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ORIGINAL
JAN
ORIGINAL
U.S. DEPARTMENT OF LABOR
No. 8800
WATURALIZATION SERVICE
of
No. 8801
STATES OF
DECA MARION OF INTENTION
DECLAR
Invalid for all purposes seven years after the date hareof
Invalid for all
STATE Q) ORMTA
In the SUPERIO Court
STATE OF
In the
Court
Caur Cos Ingeles
The State of Califernia.
Caunty of Los Angeles
The State of
The Judges of this opurt, at a meeting End/dagies County
of
DE and for Los Atgeles County.
of June, 1915, having unanimously passed a resolution authorising
aged
years
g,
aged
years,
the Prestding Judge to enter an order discontinuing the further
do-declare on oath th my personal
occupation
,
do declare on oath that my personal
of Natural ization applisations, after all of the
Coloc
belght
feet
inches
description is: Color
complexion
height feet inches,
applications which have heretofore been received, have been passed
poupds
color_of ha
weight
pounds, color of hair
on
weight The Judge o this Court in conformity with 3uch
color of eyes
visible distinctive marks
other visible distinctive marks
other
resolution, orders the discontinuanoe of the practice of receiving
I was born in
applications fiwas born in for Naturalization.
day
Enow reside
on the
on
day of
in Naturalizatonmettert after passing on the
emigrated to the United America)
I emigrated to the United State$ o America from
my last
on the vessel
King number, street, city or town, and State.)
,
anno Domini I
the
;
I now reside
It 18 fur ther ordered that this Court cease exercising
at
applications already on file.
on the, essel
my last
I the foregoing full, true and
(If the alien arrived otherwied by vessel, the character of conveyance or name of transportation company should be given.)
foreign residence was
foreign residence was
correct cony of an order entered on the minutes of said Superior
my. bona fide intention to all allegiance and fidelity to any foreign
It is my bona fide intention to renounce forever all allegiance and fidelity to any foreign
Court", Depertment No.
in the above entitled cause.
prince soverel and Palariy to.
prince, potentate, state, for sovereignty, and particularly to
ATTEST my hand, and the seal of anid Superior Court.
this
and
June
of whom 1am now asubject;
of whom I am now a subject:
day of
1915.
,
arrived at the port of
in the
I arrived at the port of
in the
H. J. LELANDE Clerk.
State of
on orsabout the
day
State of
, on or about the
day
By
of
anno Domini not mota
of
. anno Domini I
: I am not an anarchist: I am not a
Deputy Clerk.
polygamist nor a believer in the practice of polygamy and d 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.
So HELP ME GOD.
(Original signature of declarant.)
(Original signature of declarant.)
Subscribed and sworn to before me in the office of the Clerk of
Subscribed and sworn to before me in the office of the Clerk of
[SEAL.]
Court this
day of
,
anno Domini 191
[SEAL.]
Court this
day of
anno Domini 191
/
COUNTY CLERK AND EX-OFFICIO CLERK OF
H. J: Lelande
THE SUPERIOR COURY INTAND COUNTY
H: J. Lefande
COUNTY
OF LOS ANGELES,STATE OF CALIFORNIA.
LOS
ANGELES,
Clerk of the
Court.
Clerk of the
Court.
By
Clerk.
By
Clerk.
14-56
14-56
Soiled Document
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"ocrText": "312\n313\nORIGINAL\nJAN\nORIGINAL\nU.S. DEPARTMENT OF LABOR\nNo. 8800\nWATURALIZATION SERVICE\nof\nNo. 8801\nSTATES OF\nDECA MARION OF INTENTION\nDECLAR\nInvalid for all purposes seven years after the date hareof\nInvalid for all\nSTATE Q) ORMTA\nIn the SUPERIO Court\nSTATE OF\nIn the\nCourt\nCaur Cos Ingeles\nThe State of Califernia.\nCaunty of Los Angeles\nThe State of\nThe Judges of this opurt, at a meeting End/dagies County\nof\nDE and for Los Atgeles County.\nof June, 1915, having unanimously passed a resolution authorising\naged\nyears\ng,\naged\nyears,\nthe Prestding Judge to enter an order discontinuing the further\ndo-declare on oath th my personal\noccupation\n,\ndo declare on oath that my personal\nof Natural ization applisations, after all of the\nColoc\nbelght\nfeet\ninches\ndescription is: Color\ncomplexion\nheight feet inches,\napplications which have heretofore been received, have been passed\npoupds\ncolor_of ha\nweight\npounds, color of hair\non\nweight The Judge o this Court in conformity with 3uch\ncolor of eyes\nvisible distinctive marks\nother visible distinctive marks\nother\nresolution, orders the discontinuanoe of the practice of receiving\nI was born in\napplications fiwas born in for Naturalization.\nday\nEnow reside\non the\non\nday of\nin Naturalizatonmettert after passing on the\nemigrated to the United America)\nI emigrated to the United State$ o America from\nmy last\non the vessel\nKing number, street, city or town, and State.)\n,\nanno Domini I\nthe\n;\nI now reside\nIt 18 fur ther ordered that this Court cease exercising\nat\napplications already on file.\non the, essel\nmy last\nI the foregoing full, true and\n(If the alien arrived otherwied by vessel, the character of conveyance or name of transportation company should be given.)\nforeign residence was\nforeign residence was\ncorrect cony of an order entered on the minutes of said Superior\nmy. bona fide intention to all allegiance and fidelity to any foreign\nIt is my bona fide intention to renounce forever all allegiance and fidelity to any foreign\nCourt\", Depertment No.\nin the above entitled cause.\nprince soverel and Palariy to.\nprince, potentate, state, for sovereignty, and particularly to\nATTEST my hand, and the seal of anid Superior Court.\nthis\nand\nJune\nof whom 1am now asubject;\nof whom I am now a subject:\nday of\n1915.\n,\narrived at the port of\nin the\nI arrived at the port of\nin the\nH. J. LELANDE Clerk.\nState of\non orsabout the\nday\nState of\n, on or about the\nday\nBy\nof\nanno Domini not mota\nof\n. anno Domini I\n: I am not an anarchist: I am not a\nDeputy Clerk.\npolygamist nor a believer in the practice of polygamy and d faith\npolygamist nor a believer in the practice of polygamy and it is my intention in good faith\nto\nbecome.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.\nSo HELP ME GOD.\n(Original signature of declarant.)\n(Original signature of declarant.)\nSubscribed and sworn to before me in the office of the Clerk of\nSubscribed and sworn to before me in the office of the Clerk of\n[SEAL.]\nCourt this\nday of\n,\nanno Domini 191\n[SEAL.]\nCourt this\nday of\nanno Domini 191\n/\nCOUNTY CLERK AND EX-OFFICIO CLERK OF\nH. J: Lelande\nTHE SUPERIOR COURY INTAND COUNTY\nH: J. Lefande\nCOUNTY\nOF LOS ANGELES,STATE OF CALIFORNIA.\nLOS\nANGELES,\nClerk of the\nCourt.\nClerk of the\nCourt.\nBy\nClerk.\nBy\nClerk.\n14-56\n14-56\nSoiled Document"
}