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Form -
at and
TRIPLICATE
NATURALIZATION SERVICE
. the - making
Declaration)
No. 3716
STATES OF
DECLARATION OF INTENTION
(Invalid for all purposes seven years after the date hereof)
STATE OF CALIFORNI.A
In the SUPERIOR Court
County of Los
ss:
The State of California.
Wladislaus Bithin of
in and for Los Angeles County.
3,
aged 21 years,
occupation
Jailor
Fair
do declare on oath that my personal
description is: Color, White ,
complexion
, height feet 8% Anches,
weight 155 pounds, color of hair Blonde color of eyes
none
other
I was
visible born in distinctive Loseveryn marks Germany
25 of
march Domini I 890. now reside
on the
at
1136 new day (Give number, or and State.) anno a
Hampshur
stryet, city town,
I
emigrated to the United States of America from, ANTWERP. BELGIUM
on the vessel Aropaland
; my last
(if the allen arrived therwise than by vessel, the character of conveyance or name of transhortation company should be given.)
foreign residence was Goseveryn Fermany
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 II, German Emperor.
of whom I am now a subject; I
arrived at the port of
NEW YORK
, in the
State of
NEW YORK
on or about the
30
day
of August , anno Domini I 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.
Wadislam Bethin
alguature of declarant.)
the {SEAL] the the
18
Subscribed
day of and sworn to before me , this anno
H., y Lelande
the COUNTY aceme
Domini 191 /
THE BUPERIOR COURT. IN AND FOR THE COUNTY
of ANGELES, STATE OF SALIFORNIA,
Court.
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- Type
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Document data
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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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"ocrText": "Form -\nat and\nTRIPLICATE\nNATURALIZATION SERVICE\n. the - making\nDeclaration)\nNo. 3716\nSTATES OF\nDECLARATION OF INTENTION\n(Invalid for all purposes seven years after the date hereof)\nSTATE OF CALIFORNI.A\nIn the SUPERIOR Court\nCounty of Los\nss:\nThe State of California.\nWladislaus Bithin of\nin and for Los Angeles County.\n3,\naged 21 years,\noccupation\nJailor\nFair\ndo declare on oath that my personal\ndescription is: Color, White ,\ncomplexion\n, height feet 8% Anches,\nweight 155 pounds, color of hair Blonde color of eyes\nnone\nother\nI was\nvisible born in distinctive Loseveryn marks Germany\n25 of\nmarch Domini I 890. now reside\non the\nat\n1136 new day (Give number, or and State.) anno a\nHampshur\nstryet, city town,\nI\nemigrated to the United States of America from, ANTWERP. BELGIUM\non the vessel Aropaland\n; my last\n(if the allen arrived therwise than by vessel, the character of conveyance or name of transhortation company should be given.)\nforeign residence was Goseveryn Fermany\nIt\nis my bona fide intention to renounce forever all allegiance and fidelity to any foreign\nprince, potentate, state, or sovereignty, and particularly to\nWilliam II, German Emperor.\nof whom I am now a subject; I\narrived at the port of\nNEW YORK\n, in the\nState of\nNEW YORK\non or about the\n30\nday\nof August , anno Domini I 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.\nWadislam Bethin\nalguature of declarant.)\nthe {SEAL] the the\n18\nSubscribed\nday of and sworn to before me , this anno\nH., y Lelande\nthe COUNTY aceme\nDomini 191 /\nTHE BUPERIOR COURT. IN AND FOR THE COUNTY\nof ANGELES, STATE OF SALIFORNIA,\nCourt."
}