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No.
2/36
TRIPLICATE
making
To the Honoral
The petiti
STATES OF
First.
Second.
Third. I
Fourth
Department of Conmerce and Tabur
anno Domini 1.
BUREAU OF IMMIGRATION AND NATURALIZATION
anno Domini
1.
DIVISION OF NATURALIZATION
Fifth.
at
Sixth.
"DECLARATION OF INTENTION
in
(Invalid for all pusposes sevest years after the date herenf)
I have
tate OF CALIFORNIA
In the SUPERIOR
Court
3 County of LOSANGALES SS : of IN AND. STATE aged OF CALIFORNIA, 16 COUNT years,
FOR Les ANGELES
Cleare
declare on oath
that my persenal
Seventh I
occupation Mate None Black Dark do height
to organized gover
inches,
description weight is: Color color of hair complexion color of eyes Blu feek
intention to becom
particularly to
to reside permanen
other visible distinctive marks
Eighth
Ruesea
;
I was born in lonn
Minth
I hai
on the of August anno
the
da
Domini
880 I now reside at Reph
this petition, since
I
of this petition
émigrated to the United States of America from Hambing Sermany
Tenth. have
I
on the vessel *
Augusta Victima
: my last
aaid patition was do
foreign residence was
Roma Meessia
Attached herete
It is my bond fide intention to renounce forever all allegiance and fidelity to any foreign
my affidavit and the
prince potentate, and particularly to of which I am now 11 a eitizen subject
state, or sovereignty,
I
Declaration
arryyed at the port of
in the
State
Territory of
New York on or about the I'm day
District 1 august anno Domini I gos am not an anarchist: I am
of
not a
STATE
Caunty
polygamist nor a believer in the practice of polygamy and it is my intention in good faith
to become as citizen of the United States of America and to permanently reside therein
The aforesaid
contents thereof: that
So HELP ME GOD.
Louis Rounthal
Aformation and belief
(Original signature of declarant.)
Subscribed and sworn-t affirmed before me this
9M
[SEAL. } si
22
anno, Domini age
being severally, du
immediately preceding
POUNTY OLERK AND EX-OFPOIO CLERK OF
SUPERIOR IN THE COUNTY Court
intilled petition ie
Loe OP
By
with
Clerk.
minion, to be admitted
and
-
z9.
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"ocrText": "No.\n2/36\nTRIPLICATE\nmaking\nTo the Honoral\nThe petiti\nSTATES OF\nFirst.\nSecond.\nThird. I\nFourth\nDepartment of Conmerce and Tabur\nanno Domini 1.\nBUREAU OF IMMIGRATION AND NATURALIZATION\nanno Domini\n1.\nDIVISION OF NATURALIZATION\nFifth.\nat\nSixth.\n\"DECLARATION OF INTENTION\nin\n(Invalid for all pusposes sevest years after the date herenf)\nI have\ntate OF CALIFORNIA\nIn the SUPERIOR\nCourt\n3 County of LOSANGALES SS : of IN AND. STATE aged OF CALIFORNIA, 16 COUNT years,\nFOR Les ANGELES\nCleare\ndeclare on oath\nthat my persenal\nSeventh I\noccupation Mate None Black Dark do height\nto organized gover\ninches,\ndescription weight is: Color color of hair complexion color of eyes Blu feek\nintention to becom\nparticularly to\nto reside permanen\nother visible distinctive marks\nEighth\nRuesea\n;\nI was born in lonn\nMinth\nI hai\non the of August anno\nthe\nda\nDomini\n880 I now reside at Reph\nthis petition, since\nI\nof this petition\némigrated to the United States of America from Hambing Sermany\nTenth. have\nI\non the vessel *\nAugusta Victima\n: my last\naaid patition was do\nforeign residence was\nRoma Meessia\nAttached herete\nIt is my bond fide intention to renounce forever all allegiance and fidelity to any foreign\nmy affidavit and the\nprince potentate, and particularly to of which I am now 11 a eitizen subject\nstate, or sovereignty,\nI\nDeclaration\narryyed at the port of\nin the\nState\nTerritory of\nNew York on or about the I'm day\nDistrict 1 august anno Domini I gos am not an anarchist: I am\nof\nnot a\nSTATE\nCaunty\npolygamist nor a believer in the practice of polygamy and it is my intention in good faith\nto become as citizen of the United States of America and to permanently reside therein\nThe aforesaid\ncontents thereof: that\nSo HELP ME GOD.\nLouis Rounthal\nAformation and belief\n(Original signature of declarant.)\nSubscribed and sworn-t affirmed before me this\n9M\n[SEAL. } si\n22\nanno, Domini age\nbeing severally, du\nimmediately preceding\nPOUNTY OLERK AND EX-OFPOIO CLERK OF\nSUPERIOR IN THE COUNTY Court\nintilled petition ie\nLoe OP\nBy\nwith\nClerk.\nminion, to be admitted\nand\n-\nz9."
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