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114
OF LABOR
ORIGINAL
8602
OF:CABOR
ORIGINAL
NATURALIZATION service
No.
oV
No. 86.03
NATURALIZATION SERVICE
STATES
OF
STATESIOR
DECLARATION OF INTENTION
DECLARATION OF INTENTION
Invalid for all purposes seven years after the date hereof
Invalid for all purposes seven years after the date hereof
STATE OF califormia)
In the SUPERIOR Court
STATE OF
Caurcy of Los Angelos
The State of California.
Caunty of
In the SUPERIOR
ss:
in and for Los Angeles County.
ss:
The State of Califernia.
Court
of
of
In and for. Los Angeles County.
g, miss Alie N Al
aged by
years,
ge, Ahmet Halif Balavas
occupation
do declare on oath that my personal
description is: Color white complexion med
occupation Labrance
aged 25 /years,
description is: Color White complexion Fair
Housekeeper
do declare on oath that my personal
weight 140 pounds, color of hair Red
color of eyes Brown
height feet unches,
height feet 11
none
weight 17v pounds, color of hair Dr Brown color of eyes inches,
other was visible born in distinetive Sarnia marks Ontario Cauntry 1951
other visible distinctive marks
None
Green
I
I
was born in Aladenics austria
on the
31 day of Jan
anno Domini I now reside
on the
20
day of
December
Sho fake cal
890
at
(Give street,
at Fernando (Give number, atreet, etty or town, St and anno Los Domini Angeles J I now reside Cal
I to the United States of Americhpfrom
city or town, Garnia and Canada
I emigrated to the
emigrated the vessel Grand Srung 2 of
United States of America from Trieste austria
on
: my last
(If the arrived otherwise than by veasel, Bocharacter of Frame transportage company should be given.)
on the vessel /a by veasely the
; my last
foreign
residence was alien Sarma Canada
foreign residence
was Mademic tharacter of or and Austra transportation commen should be given.)
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
prince, potentate, state, or sovereignty, and particularly to
Geo. v, King of Great Britain and Ircland.
of whom 1 am now a subject
Franals of Austria and Apostelle Khj of whom I am now a subject:
1 arrived at the port of
Cont Nuron
in the
I at
michigan on or about the 12 day
arrived of the port of
in the
State of
of November
State
on or about the
18
of march anno Domini I 912 I am not an anarchist: I am not a
day
anno Domni I 910. I am not an anarchist; I am not
polygamist nor a believer in the practice of polygamy; and it is my intention in good faith
polygamist non a believer in the practice of polygamy: and it is my intention in good
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.
Alice Heil
So HELP ME GOD.
GOD em Ausa
(Original algnature of declarant.)
abult Halil - adam
Subscribed and sworn to before me in the office of the Clerk of
sdl k witho 914 Subscribed and sworn to before me in the office of the Clerk of
[SEAL.]
Court this 14 day of april anno Domini 191
Piet [SEAL.
Court. this 14 day of o april anno Domini 191 5
COUNTY CLERK AND EX-OFFICIO CLERK OF
H.J. Lelande THE SUPERIOR COURT IN AND COUNTY
H. J. Letanite the COUNTY
COUNTY CLERK AND EX-GEFICIO CLERK OF
OF LOS ANGELES. STATE OF CALIFORNIA.
LOS ANGELES. STATE OF
By of Clerk Court.
Clark the
di
Clerk of the
Court
By
14-56
Gzosenneu
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"ocrText": "114\nOF LABOR\nORIGINAL\n8602\nOF:CABOR\nORIGINAL\nNATURALIZATION service\nNo.\noV\nNo. 86.03\nNATURALIZATION SERVICE\nSTATES\nOF\nSTATESIOR\nDECLARATION OF INTENTION\nDECLARATION OF INTENTION\nInvalid for all purposes seven years after the date hereof\nInvalid for all purposes seven years after the date hereof\nSTATE OF califormia)\nIn the SUPERIOR Court\nSTATE OF\nCaurcy of Los Angelos\nThe State of California.\nCaunty of\nIn the SUPERIOR\nss:\nin and for Los Angeles County.\nss:\nThe State of Califernia.\nCourt\nof\nof\nIn and for. Los Angeles County.\ng, miss Alie N Al\naged by\nyears,\nge, Ahmet Halif Balavas\noccupation\ndo declare on oath that my personal\ndescription is: Color white complexion med\noccupation Labrance\naged 25 /years,\ndescription is: Color White complexion Fair\nHousekeeper\ndo declare on oath that my personal\nweight 140 pounds, color of hair Red\ncolor of eyes Brown\nheight feet unches,\nheight feet 11\nnone\nweight 17v pounds, color of hair Dr Brown color of eyes inches,\nother was visible born in distinetive Sarnia marks Ontario Cauntry 1951\nother visible distinctive marks\nNone\nGreen\nI\nI\nwas born in Aladenics austria\non the\n31 day of Jan\nanno Domini I now reside\non the\n20\nday of\nDecember\nSho fake cal\n890\nat\n(Give street,\nat Fernando (Give number, atreet, etty or town, St and anno Los Domini Angeles J I now reside Cal\nI to the United States of Americhpfrom\ncity or town, Garnia and Canada\nI emigrated to the\nemigrated the vessel Grand Srung 2 of\nUnited States of America from Trieste austria\non\n: my last\n(If the arrived otherwise than by veasel, Bocharacter of Frame transportage company should be given.)\non the vessel /a by veasely the\n; my last\nforeign\nresidence was alien Sarma Canada\nforeign residence\nwas Mademic tharacter of or and Austra transportation commen should be given.)\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\nprince, potentate, state, or sovereignty, and particularly to\nGeo. v, King of Great Britain and Ircland.\nof whom 1 am now a subject\nFranals of Austria and Apostelle Khj of whom I am now a subject:\n1 arrived at the port of\nCont Nuron\nin the\nI at\nmichigan on or about the 12 day\narrived of the port of\nin the\nState of\nof November\nState\non or about the\n18\nof march anno Domini I 912 I am not an anarchist: I am not a\nday\nanno Domni I 910. I am not an anarchist; I am not\npolygamist nor a believer in the practice of polygamy; and it is my intention in good faith\npolygamist non a believer in the practice of polygamy: and it is my intention in good\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 ME GOD.\nAlice Heil\nSo HELP ME GOD.\nGOD em Ausa\n(Original algnature of declarant.)\nabult Halil - adam\nSubscribed and sworn to before me in the office of the Clerk of\nsdl k witho 914 Subscribed and sworn to before me in the office of the Clerk of\n[SEAL.]\nCourt this 14 day of april anno Domini 191\nPiet [SEAL.\nCourt. this 14 day of o april anno Domini 191 5\nCOUNTY CLERK AND EX-OFFICIO CLERK OF\nH.J. Lelande THE SUPERIOR COURT IN AND COUNTY\nH. J. Letanite the COUNTY\nCOUNTY CLERK AND EX-GEFICIO CLERK OF\nOF LOS ANGELES. STATE OF CALIFORNIA.\nLOS ANGELES. STATE OF\nBy of Clerk Court.\nClark the\ndi\nClerk of the\nCourt\nBy\n14-56\nGzosenneu"
}