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Forms 800
DERTIFICATE
PURPOSER
IN THE MATTER OF THE PETITION
(For use of allens arriving In United Stutes after June 19, 1906. lesued
nathough Pen
Serial
75464-8-1079814
U. S. DEPARTMENT OF LABOR
A CITIZEN or noi UNITED
IMMIGRATION SERVICE
OFFICE OF Commissioner
STATES OF HTAQ
AT
Ellia Island, N. Y., Dec.10 1914
by declore, on oath, that A
This is to certify that the following-named alien arrived at the port indicated, on the date and in the
manner described below, vix:
PETIFION FOR NATURALIZATION
vereignty, and particularly
Name of alien: Pugach, Leib
hata
have heretofore been a sub
Port of entry New York, N. Y.
Superlor
bas
To the Honorable the
Date of arrival: July 9, 1906
The petition of
First. place of
Name of vessel: Umbria
Cunard
Truiri to Darlas 1504 tabe Drangelest Sengifyer sumber streed, diy lown, County. hereba Bled Oat showeth
Cours of The State of lifornta. for Los Angeles
reign and domestic; and f
Second. My ocoupation la
Angeli
Third. I was born on the
ibed and sworn to before m
Title) Acting Commissioner
Fourth. , emigrajed
to the United 14 States day of from Appe anno Domin England GPP as on Schernyou or about the 2 day of Aussia
14-396
Or railroad company, or any other conveyance.
anno Domini z. gok and arriped in the United States, atthe port of
so
Umbrica
New your
on the
9 July
anno Domini 1 7on the vessel
ihan by
day of fully
anunciation of adde of nobility, add the
(Invalid for all purposes sevem years after the date hereof)
1 deffared become
of
SUPERIUR
Court
at
anno
STATE OF callFORMIA
In the
ss:
The State of California.
Court of The State of Catifornia in and far Les
Caunty of Los Angeles
of
in and for Los Angeles County.
in
Benterenosta for 3 my Angeles married. to tusna a Cal of the now annu United resides the States as on Tos the Conganzer 4 andele Repedor day (Olve January Cal chould Augales Domini She was 912 born
aged 26
years,
Ihave
children, and the name, date and place of birth, and place of residence of each of anid hildren number, le as follows: city or town,
and
nonsideration of the petition
g,
Leivu Pougatzoe
Himony taken in open Court
occupation
Tailor
do declare on oath that my personal
citizen of the United State
White
complexion
Dark
, height -5--- feet 6 inches,
Bernies Edward Born aug Angele
description is: Color
,
.
Jan 1910.
further ordered, apon-const
pounds, color of hair Blaok
color of eyes Brown
155
,
weight
to,changed
Carl
other visible distinctive marks
None
Des 1912
Seventh. I am not a disbeliever in OF opposed to organized government or . member of or amliated with any organization or body of persons teaching disbelief in or opposed
I was born in
Tchernigey
Russia
to
Court:
organized government. I'am not a polyFamist not . in the practice of polygamy. I am attached to the principles of the Constitution of the United States, and u la my
on the
I4
day of Sept.
anno Domini .885 I now reside
,
intencion to become a of the United States and to renounce absolutely and forever all allegiance and Adelity to any foreign prince, potentate, state, or sovereignty, and
particularly to
Nicholas II. Emperor of all the
of whom at this time I am a subject,an " is my intention
932 Cottage Place Los Angeles Cal
to reside permanently in the United States.
at
(Give
number, street, city or town, and State.)
I emigrated to the United States of America from LIVERPOOL, ENGLAND
righth. , am able to speale the English language.
Kinth
consideration of the petition
: my last
Umbria otherwise than by veasel, the character of conveyance or nanse of transportation company should be given.)
the
on the vessel
(If
the
this petition, since the 9 ddy of march anno and Domini in the State 907 of being a residence within this State of as continuously least one year next next preceding preceding the the date date
9
alien
arrived
I have resided July in the United States of America 906 for the term of Ave years at least immediately preceding the date of this patition, to wit, since
day of
anno
Domini
California
foreign residence was Tchernigov Russia
this petition.
It is my bona fide intention to renounce forever all allegiance and fidelity to any foreign
Tenth. 1 have not heretofore made petition for eltizenship to any court. (I dade person for do the
as
prince, potentate, state, or sovereignty, and particularly to
on the
day of
and-th
said patition was assied bu the anid Court for reasons and
Nicholas II, Emperor of all the Russias.
, of whom I am now a subject;
1
and the of denial has sinca haen eured. or zamoned
PETITION IS HEREBY I
NNW YORK
in the
,
I arrived at the port of
Attoched hereto and made part of this petition are my declaration of intention to become oltizon of the United States and the certificate from the Department of Labor, together with
NWW YORK
on or about the 9th.
day
my and the of the two verifying witnesses thareto, required by law. Wherefore your petitioner prays that he may be admitted . citizon of the United States of America.
State of
of
July
anno Domini 906 : I am not an anarchist: I am not a
true of
polygamist nor a believer in the practice of polygamy; and it is my intention in good faith
Des
Congratzee pendioner.)
Declaration of Intention and of Arrival No 1079814 from Department of Labor Ned this 18
Noma - or petitioner assived la the United States DM
day
of
to become a citizen of the-United States of America and to permanently reside therein:
Pertioner wishes name om Jowa 29, 1906, strike changed to pen out the words reading 'and Ceghificate No. Toget. from
from
AFFIDAVITS OF PETITIONER AND WITNESSES.
So HELP ME GOD.
to
Seira (Original Bongatzee agnature of department)
STATE OF
Caunty of Los Angeles
from
to
Subscribed and sworn to before me this
4th
The aforesaid being duly deposes and aays that he is the petitioner in the above entitted proceedings; that he has read the foregoing pelition and knows the
anno Domini 1912
contents thereof: that the auld pétition is signed with his full, true name: that the same u true of hie own knowledge, except - to maitera therein stated to be alleged
day of January
upon
[SEAL]
,
information and bellef, and that to those maitera he believee
COUNTY. CLERK. AND EX-OFFLCIO.I GLENK of
H. J. Lelande
THE SUPERIOR COURT IN AND FOR THE COUNTY
OF LOS ANGELES. STATE OF CALIFORNIA.
Lung Brame as occupation " to be true. mer Tailor Serve residion sebe (Complote and Pengagon
Clerk of the
Court.
and Astoman Suplin litt. assupation Chemical
as
Palding at
sech Clerk.
asverally, duly, and repeetively deposse and sage of the United States that
By
immodiately the date of fling Ma aptition, use the day Crejike of above mestioned, anno he Dominid to has have parsonally known the United State States
petition to mode alace the
7
in the in which the
day
of
- Domina z and that he has personal that
te of Naturalisation, No.
the deld la . person of good charaster, attached to the principles of the Conatidution of the United Statex and that the pottaloner la in - qualifled
opinion, to be admiticad . of the United
havin Beams
os
NOLLOVDIO
AND
Solomon Supplie
-
and de the of the of Court this
Is
29 14
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Document data
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DTO data
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Context sent to Scholar
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"ocrText": "Forms 800\nDERTIFICATE\nPURPOSER\nIN THE MATTER OF THE PETITION\n(For use of allens arriving In United Stutes after June 19, 1906. lesued\nnathough Pen\nSerial\n75464-8-1079814\nU. S. DEPARTMENT OF LABOR\nA CITIZEN or noi UNITED\nIMMIGRATION SERVICE\nOFFICE OF Commissioner\nSTATES OF HTAQ\nAT\nEllia Island, N. Y., Dec.10 1914\nby declore, on oath, that A\nThis is to certify that the following-named alien arrived at the port indicated, on the date and in the\nmanner described below, vix:\nPETIFION FOR NATURALIZATION\nvereignty, and particularly\nName of alien: Pugach, Leib\nhata\nhave heretofore been a sub\nPort of entry New York, N. Y.\nSuperlor\nbas\nTo the Honorable the\nDate of arrival: July 9, 1906\nThe petition of\nFirst. place of\nName of vessel: Umbria\nCunard\nTruiri to Darlas 1504 tabe Drangelest Sengifyer sumber streed, diy lown, County. hereba Bled Oat showeth\nCours of The State of lifornta. for Los Angeles\nreign and domestic; and f\nSecond. My ocoupation la\nAngeli\nThird. I was born on the\nibed and sworn to before m\nTitle) Acting Commissioner\nFourth. , emigrajed\nto the United 14 States day of from Appe anno Domin England GPP as on Schernyou or about the 2 day of Aussia\n14-396\nOr railroad company, or any other conveyance.\nanno Domini z. gok and arriped in the United States, atthe port of\nso\nUmbrica\nNew your\non the\n9 July\nanno Domini 1 7on the vessel\nihan by\nday of fully\nanunciation of adde of nobility, add the\n(Invalid for all purposes sevem years after the date hereof)\n1 deffared become\nof\nSUPERIUR\nCourt\nat\nanno\nSTATE OF callFORMIA\nIn the\nss:\nThe State of California.\nCourt of The State of Catifornia in and far Les\nCaunty of Los Angeles\nof\nin and for Los Angeles County.\nin\nBenterenosta for 3 my Angeles married. to tusna a Cal of the now annu United resides the States as on Tos the Conganzer 4 andele Repedor day (Olve January Cal chould Augales Domini She was 912 born\naged 26\nyears,\nIhave\nchildren, and the name, date and place of birth, and place of residence of each of anid hildren number, le as follows: city or town,\nand\nnonsideration of the petition\ng,\nLeivu Pougatzoe\nHimony taken in open Court\noccupation\nTailor\ndo declare on oath that my personal\ncitizen of the United State\nWhite\ncomplexion\nDark\n, height -5--- feet 6 inches,\nBernies Edward Born aug Angele\ndescription is: Color\n,\n.\nJan 1910.\nfurther ordered, apon-const\npounds, color of hair Blaok\ncolor of eyes Brown\n155\n,\nweight\nto,changed\nCarl\nother visible distinctive marks\nNone\nDes 1912\nSeventh. I am not a disbeliever in OF opposed to organized government or . member of or amliated with any organization or body of persons teaching disbelief in or opposed\nI was born in\nTchernigey\nRussia\nto\nCourt:\norganized government. I'am not a polyFamist not . in the practice of polygamy. I am attached to the principles of the Constitution of the United States, and u la my\non the\nI4\nday of Sept.\nanno Domini .885 I now reside\n,\nintencion to become a of the United States and to renounce absolutely and forever all allegiance and Adelity to any foreign prince, potentate, state, or sovereignty, and\nparticularly to\nNicholas II. Emperor of all the\nof whom at this time I am a subject,an \" is my intention\n932 Cottage Place Los Angeles Cal\nto reside permanently in the United States.\nat\n(Give\nnumber, street, city or town, and State.)\nI emigrated to the United States of America from LIVERPOOL, ENGLAND\nrighth. , am able to speale the English language.\nKinth\nconsideration of the petition\n: my last\nUmbria otherwise than by veasel, the character of conveyance or nanse of transportation company should be given.)\nthe\non the vessel\n(If\nthe\nthis petition, since the 9 ddy of march anno and Domini in the State 907 of being a residence within this State of as continuously least one year next next preceding preceding the the date date\n9\nalien\narrived\nI have resided July in the United States of America 906 for the term of Ave years at least immediately preceding the date of this patition, to wit, since\nday of\nanno\nDomini\nCalifornia\nforeign residence was Tchernigov Russia\nthis petition.\nIt is my bona fide intention to renounce forever all allegiance and fidelity to any foreign\nTenth. 1 have not heretofore made petition for eltizenship to any court. (I dade person for do the\nas\nprince, potentate, state, or sovereignty, and particularly to\non the\nday of\nand-th\nsaid patition was assied bu the anid Court for reasons and\nNicholas II, Emperor of all the Russias.\n, of whom I am now a subject;\n1\nand the of denial has sinca haen eured. or zamoned\nPETITION IS HEREBY I\nNNW YORK\nin the\n,\nI arrived at the port of\nAttoched hereto and made part of this petition are my declaration of intention to become oltizon of the United States and the certificate from the Department of Labor, together with\nNWW YORK\non or about the 9th.\nday\nmy and the of the two verifying witnesses thareto, required by law. Wherefore your petitioner prays that he may be admitted . citizon of the United States of America.\nState of\nof\nJuly\nanno Domini 906 : I am not an anarchist: I am not a\ntrue of\npolygamist nor a believer in the practice of polygamy; and it is my intention in good faith\nDes\nCongratzee pendioner.)\nDeclaration of Intention and of Arrival No 1079814 from Department of Labor Ned this 18\nNoma - or petitioner assived la the United States DM\nday\nof\nto become a citizen of the-United States of America and to permanently reside therein:\nPertioner wishes name om Jowa 29, 1906, strike changed to pen out the words reading 'and Ceghificate No. Toget. from\nfrom\nAFFIDAVITS OF PETITIONER AND WITNESSES.\nSo HELP ME GOD.\nto\nSeira (Original Bongatzee agnature of department)\nSTATE OF\nCaunty of Los Angeles\nfrom\nto\nSubscribed and sworn to before me this\n4th\nThe aforesaid being duly deposes and aays that he is the petitioner in the above entitted proceedings; that he has read the foregoing pelition and knows the\nanno Domini 1912\ncontents thereof: that the auld pétition is signed with his full, true name: that the same u true of hie own knowledge, except - to maitera therein stated to be alleged\nday of January\nupon\n[SEAL]\n,\ninformation and bellef, and that to those maitera he believee\nCOUNTY. CLERK. AND EX-OFFLCIO.I GLENK of\nH. J. Lelande\nTHE SUPERIOR COURT IN AND FOR THE COUNTY\nOF LOS ANGELES. STATE OF CALIFORNIA.\nLung Brame as occupation \" to be true. mer Tailor Serve residion sebe (Complote and Pengagon\nClerk of the\nCourt.\nand Astoman Suplin litt. assupation Chemical\nas\nPalding at\nsech Clerk.\nasverally, duly, and repeetively deposse and sage of the United States that\nBy\nimmodiately the date of fling Ma aptition, use the day Crejike of above mestioned, anno he Dominid to has have parsonally known the United State States\npetition to mode alace the\n7\nin the in which the\nday\nof\n- Domina z and that he has personal that\nte of Naturalisation, No.\nthe deld la . person of good charaster, attached to the principles of the Conatidution of the United Statex and that the pottaloner la in - qualifled\nopinion, to be admiticad . of the United\nhavin Beams\nos\nNOLLOVDIO\nAND\nSolomon Supplie\n-\nand de the of the of Court this\nIs\n29 14"
}