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Form 2908
U. S. DEPARTMENT OF LABOR
[Tobe TRIPLICATE
given le the peraço
NATURALIZATION SERVICE
the Declaration)
No. 2619
To the Hon
The
STATES OF
First
Secor
Thin
Four
anno Dom
DECLARATION OF INTENTION
anno Dom
Invalid for all purposes seven years after the date hereof
nn
at
State of California
Sinti
In the
Superior
ss:
Court
County of San Diego
of
State of Celifornia
g,
William Green
Courty of Sän Diego
have
aged
29
occupation Tailor
years,
description is: Color
do declare on oath that my personal
white
complexion
dark
weight 122
, height 5 feet 21 inches,
pounds, color of hair
black
, color of eyesblack
other visible distinctive marks
none
I was born in
Lomza, Rissaia
on the
25th
Sov
day of
December
at
1480 c Street, San Diego, California
anno Domini I 890 : 1 now reside
to organia
intention
I emigrated to the United States of America from
(fitve number, street, city or town, and State)
Prémen, Germany
particulár
on the vessel
Unknown
to reside
foreign residence was Lomza, Russia
(If the aiien arrived otherwise than by vessel, the character of conveyance or name of company should be given)
; my last
;
I am not
married; the name
Min
of my wife is
; she was born at
15
and now resides at
this petit
It is my bona fide intention to renounce forever all allegiance and fidelity to any foreign
of this pe
prince, potentate, state, or sovereignty, and particularly to Russia or any independent 8
Ten
within the bounds of the fo rme Russ ian Empire
of whom I am now a subject;
I arrived at the port of
Paltimore
State of
,
in the
Maryland
,
on or about the
15th
oi
day
June
Att
, anno Domini I 994 : 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
together
to become a citizen of the United States of America and to permanently reside therein:
States of
So HELP ME GOD.
Williamsuum
Declarati
(Original aignature of doclarant)
Suoscribed and sworn to before me in the office of the Clerk of
said Court this 28 day of June
[SEAL]
anno Domini 1920
J. B. McLees
Clerk of the
Superior
Court.
By BS Johnson
Th
Deputy
Clerk.
14-1170
content is
and bell
and
each bei
Immedie
entitled
the said
05
opinion,
Subsorit
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Document data
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- Core
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- Type
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DTO data
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Context sent to Scholar
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"ocrText": "Form 2908\nU. S. DEPARTMENT OF LABOR\n[Tobe TRIPLICATE\ngiven le the peraço\nNATURALIZATION SERVICE\nthe Declaration)\nNo. 2619\nTo the Hon\nThe\nSTATES OF\nFirst\nSecor\nThin\nFour\nanno Dom\nDECLARATION OF INTENTION\nanno Dom\nInvalid for all purposes seven years after the date hereof\nnn\nat\nState of California\nSinti\nIn the\nSuperior\nss:\nCourt\nCounty of San Diego\nof\nState of Celifornia\ng,\nWilliam Green\nCourty of Sän Diego\nhave\naged\n29\noccupation Tailor\nyears,\ndescription is: Color\ndo declare on oath that my personal\nwhite\ncomplexion\ndark\nweight 122\n, height 5 feet 21 inches,\npounds, color of hair\nblack\n, color of eyesblack\nother visible distinctive marks\nnone\nI was born in\nLomza, Rissaia\non the\n25th\nSov\nday of\nDecember\nat\n1480 c Street, San Diego, California\nanno Domini I 890 : 1 now reside\nto organia\nintention\nI emigrated to the United States of America from\n(fitve number, street, city or town, and State)\nPrémen, Germany\nparticulár\non the vessel\nUnknown\nto reside\nforeign residence was Lomza, Russia\n(If the aiien arrived otherwise than by vessel, the character of conveyance or name of company should be given)\n; my last\n;\nI am not\nmarried; the name\nMin\nof my wife is\n; she was born at\n15\nand now resides at\nthis petit\nIt is my bona fide intention to renounce forever all allegiance and fidelity to any foreign\nof this pe\nprince, potentate, state, or sovereignty, and particularly to Russia or any independent 8\nTen\nwithin the bounds of the fo rme Russ ian Empire\nof whom I am now a subject;\nI arrived at the port of\nPaltimore\nState of\n,\nin the\nMaryland\n,\non or about the\n15th\noi\nday\nJune\nAtt\n, anno Domini I 994 : 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\ntogether\nto become a citizen of the United States of America and to permanently reside therein:\nStates of\nSo HELP ME GOD.\nWilliamsuum\nDeclarati\n(Original aignature of doclarant)\nSuoscribed and sworn to before me in the office of the Clerk of\nsaid Court this 28 day of June\n[SEAL]\nanno Domini 1920\nJ. B. McLees\nClerk of the\nSuperior\nCourt.\nBy BS Johnson\nTh\nDeputy\nClerk.\n14-1170\ncontent is\nand bell\nand\neach bei\nImmedie\nentitled\nthe said\n05\nopinion,\nSubsorit"
}