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OATH OF ALLEGIANCE HTAO , that I absolutels and abjure all and Adelity to any foreign prince, potentate ticularly Nicholas II. RETITION FOR NATURALIZATION en a subje Jases 7 and the 198 to To the Honorable sill Form 9908 TRIPLICATE The petition My place of is. Anyia 2440 Glen altyn number, Drive ally Dam Too Angeles Angeles County. Agreby Oal the mus Superlor Court The State use Cof for Los. of and NATURALIZATION SERVIOE (Toje show No. 7945 - before STATES OF Domini Fourth. , 895 emigrated and to arriped the United in Statel from on of about the Third. Second. , My occupation born en the 21 Matterdi Domini 8P1 amelesdam Hallany at anno the Artterdam Statemer Hobaken april anno Demint 893 on the vesse? on the 2 day of Siath. to Account bécome e attisen tal in the States on Distract" tha 10 - Court or of name Mathem Ant of anno Califo 12 than by the Charactor . of convoyance cabsit my at DECLARATION OF INTENTION I am married the (levalid for all purposes seven yeare after the date hereof) TIMCIA 30 93080 petition o, , und theman hirts (Give number, street, city MORTHVRN DISTRICT OF CALIFORNIA in Court, is In the DISTRICT Court bato at's new and MAN follows ss: ed States o) CITY AND COUNTY OF SAN FRANCISCO. of THE UNITED STATES 2 - / diso - on 30 nute Anna Cathring Van Dam aged years, g, nd occupation Deaconess student do declare on oath that my personal 1, p. 596), loo to description is: Color White complexion Fad.r. height 5 feet 6 inches, to Bevanth. 19 am not . or appoaed tolorganized governimente en . member of on aflicted with any organination or body of persona feaching diabelief in weight 132 pounds, color of hair Bromn color of eyes Grey intention organized government. 1 am nor believer in the practice of polygamy. , am attached to the principles of the Constitution of the United or op other visible distinctive marks Mone particularly to become to A of the United Wilhelmina, anounce Queen ofthe espolutely Nether and allegiance and Adelity to any foreign prince, potentate, state, States, or sovercignty and u to reside permanently in the United States. of whom at this time I am a subject, and is is my inter I was born in Amaterdam, Holland. anno Domini I 881 I now reside wighth. I am able to speak the English TRUOO 30 ASORO petition of on the 21st day of April , I have resided self bas the 129 Haight St. San Francisco, California day of may in the United anno States Domant of Amerleg 893 for and the in term the of Ave years at California least immediately `preceding the date of this petition, to wit, at (Give number, street, city or town, and State.) this petidion, ainco the - I emigrated to the United States of America from Rotterdam, Holland. day of Detaber anno Domini Josh State of being a residenes within this State of at continuously least one year next next preceding préceding the the de of this ná w "Rotterdam' : my last on the vessel (If the allen arrived otherwise than by veasel, the character of conveyance or name of transportation cumpaby should be given.) Tenth. I have not heratofore made patition for eitizenship to any court. (I AipiOn of at Amsterdam, Holland. on foreign residence was satchpartism Course for the fellowne reason and to wit, an REBY DEM It is my bona fide intention to renounce forever all allegiance and fidelity to any foreign been prince, potentate, state, or sovereignty, and particularly to OUFEN OF THE NETHERLANDS my of the two willnesses thereto, required by law. Wherefore your petitioner proys that he may be admitied a of the United States of Amerio Attached and hareto the and made a part of this petition are my declaration of intention to become . altizon of the United States - together of whom I am now a subject: in the Miss anna letter I arrived at the port of Hoboken, aHOM (Comples of petilioner.) on or about the 2nd State of Now, Jersey day of anno Domini 1 893 : I am not an anarchist: 1 am not a Declaration of Norem Intention - 98 the United Blates on om BEFORE 29, 1908, strike Chobor out the Ned words this reading Pand Certificate EM day of of Arrival August No. from Department of 1914 Labos." May , polygamist nor a believer in the practice of polygamy: and it is my intention in good faith AFFIDAVITS OF PETITIONER AND WITNESSES. SEATE OF CALIFORNIA to become a citizen of the United States of America and to permanently reside therein: Onunty of Los Angeles ##: So HELP ME GOD. amailatha tan Dam The patitioner being duly awora, deposes and sage that he laithe petétioner in the proceodiage: that he has read the foragoing petition and Arnow TVEUTED WITNESSES (Original of doclarant.) information and and that contenta thereof that the said patition la algned with rull, true name/ that the de true of his own knowledge, excepté as do mattere therein stated to be'alleged Subscribed and sworn to before me this 10th Certufligance au to those reattoré he 90 Sk (Complete and true Agnature [SEAL] day of Apri anno Domini 191 2. edmunity Jane compation and JAS. P. BROWN. ascupation Heinektupes attorney tan Jasade realding at 191 Achistiram each WAS. UNITED STATES DISTRICT being severally, duly, Miss tandam the abome mentioned to hare relded in the States and la of the United State of that he has personolly known immediately proceding the date of Allad Ale petition, the M.F.Cett Clerk of the 24 day of dimu of entitled potition le the 24 duly Donglet be the State la which By pefitionar is - of mores attached day to the of of the or the United T and that 7e7 the and that de he has - personal way qualited, kroowledge de be admitted - of the Uniled States artic 0 a M

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    "ocrText": "OATH OF ALLEGIANCE\nHTAO\n,\nthat\nI absolutels and abjure all and Adelity to any foreign prince, potentate\nticularly\nNicholas II.\nRETITION FOR NATURALIZATION\nen a subje\nJases\n7 and the\n198\nto\nTo the Honorable\nsill\nForm 9908\nTRIPLICATE\nThe\npetition My place of is. Anyia 2440 Glen altyn number, Drive ally Dam Too Angeles Angeles County. Agreby Oal\nthe mus Superlor Court The State use\nCof for Los.\nof and\nNATURALIZATION SERVIOE\n(Toje\nshow\nNo. 7945\n-\nbefore\nSTATES OF\nDomini Fourth. , 895 emigrated and to arriped the United in Statel from on of about the\nThird. Second. , My occupation born en the 21 Matterdi Domini 8P1 amelesdam Hallany\nat\nanno\nthe\nArtterdam\nStatemer\nHobaken\napril\nanno Demint 893 on the vesse?\non the\n2 day of\nSiath. to Account bécome e attisen tal in the States on Distract\" tha 10 - Court or of name Mathem Ant of anno Califo 12\nthan by the Charactor . of convoyance cabsit\nmy\nat\nDECLARATION OF INTENTION\nI am married\nthe\n(levalid for all purposes seven yeare after the date hereof)\nTIMCIA 30 93080\npetition o,\n, und theman hirts (Give number,\nstreet, city\nMORTHVRN DISTRICT OF CALIFORNIA\nin Court, is\nIn the\nDISTRICT\nCourt\nbato at's new and MAN follows\nss:\ned States o)\nCITY AND COUNTY OF SAN FRANCISCO.\nof\nTHE UNITED STATES\n2 - / diso -\non\n30\nnute\nAnna Cathring Van Dam\naged\nyears,\ng,\nnd\noccupation\nDeaconess student\ndo declare on oath that my personal\n1, p. 596),\nloo to\ndescription is: Color White\ncomplexion Fad.r.\nheight 5 feet 6 inches,\nto\nBevanth. 19 am not . or appoaed tolorganized governimente en . member of on aflicted with any organination or body of persona feaching diabelief in\nweight 132\npounds, color of hair\nBromn\ncolor of eyes\nGrey\nintention\norganized government. 1 am nor believer in the practice of polygamy. , am attached to the principles of the Constitution of the United or op\nother visible distinctive marks\nMone\nparticularly\nto become to A of the United Wilhelmina, anounce Queen ofthe espolutely Nether and allegiance and Adelity to any foreign prince, potentate, state, States, or sovercignty and u\nto reside permanently in the United States.\nof whom at this time I am a subject, and is is my inter\nI was born in\nAmaterdam, Holland.\nanno Domini I 881 I now reside\nwighth. I am able to speak the English TRUOO 30 ASORO\npetition of\non the\n21st\nday of\nApril\n,\nI have resided\nself bas\nthe\n129 Haight St. San Francisco, California\nday of\nmay in the United anno States Domant of Amerleg 893 for and the in term the of Ave years at California least immediately `preceding the date of this petition, to wit,\nat\n(Give number, street, city or town, and State.)\nthis petidion, ainco the\n-\nI emigrated to the United States of America from Rotterdam, Holland.\nday of Detaber anno Domini Josh State of being a residenes within this State of at continuously least one year next next preceding préceding the the de\nof this ná\nw\n\"Rotterdam'\n: my last\non the vessel (If the allen arrived otherwise than by veasel, the character of conveyance or name of transportation cumpaby should be given.)\nTenth. I have not heratofore made patition for eitizenship to any court. (I AipiOn\nof\nat\nAmsterdam, Holland.\non\nforeign residence was\nsatchpartism Course for the fellowne reason and to wit,\nan\nREBY DEM\nIt is my bona fide intention to renounce forever all allegiance and fidelity to any foreign\nbeen\nprince, potentate, state, or sovereignty, and particularly to\nOUFEN OF THE NETHERLANDS\nmy of the two willnesses thereto, required by law. Wherefore your petitioner proys that he may be admitied a of the United States of Amerio\nAttached and hareto the and made a part of this petition are my declaration of intention to become . altizon of the United States - together\nof whom I am now a subject:\nin the\nMiss anna letter\nI arrived at the port of\nHoboken,\naHOM\n(Comples\nof petilioner.)\non or about the\n2nd\nState of\nNow, Jersey\nday\nof\nanno Domini 1 893 : I am not an anarchist: 1 am not a\nDeclaration of Norem Intention - 98 the United Blates on om BEFORE 29, 1908, strike Chobor out the Ned words this reading Pand Certificate EM day of of Arrival August No. from Department of 1914 Labos.\"\nMay\n,\npolygamist nor a believer in the practice of polygamy: and it is my intention in good faith\nAFFIDAVITS OF PETITIONER AND WITNESSES.\nSEATE OF CALIFORNIA\nto become a citizen of the United States of America and to permanently reside therein:\nOnunty of Los Angeles\n##:\nSo HELP ME GOD.\namailatha tan Dam\nThe patitioner being duly awora, deposes and sage that he laithe petétioner in the proceodiage: that he has read the foragoing petition and\nArnow\nTVEUTED WITNESSES\n(Original of doclarant.)\ninformation and and that\ncontenta thereof that the said patition la algned with rull, true name/ that the de true of his own knowledge, excepté as do mattere therein stated to be'alleged\nSubscribed and sworn to before me this\n10th\nCertufligance\nau to those reattoré he 90 Sk\n(Complete and true Agnature\n[SEAL]\nday of\nApri\nanno Domini 191 2.\nedmunity Jane\ncompation\nand\nJAS. P. BROWN.\nascupation\nHeinektupes attorney tan Jasade\nrealding at 191 Achistiram\neach\nWAS.\nUNITED STATES DISTRICT\nbeing severally, duly, Miss tandam the abome mentioned to hare relded in the States\nand la of the United State of that he has personolly known\nimmediately proceding the date of Allad Ale petition, the\nM.F.Cett\nClerk of the\n24 day of\ndimu of\nentitled potition le the\n24\nduly\nDonglet be the State la which\nBy\npefitionar is - of mores attached day to the of of the or the United T and that 7e7 the and that de he has - personal way qualited, kroowledge\nde be admitted - of the Uniled States\nartic 0\na M"
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