDELKO. AVE GALIFERNIA.\nOF\nCourt.\nBy 7 Jadoma\nDeputy\nClerk.\nimmediately p\npétitica\n01\nthe anla\nopinias,"
}