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U. s. DEPARTMENT OF LABOR
ORIGINAL
MHOTRO
ORIGINAL
U.S./DEPARTMENT OF LABOR
No. 8742
NATURALIZATION
of
No. 8743
STATES
OF
F
OF
E
7
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
Gounty of Los angeles
SUPERIOR Court
STATE OF CALIFORMIA
In
the
Caunty of Los
n
In the SUPERIOR
Court
The State of California.
The State of California.
ss:
ss:
of
in and for Los Angeles County.
of
In and for Los Angeles County.
ge Rudalph Failor Jajicek
aged 35 years,
g, Victor Freeman
aged 27 years,
occupation
do declare on oath that my personal
occupation Clerk
do declare on oath that my personal
description is: Color White complexion med height 5
description is: Color White complexion Dork height
feet Y inches,
weight 140 pounds, color of haif McBrown color of eyes may
weight 165 pounds, color of hair DKDM color of eyes Brown
other visible distinctive marks
now
other visible distinctive marks
none
I. was born in
Ung Hradisch austria
I was born in
Ballarat australia
on the
19th day of
nov.
anno Domini 879. I now reside
on the 28th day of Jan
anno Domini 1. 888. I now reside
at 123 no Hope at Los angelis bas
at 2054
(Give number, street, city or town, and State.)
East (Give number, adame street, at for angelicted
I emigrated to the United States of America from
HAVRE, FRANCE
I
emigrated to the United States of America from millan constration Camera
on the vessel
Ladanaine
my last
on the vessel
mehavio and Princiss Victors :
my last
(If
the
alleis arrived by veanal, the character of Aysyance or name of transportation company should be given.)
(If the alien anrived than by veasol, the character of congegance or name transportation company should be given.)
foreign residence was
Berlin Germany
foreign residence was
Vancauror Canada
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
Franels Jeseph, Emperor of Austria and Apostolic King of of whom 1 am now a subject;
Geerge v, King of Great Britain and Ireland.
,
of whom I am now a subject :
SEATTLE
I arrived at the port of
NEW YORK
in the
I arrived at the port of
in the
State of
NEW YORK
on or about the 16th day
State of
mode Wash
on or about the 20th day
of
July
anno Domini I 911 I am not an anarchist; I am not a
of
Oct
anno Domini 909 I am not an anarchist: a not a
polygamist nor a believer in the practice of polygamy; and it is my intention in good faith
polygamist nor a believen in the practice of polygamy and it is my intention in good faîth
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.
(Original Bagnite HM 9.13H
So HELP ME God.
Victor GOD 9M oe
(Original aignature of doclarent.)
to and to arti Subscribed and sworn to before me in the office of the Clerk of
aru 10 sollo Subscribed and sworn to before mel in the office of the Clerk of
EQU
[SEAL.]
nos
14
& Court this of may anno Domini 19t
Court this 19th of may , anno Domini
1913
COUNTY CLERK AND EX-OFFICIO.CLERE OF
CLEBK AND EX-OFFICIA CLERK OF
H. J. Telande THE SUPERIOR COURT TN' COUNTY
OF AOS ANGELES. STATE OF CALIFORN'S.
H.JA-Letande O-AT IN AND.FOR THE COUNTY
Clerk of the
Court.
Jww02
Clerk of the OF LOS ANGELES. STATE OF CALIFORNIA.
Court
By Edmith Def
Clerk.
By
E.Smith Def
Clerk.
14-86
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Document data
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"ocrText": "254\ndid\nU. s. DEPARTMENT OF LABOR\nORIGINAL\nMHOTRO\nORIGINAL\nU.S./DEPARTMENT OF LABOR\nNo. 8742\nNATURALIZATION\nof\nNo. 8743\nSTATES\nOF\nF\nOF\nE\n7\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\nGounty of Los angeles\nSUPERIOR Court\nSTATE OF CALIFORMIA\nIn\nthe\nCaunty of Los\nn\nIn the SUPERIOR\nCourt\nThe State of California.\nThe State of California.\nss:\nss:\nof\nin and for Los Angeles County.\nof\nIn and for Los Angeles County.\nge Rudalph Failor Jajicek\naged 35 years,\ng, Victor Freeman\naged 27 years,\noccupation\ndo declare on oath that my personal\noccupation Clerk\ndo declare on oath that my personal\ndescription is: Color White complexion med height 5\ndescription is: Color White complexion Dork height\nfeet Y inches,\nweight 140 pounds, color of haif McBrown color of eyes may\nweight 165 pounds, color of hair DKDM color of eyes Brown\nother visible distinctive marks\nnow\nother visible distinctive marks\nnone\nI. was born in\nUng Hradisch austria\nI was born in\nBallarat australia\non the\n19th day of\nnov.\nanno Domini 879. I now reside\non the 28th day of Jan\nanno Domini 1. 888. I now reside\nat 123 no Hope at Los angelis bas\nat 2054\n(Give number, street, city or town, and State.)\nEast (Give number, adame street, at for angelicted\nI emigrated to the United States of America from\nHAVRE, FRANCE\nI\nemigrated to the United States of America from millan constration Camera\non the vessel\nLadanaine\nmy last\non the vessel\nmehavio and Princiss Victors :\nmy last\n(If\nthe\nalleis arrived by veanal, the character of Aysyance or name of transportation company should be given.)\n(If the alien anrived than by veasol, the character of congegance or name transportation company should be given.)\nforeign residence was\nBerlin Germany\nforeign residence was\nVancauror Canada\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\nFranels Jeseph, Emperor of Austria and Apostolic King of of whom 1 am now a subject;\nGeerge v, King of Great Britain and Ireland.\n,\nof whom I am now a subject :\nSEATTLE\nI arrived at the port of\nNEW YORK\nin the\nI arrived at the port of\nin the\nState of\nNEW YORK\non or about the 16th day\nState of\nmode Wash\non or about the 20th day\nof\nJuly\nanno Domini I 911 I am not an anarchist; I am not a\nof\nOct\nanno Domini 909 I am not an anarchist: a not a\npolygamist nor a believer in the practice of polygamy; and it is my intention in good faith\npolygamist nor a believen in the practice of polygamy and it is my intention in good faîth\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.\n(Original Bagnite HM 9.13H\nSo HELP ME God.\nVictor GOD 9M oe\n(Original aignature of doclarent.)\nto and to arti Subscribed and sworn to before me in the office of the Clerk of\naru 10 sollo Subscribed and sworn to before mel in the office of the Clerk of\nEQU\n[SEAL.]\nnos\n14\n& Court this of may anno Domini 19t\nCourt this 19th of may , anno Domini\n1913\nCOUNTY CLERK AND EX-OFFICIO.CLERE OF\nCLEBK AND EX-OFFICIA CLERK OF\nH. J. Telande THE SUPERIOR COURT TN' COUNTY\nOF AOS ANGELES. STATE OF CALIFORN'S.\nH.JA-Letande O-AT IN AND.FOR THE COUNTY\nClerk of the\nCourt.\nJww02\nClerk of the OF LOS ANGELES. STATE OF CALIFORNIA.\nCourt\nBy Edmith Def\nClerk.\nBy\nE.Smith Def\nClerk.\n14-86"
}