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Form 2908 TRIPLICATE giren U. S. DEPARTMENT OF LABOR making the NATURALIZATION SERVICE No. 2817 STATES OF To DECLARATION OF INTENTION Invalid for all purposes seven years after the date hereof Court State of California In the Gonnty of San Diego. } ss: of county of San Die.go ann , aged 40 years, ann g, Jules Bourda Coubet do declare on oath that my personal occupation Laundryman , at description is: Color white, complexion dark , height 5 feet 4 inches, pounds, color of hair brown color of eyes brown weight 120 , at none Iha other visible distinctive marks I was born in Easses, Pyrenees France 21 day of January anno Domini I 881 ; I now reside ----- , on the 1206 Cleveland Ave., San Diego, Californie State) ***** at (Give number, street, city or town, and I emigrated to the United States of America from Havre, France ; my last on the vessel (If the Rochambau allen zapael, the character of conveyance or name of transportation company should married; be given) Frence I am the name ; foreign residence was France Amel ie ; she was born at to or of my wife is and It is now my resides bona fide intention to renounce forever all allegiance and fidelity to any foreign at 1206 Cleveland Ave., San Diego, Cal, inte part for prince, potentate, state, or sovereignty, and particularly to The French Republic of whom I am now a subject; New York in the I arrived at the port of New York on or about the 15th day State of this January anno Domini 1915 ; I am not an anarchist: I am not a oftl of nor a believer in the practice , of polygamy; and it is my intention in good therein: faith polygamist to become a citizen of the United States of America and to permanently reside ****** So HELP ME GOD. adté (Original signature declarant) of Subscribed and sworn to before me in the office of the Clerk of Court this 27th .day of June anno Domini 19 21 said toge [SEAL] Stat J. P. McLees Super io r Clerk of the Court. Decli By B.S. Johnson Deputy Clerk. 14-1170 of N.X. Form 296 CERTIFICATE OF ARRIVAL-FOR PURPOSES (For use of aliens arriving in United States after June 29, 1906. To be issued immediately prior to petitioning for naturalization conte and b U. S. DEPARTMENT OF LABOR IMMIGRATION SERVICE OFFICE OF COMMISSIONER OF IMMIGRATION ELLIS ISLAND, N. Y., April..6, . 192 3. and each This is to certify that the following-named alien arrived at indicated, on the date and in manner described below, viz: Name of alien: Bourda, Jules, the imme Port of entry: New York, N. Y. APR entitle the ad Date of arrival: January I5, I9I5. 1989 By direction of The Secretary of LA opinio RAYMOND ". ORIST Name of vessel: Rochambeau. French. Commissioner of Naturalimatici of C. Quaster Subsor it 14-038 Or railroad company or any other conveyance

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983
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Document data

ID
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Core
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Type
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Page context
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    "ocrText": "Form 2908\nTRIPLICATE\ngiren\nU. S. DEPARTMENT OF LABOR\nmaking the\nNATURALIZATION SERVICE\nNo. 2817\nSTATES OF\nTo\nDECLARATION OF INTENTION\nInvalid for all purposes seven years after the date hereof\nCourt\nState of California\nIn the\nGonnty of San Diego.\n}\nss:\nof\ncounty of San Die.go\nann\n, aged\n40\nyears,\nann\ng,\nJules Bourda Coubet\ndo declare on oath that my personal\noccupation\nLaundryman\n,\nat\ndescription is: Color white, complexion dark\n,\nheight 5 feet 4 inches,\npounds, color of hair brown\ncolor of eyes\nbrown\nweight\n120\n,\nat\nnone\nIha\nother visible distinctive marks\nI was born in\nEasses, Pyrenees France\n21\nday of January\nanno Domini I 881 ; I now reside\n-----\n,\non the\n1206 Cleveland Ave., San Diego, Californie State)\n*****\nat\n(Give number, street, city or town, and\nI emigrated to the United States of America from Havre, France\n; my last\non the vessel\n(If the Rochambau allen zapael, the character of conveyance or name of transportation company should married; be given)\nFrence\nI am\nthe name\n;\nforeign residence was\nFrance\nAmel ie\n; she was born at\nto or\nof my wife is\nand It is now my resides bona fide intention to renounce forever all allegiance and fidelity to any foreign\nat 1206 Cleveland Ave., San Diego, Cal,\ninte\npart\nfor\nprince, potentate, state, or sovereignty, and particularly to The\nFrench Republic\nof whom I am now a subject;\nNew York\nin the\nI arrived at the port of\nNew York\non or about the 15th\nday\nState of\nthis\nJanuary\nanno Domini 1915 ; I am not an anarchist: I am not a\noftl\nof nor a believer in the practice , of polygamy; and it is my intention in good therein: faith\npolygamist to become a citizen of the United States of America and to permanently reside\n******\nSo HELP ME GOD.\nadté\n(Original signature declarant)\nof\nSubscribed and sworn to before me in the office of the Clerk of\nCourt this 27th .day of June anno Domini 19\n21\nsaid\ntoge\n[SEAL]\nStat\nJ. P. McLees\nSuper io r\nClerk of the\nCourt.\nDecli\nBy\nB.S. Johnson\nDeputy Clerk.\n14-1170\nof\nN.X. Form 296\nCERTIFICATE OF ARRIVAL-FOR PURPOSES\n(For use of aliens arriving in United States after June 29, 1906. To be issued immediately prior to petitioning for naturalization\nconte\nand b\nU. S. DEPARTMENT OF LABOR\nIMMIGRATION SERVICE\nOFFICE OF\nCOMMISSIONER OF IMMIGRATION\nELLIS ISLAND, N. Y., April..6,\n. 192 3.\nand\neach\nThis is to certify that the following-named alien arrived at indicated, on the date and in\nmanner described below, viz:\nName of alien: Bourda, Jules,\nthe\nimme\nPort of entry: New York, N. Y.\nAPR\nentitle\nthe ad\nDate of arrival: January I5, I9I5.\n1989\nBy direction of The Secretary of LA\nopinio\nRAYMOND \". ORIST\nName of vessel:\nRochambeau. French.\nCommissioner of Naturalimatici\nof C. Quaster\nSubsor\nit\n14-038\nOr railroad company or any other conveyance"
}