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Form 896
CE ERTIFICATE OF RERIVAL FOR NATURILIZATION PURPOSES
(For use of allens arriving in United States after June 29, 1906. To be issued Immediately prior to petitioning for
Serial 383399
Department of
Gabor
NOTE TO CLERK of COURT
30054-S
Insert the above serial
85399
IMMIGRATION SERVICE
petition at the
tificate abore
OFFICE
Eilie reland, N.T. Oct.23, 1913
fificate the Department of
AT
and Labor,
This is to certify that the following-named alien arrived at the port indicated, on the date and in the
manner described below, viz:
Name of alien:
Magasan ik, Tobias
Port of entry:
New York, N.Y.
Date of arrival:
Nov. 21, 1906
Name of vessel:
Sofia Hohenberg
Line
Aust.-Amer
Agrouthult
geting Commi esioner
(Tite)
11-4391
*Or railroad company, or any other conveyance.
g.
anno
Department of Commerre and Tabor
BUREAU OF IMMIGRATION AND NATURALIZATION
DIVISION OF NATURALIZATION
TOCENTS
DECLARATION OF INTENTION
T20 1913 is)
N.
(Invalid for all purposes seven years after the date hereof)
DIVISION BPU
United States of America,
In the
Circuit
Court
Eastera District of
SS :
1.
of
of
3.
Isadore
aged
25
years,
occupation
Barber
do alform that my personal
declare on oath
to orgar
White,
intention
description is: Color
,
complexion
Fair
height feet 4 inches,
particul
weight 120 pounds, color of hair Dark brown , color of eyes Ark browm
to reside
Ei
other visible distinctive marks None.
mi
: I was born in Odessa, Russia
the
this petil
on the
10th
day of January
anno
of this
Domini I 884 I now reside at 1401 North '9th St. St. Loui, Mo.
Ten
I emigrated to the United States of America from Trieoto, Austri
on the vessel
Gophia-Hohenhar
my last
(If the allen arrived otherwise than by vessel, the character of conveyance or name of transportation company@uld be given.]
Atti
foreign residence was
Odeaun, Ruasia
affidan
It is my bona fide intention to renounce forever all allegiance and fidelly to Any foreign
prince, potentate, state, or sovereignty, and particularly to Nicholns (I, Empero
citinon
of Russia
of which I am now a subject
I
Decl
arrived at the port of
New york
in the
State
Termitory of
New York
on or about the
23rd
day
Biotsict
of
Novembor
anno Domini I 906
: 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
The
to become a citizen of the United States of America and to permanently reside therein:
So HELP ME GOD.
Isadore magazinit
(Original signature
Subscribed and sworn before me this
to
and
18th
affirmed
[SEAL.]
day of
January
,
anno Domini 19.09,
Greatly
immediatels
pati
Olerk of the said
Court.
By Depention Clerk.
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"ocrText": "Form 896\nCE ERTIFICATE OF RERIVAL FOR NATURILIZATION PURPOSES\n(For use of allens arriving in United States after June 29, 1906. To be issued Immediately prior to petitioning for\nSerial 383399\nDepartment of\nGabor\nNOTE TO CLERK of COURT\n30054-S\nInsert the above serial\n85399\nIMMIGRATION SERVICE\npetition at the\ntificate abore\nOFFICE\nEilie reland, N.T. Oct.23, 1913\nfificate the Department of\nAT\nand Labor,\nThis is to certify that the following-named alien arrived at the port indicated, on the date and in the\nmanner described below, viz:\nName of alien:\nMagasan ik, Tobias\nPort of entry:\nNew York, N.Y.\nDate of arrival:\nNov. 21, 1906\nName of vessel:\nSofia Hohenberg\nLine\nAust.-Amer\nAgrouthult\ngeting Commi esioner\n(Tite)\n11-4391\n*Or railroad company, or any other conveyance.\ng.\nanno\nDepartment of Commerre and Tabor\nBUREAU OF IMMIGRATION AND NATURALIZATION\nDIVISION OF NATURALIZATION\nTOCENTS\nDECLARATION OF INTENTION\nT20 1913 is)\nN.\n(Invalid for all purposes seven years after the date hereof)\nDIVISION BPU\nUnited States of America,\nIn the\nCircuit\nCourt\nEastera District of\nSS :\n1.\nof\nof\n3.\nIsadore\naged\n25\nyears,\noccupation\nBarber\ndo alform that my personal\ndeclare on oath\nto orgar\nWhite,\nintention\ndescription is: Color\n,\ncomplexion\nFair\nheight feet 4 inches,\nparticul\nweight 120 pounds, color of hair Dark brown , color of eyes Ark browm\nto reside\nEi\nother visible distinctive marks None.\nmi\n: I was born in Odessa, Russia\nthe\nthis petil\non the\n10th\nday of January\nanno\nof this\nDomini I 884 I now reside at 1401 North '9th St. St. Loui, Mo.\nTen\nI emigrated to the United States of America from Trieoto, Austri\non the vessel\nGophia-Hohenhar\nmy last\n(If the allen arrived otherwise than by vessel, the character of conveyance or name of transportation company@uld be given.]\nAtti\nforeign residence was\nOdeaun, Ruasia\naffidan\nIt is my bona fide intention to renounce forever all allegiance and fidelly to Any foreign\nprince, potentate, state, or sovereignty, and particularly to Nicholns (I, Empero\ncitinon\nof Russia\nof which I am now a subject\nI\nDecl\narrived at the port of\nNew york\nin the\nState\nTermitory of\nNew York\non or about the\n23rd\nday\nBiotsict\nof\nNovembor\nanno Domini I 906\n: 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\nThe\nto become a citizen of the United States of America and to permanently reside therein:\nSo HELP ME GOD.\nIsadore magazinit\n(Original signature\nSubscribed and sworn before me this\nto\nand\n18th\naffirmed\n[SEAL.]\nday of\nJanuary\n,\nanno Domini 19.09,\nGreatly\nimmediatels\npati\nOlerk of the said\nCourt.\nBy Depention Clerk."
}