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134
DAMIDIRO
ORIGINAL
JAMID ISTO
135
DEPARTMENT/RECLABOR
U.S. DEPARTMENT OF LABOR
ORIGINAL
No. 81/29
NATURALIZATION SERVICE
of
No. 8123
STATES
OF
DECLARATION OF INTENTION
DECLARATION OF INTENTION
V
Invalid for all purposes seven years after the date hereof
Invalid for all' purposes seven years after the date hereof
S
STATE OF
nl
In the
SUPERIOR
Court
STATE OF CALIFORMIA
Caunty of Los Angeles
The State of California.
Caunty of Los angetes
In the
SUPERIOR
ss:
in and for Los Angeles County.
ss:
The State of Califórnia.
Court
to
of
of
in and for Los Angeles County.
ge, Rafael gamina
aged
g, Firnest Sally
aged 33 years,
occupation
mademist do declare on oath that my personal
occupation Waterman
description is: Color white complexion Fan height I feet 6 inches,
complexion
Fair
do declare on oath that my personal
description is: Color White
height
weight 133 pounds, color of hair S. Brown color of eyes Blue
weight 154 pounds, color. of hair Brown color of eyes Grey
other visible distinctive marks
none
other visible distinctive. marks
Name
I
was born in mexico
I
on the 24 th day of October anno Domini I 8891 now reside
was born in Waleall October England
on the
77
day of
anpo
Domini
I
881
I now reside
at 1149 wall (Give st number, efrent, Los city town, and State.) angeles, Cal
at
or
923 Ulfull St. (Give number, atreet, elly tows Soo Angeles Cal
or
1 emigrated to the United States of America from andad Juany Emerico
I emigrated to States of
on the
vessel Central mexican Ry
the vessel Victoria
the United America from Imerpoit England
:
my last
on
(If the allen arrived otherwise than by vessel, the choracter of comveyance on of (pany should be given.)
(If allen anvived otherwise
foreign residence was
Falsall the England name be
: my last
chagacter of or ortation should given.)
foreign residence was guadalayars, fal, mexino
It is my bona fide intention to renounce forever all allegiance and fidelity to any foreign
It. is my bona fide intention to renounce forever all allegiance and. fidelity to any foreign
prince, potentate, state, or sovereignty, and particularly to The united
prince, potentate, state, or sovereignty, and particularly to
states of mexico
of whom I aminow a subject.
citigen
George V, King of Great Britain and
of whom I am now a subject:
4 arrived at the port of
El Paso
If ba in the
I arrived at the port of
Detroit
in the
State of
Teeas
on or about the 20th day
State of
michigan on or about
the
6 day
of October
anno Domini a 910 I am not an anarchist: am not a
of
Databei
anno Domini , 910 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 fäith
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 1 America and to permanently reside therein:
to become a citizen of the United States of America and to permanently reside therein:
So HELP ME God.
Cunde Rafael (Original algnaturo Zumga of CIOR declarent.) 3.444
o2
So HELP ME GOD.
M
Edwin (Origioal Emest Lelly
of declarant.)
on to srit Subscribed and sworn to before me in the office of the Clerk of
Subscribed and sworn to before me in the office of the Clerk of
2
201
Court this 2ndday of Dec
anno Domini 191
[SEAL.]
Court this z day of Deg
anno Domini 191 4
H. J. Lehande THE SUPERION COURT INCAND FOR THE COUNTY
COUNTY CLERK AND EX-OFFICIO CLERK or
H. J. Eclande EN AND FOR THE CLERK. COUREY er
GOUNTY CLERK AND
QF LOS ANGELES, STATE OF CALIFORNIA.
OF LDS ANGELES. STATE OF
Clerk of the
Court.
Clerk of the
By diggin Himini Desperty Clerk.
B) Clerk. Court.
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"ocrText": "134\nDAMIDIRO\nORIGINAL\nJAMID ISTO\n135\nDEPARTMENT/RECLABOR\nU.S. DEPARTMENT OF LABOR\nORIGINAL\nNo. 81/29\nNATURALIZATION SERVICE\nof\nNo. 8123\nSTATES\nOF\nDECLARATION OF INTENTION\nDECLARATION OF INTENTION\nV\nInvalid for all purposes seven years after the date hereof\nInvalid for all' purposes seven years after the date hereof\nS\nSTATE OF\nnl\nIn the\nSUPERIOR\nCourt\nSTATE OF CALIFORMIA\nCaunty of Los Angeles\nThe State of California.\nCaunty of Los angetes\nIn the\nSUPERIOR\nss:\nin and for Los Angeles County.\nss:\nThe State of Califórnia.\nCourt\nto\nof\nof\nin and for Los Angeles County.\nge, Rafael gamina\naged\ng, Firnest Sally\naged 33 years,\noccupation\nmademist do declare on oath that my personal\noccupation Waterman\ndescription is: Color white complexion Fan height I feet 6 inches,\ncomplexion\nFair\ndo declare on oath that my personal\ndescription is: Color White\nheight\nweight 133 pounds, color of hair S. Brown color of eyes Blue\nweight 154 pounds, color. of hair Brown color of eyes Grey\nother visible distinctive marks\nnone\nother visible distinctive. marks\nName\nI\nwas born in mexico\nI\non the 24 th day of October anno Domini I 8891 now reside\nwas born in Waleall October England\non the\n77\nday of\nanpo\nDomini\nI\n881\nI now reside\nat 1149 wall (Give st number, efrent, Los city town, and State.) angeles, Cal\nat\nor\n923 Ulfull St. (Give number, atreet, elly tows Soo Angeles Cal\nor\n1 emigrated to the United States of America from andad Juany Emerico\nI emigrated to States of\non the\nvessel Central mexican Ry\nthe vessel Victoria\nthe United America from Imerpoit England\n:\nmy last\non\n(If the allen arrived otherwise than by vessel, the choracter of comveyance on of (pany should be given.)\n(If allen anvived otherwise\nforeign residence was\nFalsall the England name be\n: my last\nchagacter of or ortation should given.)\nforeign residence was guadalayars, fal, mexino\nIt is my bona fide intention to renounce forever all allegiance and fidelity to any foreign\nIt. is my bona fide intention to renounce forever all allegiance and. fidelity to any foreign\nprince, potentate, state, or sovereignty, and particularly to The united\nprince, potentate, state, or sovereignty, and particularly to\nstates of mexico\nof whom I aminow a subject.\ncitigen\nGeorge V, King of Great Britain and\nof whom I am now a subject:\n4 arrived at the port of\nEl Paso\nIf ba in the\nI arrived at the port of\nDetroit\nin the\nState of\nTeeas\non or about the 20th day\nState of\nmichigan on or about\nthe\n6 day\nof October\nanno Domini a 910 I am not an anarchist: am not a\nof\nDatabei\nanno Domini , 910 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 fäith\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 1 America and to permanently reside therein:\nto become a citizen of the United States of America and to permanently reside therein:\nSo HELP ME God.\nCunde Rafael (Original algnaturo Zumga of CIOR declarent.) 3.444\no2\nSo HELP ME GOD.\nM\nEdwin (Origioal Emest Lelly\nof declarant.)\non to srit Subscribed and sworn to before me in the office of the Clerk of\nSubscribed and sworn to before me in the office of the Clerk of\n2\n201\nCourt this 2ndday of Dec\nanno Domini 191\n[SEAL.]\nCourt this z day of Deg\nanno Domini 191 4\nH. J. Lehande THE SUPERION COURT INCAND FOR THE COUNTY\nCOUNTY CLERK AND EX-OFFICIO CLERK or\nH. J. Eclande EN AND FOR THE CLERK. COUREY er\nGOUNTY CLERK AND\nQF LOS ANGELES, STATE OF CALIFORNIA.\nOF LDS ANGELES. STATE OF\nClerk of the\nCourt.\nClerk of the\nBy diggin Himini Desperty Clerk.\nB) Clerk. Court."
}