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No. 55
TRIPLICATE
ITo be alven makber
the Declaration)
STATES OF
anno Domon
Department of Commerce and Tabor
Fifth.
the
BUREAU OF IMMIGRATION AND NATURALIZATION
at
DIVISION OF NATURALIZATION
Sixth. I
in
have
DECLARATION OF INTENTION
(Invalid for all purposes seven yeara after the date hereof)
i
s
UNITED STATES QF. AMERICA.
In the
Circuit
Court
L
SOUTHERN DISTRICT OF CALIFORNÍA,
ss:
ad
COUNTY OF Los ANGELES,
of
the United States
maurity Peterson
Southern District of California, Southern Division
Sepenth.
3.
aged 27 years,
to organized
occupation
Carpenter
do declare affirm. on oath that my personal
intention
to
beco
description is: Color white complexion fair
, height 5 feet 8 inches,
particularly to
to
reside
perman
weight 165 pounds, color of hair light color of eyes blue
Bighth. I
Minth I.
other visible distinctive marks
none
(if
the
16.
:
I
was born in albu, Province of Kal
this
petition,
sin
man, Aweden , on the 1st
march
of this petition.
day pt
anno
Tenth.
I
ha
Domini
I
emigrated to the United States, of America from Liveipool, buglaud
879 : I now reside at 242 West 46th California
on the vessel
bampania
: my last
Attached
her
foreign residence was albu Province of Kalmar, Sweden
and
th
It is my bona fide intention to renounce forever all allegiance and fidelity to any foreign
prince, potentate, state, or sovereignty, and particularly to Oscar II, King
Declaration
o
of Dweden
of which I am now a cuiten subject
arrived at the port of
new york
in the
State
Territory of
new york
13th
STATE
on or about the
day
-District
Caunt
of may
-
anno Domini 898 I am not an anarchist: I am not
a
The aforesaid
polygamist nor a believer in the practice of polygamy: and it is my intention in good faith
contents thereof: "
doformation and bei
to become a citizen of the United States of America and to permanently reside therein
So HELP ME GOD.
manuity (Original Signature of Peterson daclarant.)
Jus
and
Ger
Subscribed and sworn to before me this
16th
boing
[SEAL.:
day of november
anno Domini 19 ,06,
mediately precedia
Milled petition le -
Wm. M. Van DyZe.
and patifioner u
le
Clerk of the
United States Circnit
By chas Williams Southern Distrigt Deputy of Clerkl Court.
California
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"ocrText": "any\nNo. 55\nTRIPLICATE\nITo be alven makber\nthe Declaration)\nSTATES OF\nanno Domon\nDepartment of Commerce and Tabor\nFifth.\nthe\nBUREAU OF IMMIGRATION AND NATURALIZATION\nat\nDIVISION OF NATURALIZATION\nSixth. I\nin\nhave\nDECLARATION OF INTENTION\n(Invalid for all purposes seven yeara after the date hereof)\ni\ns\nUNITED STATES QF. AMERICA.\nIn the\nCircuit\nCourt\nL\nSOUTHERN DISTRICT OF CALIFORNÍA,\nss:\nad\nCOUNTY OF Los ANGELES,\nof\nthe United States\nmaurity Peterson\nSouthern District of California, Southern Division\nSepenth.\n3.\naged 27 years,\nto organized\noccupation\nCarpenter\ndo declare affirm. on oath that my personal\nintention\nto\nbeco\ndescription is: Color white complexion fair\n, height 5 feet 8 inches,\nparticularly to\nto\nreside\nperman\nweight 165 pounds, color of hair light color of eyes blue\nBighth. I\nMinth I.\nother visible distinctive marks\nnone\n(if\nthe\n16.\n:\nI\nwas born in albu, Province of Kal\nthis\npetition,\nsin\nman, Aweden , on the 1st\nmarch\nof this petition.\nday pt\nanno\nTenth.\nI\nha\nDomini\nI\nemigrated to the United States, of America from Liveipool, buglaud\n879 : I now reside at 242 West 46th California\non the vessel\nbampania\n: my last\nAttached\nher\nforeign residence was albu Province of Kalmar, Sweden\nand\nth\nIt is my bona fide intention to renounce forever all allegiance and fidelity to any foreign\nprince, potentate, state, or sovereignty, and particularly to Oscar II, King\nDeclaration\no\nof Dweden\nof which I am now a cuiten subject\narrived at the port of\nnew york\nin the\nState\nTerritory of\nnew york\n13th\nSTATE\non or about the\nday\n-District\nCaunt\nof may\n-\nanno Domini 898 I am not an anarchist: I am not\na\nThe aforesaid\npolygamist nor a believer in the practice of polygamy: and it is my intention in good faith\ncontents thereof: \"\ndoformation and bei\nto become a citizen of the United States of America and to permanently reside therein\nSo HELP ME GOD.\nmanuity (Original Signature of Peterson daclarant.)\nJus\nand\nGer\nSubscribed and sworn to before me this\n16th\nboing\n[SEAL.:\nday of november\nanno Domini 19 ,06,\nmediately precedia\nMilled petition le -\nWm. M. Van DyZe.\nand patifioner u\nle\nClerk of the\nUnited States Circnit\nBy chas Williams Southern Distrigt Deputy of Clerkl Court.\nCalifornia"
}