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513247
Form 2903
TRIPLICATE
No. 1867
the person making
the Declaration)
STATES OF
Repartment of Commerce and Euhor
INDEXED
BUREAU OF IMMIGRATION AND NATURALIZATION
RECEIVED
DIVISION OF NATURALIZATION
A.
DEC 51913
M
BUREAU OF
NATURALIZATION
DECLARATION OF INTENTIONNED
(Invalid for all purposes seven years after the date hereof)
STATE us
In
the SUPERIUR Court
County of Los Angeles
ss :
IN AND FOR LOS ANGELES COUNTY,
OFTHE STATE OF CALIFORNI*
Stavras Grorge Fortunas
aged
31.
years,
3.
Laborar
do declare on oath that my personal
affirm
occupation
white
description is: Color
, complexion
Dark height feet 10 inches,
weight 162. pounds, color of hair Brown color of eyes Brown
none
other visible distinctive marks
:
I was born in
Trisuri
Gruce
12 day of
Feby
, anno
on the
,
Domini I 878 I now reside at 416 no Main . RX Las Angiles bal
I emigrated to the United States of America from Nong kong
Ching
[If the allen arrived otherwise than by vessel, the character of conveyance or name of transportation company should be given.]
China
; my last
on the vessel
foreign residence was
Hong Hong
Ching
It is bona fide intention to renounce forever all allegiance and fidelity to any foreign
prince, my potentate, state, or sovereignty, and particularly to George T
King of Gruce
of which I am now a subject eitizen ; I
,
Ian Francisco
in the
arrived at the port of
12.4
State
on or about the
day
111
Territory of
California
anno Domini I 907; I am not an anarchist; 1 am not
a
District of December.
od faith
to become a citizen of the United States of America and to permanently reside therein:
So HELP ME GOD.
stavror George Joshinas
(Original signature, declarant.)
Subscribed and affirmed sworn before me this
to
nin
[SEAL ]
day of October
anno Domini 1909
C. G. Keyes
DOUNTY CLERK AND CLEPK OF
Clerh of then LOS CALIFORNIA
THE COURT. IN AND Fon THE OQUNTY
Gowrt.
By
Deputy Clerk.
Page data
- Page
- 44
- Source index
- 0
- Type
- photo
- Media ID
- 3e25f692e7625041
- Size
- unknown
Document data
- ID
- 103904445
- Core
- doc
- Type
- document
DTO data
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Context sent to Scholar
Document identity
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Document source metadata
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Document source extras
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Page context
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"ocrText": "513247\nForm 2903\nTRIPLICATE\nNo. 1867\nthe person making\nthe Declaration)\nSTATES OF\nRepartment of Commerce and Euhor\nINDEXED\nBUREAU OF IMMIGRATION AND NATURALIZATION\nRECEIVED\nDIVISION OF NATURALIZATION\nA.\nDEC 51913\nM\nBUREAU OF\nNATURALIZATION\nDECLARATION OF INTENTIONNED\n(Invalid for all purposes seven years after the date hereof)\nSTATE us\nIn\nthe SUPERIUR Court\nCounty of Los Angeles\nss :\nIN AND FOR LOS ANGELES COUNTY,\nOFTHE STATE OF CALIFORNI*\nStavras Grorge Fortunas\naged\n31.\nyears,\n3.\nLaborar\ndo declare on oath that my personal\naffirm\noccupation\nwhite\ndescription is: Color\n, complexion\nDark height feet 10 inches,\nweight 162. pounds, color of hair Brown color of eyes Brown\nnone\nother visible distinctive marks\n:\nI was born in\nTrisuri\nGruce\n12 day of\nFeby\n, anno\non the\n,\nDomini I 878 I now reside at 416 no Main . RX Las Angiles bal\nI emigrated to the United States of America from Nong kong\nChing\n[If the allen arrived otherwise than by vessel, the character of conveyance or name of transportation company should be given.]\nChina\n; my last\non the vessel\nforeign residence was\nHong Hong\nChing\nIt is bona fide intention to renounce forever all allegiance and fidelity to any foreign\nprince, my potentate, state, or sovereignty, and particularly to George T\nKing of Gruce\nof which I am now a subject eitizen ; I\n,\nIan Francisco\nin the\narrived at the port of\n12.4\nState\non or about the\nday\n111\nTerritory of\nCalifornia\nanno Domini I 907; I am not an anarchist; 1 am not\na\nDistrict of December.\nod faith\nto become a citizen of the United States of America and to permanently reside therein:\nSo HELP ME GOD.\nstavror George Joshinas\n(Original signature, declarant.)\nSubscribed and affirmed sworn before me this\nto\nnin\n[SEAL ]\nday of October\nanno Domini 1909\nC. G. Keyes\nDOUNTY CLERK AND CLEPK OF\nClerh of then LOS CALIFORNIA\nTHE COURT. IN AND Fon THE OQUNTY\nGowrt.\nBy\nDeputy Clerk."
}