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OATH OF ALLEGIAIDO
h, that II
Form
1079814
ricularly
Repartent at und Kabar
TRIPLICATE
NATURALIZATION SERVICE
een a aubje
No.
4248
No; and the -
STATES
OF
o before me
MAY 1 9 1916
RECEID
DECLARATION OF INTENTION p
A DEC. 219
add the
(levelid for all purposes seven years after the date hereof)
EXAMANCO
STATE OF CALIFORNIA
The State of Califorida.
Trs Ungeles Cal
I the Unitied States andved on the IF A
my to become a
In the
SUPERT Court
day
at
OF
Caunty of LostAngeles
fionsh
of
in and for Los Angeles County.
in
Bedrenesla 3 married tensis la how annu resides the at a all
I
hase
he petition
g,
Leivu Pougatsce
aged 26
years,
children, and the nome, date and place of birth, and place of realdence of of
sald
pen Court,
occupation
Tailor
do declare on oath that my personal
ited States
description is: Color
White
complexion
Dark
height -5 feet 6 inches,
Bernies Edward Bean if aug
-
apon-conale
1910.
weight
155
pounds, color of hair Black
color of eyes Brown
Carl
6.1,p.596)
other visible distinctive marks
None
Des 1912
Beventh. am NOW a disbellever in OF opposed to organized government or . mewber of or
I was born in
Tchernigey Russia
to
organized government. am not a nor . in the practics of polygamy. Z am attach
on the
I4
day of Sept
anno Domini 1 885 I now reside
intention to become a of the Uniced States and to renounce absolutely and foreper all allegian
particularly to
Nicholas II. Emperor of all the
at
932 Cottage Place Los Angeles Cal
(Give number, atreet, or town, and State.)
to reside permanently in the United States.
I emigrated to the United States of America from LIVERPOOL, ENGLAND
wight. 1 am able to speal the tanguage. nom
Mith
I
he petition
on the vessel
Umbria
: my last
(If the allen arrived otherwise than by vessol, the character of onveyance or name of transportation company should be given.)
the
9.
have relided .
day of
pelition, the 9 ddy of
Suly in the march United agino States Domini of America anno for and the in term the of State Aus of yeara
foreign residence was Tchernigov Russia
of the el 1618
Domini 2. 907-
It is my bona fide intention to renounce forever all allegiance and fidelity to any foreign
Tenth. I have not heretofore made petition for altisenship to any sourt. 12
prince, potentate, state, or sovereignty, and particularly to
as
Nicholas II, Emperor of all the Russias.
of whom 1 am now a subject:
and pasition was ly Court for me and
-
EREBY Di
I arrived at the port of
NNW YORK
in the
hereso and made a part of this are my declaration of Estention to become a of the
State of
NNW YORK
on or about the 9th
day
my amdauts and the affdenita of the two thereto, required by law. Wherefore your petitione
of
July
anno Domini 1 906 : I am not an anarchist: I am not a
EMORANDUM OF CONTINUANCES
polygamist nor a believer in the praçtice of polygamy; and it is my intention in good faith
Declaration of Intension and Certificate of 10.1079814 from Department of Labor Mod this
a la the ON 08 Jess 29, 1908,
to become a citizen of the. United States of America and to permanently reside therein
Pertioner wishes name change the worde res
So HBLP ME GOD.
Seim (Original of
Pougatzee
AFFIDAVITS OF PETITIONER AN
STATE OF CALIFORNIA
Caunty of Los Angeles
Subscribed and sworn to before me this 4th
The Beling duly deposes and anya that he la the petitioner la the
[SEAL] SIGUTED WITNESSES
day of January
anno Domini 1912
contenta thereofi that the suld petition la algned with Aste frue name: that the 4 true of A
teformation and and that - to those mattere No " to be
COUNTE CLERK. AND. GLERK or
H. J. Lelande THE SUPERIOR COURT IN AND FOR YWE COUNTY
Clerk of the
OF LOS ANGELES. STATE OF CALIFORNIA
Court.
mer
Fail
and
By
E.E.maill sech
Clerk.
Auly and of the
Stai
the delle of Bling IG
Mon, an the
-
-
ly
1614 Le of - werel to the of
16 be admilled - of the
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Document data
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- Core
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DTO data
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Context sent to Scholar
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"ocrText": "or\nOATH OF ALLEGIAIDO\nh, that II\nForm\n1079814\nricularly\nRepartent at und Kabar\nTRIPLICATE\nNATURALIZATION SERVICE\neen a aubje\nNo.\n4248\nNo; and the -\nSTATES\nOF\no before me\nMAY 1 9 1916\nRECEID\nDECLARATION OF INTENTION p\nA DEC. 219\nadd the\n(levelid for all purposes seven years after the date hereof)\nEXAMANCO\nSTATE OF CALIFORNIA\nThe State of Califorida.\nTrs Ungeles Cal\nI the Unitied States andved on the IF A\nmy to become a\nIn the\nSUPERT Court\nday\nat\nOF\nCaunty of LostAngeles\nfionsh\nof\nin and for Los Angeles County.\nin\nBedrenesla 3 married tensis la how annu resides the at a all\nI\nhase\nhe petition\ng,\nLeivu Pougatsce\naged 26\nyears,\nchildren, and the nome, date and place of birth, and place of realdence of of\nsald\npen Court,\noccupation\nTailor\ndo declare on oath that my personal\nited States\ndescription is: Color\nWhite\ncomplexion\nDark\nheight -5 feet 6 inches,\nBernies Edward Bean if aug\n-\napon-conale\n1910.\nweight\n155\npounds, color of hair Black\ncolor of eyes Brown\nCarl\n6.1,p.596)\nother visible distinctive marks\nNone\nDes 1912\nBeventh. am NOW a disbellever in OF opposed to organized government or . mewber of or\nI was born in\nTchernigey Russia\nto\norganized government. am not a nor . in the practics of polygamy. Z am attach\non the\nI4\nday of Sept\nanno Domini 1 885 I now reside\nintention to become a of the Uniced States and to renounce absolutely and foreper all allegian\nparticularly to\nNicholas II. Emperor of all the\nat\n932 Cottage Place Los Angeles Cal\n(Give number, atreet, or town, and State.)\nto reside permanently in the United States.\nI emigrated to the United States of America from LIVERPOOL, ENGLAND\nwight. 1 am able to speal the tanguage. nom\nMith\nI\nhe petition\non the vessel\nUmbria\n: my last\n(If the allen arrived otherwise than by vessol, the character of onveyance or name of transportation company should be given.)\nthe\n9.\nhave relided .\nday of\npelition, the 9 ddy of\nSuly in the march United agino States Domini of America anno for and the in term the of State Aus of yeara\nforeign residence was Tchernigov Russia\nof the el 1618\nDomini 2. 907-\nIt is my bona fide intention to renounce forever all allegiance and fidelity to any foreign\nTenth. I have not heretofore made petition for altisenship to any sourt. 12\nprince, potentate, state, or sovereignty, and particularly to\nas\nNicholas II, Emperor of all the Russias.\nof whom 1 am now a subject:\nand pasition was ly Court for me and\n-\nEREBY Di\nI arrived at the port of\nNNW YORK\nin the\nhereso and made a part of this are my declaration of Estention to become a of the\nState of\nNNW YORK\non or about the 9th\nday\nmy amdauts and the affdenita of the two thereto, required by law. Wherefore your petitione\nof\nJuly\nanno Domini 1 906 : I am not an anarchist: I am not a\nEMORANDUM OF CONTINUANCES\npolygamist nor a believer in the praçtice of polygamy; and it is my intention in good faith\nDeclaration of Intension and Certificate of 10.1079814 from Department of Labor Mod this\na la the ON 08 Jess 29, 1908,\nto become a citizen of the. United States of America and to permanently reside therein\nPertioner wishes name change the worde res\nSo HBLP ME GOD.\nSeim (Original of\nPougatzee\nAFFIDAVITS OF PETITIONER AN\nSTATE OF CALIFORNIA\nCaunty of Los Angeles\nSubscribed and sworn to before me this 4th\nThe Beling duly deposes and anya that he la the petitioner la the\n[SEAL] SIGUTED WITNESSES\nday of January\nanno Domini 1912\ncontenta thereofi that the suld petition la algned with Aste frue name: that the 4 true of A\nteformation and and that - to those mattere No \" to be\nCOUNTE CLERK. AND. GLERK or\nH. J. Lelande THE SUPERIOR COURT IN AND FOR YWE COUNTY\nClerk of the\nOF LOS ANGELES. STATE OF CALIFORNIA\nCourt.\nmer\nFail\nand\nBy\nE.E.maill sech\nClerk.\nAuly and of the\nStai\nthe delle of Bling IG\nMon, an the\n-\n-\nly\n1614 Le of - werel to the of\n16 be admilled - of the"
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