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U. S. DEPARTMENT OF LABOR
TRIPLICATE
NATURALIZATION SERVICE
(To le
-
No.
4223
L. A.
6057 STATES OF
DECLARATION OF INTENTION
Invalid for all purposes seven years after the date hereof
State of California,
In the
Superior
Court
County of San Diego.
ss:
State of California,
of
County of San Diego.
Miss Carla Johanne Marie Larsen
ge,
22
aged
years,
occupation
Photo Retoucher
do declare on oath that my personal
description is: Color white complexion
fair
height 5 feet
8. inches,
weight 125
pounds, color of hair
dark
color of eyes brown
other visible distinctive marks
none
I was born in
Copenhagen, Denmark
on the
9th
day of
January
anno Domini I 904 ; I now reside
at
1649 7th Street, San Diego, Cal ifornia
(Give number, street, city or town, and State.)
I emigrated to the United States of America from
Copenhagen, -enmark
Oscar II.
on the vessel
; my last
(If the alien arrixed otherwisp than by veasel, the character of conveyance or name of transportation company should be given)
foreign residence was Copenhagen, De nnark
; I am
not married; the name
of my { husband wife }
is
(she
he
was born at
and now resides at
It is my bona fide intention to renounce forever all allegiance and fidelity to any foreign
prince, potentate, state, or sovereignty, and particularly to
Christian X.,
King of Denmark
of whom I am now a subject;
I arrived at the port of
New York
in the
State of
New York
on or about the
6th
February
day
924
of
, anno Domini I ; 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
to become a citizen of the United States of America and to permanently reside therein
So HELP ME GOD.
(Original signature of declarant)
Subscribed and sworn to before me in the office of the Clerk of
said Court this 14 day of
Aug.
[SEAL]
,anno Domini 192 6
J. B. McLees
Obrk of the
Superior
Court.
By BS
Johnson
Deputy Clerk.
Page data
- Page
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- Source index
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- Type
- photo
- Media ID
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- Size
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Document data
- ID
- 103912976
- Core
- doc
- Type
- document
DTO data
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Context sent to Scholar
Document identity
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Document source metadata
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Document source extras
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Page context
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"ocrText": "arom\nU. S. DEPARTMENT OF LABOR\nTRIPLICATE\nNATURALIZATION SERVICE\n(To le\n-\nNo.\n4223\nL. A.\n6057 STATES OF\nDECLARATION OF INTENTION\nInvalid for all purposes seven years after the date hereof\nState of California,\nIn the\nSuperior\nCourt\nCounty of San Diego.\nss:\nState of California,\nof\nCounty of San Diego.\nMiss Carla Johanne Marie Larsen\nge,\n22\naged\nyears,\noccupation\nPhoto Retoucher\ndo declare on oath that my personal\ndescription is: Color white complexion\nfair\nheight 5 feet\n8. inches,\nweight 125\npounds, color of hair\ndark\ncolor of eyes brown\nother visible distinctive marks\nnone\nI was born in\nCopenhagen, Denmark\non the\n9th\nday of\nJanuary\nanno Domini I 904 ; I now reside\nat\n1649 7th Street, San Diego, Cal ifornia\n(Give number, street, city or town, and State.)\nI emigrated to the United States of America from\nCopenhagen, -enmark\nOscar II.\non the vessel\n; my last\n(If the alien arrixed otherwisp than by veasel, the character of conveyance or name of transportation company should be given)\nforeign residence was Copenhagen, De nnark\n; I am\nnot married; the name\nof my { husband wife }\nis\n(she\nhe\nwas born at\nand now resides at\nIt is my bona fide intention to renounce forever all allegiance and fidelity to any foreign\nprince, potentate, state, or sovereignty, and particularly to\nChristian X.,\nKing of Denmark\nof whom I am now a subject;\nI arrived at the port of\nNew York\nin the\nState of\nNew York\non or about the\n6th\nFebruary\nday\n924\nof\n, anno Domini I ; I am not an anarchist; I am not\na\npolygamist nor a believer in the practice of polygamy; and it is my intention in good faith\nto become a citizen of the United States of America and to permanently reside therein\nSo HELP ME GOD.\n(Original signature of declarant)\nSubscribed and sworn to before me in the office of the Clerk of\nsaid Court this 14 day of\nAug.\n[SEAL]\n,anno Domini 192 6\nJ. B. McLees\nObrk of the\nSuperior\nCourt.\nBy BS\nJohnson\nDeputy Clerk."
}