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136
su.S.DEBARTMENTOE:LABQR
ORIGINAL
and
8124
No. 8125
UDSA DEPARTHENT OF LABOR
ORIGINAL
No.
a 20M
STATES
DECLARATION OF INTENTION
DECLARATION OR/INTENTION
Invalid for all purposes seven years after the date hereof
Invalid for all purposesiseven years after the date hereof
STATE OF CALIFORMIA)
County of Los Angeles
al
In the
SUPERIOR Court
SUPERIOR
The State of California.
STATE OF FORVIA
nl
ss:
In the
lo
of
in and for Los Angeles County,
The State of California,
Court
Caunty of Les Angeles
of
in and for Los Angeles County.
Herbert Themas King
aged
25
yyears,
Gracey Our
g, giovanni Billi
aged 41 years,
oocupation
do declare on oath that my personal
occupatidn
Farmer
description is: Color White
complexion light
do declare on oath that my personal
height 2/2 Inches,
pounds, color of Brown color of eyes Blue
description is: Color white complexion Dark height Leet wh inches,
weight 138
weight 155 pounds, color of hair lack color of eyes Brown
other visible distinctive marks
new
other visible distinctive marks
none
olderly
on the, as
I was born in January England
Panday
I was
born in Boscours, Italy
day of
anno
Domini
I
1748 W. 24th St Mos Angeles Cal
889
I now reside
on the
15th day of november anno Domini I 873 I now reside
at
at
(Qivé number, atreet,
Burbank Cal
(Give number, street, city or town, apd State.)
I emigrated to the United States of America from
Senthampton England
l'emigrated to the United States of America from
Have, France
on the vessel (III healien otherwise than veasel, the character of ogn reyance or name at company shakes givend
my last
on the vessel
La Touraine
Hampstead londen England
(11 the allem arrived otherwise than by the chameter of conveyance or name of transportation commany should be given.)
my last
foreign residence was
foreign residence was
B occovers, Italy
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
prince, potentate, state, or sovereignty; and particularly to
Geo. V, King of Great Britain and
of whom I am now a subject :
Victór. Emmannel III. King of Italy
of whom 1 am now a subject:
di arrived at the port of
NEW YORK
in adt dn in the
I arrived at the port of
State of
new york
in the
NEW YORK
of apul
on or about the 7th day
State of
anno Domini a 900. I am not an anarchist: I am not a
of
may new york on about the 2400
or day
anno Domini I 894 am not an anarchist: 1 am notia
polygamist nonia believer in the practice of polygamy.: and 'it dis my intention in good faith
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:
to
become a citizen of the United States of America and to permanently reside therein:
So HELP ME GOD.
Alburt Thomas BM
(Origiual siguature of declarant.) 2
King
So HELP ME GOD.
le
missed
(Original algnatore Bill
lo 500 le sollto enf Subscribed and sworn to béfore me in the office of the Clerk of
the
Court this 2 day of December anno Domini 191
>bel3 ada To some on Subscribed and sworn to before mel in the office of the Clerk of
settle [SEAL.]
101 [SEAL[]
Court this of Dec
anno Domini 191 4
H. J. Lelande the SUPERIOR court IN AND FOR-THS
COUNTY.CLERK AND EX-OFFICIO CLERK OF
COUNTE ams EX-OFTICIO CLERK 95
OF LOS ANGELES, STATE OF CALIFORNIA.
H. J sur.
OF LOS ANGELES, STATE OF
Clark of the
By D go Clerk. Court.
sm
Clerk of the
Court.
JulD
by Siggie Human Diperty Clark.
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"ocrText": "136\nsu.S.DEBARTMENTOE:LABQR\nORIGINAL\nand\n8124\nNo. 8125\nUDSA DEPARTHENT OF LABOR\nORIGINAL\nNo.\na 20M\nSTATES\nDECLARATION OF INTENTION\nDECLARATION OR/INTENTION\nInvalid for all purposes seven years after the date hereof\nInvalid for all purposesiseven years after the date hereof\nSTATE OF CALIFORMIA)\nCounty of Los Angeles\nal\nIn the\nSUPERIOR Court\nSUPERIOR\nThe State of California.\nSTATE OF FORVIA\nnl\nss:\nIn the\nlo\nof\nin and for Los Angeles County,\nThe State of California,\nCourt\nCaunty of Les Angeles\nof\nin and for Los Angeles County.\nHerbert Themas King\naged\n25\nyyears,\nGracey Our\ng, giovanni Billi\naged 41 years,\noocupation\ndo declare on oath that my personal\noccupatidn\nFarmer\ndescription is: Color White\ncomplexion light\ndo declare on oath that my personal\nheight 2/2 Inches,\npounds, color of Brown color of eyes Blue\ndescription is: Color white complexion Dark height Leet wh inches,\nweight 138\nweight 155 pounds, color of hair lack color of eyes Brown\nother visible distinctive marks\nnew\nother visible distinctive marks\nnone\nolderly\non the, as\nI was born in January England\nPanday\nI was\nborn in Boscours, Italy\nday of\nanno\nDomini\nI\n1748 W. 24th St Mos Angeles Cal\n889\nI now reside\non the\n15th day of november anno Domini I 873 I now reside\nat\nat\n(Qivé number, atreet,\nBurbank Cal\n(Give number, street, city or town, apd State.)\nI emigrated to the United States of America from\nSenthampton England\nl'emigrated to the United States of America from\nHave, France\non the vessel (III healien otherwise than veasel, the character of ogn reyance or name at company shakes givend\nmy last\non the vessel\nLa Touraine\nHampstead londen England\n(11 the allem arrived otherwise than by the chameter of conveyance or name of transportation commany should be given.)\nmy last\nforeign residence was\nforeign residence was\nB occovers, Italy\nmy 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\nprince, potentate, state, or sovereignty; and particularly to\nGeo. V, King of Great Britain and\nof whom I am now a subject :\nVictór. Emmannel III. King of Italy\nof whom 1 am now a subject:\ndi arrived at the port of\nNEW YORK\nin adt dn in the\nI arrived at the port of\nState of\nnew york\nin the\nNEW YORK\nof apul\non or about the 7th day\nState of\nanno Domini a 900. I am not an anarchist: I am not a\nof\nmay new york on about the 2400\nor day\nanno Domini I 894 am not an anarchist: 1 am notia\npolygamist nonia believer in the practice of polygamy.: and 'it dis my intention in good faith\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:\nto\nbecome a citizen of the United States of America and to permanently reside therein:\nSo HELP ME GOD.\nAlburt Thomas BM\n(Origiual siguature of declarant.) 2\nKing\nSo HELP ME GOD.\nle\nmissed\n(Original algnatore Bill\nlo 500 le sollto enf Subscribed and sworn to béfore me in the office of the Clerk of\nthe\nCourt this 2 day of December anno Domini 191\n>bel3 ada To some on Subscribed and sworn to before mel in the office of the Clerk of\nsettle [SEAL.]\n101 [SEAL[]\nCourt this of Dec\nanno Domini 191 4\nH. J. Lelande the SUPERIOR court IN AND FOR-THS\nCOUNTY.CLERK AND EX-OFFICIO CLERK OF\nCOUNTE ams EX-OFTICIO CLERK 95\nOF LOS ANGELES, STATE OF CALIFORNIA.\nH. J sur.\nOF LOS ANGELES, STATE OF\nClark of the\nBy D go Clerk. Court.\nsm\nClerk of the\nCourt.\nJulD\nby Siggie Human Diperty Clark."
}