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Form
TRIPLICATE
No. 2566.
maklug
STATES OF
Department of Commerce and Tabur
BUREAU OF IMMIGRATION AND NATURALIZATION
DIVISION OF NATURALIZATION
DECLARATION OF INTENTION
(Invalid for all purposes seven years after the date hereof)
STATE OF CALIFORNIA
In the SUPERIOR Court
County of Los Angeles
SS :
of THE STATE
IN AND FOR Los ANOE ES COUNTY
3.
Sun Stase
aged 66 years,
occupation
Laborar
, do declare on oath that my personal
description is: Color white , complexion Dark , height feet 2.
inches,
weight 37. pounds, color of hair Black color of eyes Brown
other visible distinctive marks
none
: I was born in Campo di buy
Stuly
on the
29 day of
July
anno
Domini 1863 1 now reside at
has Anycles Eal
thispe
I emigrated the United States of America from Paurmo stary
to
on the vessel
to not remember
; my last
[If the allen arrived otherwise than by vessel,
or name transportation company should be given.]
foreign residence Piany dis irreci
was
Staly
It is my bona fide intention to renounce forever all allegiance and fidelity to any foreign
prinçe, potentate, state, or sovereignty, and particularly to Victon Emmanuel III
King of Ereax Britain of tand the of which I am now a subject;
I
arrived at the port of
newfork
in the
Dec
State of
newyork
on or about the
27th day
of September
, anno Domini I 897 I am not an anarchist; I am not a
ST.
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.
sast signature stagi
Subscribed and sworn to before me this
23
he
[SEAL. ]
day of July
, anno Domini 19.10
0, G, Keyes
COUNTY CLERK AND EX ORFIGIO CLERK or
THS BUPERIOR COURT IN AND POR)FHE COUNTO
LOS ANGELES STAW OF GALIFORNIAL Gourt
By
Aspect Clerk.
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Document data
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DTO data
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Context sent to Scholar
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"ocrText": "Form\nTRIPLICATE\nNo. 2566.\nmaklug\nSTATES OF\nDepartment of Commerce and Tabur\nBUREAU OF IMMIGRATION AND NATURALIZATION\nDIVISION OF NATURALIZATION\nDECLARATION OF INTENTION\n(Invalid for all purposes seven years after the date hereof)\nSTATE OF CALIFORNIA\nIn the SUPERIOR Court\nCounty of Los Angeles\nSS :\nof THE STATE\nIN AND FOR Los ANOE ES COUNTY\n3.\nSun Stase\naged 66 years,\noccupation\nLaborar\n, do declare on oath that my personal\ndescription is: Color white , complexion Dark , height feet 2.\ninches,\nweight 37. pounds, color of hair Black color of eyes Brown\nother visible distinctive marks\nnone\n: I was born in Campo di buy\nStuly\non the\n29 day of\nJuly\nanno\nDomini 1863 1 now reside at\nhas Anycles Eal\nthispe\nI emigrated the United States of America from Paurmo stary\nto\non the vessel\nto not remember\n; my last\n[If the allen arrived otherwise than by vessel,\nor name transportation company should be given.]\nforeign residence Piany dis irreci\nwas\nStaly\nIt is my bona fide intention to renounce forever all allegiance and fidelity to any foreign\nprinçe, potentate, state, or sovereignty, and particularly to Victon Emmanuel III\nKing of Ereax Britain of tand the of which I am now a subject;\nI\narrived at the port of\nnewfork\nin the\nDec\nState of\nnewyork\non or about the\n27th day\nof September\n, anno Domini I 897 I am not an anarchist; I am not a\nST.\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.\nsast signature stagi\nSubscribed and sworn to before me this\n23\nhe\n[SEAL. ]\nday of July\n, anno Domini 19.10\n0, G, Keyes\nCOUNTY CLERK AND EX ORFIGIO CLERK or\nTHS BUPERIOR COURT IN AND POR)FHE COUNTO\nLOS ANGELES STAW OF GALIFORNIAL Gourt\nBy\nAspect Clerk."
}