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Form 2903 of and Kabor NATURALIZATION SERVICE TRIPLICATE making No. 3635 Declaration) STATES OF DECLARATION OF INTENTION (Invalid for all purposes seven years after the date hereof) STATE OF CALIFORNIAL In the Court County of Los Angeles ss: and for Los Angeles County. of The State of California. 3, Johannes Hage aged 62 years, occupation do declare on oath that my personal description is: Color White , complexion med , height 5 feet 81/2 inches, weight 165 pounds, color of hair Gray , color of eyes thay other visible distinctive marks none I was born in Hildesheim Germany on the 14 day of nor , anno Domini 848; i now reside at 214 €5th st (Somescet House) Las angeles bal (Give number, street, city or town, and State.) I emigrated to the United States of America from LIVERPOOL, ENGLAND on the vessel Wo not Remember name : my last (if the alien arrived otherwige than by vessel, the Character of conveyance or transportation company should begiven.) foreign residence was Honored Semany It is my bona fide intention to renounce forever all allegiance and fidelity to any foreign prince, potentate, state, or sovereignty, and particularly to William 11, German Emperor. of whom I am now a subject; 1 arrived at the port of NEW YORK in the NEW YORK State of , on or about the 11 day of July , anno Domini 1896 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. Johannes of Flage declarast.) (Original signature Subscribed and sworn to before me this 18 [SEAL day of any anno Domini 1911 H. J. Lelande AND EX OFFICIO CL or THE OUPERIOR COURT IN AND FOR THE COUNTY Clerk of the ANGELES STATE OF Court By E.Smith Deh Clerk.

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    "ocrText": "Form 2903\nof and Kabor\nNATURALIZATION SERVICE\nTRIPLICATE\nmaking\nNo. 3635\nDeclaration)\nSTATES OF\nDECLARATION OF INTENTION\n(Invalid for all purposes seven years after the date hereof)\nSTATE OF CALIFORNIAL\nIn the\nCourt\nCounty of Los Angeles\nss:\nand for Los Angeles County.\nof\nThe State of California.\n3, Johannes Hage\naged 62 years,\noccupation\ndo declare on oath that my personal\ndescription\nis: Color White , complexion med , height 5 feet\n81/2 inches,\nweight 165 pounds, color of hair Gray , color of eyes\nthay\nother visible distinctive marks\nnone\nI\nwas born in Hildesheim Germany\non the\n14\nday of\nnor\n, anno Domini 848; i now reside\nat\n214 €5th st (Somescet House) Las angeles bal\n(Give number, street, city or town, and State.)\nI\nemigrated to the United States of America from LIVERPOOL, ENGLAND\non the vessel\nWo not Remember name\n: my last\n(if the alien arrived otherwige than by vessel, the Character of conveyance or transportation company should begiven.)\nforeign residence was\nHonored\nSemany\nIt is my bona fide intention to renounce forever all allegiance and fidelity to any foreign\nprince, potentate, state, or sovereignty, and particularly to\nWilliam 11, German Emperor.\nof whom I am now a subject;\n1\narrived at the port of\nNEW YORK\nin the\nNEW YORK\nState of\n,\non or about the\n11\nday\nof\nJuly\n, anno Domini 1896 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:\nSo HELP ME GOD.\nJohannes of Flage declarast.)\n(Original signature\nSubscribed and sworn to before me this\n18\n[SEAL\nday of\nany\nanno Domini 1911\nH. J. Lelande\nAND EX OFFICIO CL or\nTHE OUPERIOR COURT IN AND FOR THE COUNTY\nClerk of the ANGELES STATE OF\nCourt\nBy\nE.Smith Deh Clerk."
}