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104
2AM
ORIGINAL
O.S./DEPARTMENT OF LABOR
U.S./DEPARTMENT OF LABOB
ORIGINAL
No. 8592
NATURALIZATION SERVICE
No. 8593
STATES OF
DECLARATION OF INTENTION
DECLARATION OR:INTENTION
Invalid for all purposes seven years after the date/hereof
Minvalid for all purposes seven years after the daterhereof
STATE OF
SUPERIOR Court
STATE OF CALIFORNIA
sil) nl
In the
Caunty of LOS angetes
The State of California,
Cannty of tvs
ert) nl
In the SUPERIOR Court
ss:
fu and for Los Angeles County.
ss:
The State of California.
of
to
of
in and for Los Angeles County.
de
aged 29 years,
ge, Beane
georgebermon
aged
occupation cerpententation
do declare on oath that my personal
occupation
White
do declare on oath that my personal
description is: Color
complexion
light
height
feet
description is: Color: White complexion medium height feet anches,
weight 170 pounds, color of hajr light color of eyes Blue
weight 170 pounds, color of hair Brown colon of eyes Brown
other visible distinctive marks
none
avitantaity aldialy tadto
other visible distinctive marks
none
I
was born in Millered Sweden
al mid 20VW
I
on the
25
day of
apry
anno Domini I 887 now réside
was born in Peterborough, Ont Cama da
on
11/2 yan Julian (Give number, atreet, It de for and.State.) Angeles Cal
the 19th day of august anno Domini 1 889 now reside
at
America from Aristiania Norway
at 5677 york (Give Blund number, atreet, city or and Los State.) angeles, Cal
I emigrated to the United States of
1 emigrated
to the United States of America from Emerson Canada
on
the vessel (Ifthe allem arrived - company should be given.)
my last
on the vessel
than tharacter of of
foreign residence was
Aucliania Norway
(II the allen Canadia arrived otherwise than by vessel, the character of conveyance Pacific Ration company Ry shonld by
my
last
on name of given.)
foreign residence was
Regrina, Canada
Itils my bona fide intention to renounce forever all allegiance and fidelity to any foreign
It is my bona fide intention to rehounce forever all fallegiance and fidelity to: any foreign
prince, potentate, state, or sovereignty, and particularly to
prince, potentate, state, or sovereignty, and particularly to
Gustavis V. Khig of
of whom I am now a subject
George DE uf Griat Britain and Ireland
of whom 1 am now a subject:
State 4 arrived of at the port of New Your ny
to
1104
in the
1 rarrived at the port of
noy is
to ard ba in the
on or about
the 20 day
State
of minnesta on or about the 14th day
of
Jepetiary anno Dommb qn I am not an anarchist: 1am not a
of
all July as ton that's anno Domini i 894 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
polygamhist 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
So HELP ME GOD.
ME God. John (Origioal Emil algnature of am Detain
.000 02
la
George (Origina) Veryon algo of declarant.) Beave
abure
edt to soitto adl Subscribed and sworn to before me in the, office of the Clerk of
to to sollto sdd Subscribed and sworn to before mei in the office of the Clerk of
ng Court this of april anno Domini 191 5
in
Staps
9101 [SEAL.]
Court this 12 day of a apr anno Domini 191
COUNTY GLERK AND EX-OPFICIO CLERK OF
H. J. Lelande
CLERK AND EX-DEFICIO CLERK or
COURT
OF LOS ANGELES, STATE OF
H. J. Lefande the SUPARICR THE
OF Los ANGELES. STATE OF CALIFORNIA.
Clerk of the
Court.
Clark of the
Court.
By Clerk.
By Liggin Himens
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"ocrText": "104\n2AM\nORIGINAL\nO.S./DEPARTMENT OF LABOR\nU.S./DEPARTMENT OF LABOB\nORIGINAL\nNo. 8592\nNATURALIZATION SERVICE\nNo. 8593\nSTATES OF\nDECLARATION OF INTENTION\nDECLARATION OR:INTENTION\nInvalid for all purposes seven years after the date/hereof\nMinvalid for all purposes seven years after the daterhereof\nSTATE OF\nSUPERIOR Court\nSTATE OF CALIFORNIA\nsil) nl\nIn the\nCaunty of LOS angetes\nThe State of California,\nCannty of tvs\nert) nl\nIn the SUPERIOR Court\nss:\nfu and for Los Angeles County.\nss:\nThe State of California.\nof\nto\nof\nin and for Los Angeles County.\nde\naged 29 years,\nge, Beane\ngeorgebermon\naged\noccupation cerpententation\ndo declare on oath that my personal\noccupation\nWhite\ndo declare on oath that my personal\ndescription is: Color\ncomplexion\nlight\nheight\nfeet\ndescription is: Color: White complexion medium height feet anches,\nweight 170 pounds, color of hajr light color of eyes Blue\nweight 170 pounds, color of hair Brown colon of eyes Brown\nother visible distinctive marks\nnone\navitantaity aldialy tadto\nother visible distinctive marks\nnone\nI\nwas born in Millered Sweden\nal mid 20VW\nI\non the\n25\nday of\napry\nanno Domini I 887 now réside\nwas born in Peterborough, Ont Cama da\non\n11/2 yan Julian (Give number, atreet, It de for and.State.) Angeles Cal\nthe 19th day of august anno Domini 1 889 now reside\nat\nAmerica from Aristiania Norway\nat 5677 york (Give Blund number, atreet, city or and Los State.) angeles, Cal\nI emigrated to the United States of\n1 emigrated\nto the United States of America from Emerson Canada\non\nthe vessel (Ifthe allem arrived - company should be given.)\nmy last\non the vessel\nthan tharacter of of\nforeign residence was\nAucliania Norway\n(II the allen Canadia arrived otherwise than by vessel, the character of conveyance Pacific Ration company Ry shonld by\nmy\nlast\non name of given.)\nforeign residence was\nRegrina, Canada\nItils my bona fide intention to renounce forever all allegiance and fidelity to any foreign\nIt is my bona fide intention to rehounce forever all fallegiance and fidelity to: any foreign\nprince, potentate, state, or sovereignty, and particularly to\nprince, potentate, state, or sovereignty, and particularly to\nGustavis V. Khig of\nof whom I am now a subject\nGeorge DE uf Griat Britain and Ireland\nof whom 1 am now a subject:\nState 4 arrived of at the port of New Your ny\nto\n1104\nin the\n1 rarrived at the port of\nnoy is\nto ard ba in the\non or about\nthe 20 day\nState\nof minnesta on or about the 14th day\nof\nJepetiary anno Dommb qn I am not an anarchist: 1am not a\nof\nall July as ton that's anno Domini i 894 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\npolygamhist 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 become a citizen of the United States of America and to permanently reside therein:\nSo HELP\nSo HELP ME GOD.\nME God. John (Origioal Emil algnature of am Detain\n.000 02\nla\nGeorge (Origina) Veryon algo of declarant.) Beave\nabure\nedt to soitto adl Subscribed and sworn to before me in the, office of the Clerk of\nto to sollto sdd Subscribed and sworn to before mei in the office of the Clerk of\nng Court this of april anno Domini 191 5\nin\nStaps\n9101 [SEAL.]\nCourt this 12 day of a apr anno Domini 191\nCOUNTY GLERK AND EX-OPFICIO CLERK OF\nH. J. Lelande\nCLERK AND EX-DEFICIO CLERK or\nCOURT\nOF LOS ANGELES, STATE OF\nH. J. Lefande the SUPARICR THE\nOF Los ANGELES. STATE OF CALIFORNIA.\nClerk of the\nCourt.\nClark of the\nCourt.\nBy Clerk.\nBy Liggin Himens"
}