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4523
NO2691
Form
TRIPLICATE
the Declaration)
STATES OF
Bepartment of Commerce and Tabur
BUREAU OF IMMIGRATION AND NATURALIZATION
RECEIVED
DIVISION OF NATURALIZATION
SEP 9790
BUREAU OF
anno Domini
ATORALIZATION
Fifth.
AMINED
DECLARATION OF INTENTION
Sixth.
(Invalid for all purposes seven years after the date hereof)
hase
State of New York
"Supreme
In the
Court
SS :
County of Westchenter
of
the State of New York
3.
Cornilius Johanes Groen
aged
23
years,
occupation Florist
-, do declare affirm. on oath that my personal
Seventh.
description is: Color white , complexion fair
height 6 feet e inches,
weight 173
pounds, color of hair light-brown , color of eyes
blue
intention
other visible distinctive marks Scar on right cheek
particularly
reside
:
I was born in
The Hague
Fighth.
Holland
on the
23
April
Ninth
day of
anno
Domini I 886 : I now reside at Eagle Park Osaining N.Y.
petition,
this
I emigrated to the United States of America from Rotterdam Holland
petition.
Tenth.
on the vessel Ryn dam should be my last
(M the allen arrived otherwise than by vessel, the character of conveyance or name of transportation company given.)
foreign residence was
Hampton England
It is my bona fide intention to renounce forever all allegiance and fidelity to any foreign
Attached
prince, potentate, state, or sovereignty, and particularly to
Wilhelmina
affidavit and
queen of the Netherland 8
of which I am now a
citizen I
subject
arrived at the port of
New York
in the
Declaration
State
Tenritory of
New York
on or about the
24
day
District
of
March
anno Domini I
90
8
I am not an anarchist: I am not a
,
87.17
polygamist nor a believer in the practice of polygamy: and it is my intention in good faith
Caur
to become a citizen of the United States of America and to permanently reside therein:
the aforesaid
So HELP ME GOD.
Gronn.
thereof'
#
(Original signature of declarant.)
formation and be
Subscribed and sworn to before me this n6th
affinmed
[SEAL.]
day of May
, anno Domini 19.09
Clay
Geo W.Eelhodt
Clerk of the Supreme
Court.
By
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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Page context
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"ocrText": "4523\nNO2691\nForm\nTRIPLICATE\nthe Declaration)\nSTATES OF\nBepartment of Commerce and Tabur\nBUREAU OF IMMIGRATION AND NATURALIZATION\nRECEIVED\nDIVISION OF NATURALIZATION\nSEP 9790\nBUREAU OF\nanno Domini\nATORALIZATION\nFifth.\nAMINED\nDECLARATION OF INTENTION\nSixth.\n(Invalid for all purposes seven years after the date hereof)\nhase\nState of New York\n\"Supreme\nIn the\nCourt\nSS :\nCounty of Westchenter\nof\nthe State of New York\n3.\nCornilius Johanes Groen\naged\n23\nyears,\noccupation Florist\n-, do declare affirm. on oath that my personal\nSeventh.\ndescription is: Color white , complexion fair\nheight 6 feet e inches,\nweight 173\npounds, color of hair light-brown , color of eyes\nblue\nintention\nother visible distinctive marks Scar on right cheek\nparticularly\nreside\n:\nI was born in\nThe Hague\nFighth.\nHolland\non the\n23\nApril\nNinth\nday of\nanno\nDomini I 886 : I now reside at Eagle Park Osaining N.Y.\npetition,\nthis\nI emigrated to the United States of America from Rotterdam Holland\npetition.\nTenth.\non the vessel Ryn dam should be my last\n(M the allen arrived otherwise than by vessel, the character of conveyance or name of transportation company given.)\nforeign residence was\nHampton England\nIt is my bona fide intention to renounce forever all allegiance and fidelity to any foreign\nAttached\nprince, potentate, state, or sovereignty, and particularly to\nWilhelmina\naffidavit and\nqueen of the Netherland 8\nof which I am now a\ncitizen I\nsubject\narrived at the port of\nNew York\nin the\nDeclaration\nState\nTenritory of\nNew York\non or about the\n24\nday\nDistrict\nof\nMarch\nanno Domini I\n90\n8\nI am not an anarchist: I am not a\n,\n87.17\npolygamist nor a believer in the practice of polygamy: and it is my intention in good faith\nCaur\nto become a citizen of the United States of America and to permanently reside therein:\nthe aforesaid\nSo HELP ME GOD.\nGronn.\nthereof'\n#\n(Original signature of declarant.)\nformation and be\nSubscribed and sworn to before me this n6th\naffinmed\n[SEAL.]\nday of May\n, anno Domini 19.09\nClay\nGeo W.Eelhodt\nClerk of the Supreme\nCourt.\nBy\nClerk."
}