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No. 623
Form 2903
TRIPLICATE
[To be given to the person making
the Declaration)
STATES OF
Department nf Conmerce and Tabor
BUREAU OF IMMIGRATION AND NATURALIZATION
DIVISION OF NÁTURALIZATION
DECLARATION OF INTENTION
(Invalid for all purposes seven years after the date hereof)
STATE OF CALIFORNIA
In
the SUPERIOR
Court
3, County of Los ,Angeles of
THE STAVE que
IN AND FOR Les ANGELES
, aged 20 years,
occupation
Labonen
do declare on oath that my personal
description is: Color white complexio) Dark affirm, height feet inches,
weight
163 pounds, color of hair Back color of eyes Brown
other visible distinctive marks
None
;
I was born in Ghahang
parti
, on the 12 day of Och
to res
anno
Domini I 889 I now reside at 631. Collego as La Augoles Pal
I emigrated to the United States of America from Haor Kanow
the
La Chronine
then
on the vessel
foreign
residence was Grahavo transpog Ration company should be
(If the allen arrived othery than by ressel The character of conveyance or name of given.] ; my last
It is my bona fide intention to renounce forever all allegiance and fidelity to any foreign
said
Annu princos potentate, soyereignty, and particularly to Phcholar
state,
of which I am now a -eitizen subject I
myat
arrived at
State the port of
, in the
Territory
of District March
of New york
on or about the so day
, anno Domini 9015 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 HELP ME GOD.
(Original signature of declarant.)
Subscribed and -affirmed sworn to before me this
11/2
[SEAL.]
day of Heby anno Domini 19 08
8. & Keyes,
CODNTY CLERK AND EX-ORFICIO OF
By Glem of than SUPE OOURT IN AND CALIFORNIA FOR THE GOUNTK 11-2526 Clerk. Court:
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- Type
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- unknown
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": "No. 623\nForm 2903\nTRIPLICATE\n[To be given to the person making\nthe Declaration)\nSTATES OF\nDepartment nf Conmerce and Tabor\nBUREAU OF IMMIGRATION AND NATURALIZATION\nDIVISION OF NÁTURALIZATION\nDECLARATION OF INTENTION\n(Invalid for all purposes seven years after the date hereof)\nSTATE OF CALIFORNIA\nIn\nthe SUPERIOR\nCourt\n3, County of Los ,Angeles of\nTHE STAVE que\nIN AND FOR Les ANGELES\n, aged 20 years,\noccupation\nLabonen\ndo declare on oath that my personal\ndescription is: Color white complexio) Dark affirm, height feet inches,\nweight\n163 pounds, color of hair Back color of eyes Brown\nother visible distinctive marks\nNone\n;\nI was born in Ghahang\nparti\n, on the 12 day of Och\nto res\nanno\nDomini I 889 I now reside at 631. Collego as La Augoles Pal\nI emigrated to the United States of America from Haor Kanow\nthe\nLa Chronine\nthen\non the vessel\nforeign\nresidence was Grahavo transpog Ration company should be\n(If the allen arrived othery than by ressel The character of conveyance or name of given.] ; my last\nIt is my bona fide intention to renounce forever all allegiance and fidelity to any foreign\nsaid\nAnnu princos potentate, soyereignty, and particularly to Phcholar\nstate,\nof which I am now a -eitizen subject I\nmyat\narrived at\nState the port of\n, in the\nTerritory\nof District March\nof New york\non or about the so day\n, anno Domini 9015 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 HELP ME GOD.\n(Original signature of declarant.)\nSubscribed and -affirmed sworn to before me this\n11/2\n[SEAL.]\nday of Heby anno Domini 19 08\n8. & Keyes,\nCODNTY CLERK AND EX-ORFICIO OF\nBy Glem of than SUPE OOURT IN AND CALIFORNIA FOR THE GOUNTK 11-2526 Clerk. Court:"
}