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or ARRIVAL arriving CERTIFICATE in United sustes (For use of allens Department of and Tabor IMMIGRATION SERVICE BOSTON MASS PORT OF below: The immigration records at this Leon port show Pohteamounts the following as to the alien named Name of alien: Date of arrival: g une 25/07 Resthar Line menomence Filling Form 2203 Department of Commence and NATURALIZATION SERVICE TRIPLICATE [Tob given the person making 3479 the Declaration) No. STATES OF =2 DECLARATION OF INTENTION (Invalid for all purposes seven years after the date hereof) & of In the SUPERIOR Court Cogunty of 1 the Angeles ss: in and for Los Angeles County. of The State of California. 3." Leo Schliomowitech aged 29 years, occupation 1.) Physician A Surgean , do declare on oath that my personal description is: Color White complexion Light height 5 feel5//zinches, weight 162 pourtas, color of hair L Brom , color of eyes May other visible distinctive marks none Korno Russia Tent I was born in on the 20 day of King June anno Domini I 882; I now reside at 529 W st angeles teal (Give number, street, city or town, and State.) I emigrated to the United States of America from ANTWERP BELGIUM on the vessel menimon ; my last (If the alien otherwise then by veesel, the character of or name of transportation company should begiven.) foreign residence was Bern Switzerland Decla It is my bona fide intention to renounce forever all allegiance and fidelity to any foreign prince, potentate, state, or sovereignty, and particularly to Nicholas II, Emperor of all the Rúsifas. , of whom I am now a subject; I BOSTON in the arrived at the port of State of mass on or about the 26 day of polygamist nor a believer in the practice of polygamy; and it is my intention in good faith June , anno Domini 907 I am not an anarchist; I am not a to become a citizen of the United States of America and to permanently reside therein: So HELP ME GOD. Sir Achliomour tish. (Original signature of declarant.) Subscribed and sworn to before me this 21 [SEAL] >day of June anno Domini 191. H. J. TELANDE - COUNTY COURT AND IN AND EX ORFICIO FOR THE QOUNTY Clerk of STAV - Court. By Clerk.

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Page context
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    "ocrText": "or\nARRIVAL\narriving CERTIFICATE in United sustes\n(For\nuse\nof\nallens\nDepartment of and Tabor\nIMMIGRATION SERVICE\nBOSTON MASS\nPORT OF\nbelow:\nThe immigration records at this Leon port show Pohteamounts the following as to the alien named\nName of alien:\nDate of arrival: g une 25/07\nResthar\nLine\nmenomence\nFilling\nForm 2203\nDepartment of Commence and\nNATURALIZATION SERVICE\nTRIPLICATE\n[Tob given the person making\n3479\nthe Declaration)\nNo.\nSTATES OF\n=2\nDECLARATION OF INTENTION\n(Invalid for all purposes seven years after the date hereof)\n& of\nIn\nthe SUPERIOR\nCourt\nCogunty of 1 the Angeles\nss:\nin and for Los Angeles County.\nof\nThe State of California.\n3.\" Leo Schliomowitech\naged 29 years,\noccupation 1.) Physician A Surgean\n, do declare on oath that my personal\ndescription is: Color White complexion Light height 5 feel5//zinches,\nweight 162 pourtas, color of hair L Brom , color of eyes May\nother visible distinctive marks\nnone\nKorno Russia\nTent\nI was born in\non the\n20\nday of\nKing June\nanno Domini I 882; I now reside\nat\n529 W st angeles teal\n(Give number, street, city or town, and State.)\nI emigrated to the United States of America from\nANTWERP BELGIUM\non the vessel\nmenimon\n;\nmy last\n(If\nthe\nalien otherwise then by veesel, the character of or name of transportation company should begiven.)\nforeign residence was\nBern Switzerland\nDecla\nIt is my bona fide intention to renounce forever all allegiance and fidelity to any foreign\nprince, potentate, state, or sovereignty, and particularly to\nNicholas II, Emperor of all the Rúsifas.\n, of whom I am now a subject; I\nBOSTON\nin the\narrived at the port of\nState of\nmass\non or about the\n26\nday\nof\npolygamist nor a believer in the practice of polygamy; and it is my intention in good faith\nJune\n, anno Domini 907 I am not an anarchist; I am not a\nto become a citizen of the United States of America and to permanently reside therein:\nSo HELP ME GOD.\nSir Achliomour tish.\n(Original signature of declarant.)\nSubscribed and sworn to before me this\n21\n[SEAL]\n>day of June anno\nDomini 191.\nH. J. TELANDE - COUNTY COURT AND IN AND EX ORFICIO FOR THE QOUNTY\nClerk of STAV - Court.\nBy\nClerk."
}