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TRIPLICATE
No.
29
(Tobe
the Declaration)
STATES OF
Department of and Tabne
BUREAU OF IMMIGRATION AND NATURALIZATION
DIVISION OF NATURALIZATION
DECLARATION OF INTENTION
(Invalid' for all purposes seven years aftér the dale hereof)
State of Neyada
In the Jrd,Judioial District
Court
SS :
County of Bureka
of
3.
John Hodak
aged
26,
years,
occupation
Stone Mason
do declare annir on
oath
that my personal
description is: Color
white
, complexion
Fair
height 6 feet 2 inches,
weight
316
pounds, color of hair
Brown
,
color of eyes Blue
other visible distinctive marks Soar on nose between the oyes
;
I was born in Smiljan,Hungary
on the
13th
day of Dotober,
anio
Domini
884;
I now reside at
Eureka, Eureka County, Nevada
I emigrated to the United States of America from Bramen, Germany
on the vessel
Professor Forman
[If the allen arrived otherwise than by vessel. the character of conveyance or name of transportation company should be given.]
foreign residence was
Gospio,Hungary
It is my bona fide intention to renounce forever all allegiance and fidelity to any foreign
prince, potentate, state, or sovereignty, and particularly to
anois Joseph
Emperor ofAustris-Hungary
of which I am now a
I
subject
arrived at the port of
Baltimore
in the
State
Territory of
Margland
on or about the
aoth,
day
District
of
April
anno Domini 907
; 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
to become a citizen of the United States of America and to permanently reside therein:
So HELP ME GOD.
John Hoodack
(Original signature of declarans.)
Subscribed sworn to before me this
aost
[SEAL.]
day uf November,
anno, Domini
Clark of the
Cour.
Clark
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"ocrText": "TRIPLICATE\nNo.\n29\n(Tobe\nthe Declaration)\nSTATES OF\nDepartment of and Tabne\nBUREAU OF IMMIGRATION AND NATURALIZATION\nDIVISION OF NATURALIZATION\nDECLARATION OF INTENTION\n(Invalid' for all purposes seven years aftér the dale hereof)\nState of Neyada\nIn the Jrd,Judioial District\nCourt\nSS :\nCounty of Bureka\nof\n3.\nJohn Hodak\naged\n26,\nyears,\noccupation\nStone Mason\ndo declare annir on\noath\nthat my personal\ndescription is: Color\nwhite\n, complexion\nFair\nheight 6 feet 2 inches,\nweight\n316\npounds, color of hair\nBrown\n,\ncolor of eyes Blue\nother visible distinctive marks Soar on nose between the oyes\n;\nI was born in Smiljan,Hungary\non the\n13th\nday of Dotober,\nanio\nDomini\n884;\nI now reside at\nEureka, Eureka County, Nevada\nI emigrated to the United States of America from Bramen, Germany\non the vessel\nProfessor Forman\n[If the allen arrived otherwise than by vessel. the character of conveyance or name of transportation company should be given.]\nforeign residence was\nGospio,Hungary\nIt is my bona fide intention to renounce forever all allegiance and fidelity to any foreign\nprince, potentate, state, or sovereignty, and particularly to\nanois Joseph\nEmperor ofAustris-Hungary\nof which I am now a\nI\nsubject\narrived at the port of\nBaltimore\nin the\nState\nTerritory of\nMargland\non or about the\naoth,\nday\nDistrict\nof\nApril\nanno Domini 907\n; I- am not an anarchist; I am not a\n,\npolygamist 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:\nSo HELP ME GOD.\nJohn Hoodack\n(Original signature of declarans.)\nSubscribed sworn to before me this\naost\n[SEAL.]\nday uf November,\nanno, Domini\nClark of the\nCour.\nClark"
}