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No.
Honorgou
The
First. My
Becond. -
Third.
Fourth. Ie
anno Domini
anno Domini
with
Doc
at
drs
Stath
at
an
246
Form 2903
TRIPLICATE
ITobe given the person making
1 have
2
U. S. DEPARTMENT OF LABOR
the
NATURALIZATION SERVICE
Fran
33942
No.
STATES OF
Frn
Seventh. I an
to organized governi
DECLARATION OF INTENTION
intention to becort
particularly to
137 Invalid for all purposes seven years after the date hereof
to reside permanent
United States of America,
Eighth Iam
Southern District of California,
ss:
In the District Court of the United States.
Minth _I have
County of Los Angeles
13 dav
g,
fraus Bustof Blonesiut aged 47
years,
this petition. since
occupation
haiter
do declare on oath that my personal
of this petition.
description is: Color b.lite complexion Da.k height feet inches,
Tenth. have
weight 190 pounds, color of hair Morn color of eyes
other visible distinctiye marks season upper lip.
Gray
said potition was dan
I
was born in histonetad
Sweden
on the
71
sept,
Attached heret
day of
anno Domini I 517 I now reside
together with my am
at
53142 So (Give bline number, street, st., and city or town.) for angeles California.
States of America.
I emigrated to the United States of America
Westeruland
from Hurphal, England
on the vessel
:
my last
Declaration of Intenti
foreign residence was sondony England
(If the allen than by veasel, the of transportation company should be given.)
NOTE
am
married; the name
of my wife is
namey
:
she was born at Lul a Swichen
and now resides at Saw Deigo, Cal.
It
State of Cal
is my bona fide intention to renodnce forever all allegiance and fidelity to any foreign
County
prince, potentate, state, or sovereignty, and particularly to
GUSTAVUS V, KING OF SWEDEN
The aforesaid
of whom I am now a subject;
the port of Philadelphia
contents thereof; that
I arrived at
in the
Pa.
and belief, and that as
State of
on or about the
13
day
of
april
anno Domini 913 I am not an anarchist; I am not
a
polygamist not a believer in the practice of polygamy; and it is my intention in good faith
aga
to become a citizen of the United States of America and to permanently reside therein:
and Nils
So HELP ME GOD.
Frano
Gusty Blooquick
each being erally, du
Fran
(Original finature of declarant.)
Subscribed and sworn to before me in the office of the Clerk of said Court
immediately preceding
at Los Angeles, Cal., this 15 day of
June
entitled petition is mad
[SEAL]
the said petitioner la
anno Domini 19
as
opinion, to be admitted
CHAS. N. WILLIAMS,
Clerk of the U. S. District Court, Southern District of California.
By
minanas Deputy
Clerk.
Subscribed and sword
L
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Document data
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"ocrText": "No.\nHonorgou\nThe\nFirst. My\nBecond. -\nThird.\nFourth. Ie\nanno Domini\nanno Domini\nwith\nDoc\nat\ndrs\nStath\nat\nan\n246\nForm 2903\nTRIPLICATE\nITobe given the person making\n1 have\n2\nU. S. DEPARTMENT OF LABOR\nthe\nNATURALIZATION SERVICE\nFran\n33942\nNo.\nSTATES OF\nFrn\nSeventh. I an\nto organized governi\nDECLARATION OF INTENTION\nintention to becort\nparticularly to\n137 Invalid for all purposes seven years after the date hereof\nto reside permanent\nUnited States of America,\nEighth Iam\nSouthern District of California,\nss:\nIn the District Court of the United States.\nMinth _I have\nCounty of Los Angeles\n13 dav\ng,\nfraus Bustof Blonesiut aged 47\nyears,\nthis petition. since\noccupation\nhaiter\ndo declare on oath that my personal\nof this petition.\ndescription is: Color b.lite complexion Da.k height feet inches,\nTenth. have\nweight 190 pounds, color of hair Morn color of eyes\nother visible distinctiye marks season upper lip.\nGray\nsaid potition was dan\nI\nwas born in histonetad\nSweden\non the\n71\nsept,\nAttached heret\nday of\nanno Domini I 517 I now reside\ntogether with my am\nat\n53142 So (Give bline number, street, st., and city or town.) for angeles California.\nStates of America.\nI emigrated to the United States of America\nWesteruland\nfrom Hurphal, England\non the vessel\n:\nmy last\nDeclaration of Intenti\nforeign residence was sondony England\n(If the allen than by veasel, the of transportation company should be given.)\nNOTE\nam\nmarried; the name\nof my wife is\nnamey\n:\nshe was born at Lul a Swichen\nand now resides at Saw Deigo, Cal.\nIt\nState of Cal\nis my bona fide intention to renodnce forever all allegiance and fidelity to any foreign\nCounty\nprince, potentate, state, or sovereignty, and particularly to\nGUSTAVUS V, KING OF SWEDEN\nThe aforesaid\nof whom I am now a subject;\nthe port of Philadelphia\ncontents thereof; that\nI arrived at\nin the\nPa.\nand belief, and that as\nState of\non or about the\n13\nday\nof\napril\nanno Domini 913 I am not an anarchist; I am not\na\npolygamist not a believer in the practice of polygamy; and it is my intention in good faith\naga\nto become a citizen of the United States of America and to permanently reside therein:\nand Nils\nSo HELP ME GOD.\nFrano\nGusty Blooquick\neach being erally, du\nFran\n(Original finature of declarant.)\nSubscribed and sworn to before me in the office of the Clerk of said Court\nimmediately preceding\nat Los Angeles, Cal., this 15 day of\nJune\nentitled petition is mad\n[SEAL]\nthe said petitioner la\nanno Domini 19\nas\nopinion, to be admitted\nCHAS. N. WILLIAMS,\nClerk of the U. S. District Court, Southern District of California.\nBy\nminanas Deputy\nClerk.\nSubscribed and sword\nL"
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