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{
    "localId": "103944813",
    "label": "(Roll 15) Declarations of Intention Vols. 86-87; 1914-1915",
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    "contentType": "document",
    "title": "(Roll 15) Declarations of Intention Vols. 86-87; 1914-1915",
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    "ocrText": "362\n363\nJAVIDIRO\n8350\nUOS DEPARTMENTIORILABOR\n8351\nU.S..DEPARTMENT/OE LABOR\nORIGINAL'\nNo.\nNo.\nd4\nDECLARATION OF INTENTION\nDECLARATION DEAINTENTION\nMe\nInvalid for all purposes seven years after the date hereof\nInvalid for all purposes seven years after the date hereof\nS\nSTATE OF CALIFORNIA\nSUPERIOR\nSUPERIOR\nCaunty of Los Angeles\nIn the\nCourt\nSTATE OF. CA ILIFORNIS\nnl\nIn the\nThe State of California:\nCourt\nss:\nCounty of Los Angeles\nss:\nThe Stâte of California.\nto\nof\nin and for Los Angeles County.\nto\nof\nIn and for Los Angeles County.\nge, metrin B antle it\naged 41 (years,\ng,\nProsper Sinnche\noccupation\nLabora\naged 29 years,\noccupation newpaper reporter do declare on oath that my personal\ndo declare on oath that my personal\ndescription is: Color white complexion Fan height 6 inches,\ndescription is: Color White complexion Light height 6 feet inches,\nweight 145 pounds, color of hair Light color of leyes Blue\nweight 184 pounds, color of hair Brown color of leyes Brown\nother visible distinctive marks\nhome\nother visible distinctive marks\nnone\nI\nwas born in middlesex Co Canada\nI was born in\nLysenzeele Belgium\non the\n30 the day of march anno Domini I 873 I now reside\non the 124 day of want July\nanno Domini I 885. now reside\nat 1016 Fair Dake (dive Ave So Paradena, Cal\nat\n3145 Blanchard at Los angeles beal\naumber, street, elty or town/and State.)\n(Give number, atreet, city or town, and State.)\n1 emigrated to the United States of America\nfrom Emerson Canada\n1 emigrated to the United States of America from\nANTWERP, BILGIUM\non the vessel.\ngreat arrived otherwise than northern character transportation Ry\n: myllast\non the vessel\nLucitonia\n: my last\n(If by veasel, the of conveyance or of odmpany should\nbe\ngiven.)\n(If the allen arrived otherwise by vensol, the character of conveyance or name of transportation company should be given.)\nforeign residence\nKvas winnipig Canada\nforeign residence was\nTysenzele Belgium\nIt\nis my bona fide intention to renounce forever all fallegiance 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\nGeorge Kin Creat Britmin and Ireland:\nof whom I am nowia subject:\nAlbert I, King al the Belgians.\nof whom I am now a subject:\n1 rarrived at the port of\nmoy exerged\nto non sill in the\nI arrived at the port of\nNEW YORK\nin the\nState of\nminnesta on or about the\nto day\nState of\nNEW YORK\n, the 25th a day\non or about\nof\nnovember anno Domini € 1903 Tam not an anarchist; 1 am not\na\nof\napril\nanno Domini 913 I am not an anarchist: I am not a\npolygamist nor a believer in thé-practice of polygamy. and it is my intention in good faith\npolygamist nor a believer in the practice of polygamy.a and it is my intention in good faith\nto become a citizen of the United States of America and to spermanently reside therein\nto become a citizen of the United States of America and to permanently reside therein:\nSo HELP ME God.\n2000 oe\nSo HELP ME GOD.\nunalt\nOriginal alguasure of declarent.)\n(Original algnature of declarant.)\nto\nto arta Subscribed and sworn to before me in the office of the Clerk of\nto orli to sbillo ard Subscribed and sworn to béfore me in the office of the Clerk\nof\n101 [SEAL.]\nCourt this 8 day of Feb anno Domini 1915\n101 ic (SEAL.]\nHiPP Court this 8th day of Feby . anno Domini\n1\nEX-OPFICIO\nH. J. Lelando\nCOUNTY CLERK AND EX-OFFICIO CLERK de\nem\n** H. J. Lelando\nOF LOS ANGELES, STATE OF CALIFORNIA,\nOF LOS ANGELES. STATE OF CALIFORNIAL\nmm\nsil)\nto\nClerk of the\nCourt.\nClerk of the\nCourt.\n2un3\nBy aggic Human Deputysion\nBy\nClerk.\n-\n-"
}