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191889 Form TRIPLICATE No. 308 (To be person making the Declaration) STATES OF M Bepartment of Commerce and Tabor A. OCT 10 1913 BUREAU OF IMMIGRATION AND NATURALIZATION DIVISION OF NATURALIZATION BUREAU OF yra NATURALIZATION Barb EXAMINED many DECLARATION OF INTENTION Trede (Invalid for all purposes seven years after the date hereof) UNITED RICA, In the Circuit Court SOUTHI Sevent NIA, SS : of the United States to organized del Southern District of Division intention to 3. Fendinan of Kischner aged 38 vears, particularly occupation Farmer to reside do declare affirm on oath that my personal Right description is: Color white , complexion medium , height 5 feet 7 inches, Minth the 19 weight 164 pounds, color of hair beg ht brown. color of eyes the this petition other visible distinctive marks none of this petit I was born in Joundak, almisch, Tenth. : Nurgery on the 29th; day of September anno said- Domini I by: reside 15/4/12 California Attach I emigrated to the United States of America from Tiumy,SHingary my affidavit on the vessel * ultonia : my last foreign residence was Toundak, almasch, shungary Declar It is my bona fide intention to renounce forever all allegiançe and fidelity to /any foreign prince, potentate, state, or sovereignty, and particularly to' Francis Joseph Apostolic Sing of thengry of which I am now a subject State arrived at the port of New york in the on or about the 19th The af of Tersitory District Deny of new day contents the anno Domini you : I am not an anarchist: I am not a information polygamist nor a believer in the practice of polygamy; and it is my intention in good faith F to become a citizen of the United States of America and to permanently reside therein so HELP ME' GOD. ench being (Original signature of declarant.) immadial Subscribed and sworn to before me this 10th pelté [SEAL. day of February anno Domini - Wm. M. Van Dyko Clerk United States Circuit By Ohas of California

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803
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Page context
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    "ocrText": "191889\nForm\nTRIPLICATE\nNo. 308\n(To be person making\nthe Declaration)\nSTATES OF\nM\nBepartment of Commerce and Tabor\nA.\nOCT 10 1913\nBUREAU OF IMMIGRATION AND NATURALIZATION\nDIVISION OF NATURALIZATION\nBUREAU OF\nyra\nNATURALIZATION\nBarb\nEXAMINED\nmany\nDECLARATION OF INTENTION\nTrede\n(Invalid for all purposes seven years after the date hereof)\nUNITED RICA,\nIn the\nCircuit\nCourt\nSOUTHI\nSevent\nNIA,\nSS :\nof\nthe United States\nto organized\ndel\nSouthern District of Division\nintention to\n3. Fendinan of Kischner\naged 38\nvears,\nparticularly\noccupation Farmer\nto reside\ndo declare affirm on oath that my personal\nRight\ndescription is: Color white , complexion medium , height 5 feet 7 inches,\nMinth\nthe\n19\nweight 164 pounds, color of hair beg ht brown. color of eyes the\nthis petition\nother visible distinctive marks none\nof this petit\nI was born in Joundak, almisch,\nTenth.\n:\nNurgery\non the 29th; day of September anno\nsaid-\nDomini I by: reside 15/4/12 California\nAttach\nI emigrated to the United States of America from Tiumy,SHingary\nmy affidavit\non the vessel * ultonia\n: my last\nforeign residence was Toundak, almasch, shungary\nDeclar\nIt is my bona fide intention to renounce forever all allegiançe and fidelity to /any foreign\nprince, potentate, state, or sovereignty, and particularly to' Francis Joseph\nApostolic Sing of thengry of which I am now a subject\nState arrived at the port of New york\nin the\non or about the 19th\nThe af\nof Tersitory District Deny of new\nday\ncontents the\nanno Domini you : I am not an anarchist: I am not a\ninformation\npolygamist nor a believer in the practice of polygamy; and it is my intention in good faith\nF\nto become a citizen of the United States of America and to permanently reside therein\nso HELP ME' GOD.\nench being\n(Original signature of declarant.)\nimmadial\nSubscribed\nand sworn to before me this 10th\npelté\n[SEAL.\nday of February anno Domini\n-\nWm. M. Van Dyko\nClerk\nUnited States Circuit\nBy Ohas of California"
}