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Form 9908
at Commence and Tabor
TRIPLICATE
NATURALIZATION SERVICE
(To be gives to the pessea making
No.
-874-
the Declaration)
STATES OF
DECLARATION OF INTENTION
(Invalid for all purposes seven years after the date hereof)
State of California
In the
Superior
Court
ss:
County of San Diego
of
San Diego County
9,
L o U I 8
aged
40
years,
occupation
tailor
do declare on oath that my personal
description is: Color white
, complexion fair
, height 5 feet 5 inches,
weight
135
pounds, color of hair oheötnut
color of eyes
blue
other visible distinctive marks none
I was born in Sokolov, Sedlest, Russia
on the 10th
day of
April
anno Domini I 873 : I now reside
at
3740 10th St., San Diego, California
(Give number, street, city or town, and State.)
I emigrated to the United States of America from
Nagasaki, Japan
on the vessel
"China'
(If the alien arrived otherwise than by veasel, the character of conveyance or name of transportation company should be given.)
: my last
foreign residence was Vladivostok, Rassia
It is my bona fide intention to renounce forever all allegiance and fidelity to any foreign
prince, potentate, state, or sovereignty, and particularly to Nicholas II.
Inperor of All the Russias
of whom I am now a subject;
I arrived at the port of
San Franoisoo
in the
State of
California
, on or about the
15th day
of
October
anno Domini I 891 : 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
to become a citizen of the United States of America and to permanently reside therein:
So HEEP ME GOD.
hours Kirshbaun
(Original algnature of declarmat.)
Subscribed and sworn to before me this
19th
day of May
anno Domini 191 3
J. T. Butler
Clerk of the
Superior
Court
By
deputy
Clerk.
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- Source index
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- Type
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- Media ID
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- Size
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Document data
- ID
- 103904445
- Core
- doc
- Type
- document
DTO data
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Context sent to Scholar
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Page context
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"ocrText": "Form 9908\nat Commence and Tabor\nTRIPLICATE\nNATURALIZATION SERVICE\n(To be gives to the pessea making\nNo.\n-874-\nthe Declaration)\nSTATES OF\nDECLARATION OF INTENTION\n(Invalid for all purposes seven years after the date hereof)\nState of California\nIn the\nSuperior\nCourt\nss:\nCounty of San Diego\nof\nSan Diego County\n9,\nL o U I 8\naged\n40\nyears,\noccupation\ntailor\ndo declare on oath that my personal\ndescription is: Color white\n, complexion fair\n, height 5 feet 5 inches,\nweight\n135\npounds, color of hair oheötnut\ncolor of eyes\nblue\nother visible distinctive marks none\nI was born in Sokolov, Sedlest, Russia\non the 10th\nday of\nApril\nanno Domini I 873 : I now reside\nat\n3740 10th St., San Diego, California\n(Give number, street, city or town, and State.)\nI emigrated to the United States of America from\nNagasaki, Japan\non the vessel\n\"China'\n(If the alien arrived otherwise than by veasel, the character of conveyance or name of transportation company should be given.)\n: my last\nforeign residence was Vladivostok, Rassia\nIt is my bona fide intention to renounce forever all allegiance and fidelity to any foreign\nprince, potentate, state, or sovereignty, and particularly to Nicholas II.\nInperor of All the Russias\nof whom I am now a subject;\nI arrived at the port of\nSan Franoisoo\nin the\nState of\nCalifornia\n, on or about the\n15th day\nof\nOctober\nanno Domini I 891 : 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\nto become a citizen of the United States of America and to permanently reside therein:\nSo HEEP ME GOD.\nhours Kirshbaun\n(Original algnature of declarmat.)\nSubscribed and sworn to before me this\n19th\nday of May\nanno Domini 191 3\nJ. T. Butler\nClerk of the\nSuperior\nCourt\nBy\ndeputy\nClerk."
}