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11
15:
No.
Form 2203
TRIPLICATE
U. S. DEPARTMENT OF LABOR
[To be given tothe person
the Declaration)
No. 7948
NATURALIZATION SERVICE
STATES OF
To the Honorable
The petition
First. My pi
Second. My
DECLARATION OF INTENTION
Third. wa
137 Invalid for all purposes seven years after the date hereof.
Fourth.
anno Domini 1.0
State off Oregon
In the
Circuit
Co
anno Domini 1.0
ss:
nfth. I ded
County of Multnomah
of. Multnomah County
at
mm
g,
George Rasmussen
aged
40
year
Sixph. Igm
Neb
at
occupation
Carpenter
do declare on oath that my person
I have one
descriptión is: Color
White
complexion
Dark
-,
height 5. feet 8 inchs
mary
weight
I38 pounds, color of hair Dark Brown color of eyes Blue
other visible distinctive marks
None
I was born in
Langeland
Denmark
on the
7th
day of June
,
anno
Domini
I
874
:
I
now reside
Seventh.
to organized gou
at
419 E. 5Ist Street Portland Oregon
intention to bei
(Give number, street, city or town, and State.)
particularly to
I
emigrated to the United States of America from Hamburg
Germany
to reside perma
on the vessel Cannot ascertain Name
; my las
Kighth. I
(If the alien arrived otherwise than by vessel, the character of conveyance or name of transportation company should be given.)
Winth. I
foreign residence was
Langeland
Denmark
10 da
It is my bona fide intention to renounce forever all allegiance and fidelity to any foreip
this petition, si
of this petition
prince, potentate, state, or sovereignty, and particularly to
ChristianX
Tenth. I
King of Denmark
of whom I am now a subjet
I arrived at the port of
New York,
in th
State of
New york,
on or about the
IOth day
Attached
together with
of
May
anno Domini I I am not an anarchist: I am not
,
States of Amer
polygamist nor a believer in the practice of polygamy; and it is my intention in good fait
to become a citizen of the United States of America and to permanently reside thereir
Declaration of
So HELP ME GOD.
George Rasmin
Toriginal signature of declarant.)
Subscribed and sworn to before me this
5th
The afor
day of SEptember
, anno Domini 191 4
contents there
and belief, and
B. Coffey
Clerk of the
Circuit
Co
m
By smoore .Deputy
Cle
and
each being set
immediately
entitled petiti
(the aald petiti
opinion, to be
[8EAL.]
Subscribed a
of
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Document data
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- Core
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- Type
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"ocrText": "11\n15:\nNo.\nForm 2203\nTRIPLICATE\nU. S. DEPARTMENT OF LABOR\n[To be given tothe person\nthe Declaration)\nNo. 7948\nNATURALIZATION SERVICE\nSTATES OF\nTo the Honorable\nThe petition\nFirst. My pi\nSecond. My\nDECLARATION OF INTENTION\nThird. wa\n137 Invalid for all purposes seven years after the date hereof.\nFourth.\nanno Domini 1.0\nState off Oregon\nIn the\nCircuit\nCo\nanno Domini 1.0\nss:\nnfth. I ded\nCounty of Multnomah\nof. Multnomah County\nat\nmm\ng,\nGeorge Rasmussen\naged\n40\nyear\nSixph. Igm\nNeb\nat\noccupation\nCarpenter\ndo declare on oath that my person\nI have one\ndescriptión is: Color\nWhite\ncomplexion\nDark\n-,\nheight 5. feet 8 inchs\nmary\nweight\nI38 pounds, color of hair Dark Brown color of eyes Blue\nother visible distinctive marks\nNone\nI was born in\nLangeland\nDenmark\non the\n7th\nday of June\n,\nanno\nDomini\nI\n874\n:\nI\nnow reside\nSeventh.\nto organized gou\nat\n419 E. 5Ist Street Portland Oregon\nintention to bei\n(Give number, street, city or town, and State.)\nparticularly to\nI\nemigrated to the United States of America from Hamburg\nGermany\nto reside perma\non the vessel Cannot ascertain Name\n; my las\nKighth. I\n(If the alien arrived otherwise than by vessel, the character of conveyance or name of transportation company should be given.)\nWinth. I\nforeign residence was\nLangeland\nDenmark\n10 da\nIt is my bona fide intention to renounce forever all allegiance and fidelity to any foreip\nthis petition, si\nof this petition\nprince, potentate, state, or sovereignty, and particularly to\nChristianX\nTenth. I\nKing of Denmark\nof whom I am now a subjet\nI arrived at the port of\nNew York,\nin th\nState of\nNew york,\non or about the\nIOth day\nAttached\ntogether with\nof\nMay\nanno Domini I I am not an anarchist: I am not\n,\nStates of Amer\npolygamist nor a believer in the practice of polygamy; and it is my intention in good fait\nto become a citizen of the United States of America and to permanently reside thereir\nDeclaration of\nSo HELP ME GOD.\nGeorge Rasmin\nToriginal signature of declarant.)\nSubscribed and sworn to before me this\n5th\nThe afor\nday of SEptember\n, anno Domini 191 4\ncontents there\nand belief, and\nB. Coffey\nClerk of the\nCircuit\nCo\nm\nBy smoore .Deputy\nCle\nand\neach being set\nimmediately\nentitled petiti\n(the aald petiti\nopinion, to be\n[8EAL.]\nSubscribed a\nof"
}