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Form 2903
U. S. DEPARTMENT OF LABOR
TRIPLICATE
[To be
No.
1966
NATURALIZATION SERVICE
the Declaration)
STATES OF
URITED
To the Hor
DECLARATION OF INTENTION
The
First
137 Invalid for all purposes seven years after the date hereof.
Secor
Thir
STATE OF CALIFORNIA
"In the Supert or
Court
ss:
Four
County of San Diego
of
San Diego County
anno Domi
anno Domti
g,
Charles Louis-Joseph-Legrand
aged 43
years,
Fifth
occupation Musician
, do declare on oath that my personal
at
Sinth
description is: Color
White
,
complexion
Fair
height 5 feet 5 inches,
at
weight 135
pounds, color of hair
black
, color of eyes brown
Ihave
other visible distinctive marks
none
I was born in
Lichtervelite, Belgium
on the
7th
day of
June
, anno Domini 1874 : I now reside
at
Cabrillo Commercial Club San Diego California
(Give number, street, city or town, and State.)
Sevent
I emigrated to the United States of America from
Antwerp,
Belgium
to organized
intention to
on the vessel
Finland
: my last
(If the alien arrived otherwise than by veasel, the character of conveyance or name of transportation company should be given.)
particularly t
foreign residence was
Courtrai. Belgium
to reside pert
My wife's name is Gabrielle Naunckele, whereabouts unknown
Eighth
It is my bona fide intention to renounce forever all allegiance and fidelity to any foreign
Minth
prince, potentate, state, or sovereignty, and particularly to Albert I, King of the
5th
this petition,
Belgians
, of whom I am now a subject:
of this petitio
I arrived at the port of
New York
, in the
b
State of
New York
on or about the
5
day
said petition -
of
December
anno
Domini 1906 : I am not an anarchist: I am not
a
Attached
polygamist nor a believer in the practice of polygamy; and it is my intention in good faith
together with
to become a citizen of the United States of America and to permanently reside therein:
States of Ame
So HELP ME GOD.
Charles (Original Lauis signature Joseph of reclarant. lig
Declaration of
Subscribed and sworn to before me in the office of the Clerk of
said Court this 18. day of September, anno Domini 191 7
J. B. McLees
The afore
Clerk of the
Court
contents thereo
Sup eri or
and bellef, and
By Deputy
clasting
Clerk.
11-30
and
H.
each
than
mmddiately prei
The immigration records at this port show the following as to the alien named below:
entitled petition
tho said petitione
Name of alien:
Legrand, Charles
G
opinion, to beadi
Date of arrival: Dec. 5, 1906
Name of vessel: Finland
Line. R.S.
Agrouthull
Subscribed and
Acting Commissing
(Title)
11-4391
*Or railroad company, or any other conveyance.
Page data
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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
- 103908515
- Core
- doc
- Type
- document
DTO data
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Context sent to Scholar
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"ocrText": "Form 2903\nU. S. DEPARTMENT OF LABOR\nTRIPLICATE\n[To be\nNo.\n1966\nNATURALIZATION SERVICE\nthe Declaration)\nSTATES OF\nURITED\nTo the Hor\nDECLARATION OF INTENTION\nThe\nFirst\n137 Invalid for all purposes seven years after the date hereof.\nSecor\nThir\nSTATE OF CALIFORNIA\n\"In the Supert or\nCourt\nss:\nFour\nCounty of San Diego\nof\nSan Diego County\nanno Domi\nanno Domti\ng,\nCharles Louis-Joseph-Legrand\naged 43\nyears,\nFifth\noccupation Musician\n, do declare on oath that my personal\nat\nSinth\ndescription is: Color\nWhite\n,\ncomplexion\nFair\nheight 5 feet 5 inches,\nat\nweight 135\npounds, color of hair\nblack\n, color of eyes brown\nIhave\nother visible distinctive marks\nnone\nI was born in\nLichtervelite, Belgium\non the\n7th\nday of\nJune\n, anno Domini 1874 : I now reside\nat\nCabrillo Commercial Club San Diego California\n(Give number, street, city or town, and State.)\nSevent\nI emigrated to the United States of America from\nAntwerp,\nBelgium\nto organized\nintention to\non the vessel\nFinland\n: my last\n(If the alien arrived otherwise than by veasel, the character of conveyance or name of transportation company should be given.)\nparticularly t\nforeign residence was\nCourtrai. Belgium\nto reside pert\nMy wife's name is Gabrielle Naunckele, whereabouts unknown\nEighth\nIt is my bona fide intention to renounce forever all allegiance and fidelity to any foreign\nMinth\nprince, potentate, state, or sovereignty, and particularly to Albert I, King of the\n5th\nthis petition,\nBelgians\n, of whom I am now a subject:\nof this petitio\nI arrived at the port of\nNew York\n, in the\nb\nState of\nNew York\non or about the\n5\nday\nsaid petition -\nof\nDecember\nanno\nDomini 1906 : I am not an anarchist: I am not\na\nAttached\npolygamist nor a believer in the practice of polygamy; and it is my intention in good faith\ntogether with\nto become a citizen of the United States of America and to permanently reside therein:\nStates of Ame\nSo HELP ME GOD.\nCharles (Original Lauis signature Joseph of reclarant. lig\nDeclaration of\nSubscribed and sworn to before me in the office of the Clerk of\nsaid Court this 18. day of September, anno Domini 191 7\nJ. B. McLees\nThe afore\nClerk of the\nCourt\ncontents thereo\nSup eri or\nand bellef, and\nBy Deputy\nclasting\nClerk.\n11-30\nand\nH.\neach\nthan\nmmddiately prei\nThe immigration records at this port show the following as to the alien named below:\nentitled petition\ntho said petitione\nName of alien:\nLegrand, Charles\nG\nopinion, to beadi\nDate of arrival: Dec. 5, 1906\nName of vessel: Finland\nLine. R.S.\nAgrouthull\nSubscribed and\nActing Commissing\n(Title)\n11-4391\n*Or railroad company, or any other conveyance."
}