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te, The pe Form 2908 TRIPLICATE Frrt. U. S. DEPARTMENT OF LABOR (Tolo inshing the NATURALIZATION SERVICE Second Third. 3213 Fourth No. STATES OF anno Domini anno Domin Sinth. DECLARATION OF INTENTION Invalid for all purposes seven years after the date hereof have State of California, In the Superior Court State of California, ss: of County of San Diego. County of San Diego. Demetreos Kareofelas (known as Jim Fallos) aged 41 years, g, Door attendant at Savoy Theater do declare on oath that my personal occupation description is: Color white complexion dark , height 5 feet 8. inches, Sevent 183 pounds, color of hair dark color of eyes brown to organized weight , none intention to other visible distinctive marks Ayorgitica ureece particularly I was born in on the 2nd day of August anno Domini I 881 : I now reside to reside per , Eighth at Sayoy Theater Bldg. San Diego. California (Give number, street, city or town, and State) Minth I emigrated to the United States of America from Pyreos, Greece 24 ; my last on the vessel Averka Merkanlai otherwise than the character of conveyance or name of transportation company should be given) this petition (If the alien arrived Athens, Greece I am not married; the name of this petiti foreign residence was Tenth: of my wife is ; she was born at and now resides at It is my bona fide intention to renounce forever all allegiance and fidelity to any foreign said_petition prince, potentate, state, or sovereignty, and particularly to The Preaent Government of Greece of whom I am now a subject; Attach together with New York in the I arrived at the port of States of -m New York on or about the 24th day State of anno Domini I 901 : I am not an anarchist; I am not a to go March Declaration of polygamist nor a believer in the practice of polygamy; and it is my intention in good therein: faith to become a citizen of the United States of America and to permanently reside So HELP ME GOD. Original signature Sta Subscribed and sworn to before me in the office of the Clerk of lst said Court this of. February anno Domini 19 23 Chin day Thea [SEAL] J. B. McLees contents the Cterk/pf the Superior Court. and bellef, an By BS Johnson Deputy Clerh. and a A 1+-1170 each being se mmodiately entitled petté the said pott# opiniers tabe Subscribed an of

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183
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Type
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ID
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Core
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