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Form 2903
Bepartment of auth Kabor
NATURALIZATION SERVIOE
TRIPLICATE
No.
3398
making
the
Declaration)
STATES OF
DECLARATION OF INTENTION
(Invalid for all purposes seven years after the date hereof)
In the SUPERIOR
Court
of fiseles
ss:
( PARR Less
of
the #TATW WAS
3, Kalman Levine
aged 36 years,
occupation merchant
do declare on oath that my personal
description is: Color White complexion Dark height feet 3 inches,
weight 140 pounds, color of hair Black , color of eyes Chay
other visible distinctive marks
none
I was born in
Ostrov Russia Poland
on the
15
day of
april
, anno Domini 875 I now reside
at
1110 8.25 fat Las angeles bas
(Give number, street, city or
I emigrated to the United States of America from
Rotterdam Holland
on the vessel
masdam
(ifthe alien arrived otherwise the character of conveyance or name of transportation company should begiven.)
: my. last
foreign residence was
Capor Russia Palland
It is my bona fide intention renounce forever all allegiance and fidelity to any foreign
prince, potentate, state, or sovereignty, and particularly to
Nicholas 11, imperor p. all une Russias.
, of whom I am now a subject; I
NEW YORK
arrived at the port of
in the
State of
NEW YORK
on OE about the
15
,
day
of
July
, anno Domini 1899 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.
Kalman Serine
+
(Original signature of declarant.)
Subscribed and sworn to before me this
17
[SEAL]
day of may anno Domini 191
/
H. J. TELANDE THE OLBRK AND FOR
Lee STA - or GALIFORNIA,
Clerk of the
Court.
E.Smith Deh Clerk.
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Document data
- ID
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- Core
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- Type
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DTO data
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Context sent to Scholar
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Document source metadata
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Page context
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"ocrText": "Form 2903\nBepartment of auth Kabor\nNATURALIZATION SERVIOE\nTRIPLICATE\nNo.\n3398\nmaking\nthe\nDeclaration)\nSTATES OF\nDECLARATION OF INTENTION\n(Invalid for all purposes seven years after the date hereof)\nIn the SUPERIOR\nCourt\nof fiseles\nss:\n( PARR Less\nof\nthe #TATW WAS\n3, Kalman Levine\naged 36 years,\noccupation merchant\ndo declare on oath that my personal\ndescription is: Color White complexion Dark height feet 3 inches,\nweight 140 pounds, color of hair Black , color of eyes Chay\nother visible distinctive marks\nnone\nI was born in\nOstrov Russia Poland\non the\n15\nday of\napril\n, anno Domini 875 I now reside\nat\n1110 8.25 fat Las angeles bas\n(Give number, street, city or\nI emigrated to the United States of America from\nRotterdam Holland\non the vessel\nmasdam\n(ifthe alien arrived otherwise the character of conveyance or name of transportation company should begiven.)\n: my. last\nforeign residence was\nCapor Russia Palland\nIt is my bona fide intention renounce forever all allegiance and fidelity to any foreign\nprince, potentate, state, or sovereignty, and particularly to\nNicholas 11, imperor p. all une Russias.\n, of whom I am now a subject; I\nNEW YORK\narrived at the port of\nin the\nState of\nNEW YORK\non OE about the\n15\n,\nday\nof\nJuly\n, anno Domini 1899 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.\nKalman Serine\n+\n(Original signature of declarant.)\nSubscribed and sworn to before me this\n17\n[SEAL]\nday of may anno Domini 191\n/\nH. J. TELANDE THE OLBRK AND FOR\nLee STA - or GALIFORNIA,\nClerk of the\nCourt.\nE.Smith Deh Clerk."
}