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4534
U. S. DEPARTMENT OF LABOR
TRIPLICATE
No.
NATURALIZATION SERVICE
STATES OF
DECLARATION OF INTENTION
Invalid for all purposes seven years after the date hereof
State of California,
In the
Superior
Court
County d San Diego.
ss:
State of California,
of
County of San Diego:
g,
Samo Bulaich
, aged
34
years,
occupation
Cook
do declare on oath that my personal
description is: Color. white complexion
medium
height 5 feet 11 inches,
weight
165
pounds, color of hair dk. brown , color of eyes brown
other visible distinctive marks
scar over left eye
I was born in
Grahovo, Montenegro
on the
15th
day of September
anno Domini I 893 ; I now reside
at
4594 Utah St. , San Di ego, California
(Give number, street, city or town, and State)
I emigrated to the United States of America from Havre, France
on the vessel
La Provence
; my last
(If the alien arrived otherwise than by vessol, the character of conveyance or name of transportation company should be given)
foreign residence was Rison, Austria
; I am
-- married; the name
of my
wife
is
Apollonia
(she)
;
was born at
Hungary
and now resides at
San Diego, california
It is my bona fide intention to renounce forever all allegiance and fidelity to any foreign
prince, potentate, state, or sovereignty, and particularly to Alexander I.,
King of the Serbs, Croats and Slovenes
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
3rd day
of
June
, anno Domini I 911 ; 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.
stare Bulaich
(Original signaturé of declarant)
Subscribed and sworn to before me in the office of the Clerk of
[SEAL]
said Court this
29 day of Sept. , anno Domini 192 7
J. B. McLees
Superior
N°
10283
-
By Clerk of the Deputy
B.S.Johnson
Gourt.
Clerh.
- - -
14-2349
Page data
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- Source index
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- Type
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- e0f80658f513f01d
- Size
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Document data
- ID
- 103914519
- Core
- doc
- Type
- document
DTO data
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Context sent to Scholar
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Page context
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"ocrText": "From ases\n4534\nU. S. DEPARTMENT OF LABOR\nTRIPLICATE\nNo.\nNATURALIZATION SERVICE\nSTATES OF\nDECLARATION OF INTENTION\nInvalid for all purposes seven years after the date hereof\nState of California,\nIn the\nSuperior\nCourt\nCounty d San Diego.\nss:\nState of California,\nof\nCounty of San Diego:\ng,\nSamo Bulaich\n, aged\n34\nyears,\noccupation\nCook\ndo declare on oath that my personal\ndescription is: Color. white complexion\nmedium\nheight 5 feet 11 inches,\nweight\n165\npounds, color of hair dk. brown , color of eyes brown\nother visible distinctive marks\nscar over left eye\nI was born in\nGrahovo, Montenegro\non the\n15th\nday of September\nanno Domini I 893 ; I now reside\nat\n4594 Utah St. , San Di ego, California\n(Give number, street, city or town, and State)\nI emigrated to the United States of America from Havre, France\non the vessel\nLa Provence\n; my last\n(If the alien arrived otherwise than by vessol, the character of conveyance or name of transportation company should be given)\nforeign residence was Rison, Austria\n; I am\n-- married; the name\nof my\nwife\nis\nApollonia\n(she)\n;\nwas born at\nHungary\nand now resides at\nSan Diego, california\nIt is my bona fide intention to renounce forever all allegiance and fidelity to any foreign\nprince, potentate, state, or sovereignty, and particularly to Alexander I.,\nKing of the Serbs, Croats and Slovenes\nof whom I am now a subject; I arrived at the port of\nNew York\nin the State of\nNew York\non or about the\n3rd day\nof\nJune\n, anno Domini I 911 ; 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\nto become a citizen of the United States of America and to permanently reside therein:\nSo HELP ME GOD.\nstare Bulaich\n(Original signaturé of declarant)\nSubscribed and sworn to before me in the office of the Clerk of\n[SEAL]\nsaid Court this\n29 day of Sept. , anno Domini 192 7\nJ. B. McLees\nSuperior\nN°\n10283\n-\nBy Clerk of the Deputy\nB.S.Johnson\nGourt.\nClerh.\n- - -\n14-2349"
}