HomeMy WebLinkAboutDeclaration of Intention_Vol 4 1301-1800 1920-1921,/ law from making and i,::;suing cer-
or any part thereof, except upon order
ohJtbitiom against furnishing information orally
s, without Court Order.
)ation and Naturalization Service is authorized to make
· citions when needed in any judicial proceeding, or to comply
ute. Persons requiring such certifications should submit
Form N-585 to the nearest office of the Immigration and
,.i:uralization Service. A supply of such Form is ava·lable from any
office of the Immigration and Naturalization Service.
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ORIGINAL 1 U. S. DEPARTMENT OF LABOR
NATURALIZATION SERVICE
Noi~O{_y /-.; s1 t\ Tl:l or
-~~· ~-~·~ .~ DECLARATION OF INTENTION ••
~ Invalicl for all purposes seven years after the date hereof
~-------~--*--~-~--ex:--~~~L<1-~ In the ___ ___ _ Court
(!~~~"-4":~ , of _::f/-~~-~-(1~
~' -----------~~--=-=---U-.-<L~~,c_,.,c...G:.._...,4 ..J..~.c.e:.~~-~-d--~---;.=-:;-a_ __________________ , aged ______ 0-._ __ !._ ___ years,
[SEAL]
Subscribed and sworn to before me in the office of the Clerk of
said Court this---~---day of~~--. anno Domini 19~ 0
-----~-~6KJ!!~----------
2
No. /d_Q _(J __ ?;d 4
!t~·
•
U. S. DEPART MENT OF LABOR
NATUR ALIZATION SERVICE
O RI GI NAL
~
"' DECLARATION OF INTENTION
~Invalid for all purposes seven years after the date hereof
Subscribed and sworn to before me in the office of the Clerk of
[SEAL]
said Court this ___ L[_day of -~-aA-------· anno Domini 19 ~d
-------------~6_(1_~-----
Clerk o
By _________________ cZ__~~~~
ORIGINAL 3 •
U.S. DEPARTMENT OF LABOR
NATURALIZATION SERVICE
No j$__Q_j__f;d4 II .. ~~ T~l or • -l\ t4lt1fJ*t . ~~ ~~~ •• ~ .4
. DECLARATION OF INTENTION ~
~Invalid for all purposes seven years after the date hereof
~--#--__ In the _ _ ourt
~---,of:7~~'
~~ ____________ _ _ . _ ____ _ _ _ ___ _ ---------------------------·• aged -------~--7--years,
occupation __ _ _ _ ____ _ _ __ _ ______ -#~--· do declare on oath that my personal
description is: Col or~-_ _ __ __, co\.!p~xJJn ----~--· height ~feet£ inches,
weight ___ 2-: __ t;! __ q_ ____ pounds, color of hair~-----• color of eyes~------·
;t~:s v:~:~e i~:Z-marks --;'k~~~[:~~::::::::::::::::::
~; -~~_;::-----Q_----~:~d:~_of_--:--: __ i~~~~~:;~~~~~~i~-r~~i~:
~;7~!r~::~e~~--~~:k:~----~~~~---~~~~--~----------------~~~~~~~~---------~---=~~i;~-~-~~~~
(If the alien arrived o er 'ee 1 y v el, the chara r of on eya.nc m i transportation company should be given)
foreign residence was -~------=---____________ ·r·---------__ ; I am ~--married; the name
of my wife is ----------------------------------------------------; she was born at ---------------------------------------------------------
and now resides at ___ -------------------------___________________________________________________________________ --------------------------------
It is my bona fide intention to renounce forever all allegian and fidelity to any foreign
prince, potentate, state, 0 v reignty, and particularly to n -_((__/ J
-~~..-<'----________ ______________ ;;...-------------------------------------------• of whom I am now a subject ;
I arrived at thEt/rort ---~------------------~------------------------------------------------------------• in the
State 0~~--~~----------------------------------------~--~---------------• on or about the------~---~-----------day
of _____ u_~---------------------• an no Domini r -~o_h, 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. ______ t:::~~~--~~-------------------
(Original signatg;f~clarant)
[SEAL]
2--C)
Clerk of the --__ _ __ ----------------__ Court.
By -----&2--~--~~~, -~" -h~_ Clerk. (/ ---------,---,=r:r
4 O R IGINAL
U. S. DEPARTMENT OF LABOR
NATURALIZATION SERVICE
JVJcio_t/ffd~ •' ~ 1
~~~~ --
~ DECLARATION OF INTENTION
m= Invalid for all purposes seven years after tile date hereof
.,./~~-_ . ··---___ _ ~ . In the ------~~£!!!..~-----Court
-~~f;PA -____ : __ ~Jss. of _____ /Jf:~~----~
~' ·--------~-----___________________ -----------------------------------------------·• aged _____ ;;u__~---years,
occupation ________________ : __________ -------------------------------------------------·• do declare on oath that my personal
description is: Color ~-------• complexion_____ ----------~---------·• height .£feet_::::_ __ inches,
weight __ _!_d_a ____ pounds, color of hair__________ ___ _ _________ , color of eyes-~--------·
~t~:s v:~~e ~~~:z~-~==:::::::::::_-:_~~-~-:-~-~~::Q~r::
on the __ .L. __ '5?_ _________________ day of ___ _ ____ , an no Domini 1 __ ?_J-_i_; I ow reside
at -.-d ~~..:i!':£>~~ _____________ _ ' -~~-------------------------------------·-----------------
,-(Given ,street,ctty~,~ds_:a~ , • ~ / /
l emigrated ( the United States of Arne ca from --~L~--~-J------------------------·
on the vesse 1 ____ <4--;ili~-~~~;;---~;~;;.~-t-;.;~t,;,:.;.;-t;;~i-.;;;~;;;,;-;;.;;;~~-~;;;-.;-ii;~;~~;;;ti~-;.-~;j;;;-y-;h~-;;id-b;-ii-;;~)--·: my last
foreign residence w~~~~-__________ ------------------------------------: I am ~-mar ried; the name
of my wife is ----------------------------------------------------; she was born at ---------------------------------------------------------
and now resides at ---------------------------------------------------------------------------------------------------------------------------
It is my bona fide intention to renounce forever all allegiance and fidelity to any foreign
prince, potentate, state, or sovereignty, and particularly to --~---.0~.
$,~%~~----------------------------------------------• of whom I am now a subject;
I arrived a he port of ________ ------------lf~r----------------------------------------------------------------------·• in the
State o _________________________________ ?J:_1j(J ______________________________________ , on or about the ________ 2: __ 's£ _________ day
~~i-amis n~~--~--b~Ii~~~~--i~--t-h~-;r~~~~e ~~~~~~;~~~n~ aiT i~0~~ni~~!~~~~\;n ~~: ~~~~
to become a citizen of the United States of America and to permanently reside therein:
So HELP ME Goo.
[SEAL]
·-.-------~-~:£.~------------------
Subscribed and sworn to before me in the office of the Clerk of
said Court this __ L__::__dayof ---~anna Domini 19~r!2
ORIGINAL 5
U.S. DEPARTMENT OF LABOR
NATURALI ZA·TIO N S E RV ICE
NoLJflS_CdJ v s1 ~Til or ~~· ~-~·~
.. ~ DECLARATION OF INTENTION ••
[SEAL]
Su bscribed and sworn to be f ore_)l1~ ~n the O~fe of the Cl erk of
said Court thisL-....3--dayof -~./Zu~anno Domini19 2-o
-~--~~~-------------
6 O RI GINAL
U. S. DEPART MENT OF LABOR
--~~~~----
[SEAL]
Subscribed and sworn to before me i~e of the Clerk of
said Court this )....t ___ day of-----~------------:. anna Domini 19 ~ 0
------------~C?: __ e_~~-----------------
Clerk of the --.~~urt.
By _____ U:,_~_:::t_/~--, ~-Clerk .
OR IG INAL
U . S. DEPAR TMENT OF L A BO R
/$0 f~ I "''"'"'""a'"""'
No.------1-~ ., ~Til or ~~· ~-~·~
.. ~ DECLARATION OF INTENTION ~.
of my wife is·~ ... --~-.--------------------------------------------; she was born at ---------------------------------------------------------• '• .. ~
and now resides at ----------------------------------------------------------· ------------------------------------------------------------------~-
It is my bonf: fide intention to renounce foreve r all allegiance and fidelity to any foreig n
prince, potelrtate, state, or sovereignty, and particu lar ly to~-;:'t:H::~
~~~~-;l.~~~k~.f2:~yi whom I am ow su.bjec t;
l arrived at the port ot --~7~~--------------------------------------------------------------------·-• m the
State of ------------------~"~----------------------------------------------------·• on or about the ______ ::::-:::_::_:-___________ day
of --------==--==---~-=---:::::_: ________________________________ , an no Domini r !f-I.:U_; 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 fait h
to become a citizen of the United States of Am e rica and t o permanently reside therei n:
So HELP ME Goo. ~----~---------------------·
(Original signature ~f declarant)
Subscribed and sworn to before me in the office of the Clerk of
[SEAL]
said Court this/~_day of_ ___ ~-~·-----· anno Domini r<p-cJ
------~r$7~--------------
Clerk of the-------------____ _ _ __ ~. (;ourt.
By ___ W4~~----, ~-.cu_ __ -Clerk.
'""" ( H-1>:
O RI GINAL
U. S. DEPART MENT OF LABOR
NAT UR ALIZATION SERVICE
'~ /;;( cl ~vrd v'
No.L<¥lli1. 4 s1~TII or ~~· ~-~·~ ~ . wo ~ DECLARATION OF INTENTION .,.
[SEAL]
(Original signature of declarant)
Subscribed and sworn to before me in the office of the Clerk of
said Court this-/--3.---day of---~--~---· anno Domini 19 :LJc.
------------~C2~-~Jd=U_~k __ _
Clerk of the ---~=-~-"""--=<,~urt.
By .... &.? .. 4, . ./£ ry__._L.._, --~Clerk .
I U.S. DEPARTMENT OF LABOR
ORIGINAL 9
V NATURALIZATION SERVICE No.l~Q_f?id# .,~TI:I or ~~· ~-~·~ .~ DECLARATION OF INTENTION ••
W' Invalid for all purposes ·seven years after the {\ate hereof
-~~¢c::2~~~---] In the ___ _ __________ ------_ ourt
a;::~:!;~ ___________ :~--~~::_7::;!{
occupation ----~--~------------------• do declare on oath that my personal
d . . . C I /J . ..,L I . " -/ h . ht ,s--fe t~---:_L. h escnptiOn 1s: o or~~----, comp ex IOn ---~-----·• e1g _______ e ---~c es,
weight _J_ __ 5_ __ o _____ pounds, color of hair -=~---------• color of eyes-~------------
other vi sib I e d i sti n cti v e marks _______ ---------------------------------------------------------------------------------------------_____ _
of my wife is ---------------------------------------------------; she was born at ---------------------------------------------------------
and now resides at ---------------------------------------------------________________________ --------------------______________________________ _
It is my bona fide intention to renounce forever all allegiance and fidelity to any foreig n
prince, potentate, state, or sovereignty, and particularly to ---~r--1~---
---¥~----~~~--------------------------------------------• of whom I am now a su~jett;
l arnved at the port ot ------~~-1:{--~-C------------------------------------------------------------·-·• m th e
State of ---------~--:_~---------------------------------------------------------• on or about the -------~--7-----------day
of ______ · ~ ~ __ {_ ____________________ , anno Domini r__Cfl-~:: I am not an anarchist; I am not a
polyga-;-i-~t;;lr-~-~b~Iiever 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 Goo. ~""''~
Subscribed and sworn to before me in the office of the Clerk of
said Court this_L __ ~d ayoL_~~Lanno Domini 192-o
-----~~ __ G._ __ a:_~r----------------[SEAL]
Clerk of the ---~ki;ourt.
By ___ G{ ___ 2zz~-~~-=~/!_ -------~ --~~-Clerk. ~ I Jt-0~
10 ORIGINAL
U.S. DEPARTMENT OF LABOR
NATURALIZATION SERVICE
13!t1 }} ~ 4-v No . ·------------------------•'~''' or~~ f\~9 ··~~A ~~ q·~ ~ DECLARATION OF INTENTION ~
[SEAL]
ORIGINAL 11
U. S. DEPARTMENT OF LABOR
I NATURALIZATION SERVICE
No. ~)!_L_ ___ (i_d L/ .j
~~· ~~ ~ DECLARATION OF INTENTION
[SEAL]
ORIGINAL
U. S. DEPARTMENT OF LABOR
NATURALIZATION SERVICE
~Invalid for all purposes seven years after tlle date llereof
~ -~-~~--] In the_~_Court ~~:(;?1~_.& ____ ss: , ot'21-~-~~
~' ____________ f!-2~~-4~~---------------------------·• aged ·-----~--9----years,
occupation --~-c:Y~.L/'~----------------------------·• do declare on oath that my personal
description is: Color~-----• compJ7xjon ~-------·• height _5_ __ feet ___ 5.inches,
weight _ _L __ f!:_t[_ ___ pounds, color of hair -~-------·• color of eyes-~-----------·
~~~:s v~~~!e i~i~~~::~:::::::::::::::::=::::-::::::::::
on the __ : __ /-_¢z[_ ___________ day of ______ _________ _ _______ _ _________ , an no Domini r .tf __ r _Q_; I now reside
at __ d!_JI---7 ___ ,/-__ 1/-_d~----------__ _ _ __ __ _________ r---(7_~------------------------------------------
<Givenumber,street,city« und ate) ~
I emigrated to the United Stat of A erica from________ _ _____ _ __ _ 7 ~ /i ______________ --------------------------
on the vessel ___ =--~ ___ ~ _ _ _________ --------------------------------~-------------------------------·; my last
(lf th., alien arrjved ot wise t~ by vessel, tue ter or c nveya.uoe or oame ot tra.nap<"rtation company should be given)
foreign residence was ______ __ __ __ _ _ ___ _ _______ _ -----------------; I a~ ______________ marr~e~ !e;~me
of my wife is ----~---:: _____________ ; sh as born at ___ £~,..--~~-~-~------
and now resides at ----~;--~----------------------------------------------------------------------
It is my bona fide intention to renoun~~--f~;;~~-~lt alle~~ce and fidelity to any foreign
prince, potentate, state, or sovereignty, and particularly to ___ 0_~ __ /_g_~---
__ TlZ~~---~~-~-------------------------------------• of whom I am now a subject;
I arrived at t~port f ----~¥~--------------------------------------------------------------------·• in the
State of _______ :;a _________ , ____________________________________________________________ , on or about the ------------9--------------day
of _____ · __ _ ____________________________ , an no Domini 1 __ ..(7(-_)(.i; I am not an anarchist; I am not a
pol ist 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 ther~in:
So HELP ME GOD. -----~;,;;~~-----------------
Subscribed and sworn to before me in the office of the Clerk of
said Court this_.!_G ___ day of---~------· anno Domini 19.;2.. 0
[SEAL] ------------=-~t$0~---------
Clerk of th e ____ a~4-£ourt.
By ___ ,U~--4?--·-::?.j ~~ t-.;J-c.L _______ J ~~-Clerk .
t ' / ,.f
ORIGINAL 13
U. S. DEPA RTM ENT O F LABOR
NAT URAL I ZATI O N SE RV I CE
jc!)/ -;<~ *
No. ___ L-J___ ~ .,~,~~ or~-~
~~t) ~~.
'0) DECLARATION OF INTENTION ~
[SEAL]
-~~---------------------------------------·
(Original signature of declarant)
Subscribed and sworn to before me in the office of the Clerk of
said Court this_)h_ __ day of---~ anno Domini 19 :z-o
-~G.--0~-------------
14 ORIGINAL
U.S. DEPARTMENT OF LABOR
NATURALIZATION SERVICE
No./S-,t:£.~: s11lTII or~-
4~~ ~.~ .V> .4
DECLARATION OF INTENTION ~
~Invalid for all purposes seven years after tile date hereof
~P~~-------] ss: In the -----·-- _ _ ________ --~Court
~;F-;-U~_,___ , · of _.26 _ _ ___ - --------___ ,
~ :---------~--Qa-ad______ -~----------------------------· ag h __ h_QL __ years,
occupatiOn ____ (J__:_________ _ __ ________________ --------------------------------·• do declare on oat t at my personal
description is: Color ~-~• complexion ---~---·• height .. 6':-feet ·-~ inches,
weight --/--.6:_~pounds, color of hair ~--~• color of eyes~------·
other visible . distinctive marks --~-----------------·-------------------------------------------------------------
1 was born m ----~~-----------~-----------------------------------------------------
on the ________ _L ___ 7------~-----------------• anno Domini ,.,[,£",(; I now reside
at ------------7./i ___ (! _______________________________ (iii~-;~~;;;~~~~;;;-~---:;----~---9...).
~~~~=r~::~e~o--~~-~f-_A:eri:~~r::_::::~::::~~~;~::~
(lf tho alien arrivedo~i~an by;?'· tne character ~convey~· ownap~rtation compaoy should be given)
foreign residence wa~-~~-7~~; I am ------:-------married; the name
of my wife is-------~~---: she was born at -d~;Q~
and now resides at ----~~-~-r---2~-----------------------------------------------------------
It is my bona fide intention to renounce forever all allegiance and fidelity to any foreign
Q~ __ :r--~~~~r-eJ_g_nt~: __ a_~~--~::i:~I:rl~-t-o--~~~-;;-:zt~j~~;-;
I arrived at the port of ---~<:!-~-------------------------------------------------------------, in the
n~~~~L~~:;~~~~~::;r~~~~:~~~~~~~iii1 ;~~;~~;~;~:~~~~~~-~;i~~
to become a citizen of the United States of America and to permanently reside therein:
So HELP ME Goo. Subscribed and sworn t;-~t::::~~-:~
said Court this_/_.?__ day of ----221----~,-----· an no Domini I 9 M
[SEAL] ----------------~f3-___ (YJ~-----
• (';. Clerk of th e ---~~url. By---------------------~~ C!__~~-, ___ _cl::;-~lerk. ~-, / ,.-.;,V
OR IGINAL
U. S. DEPAR TMENT OF LA BOR
NAT UR ALI ZA TIO N S ERV IC E
~Invalid for all purposes seven years after the date hereof
__d~-------~----------~ In the ------~~--Court ~------_ __ .-y!j2i-'~·-------ss: of ___ 2/~~--~
. -~~-----·• aged ______ 2:::"_ ________ " years.
occupati n ______ ____________ _ __ _ ___ ___ -------------------------------------·• do declare on oath that my personal
description is: Color -~----• comppxi_?n ----~-----·• height .d... fee11-~nches,
weight ___ j£ __ )::-_ ____ pounds, color of hair -~-----·• color of eyes-----~---
other visible distinctive n:arks --~------;-;;;tr~---------p-:·--------------------------------------
I was bor~in h~---lc-~---;,1-------------------J-~-------------------
on the _________ * _______ day of _____ 'j____ _ ___ ------------------·• ann Domini Lfi='f-/--; I now reside
;te~~-~~~~~-:z;;;~c':;);;~-IT~:::~:::::::_:
on the vessel _____________________ · __ ----------ilf~--~--::::-~~my last
• • (If th ·e n ar · d otherwise than by ve ~(fe/haracter of convp~ transportation company should be g~ven )
foreign residence as________ __ _ __ _ --~,_,_~---------------; I am~_marned; the name
__of my wife is ____________________________________________________ ; she was born at --------------------------------------------------------
and now resides at --------------------------------------------------------------------------------------------------------------------------
It is my bona fide intention to renounce forever all allegiance and fidelity to any foreign
prince, potentate, state, or sovereignty, an_d particularly to ~-~-~-~~
~~-~:::::'~-~~~~------------• of whom I am now a subject ;
I arnved at th port ot ___________ !'.._~·----1J-L----------------------------------------------------------------------------, m the
~~~;~~::;~~E;~~~:~~::-~~~!;t~~-~~~~~t:~~r~:1 ;~~;~~~~:;~:~~;~~--~~:-~~~~
to become a citizen of the United States of America and to permanently reside therein :
So HELP ME Goo.
[SEAL]
By ___ Ck_ __
I 16
O RI G INAL
U. S. DEPARTMENT OF LABOR
~ NATUR ALIZATION SERVICE
No./_.ftL~U~ ., .. ,1. or
f\~· ~ ~ DECLARATION OF INTENTION
[SEAL]
-----------------------------------~---_F:~~ (Original eignature~~~~t}_____ ~;Ko/r/
Subscribed and sworn to before me in the office of the Clerk of
said Court this _ _)_q __ day of ---~------· anno Domini 19 c:z. ~
__________________ c;dCe:O~---
[SEAL]
ORIGINAL
U.S. DEPARTMENT OF LABOR
NATURALIZATION SERVICE
Subscribed and sworn to before me in the office of the C lerk of
said Court thil20dayof -----~--. anno Domini 19 .J.-o
----~c8C!!_~~--------------
O R IGINAL
U. S. DEPARTMENT OF LA BOR
NATUR A L I ZATION SERVICE
No .~-~Ltr~;-,~,1-or 4~~ ~-~4>~
.. V> ~A
. DECLARATION OF INTENTION ~
[SEAL]
ORIG I NAL 19
U.S. DEPART MEN T OF LABOR
NATURALI ZATI ON S ERV ICE
\j
No./.3)-f-~ s1~TII or ~"' @?1 A1·~ ~~ ~'o ~ DECLARATION OF INTENTION "4
and now resides at _________________________________________ --------------------------------____________________ -----------------------------
It is my bona fide intention to renounce forever all allegiance an tdelity o any foreig n p~ potentate, state, o r sovereignty, and particularly to~----------~----__ · .
~~;;;~~-~i'-_-_:::::::·· __ ------:·:::::: : --:_-;;;;:£;::::::::::::::::::::_~~--~~: _____ 1_~:--~~=~ ~.ui~et~~
State of----~-~-'-----____________ ----------------------~------• on or about t he _______ 2:::-f---------~-day
~~iyg~~-i-~t--~~~-~--b~~i~~~~--1~--t-h~--;r~~~~e ~~~~~~~l~-;~n~ ~~ i~0~~n i~~~~~~\n ~~: 1;~;t~
to become a citizen of the United States of America and to permanently reside therein:
So HELP ME Goo. #{If-~,
----------~g:~-;i~~~~~~~;t) _____________________ _
Subscribed and sworn to before me in the office of the Clerk of
said Court this_23_day of--~--. anno Domini 19 ~
-----------~~-a~-----
Clerk of the-----~~ Court .
[SEAL]
By ___ cL:,~4--.~~----· _&-:::_~-~ Clerk.
20
....
~.
[SEAL]
ORIGINAL
U. S. DEPARTMENT OF LABOR
__ yg~-~~
Subscribed and sworn ~ efore me in the office of the Clerk of
said Court this.. __ J_{fday of---~~-------, an no Domini 19 ';Y(J
-------~7£&-fl:.------~ --
. h ~ ~r~ of th e-------~-~-_ _ _______________ __ ourt.
By ____ V __ c;z ______ //te.:/w_~J _____ ff~terk .
(J / i4~i•(j
ORIGINAL 21
U.S. DEPARTMENT OF LABOR
NATURALIZATION SERVICE
No .JJ~L 1:4 ~,~TEl or f\~'0 ~·~·~ .+J wo4
. DECLARATION OF INTENTION ~
[SEAL]
Subscribed and sworn to before me in the office of the Clerk of
said Court this __ ~-~--day of-----~----· anno Domini 19 ?--0
------------------------~t;;L.U~
G ~~ of_ e ___________ ;~-Court.
By __________ {Q,t!L?'~. ----~ Clerk.
22 OR I GINAL
U. S. DEPARTMENT OF L A BOR
NATURALIZATION S ERVICE
[SEAL]
ORIGINAL 23
U.S. DEPA RTM ENT OF LABO R
NAT URAL IZATION SERVICE
~Invalid for all purposes seven years after the date hereof
~~-~------------] In the --~.l.d::~-~~~_!1__ ____ Court
-~~~"<("'~ ss: of ~~~b: __ ~--
~' ·--------·-------::?/--~-~-----------------------------------·• aged ·----~ __ § _____ years,
occupation -----------~~-----------------------------------------·• do declare on oath that my personal
cescription is: ~lor~--------• COm:Qlexion -------~---• height ;[_ __ feet-~ inches,
weight _)__J ___ a_ ____ pounds, color of hair_k~_., color of eyes __ _L_.c-..t!~.J.d.!:±:!::!: _________ .
~~~:s v~~~~e i~i~ti~~~-1:=~:=~-!t:~ __ ::::::::::::::::::
~; -~~3~.~-~?:Xo:in~~~=~--~---~::_,~:i~:
(Give number, street, cit · town, a nd State) J
I emigrated to ~he U~tes of America fro m -----------------------------_2 ___ 7 __r:::;_~ __ _
on the v esse 1-------~---------------~-------------·------------------------------------____________________________ -------·; my last
(If the alien ar;~w~a~~n_r~e~l~haracte of conveyance or name or transportation .::ompany should be g iven)
foreign residence was·---=--.!..=---:;;:sc~~--r-+--_ _ _ _ _ _ ; I am ______________ J~arried ; the narne
of my wife is -£:4-~-h _ ____ __ · e was born at -~~~~--1/:.""J u_ __ ,
and no~· resides at ____ _ _ __ ' _______________ ---~---C-<::1...,.. _____________________________________________________________________ _
It . is my bona fide intention to . renounce fore~er all allegianc~ an~ fidelity to a t'fl'. foreign
pnnce, potentate, state, or sovereignty, and particularly to ---'21~-~~-.c
(9~ ~-----------------------?h---------------------~-------------------------• of whom I am now a subject;
I arrived at the port of --~----/~--¥·:='----'-+!___ ______________________________________________________________ .... , in the
State~of _ -----------------~----r.--------------------------------------------·• on or about the ___ :k::_Q _____________ day
of _________ _ -------------·----------------• an no Domini I-~/~ I am not an anarchist; I am not a
poly ist 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. -~-----~
(Original signature of d ec larant)
·Subscribed and sworn to before me in the office of the Clerk of
./
[SEAL]
said Court this ___ / ____ day of----~-· anno Domini 19 20
-----;;~~-~~~~~~ourt
By ______ ({~-~-:22;.:~~-~------------, --~~Clerk. 1/ 14-~
24 ORIGI NAL
U. S. DEPARTMENT OF LABOR
N AT U RA L IZATION SERVICE
I N~_;3:LLJ/-7J--~,~111 or ~~· ~-~·~
• ., ~A ~ DECLARATION OF INTENTION ""?/
er Invalid for all purposes seven years after tlte date hereof
c ~Lziizt_~~----j In the -~--(2~-----Court _{k=4d..::Jr~---ss: otff~~--~
~' ___ l_q{/:_~J::;;L_f1._2:& __ ~~£--~----··-------------------------------·• aged ______ .d._ _________ years,
occupation ----------~-------------------------------------------• do declare on oath that my ~ersonal
description is: Color ~~---------• complexion --~------·• height __ /2 feet__ _inches,
weight j-t-------~pounds, color of hair d._,_kk __ , color of eyes------~-------· other vtsi e _ distinctive marks -~u__ _________________________________________________ r(_ _____________ (f ____________ _
~~w~::_b:~~~~:_:~~=j:•::_~~~-~;:::~:_~~:_:r~~~~:
(Give number, street, ett~ a!ld}~~
( emigrated to the United States of America from -l--A~~------L?L~-------------------------------------
on the vessel ___ :~~n ;, --~--,-;---;,;-.;;.-t;=;;;;;;;;;;;;;;;;-;;~;-.;;;;;,;~;;;;;;;-;;~~;-;;;;~;-;;-;;;;;;--·; my last
foreign residence was_ _____ _ __ __ ____ ----~1..~./d.~----------; I am ______________ marned; lhe name
of my wife is ______ -! _ ________ t-~-1-------------------; she was born at ~-~+--:;1-3-~
and now resides at --~.!-~ ___ 2._0-::::: ____________________________________________________________________________________ ~j
It is my bona fide intention to reno u nce forever all allegiance and fidelitY. to any foreign
prince, potentate, state, or sovereignty, and particularly toc::2t~_!::!::U_~------
_______ G.d2k,;£-<.~------------, ·------------------;_;_-?.---------------------------• of whom I am now a subject ;
I arnved at the port of ---~~------"-1"--------------------------------------------------------------------------·• m the
;~~;;~::.~;~~;~~;%~:;r~~~~~~~-~~~;~~~-r~:1 ~:"i;:~~~~~~!~~~~~-I~:-~~i~
t o become a citizen of the United States of America an d to permanently reside therein:
So HELP ME Goo. --l././r/7, ~ "' ,
____ Zf~-------~-------------·
(Original signature of declarant)
Subscribed an d sworn to before me in the office of the Clerk of
[SEAL]
said Court this ______ L _day of --~-~~L _____ , anno Domini 19~
--------------------------~0-~-.;t_~4'! __
Clerk of th e ______ ____ _ _ _ _ __ _ _____________ __ ourt.
By _____ £2._"22),_--2!'__~_-tc/_e__ L_, _Aiy;i<Ldj!-Clerk .
O RI GINAL 25
U.S. D EPARTMENT OF LABO R
NATU RA LIZATION S ERV ICE
'it • 0? ---------------------
occupation _________ --------~---------------------------------• do declare on oath that my personal
.I -J-J___, ~-: / ces.c rip tion is: ~lor ~-----· .complexion -~---~=-=-z:::_-_ ______ , height __ a _ feet------inches,
weight ~-~-j----~-~--p~unds, color of hmr&L_~---• color of eyes ____ ~----------------
cther visil5Ie d1stmct1 ve marks _ __ ___ ----------------------------------------------------'---------------~-----------------
1 was born in =:_):}:~ __ ---:-------------------------------------------------------------------------------------
on the ~-----/------------d{) of ------~~------,-------·• anno~mini rf:.iL;;J, I now reside
at --~~--------~--------__ _ _ ____ _____ -------~------------------------------------------
caiv" number, street, city~, and State) c;:7': J , I n
I emigrated to the United States of America from ------------~~-J-~-----
on the vessel _____ ~k-~~u _____________________________________________________________________________________ ; my las t
• . (If the alien a~ c~rwiae t~ by vessel, the character o nveyance or name oi transportation company should be g~veu)
foreign residence was--~--------____ -----'~. I am *-;~---~~~ay_~e d£ the name
of my wife is ---------~--:.r -.3.-r ------: she "':!/,bam :~r-~~-r
and now resides at ---~ -~~L:z~~-----------------------------------------------
~~i~-i=-~~-~~~~ce~l:~~-~~~~~ ::~n:~~:~~~
I arrived at t~ort of -~~t-L~--------------------------------------------------------------------------r--·• in the
State of __________ !_/__'#.;: _____ ---~-----------------------------------------------------------• on or about the ------~ __ fi_ _________ day
of---------------~ __ ___ ~--------• anno Domini r__'1-L/--; I am not an anarchist; I am not a
polygamist nor eliever 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 Goo. t:fl. L k1 ·
------~~-<"!£~----------------------
Subscribed and sworn to before me in the office of the Clerk of
said Court this ________ day of -~---....... anno Domini 19 ;;;(--'
------L~-1iie~f~~--
cterk of the ----~f_k:a. Court.
By .tZ~_?;p __ ~~~----------------, --~ Clerk.
(j 1'-5 ...
[SEAL]
26 ORI GINAL
(
U. S. DEPARTMENT OF LABOR
NATUR A LI ZATION SERVICE
No.LJ20~d~ ., ~ 118 or ~~v ~·~·~ ~ DECLARATION OF INTENTION ••
~Invalid for all purposes seven years after tlte (late hereof
~¥~-----] ss: In the ----------____ ·-·-··-Court ~ _----~::~ ________ :!:=~-~~::;:,
occupation ----~------------------------------------z d~ ;eclare on oath that my personal
description is: Color~-----• complexion --;?;-::==_~~--------·• height ___ b. feet ______ iflches,
weight -;;1---3----Q __ pounds, color of hair ~--·• color of eyes-~-------------·
other visible distinctive marks ~---------------------·-------------------------------------------------------------1 was born in;;?-_ _ __ 7~ _______ y __ _ .--:-------··-·-?:--;·-~---···;~~~
~ ~-~~-~~-~-~--~---~-~
~~~~=r~::~e~o-~:s~f~-eri~~fr~~:::~~
(11th"' alien arrive the ise than by vessel, the ch ac r of conveyance or name of transp0rtation compaoy should be given)
foreign residence~-~-~ _ -:;--__________ _ , I am ______________ married; the name
of my wife is-------~-------------------: she was born at -~-------------------------
and now resides at -~------------------------------------------------------------------------------------
It is my bona fide intention to renounce forever all allegiance and fidelity to any foreign ,/
p:~-~r-~~::r_ei:n.t~: .. a.n·~-~::ic~~~~~~~:~-::::i~~;
I arrived at the port of ·----~.:::::-~-------------------------------------------------------------------·• in the
State of---~---··--· ------;;?~--¥···-·-·------··-····--------------·--··---·• on or about the __ a_ ___________________ day
of ___________________ __ _ ______________________ , an n o D omini I --7!~-.Y, I am not an anarchist; I am not a
polygamis or a tever in the practice o f 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 Goo. ·---------------~A----f£1-~------------------
(0riginatsiguature of declarant)
Subscribed and sworn to before me in the office of the Clerk of
[SEAL]
said Court this.,L _____ day of_ ___ ~_, an no Domini 19~ o
;#:&.(7~ ---------------------------------~-~~-----------~--'"-\---------------------------
Clerk of the ___ (g_____________________________ __________ ourt.
By ___ qf __ ~a __ :!l::--rz~ ~'----------, /T~------cterk. --~---=-c---r-· -/ f.~ ..
ORIGINA L 27
U. S. DEPARTMENT OF LABOR
NATURALIZATION SERVICE
No./.22(-f~q
~~· ~~ ~ DECLARATION OF INTENTION
ar-Invalid for all purposes seven years after the date hereof
~-4f~Jss· In the--~~---Court --~------~:----~--:~--=~:~~~-:::~:;:~_--~::-~~~;~:
occupation _ __ _ _ _ ___ _ ____ -~~--· do declare on oath that my personal
cescription is: Color -~--------• comp-*xion --~---·• height ~feet ---~.ches,
weight ____________________ pounds, color of hair ~olor of eyes--~-----·
ether visible distins;jve w3:rks _______ -
I was born in -~---~;r·-----------------------------------------------------------------------------------------------
on the---jr,---/f-----------~-day of _ _ _________ ---·-----------------·• anno Domini 1 ZC!f. _; I now reside
at --~J~;----------~-------------------------------------------------------------------------------------------
"' (Givenumber,street,cit~;_:,an~t/',_...,_ ~ £?. _
I emigrated to the U · ed States of America from ---..r-~~---==7 ~~---------------------------
on the vesse l ____ 6i.ib:~-;ili;~-;;;i~----the~---.b:~;t,;;;;;;;1~-ij31h~;~~~~~Y~-;;c-.-~~-~;;;;;-.;-;;;;~;j;~;;-;ii~~-~~;;;-j;~~;;;t.~~~;-;i;~-ii-;;,;-)----; my last
foreign residence was___ _ ___________ _ "-/-~~---------------; I am -~-marr ied; the name
of my wife is ____________________________________________________ ; she was born at ------------------------------------------------------
and now resides at ---------------------------------------------------------------------------------------------------------------------
It is my bona fide intention to renounce forever all alle~ce and fidelity to any foreign
prince, p~ta~, :ta;g. ~ ~vereignty, and particularly to --~-<fi.~_.,!_Ul -------------~~--7-~*----n--------=7-=------------------------• of whom I am now a subject;
I arrived at the port of ----------------------/~--------------------------------------------------------··-·• in the
State of ____________________________ 7r,·------~--·-----------------·• on or about the -----~-:;;b _________ day
of ________________________________________ {_ZM_ ___ , an no Domini I _9_L_fj, I am not an anarchist; I am not a
polygamist nor a believer in the practice of polyg{my; 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. --~aud.------~~------------------(~al signature of declarant)
Subscribed and sworn to before me in the office of the Clerk of
[SEAL] said Court t:::~~~-~~· anno Dom_I:i_~~
a c?bA. Q.q:} of the-~--------b Court.
By _________ e _ _LZZ ___ d~do--~ ~~ C/erk,
2 8' ORIGIN A L
U. S. DEPARTMENT OF LABOR
I NATURALIZATION SERVICE
No ... L _i_-L_flg-L. d
~~· ~"' '\1 DECLARATION OF INTENTION
~Invalid for all purposes seven years after the date hereof
.~--_ In the _________ -----------Court
~~~-__ ss: ot7~-~
~1 -----~--~~------------------------------------• aged----~-!/------years,
occupation ---~----------------------------------------------2 ~o ~ ~eclare on oath that my personal
des.cription is: Color ~----• _complexion _7 __ ~-------• height __ £teet--~ inches,
weight :) .. "3---!:l----pounds, color of hair ~----• color of eyes __ d_~
other visible. distinc!ive mark~--~~;~---~-~------------
1 was born m ~-~~-~------------------------------------
on the _______ j__t:_ ____________ day of -~~---------------------• an no Domini 1 _r:{'_f-_J-; I now reside
at --------~-_a_£:'~~~~;'----__ u.~--------------------------------
~:~~=r:::~e~o-_t&::~"---t:t:~--~~-~=e-ri~~ fr~=-::_: __________ :::::: __ ?~::·_::::::::::::;··;;::; j~~;
. • (lf th, alien O..Pf'Jd otherwise than by vossel, tne c hara{)Xnv~~c~ or uame of transp0rtation company should b e g~y en)
foreign residence was _/L~-~------------: I am ---~marned; the name
of my wife is ----------------------------------------------------; she was born at ----------------------------------------------------------
and no \V resides at ------------------------------------------------------------------------------------------------------------------------------------•
It is my bona fide intention to renounce forever all allegiance and fidelity to any foreign
prince, potentate, state, or sovereignty, and particularly toP'~--Jr~..z.._ -~-~-!..!!t..'!_e.r..e...f!LLL ~~--
------------/~----¢~----------------------------------------------------• of whom I am now a subject;
l arrive
1
d at the port ~~f-----~¥~--------------------------------------------------:;:---------------• in the
State o ------/2;~-----------~~-~/--------------------------------------------------• on or about the ________ 0 _______________ day
of ----------------//~------------------------• anno Domini r .:f!-P-~ 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 St-ates of America and to permanently reside therein:
So HELP ME Goo. -----------------------~-----~---------
[SEAL]
(Original signature of declarant)
Subscribed and sworn to before me in the office of the Clerk of
said Court this __ !_ __ ~day of----~-------· anno Domini 19...? <:::'
________________________ H:_?::x:Y~~-----------------
ORIGINAL 29
U.S. DEPARTMENT OF LABOR
NATURALIZATION SERVICE
v 7:,
No .... -J$.'k. -·· ~. '-f ., ~ 111 or
~~· ~ ~ DECLARATION OF INTENTION
~Invalid for all purposes seven years after tlle date hereof
~--.. ·]ss: In the ... ~~-<!:-. Court ---~-¥!"2£~--------of---------~--~-------
~' -----~--~-------------------------·• aged ·---~--~-----years,
occupation ___ __ __ _ -~-----------------"-___ ________ -----------------------------·• do declare on oath that my personal
cescription is: Color ~----• complexion -~------·• height --~=-feet!£ __ inches,
weight ___ l_ __ ~_a__ pounds, color of hair~ color of eyes-~---------------·
ether visible distinctiv.e mark~~--~~--------
1 was born in /)/-~-----~a_~ ----------------------------------------------J
on the-----)~-------day of ·-----~~--------------·• anno Domini ~-~-, I now reside
at ------~£!/-r--~~----cZ_~------------------------------------------------------------------
(Give number, street, city~~·-and St~te) / . . ~
I emigrated to the United States ,of America from---~ __________________________________ _
on the vessel ___ ~----~-------------------------------------------------------------------------------·; y last
(U the a.!ien ~the•wiae than veaael, t character or con nee or name or transportation company abould be giYe!l)
foreign residence was------~----______ _ ____ ---~----~1 am ______________ married; the name
of my wife is --------~-----------------------: she was born at ------------------------------------------------------
and now resides at ---------------------------------------------------------,-----------------------------------------------··----------
It is my bona fide intention to renounce forever all allegiance and fidelity to any foreign
prince, potentate, state, or sovereignty, and particularly to --~-~~
--~-~-~--------------------------------------------• of whom I am now a· subject;
I arrived at the port of --------~-------------------------------------------------------------------·• in the
State of -----------------~--~-----------------------------------------------• on or about the ----------/-'--------------day
of ----------------~/ JJ 4:-/_ ____________________ , an no Domini I __ f_LC _; I am not an anarchist; I am not a
polygamist -;~;-;J;}fe~er in the practice of polyga'my; 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 Goo.
[SEAL]
,Jlmt~~-----~d£~/i ______________ _
(Original signature or declarant)
Subscribed and sworn to before me in the office of the Clerk of
said Court this __ L.3day of--~~--. an no Domini 1 9~ b
_____________________ C2/fZ:G_~--------
Clerk of the---~~ Court.
By ____ {2_~-~;,~LL-------J ~Clerk . . , . __ ,_~"7' 1-6~
~ 30 ORIGINAL
U. S. DEPARTMENT OF LABOR
NATURALIZAT!ON SERVICE
·\
• t , )
~Invalid for all purposes seven years after the date hereof
-~--~~·~<~'-"'------~ In the -----------------------------------------~ Court
. ~ ------_ -~:-~~----------:f--~~~~~-~::;~:
occupation --------------~-------------------------------------• do declare on oath that my personal
description is: Color ---~• complexion ~---------·• height __ €feet _tS._ inches,
weight -/-h __ a ____ pounds, color of hair ~----·• color of eyes ~--------------·
other visible distinctive marks ---~----------------------------------------------------------------------------------
1 was born in ~-,--~---------------------------------------------------------------------
~; -!~:.::· _--'1-----~-~:---day -~~:~:~c:-=~==:::::: __ ~~:: __ ~_o_m~-~~i ---~~~~~~~~~---~--~~:--~~~~~~
V (Give number, street, city n~n, and State)
[ emigrated to the United States of America from _L~--_ _ ___ _ _____ ___ _ _ ________________ _
on the vessel __ ~~.d<'.:=Ld.-------------------------------------------------------------------------------·; my last
(lf thf'J alien o.n~ ,;therwise ~n by vess~l, tne character of coaveya.nce or name of transp<'rtation compauy should be given)
fo reign reside~ce (};~,..--~-----------: I am ______________ married; the name
of my wife is~-----------------------: she was born at -~~-----
and now resid at ~,8, -.------------------------------------------------------------------------------------------
It is my bona fide intention to renounce forever all alleg iance and fidelity to any foreign
prince, potentate, state, or sovereignty, and particularly to~<~.aZ~~~ .t.4 Lc~-c
-----:-__ ~ __ _ _ __ __ ~k;t;~--c:.~ff~--· of whom I am now a su~ject;
I arnved at the port of --------?:2'!-~---.--~4--------------------------------------------------------------------------------------·• m the
State of ---------------------------~--21-------------------------------------------• on or about the ______ :=::_: ____ ::=:. _______ day
of ----------~~---------------------• anno Domini I C-'.9-(0 _; I am not an anarchist; l am not a polyga~-i-~t~Tr;-t;~ii~ver 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 Goo. ~--J~~----------------------------
[SEAL]
cortginataignature of declarant)
Subscribed and sworn to before me in the office of the Clerk of
said Court this-/..~-day of----~--------· an no Domini 1 cp_-(5
U.S. DEPA RT ME NT OF LA BO R
O RI GINAL 31
NA TUR ALIZA TI O N SERVICE
No. ·---J~~~-· ti-;
~~· ~~ ~ DECLARATION OF INTENTION
~Invalid for all purposes seven years after the date hereof
~--tJ/cP~--------] In the----------____ --------------
~-~~-------ss: of~
_____ Court
:!), -------------~----~----------------------------------• aged ______ ,il_f, ___ years,
occupation ------~----------------------------------------------·• do declare on oath that my personal
cescription is: Color ~----• complexion ---~-------• height ___ Q~eet f:L_ inches,
weight __ J. __ ~ __ 4:_ ___ pounds, color of hair ~--------·• color of eyes-~------·
other visible dis~e marks --~-----------------------------------------------------------------------------------
1 was born in ~ __ _ _ -~~~~--------------
on the ______ _ __ _a ____________ day of _______ _ _ __ _____ --------------·• an no Domini 1 ----~~. I now reside ,
at ______ _ __ _ _____ ---~-~~------------~--------------------~-:-~~~--------
Give number, street, city , and State)
I emigrated to the United States of America from__ _ _ _________________________ ,._ _______ _ _ __ _ _________ _
on the vessel _______ ~~-~-------------------------------------------------------------------------·• my last
• • (If the alien · ed therwise than by veas e , th~aracte~eya~.m-eo~ransportation oompan y should be g:ven)
foreign residence w s __ __ _ __ ----~c.c::.~ I am ______________ marned; the name
of my wife is______ ____________ __ _ ---~-----: she was born at-~~--
and now resides at ~--~~-------------------------------------------------------------
It is my bona fide intention to renounce forever all allegiance and fidelity to any foreig n
prince, potentate, state, or sovereignty, and particularly to~.cc~~"""7"~"~«~~
~~~--::~::~::~:::_:~ __ : __ ::_1_::.~:=--~-~.ui~et~~
State of _____ 77'A ________ 2,__'1J-__________________________ :_: ________
1
_;_ on or about the ------~-------------da y
~~lyg;~-i-~-t-~~~--j~--t-h;--;r.~~~~e ~~~~~~~~~-y-;---~n~ ~~ i~0~~n i~~:~~~~ti~ ~~: ~~(t~
to become a citizen of the United States of America and to permanently reside therein :
So HELP ME Goo.
[SEAL]
Subscribed and sworn to before me in the office of the Clerk of
said Court this_,L .Lday of----~-----· anno Domini 19 2-C
----------------------~-&!_a~k----
czerk of the --------------______ __ ___ __ Court.
By ____ a__,_~"2:r~---------· ff~ Clerk.
I 3 2 ORIGI N AL
U.S. DEPARTMENT OF LABOR
N ATURALIZATION SERVICE
No. 1.._~0_-~-------
~· ~~ ~ DECLARATION OF INTENTION
~Invalid for all purposes seven years after the date ltereof
~ _ __ _ In the---~~---Court
ss: o t ?/~~--
~1 -----~-~~---_ _____ _ _______ _ ' _______ , aged ______ ¢=.~-years,
occupation -----~--~--------------------------··.do declare on oath that my personal
description £t' Color ~------• complexion _ :_ _ __________ , height .a.::-feet _g.:_ inches,
weight _/_~~-----pounds, color of hair_ _ ~ _ __ __ ---·• color of eyes~:: ____________ _
other visible distinctive marks --~----------------------·-------------------------------------------------------------
1 was born in --~rG~-------------------------------------------------------.-------------------
on the ________ 2:::: _</_ __ ~------day of _____ {5t:_~-----------------------·' an no Domini 1 4--f-K: I now reside
at ___ ;_ -·· __ __ ---~.,.2/:~_~q..._..,_ ________________ ------------------------------------------
coive number, street, city ~,and Stat e).
I emigrated to the United States of America from ~---------------------------__ _ ____________ _
on the vessel __ ~~---------·---------------------------------------------------------------_____ ; my last
(lf th~ alien ~h~wise than by vess~e,;.c;arac~ of conveyance ',!: ua.me of transp0rtation company should be given)
foreign residence was-/-/~---~~--------: I am ______________ married; the name
of my wife is __________ ~ ____ -----~ --;~-----------: she was born a~~~---
and now resides at __ .2:::::~---_______ _ ______ ·_ r--~~.c::zl __ ----------------------------------------
It is my bona fide intention to renounce forever all allegiance and fidelity to any foreign
prince, potentate, state, or sovereignty, and particularly to -~1f~~
~-~~-;;~~;-~~-~~~--~~~~-~f--~~----------~==~=~~~~=~~~~~~:_:_~--:~:=--~-~=--::: __ :_~,u~et~~
State of -------------------------------~~-------------------------------------·• on or about the ---------~-/------------day ~~i;;g~;;;-i-~;-~~~~;;--;~--ih~--pr~~~~e ~~~~~~~-;~n~ ai~ i~0~~n i~:~~~~1 in ~~~ ~~~~
to become a citizen of the United States of America and to permanently reside t h erein:
So HELP ME Goo. ~~~ . j ,
--------(!_~------. ..p /1/1 .l .1 ~ ~" 'd.-4 V-Y ( ti'iin aignat e -~td::,l!';fnt('V::-&4,L----
(SEAL]
Subscribed and sworn to before me in e office of the Clerk of
said Court this_J-1---day of -----~-----· anno Domini I9>o
---------------~£2~-f-·------------------------
Clerk of the--~---------Court.
By--~---------------------------------, ~----Clerk. / . -?Ti~=1~
U.S. DEP AR T MENT OF LABOR
NA TU RALIZATI ON SERVICE
~~·
OR I GINAL 03
UL
~~
" DECLARATION OF INTENTION
~Invalid for all purposes seven years after the date hereof
~7/~-~ In the ------ -. _____________ Court
~"/-----~~--ss: of7/-~~--
~' ----------~----__________ ______ _ _______ · _______________________________ , aged ---~--~--------years,
occupation ---------~-------------------------------------------• do declare on oath that my personal
des.cription is: Color ---~------• .com_plexion ~---------·• heigh~----feet j'---inches,
weight _/_6._2_ _____ pounds, color of hau:-~·2-=~·,~---------• color of eyes~--------·
other visible distincy,ve mark=-_________________ _
I was born ind'~~-~~~~~~~~~-
on the ___ . __ 1:::£ _____________ . day of ·--_______________________ ----------·• anno Domini ~_g__e:_¥-; I now reside
at ----~~-------~~-----__ ~-----------------------------------------------------------------------
(Give number, street, citY-town, and tate) ~ /'
I emigrated to the nit~d ~tates of Amer.ica from _____________ --~-~---------------------------------·
on the vessel ____ · _ _ ____ _ _ _ _ _ __ ___ _ _________________________________________________________________________________ ; my last
(If the alien a.rri otherwise than el, t}te character of convcyau or name ot' transportation company should be given)
foreign residence was _______________________________________
7
_ ______ ; I am ______________ married; the name
of my wife is _Q_~ _____ ; she was born ______ -~~
and now resides at _______ _(f;~--~--GQ.../r ___________________________________________________________ _
It is my bona fide in t ention to renounce forever all allegia n ce and fide li ty to any foreig n
prince, potentate, state, or sovereignty, and particu larly to ~tfj~ ____ (;zz; _
_______ ;J_~---#1~----------------------------------------------------------• of whom I am now a subject;
I arrived at the port of -------~-11--~--------------------------------------------------------------------.. -, in t he
State of ------------------~=--~~-~~---------------------------------------• on or ab out t he ____ L_A4: _________ day
of _______________________________ E£&:1..-d~------------• an no Domini Ifj-./-1-----: 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 o f the United States of America and to permanent ly res ide therein:
So HELP ME Goo. ~~ 1._fl2______ ______ _ ___ ----------~------~loriginat signature of declarant)
Subs<>ribed and sworn to before me in the office of the Clerk of
[SEAL]
said Court this _ _L __ f__day of---~-----------· anno Domini 19 2-6
-------~;~;-~;;~~-:~-~ourt
~~ ~~~~------------) d~-----Clerk.
14--b~
34 ORIGINAL
U. S. DEPARTMENT OF LABOR
NATURALIZATION SERVICE
v
No ... / __ g?__'j__~_fd, 4
~~· ~ ~ DECLARATION OF INTENTION
[SEAL]
---~-(gi~~~ti _____________________ _
Subscribed and sworn to before me in the office of the Clerk of
said Court this .. ?:J .. day of--~------· anno Domini 19 .)..o
--1/ ~a:._~/~~ _______________________ .L_-:_ _________________ ~:-~.J.----------------
Clerk of the-----~~ Court.
By~ ~~-----------------------} ---A~-----Clerk. ?'"~-~:. ~ ·•-<>o
J
N o}_ __ ?! ____ ~---~-_p ~ //,
~~·
U.S. DEP A RTMENT OF LABOR
NAT U RALIZATI O N S ER VICE
O RI GINAL '2 5
U•
~~ ~ DECLARATION OF INTENTION
Subsoribed and sworn to before me in th e office of the Clerk of
[SEAL]
said Court this~L __ day oL__ _ ' ____ , anno Domini 19 ~0
36 ORIGINAL
U. S. DEPARTMENT OF LABOR
NATURALIZATION SERVICE
vt~d No .. /__:2_3__________ , ~
stt\111 or~· ~~· -·~4>~ ~~ ~4
DECLARATION OF INTENTION ""'1/
~Invalid for all purposes seven years after the date hereof
~------~--------] In the ----~~Court
-----------------¢2L~------ss: of __ '2_~~-'------------
~' -------------------~--cz~----------------------------------------·• aged ·------~-~----years,
occupation -------------~~~----------------• do declare on oath that my personal
descript ion is: Co ~------• com~~on --~---------·• height ·------feet ~inches,
weight -//--£._ __ pounds, color of hair~---------• color of eyes~--------·
other visible distinctive_marks ~~~~-----------------------~nw~e b_or~~=~~~:r:=::::--~~~~--i)~;-~;--;-;rK(;--i--~~-~-~~~id~ at -----------/-4£2 ___ \2;___ _ __ ,;;,., ~~;;;,;~~C:!L---------~---__ ;? _______ _
I emigrated to the un· States of America from~-y;/~,..---~
on the vessel___ ______ ____ _ _ ____ ___ _ _ _____________________________________________________________________________ ; my last
• • (lf th" alien~erwise an by vessel, t , ha":"ter t ~r ~of transp<>rtation compaoy should be g~ven)
foreign residence was--:::£____ _______ _____ _ _ __ _ _ _ __ ; I am ______________ marned; the name
of my wife is--~-------------------------: she was born at -~~r-~-
an d now resides at ____ ff~ __ (?~-----------------------------------------------------------------------------------
It is my bona fide intention to renounce forever all allegiance and fidelity to any foreign
~~~~~:~st~te~-~r~~~:r:i:~~~:·~-~-~:~~~~~~~-~-:~~~~~~;-;
I arrived at the port of -------~---------------------------------------------------------------------·• in the
State of -----------------------------~----------=21""-~-------------------------------• on or about the _______ _ _____________ day
of ______________________ c:l~ ~ / /.. _______________ , an no Domin i r _q:..a3.; I am not .an anarchist; I am not a
polygamist no;-"/b'~;-in the practice of polygafny; 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. --~--~;;;,~-;;;;-;,;;;,;;;.,--------------------
Subscribed and sworn to before me in the office of the Clerk of
said Court this~-~-day of ---~----• anno Domini I~-o
____________________ (_2L_~~-------------[SEAL]
Clerk of the--~&--~--Court.
By--~-c?cz:L~---------------, -~-r ~ ~--Clerk. T"' ~, .. -ii ..
ORIGINAL
U.S. DEPARTMENT OF LABOR
NATURALIZATION SERVICE
I
No. ___ L __ '2_ __ 2__, __ ff d. ~
~~· ~~
'\1 DECLARATION OF INTENTION
w-Invalid for all purposes seven years after the date hereof
~~------------~ ss: In the ----~----------------~------------------------Comt
~~----------------:~ __ ::~=:~~
occupation --~---~-~----------------------·• do declare on oath that my personal
description i:Jl Color ~------• complexion ---~------• height .~eet _c[)nches,
weighy .. %-___ 2::-______ pounds, color of hair~-------·• color of eyes--~------:
other visible d istin ti ve marks -~-----------------------------------------------------------------------------------
I was born in :__ _ _________ __ _ __ : __ · ___ ----~-----------------------------------------------------------------------
on the _________ &_ _____________ day of ·----~-----------------·• an no Domini 1 ___ fiQ..S I now reside
at ____ 2-__k~-~~tr~~~;sz~-----------------------------------------------
I emigrated to the United States of America from-~~+-~! _______________________________ _
on the vesseL..":.___ _ _ _ _______ __ __ _ _ --------------------------------------------------------------------------------; my last
(It the alien a.rrh therwise than b~ vest9, ~rae~ ~f ~nveyauce or name ot' transportation company should be given)
foreign r~si~ence_w;s _ _ _____ r--~--~----------------------: I apn--------------married; the name
of my wife 1~ ____________________ ; she was born at------~~------------
and now resides at __ _ ______ --~¥----------------------·--------------------------------------------------------------------
It is my bona fide intention to renounce forever all allegiance and fidelity to any foreign
prince, potentate, state, or sovereignty, and particularly to --~---~-----------
·-----------------------------------------------·----------------------------------------------------------------• of whom I am now a subject ;
I arrived at the port of ----~~------------------------------------------------------------------------··-• in the
State of -----------------------~!.-~-~------------------------------------------------·• on or about the ----------~---:)~---day
of ----------~~--------------------------• anno Domini IJOh_; I am not an anarchist; I am not a
polygamist nor a believer in Hie 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 Goo. O:Jf:t?.LL.~ _________ U ;!:;;_;;J: ___ ~---------------------'/((·~r----' J' 7-~--~~-C-Orlgi;,alsignature?fdeclarant)
Subsoribed and sworn to before me in the office of the Clerk of
said Court this:~.1day of-----~---------· anno Domini 19 2--t:J
______________ t:t ___ ~(P~-----------
Clerk of the ------~---~ Court.
(3Y -~ ---------. .,----------,----~Clerk.
lfr-6~
[SEAL]
3S ORIGINAL
/ U. S. DEPARTMENT OF LABOR
NATURALIZATION SERVICE
No.J~}_f_l!dr .,~Til or
~~· ~ ~ DECLARATION OF INTENTION
ar Invalid for all purposes seven years after the date hereof
c?~t!j~~--------~ ss: In the ······~·········· Court
~f~~-~---of -----~----------~-1---------~-------
~, ______ _£~---~----------------------------------------------·• aged ______ .,3_~----years,
occupation -----------------~--------------------------------------·• do declare on oath that my personal
description is: Color ~---------• complexion ______ t!{_Cf __ ~--------·• height a:_ __ feet L_ inches,
weight -/-f-12---------pounds, color of hair --~---• color of eyes~--------------·
other visible distinctive marks -~----------------------------------------------------------------------------------------
1 was born in ~----~-------------------------------------------------------------------------------
: -~~:::~
l emigrated to the United States of America from--~----~----------------------------------
on the vessel ___ ~~-------------·-----------------------------------------------------------------------·; my last
• • (lf thft alien ani~rwia~'hanJ'y vessel~ chaT-:L :ncy~n:e or name of transp<"rtation company should be g~ven)
foreign residence was ___ (_~----~------------; I am _____________ marned; the name
of my wife is-----~-£ ______________ ; she was born at _ _ ____ : ______ ---;r----________________ _
and now resides at ----~-a~--------------------------------------------------------------------------
It is my bona fide intention to renounce forever all allegiance and fidelity to any foreign
prince, potentate, state, or sovereignty, and particularly to 1!..~~ __ -.t::lX__
~-d.~--------------------------------------------------------------------• of whom I am now a subje(:t;
! arrive!f i'the port of ........ ~.,..,z . .f __________________________________________________________________ , in the
. ~~;:;*"~b=e~~e~~~~~~:i,~~~~~~~~~~~~~f;:1 ;~~~~~~;~:ii~~1~~-~~~~
to become a citizen of the United States of America and to perma_!:e~y reside therein:
So HELP ME GOD. d .?;;?r ./ r...c..,--<
' -~~~--------------~-----------
' ' (Original signature of declarant)
Subscribed and sworn to before me in the office of the Clerk of
said Court this . .Z3.day of----~--· anno Domini 19 ~
___________________________ f/_G__: __ Q!~---[SEAL]
Clerk of th e__ _ _ _ _________ Court.
By __ (;__! __ ?LL-~fL~-----) -~-Clerk.
U .S. DE PARTMENT OF LABOR
NATURALIZATION SERVICE
ORIGINA L ~9 u
NoL2"2.~~~-1~TII or
~~~
~ DECLARATION OF INTENTION
w-Invalid for all purposes seven years after the date hereof
~::::-~::lss: In the~~~:~~: ~~--(!_~~---------------• aged·----~_(_ _______ years,
occupation -------~--::-----------------------~---------------------:;)o ~eclare on oath that my personal
description is: Color ~-----• complexion -----~----·• height~-inches.
weight ----/--J--a_ __ pounds, color of hair ----~--------·• color of eyes------------------------------.-------·
other visi b I e d i sti n cti ve C!r ks ---~-------------;;----------------------------------------------------------------__ _
I was born in ____ _ ____ -----------------------1-~--------------------------------------------------------
on the -------------k--1----~ day oh ---~: _____________ , anna Domini ~--~1--!(; I now reside
at -------------~.L._'-::,..,.L~--------------------· ---------------------------------------------------------------------------··-
coive number, street, city ;:.!'o~n, and ~e~ -1 ! -
I emigrated to the United States of Ametica from--~--~--~~-------·
on the vesse ! ____________________________________________________________________________________________ --------------------------------____ ; my last
• • (If the alien ~d ?therw.)t)than ~)/1, the character conveyanc~ name ol' transportation company should be g~ven)
foreign residence was 7~--~ __ --.Lii..~~; I am ______________ marned; the name
~~::0 :;~:~~~~-~;---~~:Q~~::_b_o_r~-a~~'::::==::=:::==
It is my bona fide intention to renounce forever all allegiance and fidelity to any foreign
prince, potentate, state, or sovereignty, and particularly to --~---V_--~--~---
-------------~------------------------------------------------------------------• of whom I am now a subject;
I arrived at the port of ---------~~--------------------------------------------------------------··-• in the
State of -------------------~-~--~-----------------------------------------------• on or about the ------~---1-----------day
of --------------------~----------------• an no Domini r __ (}#_~; I am not an anarchist; I am not a
polygamist nor a beli~er 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. ~ '1/' ~ ~ ~ . ~~---..r4-o~ii~-;;i-;;s;~;:~~;-;id~~~~~~~~i---~---------~
Subsc-ribed and sworn to before me in the office of the Clerk of
said Court this ___ .3_~_day of -----~----------· anna Domini 19~0
_____________________________ tf_rP_Q~--------
' Clerk of the -----~Q~ Court.
By ______ 6__._~~~--~--------------J ---~-Clerk.
[SEAL]
l.t-b ~
4 O RIGI NA L
U. S. DEPAR TMENT OF LABOR I NATURALIZATION SERVICE
No.L3~t2'Pd-C:: .,~Til or ~~· ~-~~ ~~YfP •lo
.. ~ DECLARATION OF INTENTION "4
~Invalid for all purposes seven years after the date hereof
d~-~--__________ , _________ -----~--In the ---~-{{~!Y-h!:_«(__~P._~ __ -f!~---Court
~~-~····· . . . "rf ··---ss: of .::.Jfa~7f ~-C!~_u....L"/
~ ............ r;://...e-~~-~-------------·--------------------• aged ..... 2 .1f _____ years,
occupation --------~X-------------------------------------------------• do declare on oath that my personal
description is: Color _.,d~.,_&= ____ , complexion __ _krr........ height~-feet ,s;' __ inches,
weight_--(-/-.~--p~unds, color of hair___________ __ -~---------• color of eyes------~--------
other visible . d1st~ve marks----~------___ ;· --~~-------------------·----·----···
I was born tn ___________ ?_~-t~-~---------------------~----------------------------------------------------------------------
on the ---"--1-/-------------------~· of ___________ c;?~L_ ___________ . anno Domini 1$_-f~-; I now reside
at --------~---~~~#~ty~~rcr~~--------------------------------------
1 emigrated to the United States of Amenca from _}!.§:;;;:;=:~rr;/!t..~-/----------------------·
on the vessel ____ ~--~~~-~~.z_!:!._ ______________________________________________________________________ ; my last
• • (U tho alien an'/e<j ~therw~an by vessel, tne c~r of coZ 9:ance ~r name of transp<'rtation company should be g~ven)
foreign residence was ~--L!..e-tud~----LL~-'---c-:-~----: I am ____________ marned; the name
of my wife is ------~-~--------------------: she was born at8~.,.--~---
~;~s n~~ r~~~~e~~~ -i~~~~~J!;~~~~;y·t;·-~-;;y-f~~~~
pri,nce, potentate, state, or sov~rei~nty, and particularly to~--:.=~~~:~-!-~~
~'t~~~~~-~~~~of wnom~~Je~
I arrived at the port of _____ -::)~-'21~---------------------------------------------------------------------------• in the
State of -----------~---. _______________ :.2;l __ JL _________________________________________ , on or about the -----~--------------day
of -----------------------___________________________ , anho Domini r -!jl-2 ___ ; I am not an anarchist; I am not a
polygamist no 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. ~~~
(Origlne.l signature of declarant)
Subscribed and sworn to before me in the office of the Clerk of
[SEAL] said court ~=-s~~-a@fa~:~::~~i-~i-'9YJ
c:-~ c;erk of the~~---Court.
By _a_~?};;l~~L ----~ __ d{) __ ~A:_~_~_t:-~_~---cterk. {/ y-~-e'-=:z~-
O RI GINAL 41 U.S. DEPA RT M ENT OF L ABOR
NATUR ALIZA TI ON SERVICE j
No./ __ ~ __ 'f:_!__7/ o£, tf.
~~· ~~ ~ DECLARATION OF INTENT.ION
~Invalid for all purposes seven years after the date hereof
~~_a _____ ---~~-L-----Jss: In the---~~o urt
_________ __ ~~--of::zi~?f--------~
~~ ·------------0~--~----------"----------------------------------·• aged _3 ___ g: ________ years,
occupation -----------~-------------------------------------------• do declare on oath that m~ersonal
description is: Color ~-----• complexion ----~------·• height ~feet ______ inches,
weight.--~£--~ p~unds, color of hair _=:: __ ~---• color of eyes--~~------------
ot her visible d1st1nct1ve marks -----~-----------------------------------------------------------------------------------
I was born in -------C..~---~-~------------------------------------------------------------
:; _the=_}~[;;=:~~~~~c::E_::-.--:=:: __ :::_~::_i:i ___ '::~:=~--'-__ :::re~i~~ ---cr----:-------:-:--.--7-----(Give number,street, city or town, and State) ~
I emigrated to the UniteCl States of America from---~----------~------------·
on the vessel ____ ,-n·;,;~~;;;·;;;;;·-~;;·;;·;;;;;;·;;"i~~~;.;;--;-;·;;·;;·;.~;;;·-·; my last
foreign r~si~ence wa~jL-4<--~--~;Jf': I am ---~;-=-~--~~arried; the name
of my wife IS ---~---,-----------: ~~e~ ~rn ar;;¥'~-~-9-cJ
a n d now res 1 des at -------~---------------------------------------------=-------------------------------------------------------------
It is my bona fide inten t ion to renounce forever all allegian ce and fidelity to any foreig n
prince, potentate, state, or sove~, and partic u la rly to ~JlfA-?::Z-~-~--------~~~---¥..~~f whom lam now a subj ect ;
I arrived at the port of __________ 12f-£<&CC'2{~------------------------------------------------;·--;;---------• in th e
~~~;;:;:~~1~~~~:-:~i,!~~~:~~~~~~Zi F~:~ ;~~;~~~~:;~:~~~~;I~-I~:-~~~~
~o0 b:~~~~: g~~n of the United States bf A m :r~t_o2{~;;::_:::r~I~-
(Original signature of declarant)
Subs<>ribed and sworn to before me in the office of the Clerk of
[SEAL]
said Court this ___ ~dayoL-~= 1920
-------------~-£ ____________________________ _
Clerk of the --~~Court.
By _t];j_._~ _____ ___ ________ _ ------~ __ d1 ~--Clerk. ~-'-·--~-~;r---:::J
/
4 2 O RI GIN AL
U. S. DEPA RTMENT OF LABO R
N ATURA LIZATION SERVICE
.~ ~A
DECLARATION OF INTENTION ~
m= Invalid for all purposes seven years aft er the date hereof
c~~-~z:Z:--------1 ss: In the _fl~L4£.&.a.~<~ Court
(Z_ __ ~.wo/~----?~ . o r!J/-~{j~
~ ---------~-fdA.:,aL_GJ~c£L ____________________________ , aged _______ 1£_2-::: __ years,
occup ati on ------------~------------------------------------• do declare on oath that my personal
descrip tion is ~ ~olor ~-k _ _£ ________ , com!;lex~n --/!-~--------·• height ~-£"feet --7-inches,
weight ---~~-----pounds, color of hair ~~~-~ color of eyes-~-~-------------
other v isi bl e distincti ~ m~rks -~~~~-----------------------------
1 was born in ___ e::!_?t.._~-~-.?:.-k-J2-«-L7L-----------------------------------------------------------------------on th e -~,2.-~---------d.; ~~-;:,;---~~-~-------·• ann o Domini LE"-Jf--: I now reside
at -----C?--C2c.~~-------------------~~#fi-~t~J!l_.__ _____________________________________________ __
~~~~~~::~e~o-t~:-u~_!t:e:;r_,;:::_r:=-~~:=:~~::~::::::;·-~;-;~~;
(lt t~;~-:,~ ~~~ease l, tne c ter ol coavef'lllOO or Dame of t rausp0rtati on co m pany should be g t ven)
foreign residenc~as ____ Q.'L_~_7 _:~---__ _______ -----~--t _____ ; I am ____________ married; the name
of my wife i: _____ Q/:~_(_ -------;-----------------: sh w as born at ~-~-l:.~~~
and now res1 des at ____ dl. __ ~--:r~--------------------------------------------------------------------------
It is my bona fide intention to reno u nce forever an allegiance and fideli}X-J;o any foreign
prince, potentate, stat~. or sovereignty, and particularly to __ @k ~G:.~-~
~~~¥-/~2~/fJ{~~of whom I am now a subje~t; I arrived at the port of -------~4-----------------------------------------------------------, in the
State of ---------------------------~~----------------------------------------• on or about the _____ /_ __ Q ______________ day
of -----------------------~-£/-------------------• an no Domini r_q/-0 .. ; I am not an anarchist; I am not a
polygamist nor a belilver in the practice of polyg ~~y; and it is my intention in good fa ith
t o become a citizen of the United State s of America a n d t o permanently reside therein:
So HELP ME Goo.
[SEAL]
Subscribed an d sworn to before me in the office of the Clerk of
said C ourt this_~ __ day of--~-/-------· anno Domin i 19 7--v
-----~~7---~~-L&_~---------
cterk of the -~~.4U/_ Court.
By /JJ~-~------· L~--Clerk .
ORIGINAL 43 U.S. DEPARTMENT OF LABOR
NATURALIZATION SERVICE
I No.!_;1_y;_3_~;-1 ~Til or
~~1)
~ DECLARATION OF INTENTION
~Invalid for all purposes seven years after the date hereof
4;t;di_ ____ & ----""--~-"'--~:--] ss: In the -~-~-"L~~~_: Court --~--_ -----u/,5¥~ of __ f!<Zd __ zLr~-----~~
;!!, ---------~~----.:::z£:-£7~-----------------------------------• aged _______ ;2: __ j;?: ___ yea rs,
occupation ----------~--~L ----------------------------------------• do declare on oath that my personal
description is: Color ""-L~~"'-----• complexion --~-z;u...-L:_ _________ , height --~feet --~:1nches ,
w eight .--~_1--~-~-p~unds, color of hair -..-<'-::-~.?~--• color of eyes--~{-: _______________ _
oth er visible dist1nct1ve marks -----~_eb:=-~-----;;;;j_--7 ------------------------------------------------------------------
I was born in _____ aL_~----~---~-:~r;,=:rr--------------:---
on the __________ L3_ _________ day of ·--------~~_--:___ _____________ , ann Domm r__?-~k-; I now reside
at ________ :___ _____ ___ ___ _ __ _ ___ ---~-----------··-----------------------------------~-------------------------------------
. ( 1ve number, street, city or ~-l'nd St a ~
I emigrated to the United States of America from ----~~d:.-~~--~-~~-__
on the vessel __ ~----~-~~---~-------------------------------------------------------------------------·: my last
(If the alien arrived otherwise than by v sel, the character of conve an e or name oi transportation company should b e gi ve!l)
foreign r~si~enctt ~s --~--_______ -. -----~ _________ ~ ~m ---_:,----~rr;ed; the name
of my wife Is-~-~-------------· she was born at !..~---------:.:::-~~~
and now resides at ------~~ ~-.1.!.--Cf ------------------· ------------------------------------------------------------------
It is my bona fide int;-;i;~-""t~lf:~~unce forever all allegiance and fiWJity to any foreign
prince, potentat7 state, or sovereignty, and particularly to ~:~~~;#1--------
---~~K~~~~-Ff f whom I am now a subject;
l arrived at the port ot ---------~--~---------------------------------------------------------------------·-·• in the
State of -------------------------~-'"----~------------------------------------------• on or about the ----~-----L________ ______ day
of ---------------~~-----------------------• an no Domini r .r-..o..<f __ ; 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
~o0 b:~~;:: ~~~n of the United States of Am:~,=--::3X~::~;d:::r:I~-:
Subscxibed and sworn to before me in the office of the Clerk of
[sEAL] said court t~:-d:~Ea~~l-:1_19.'<1
r ) {'_Clerk of the --~L~ Court.
By --~L¥-"1-!-~----------·~~Z;-Clerk.
44 O RIG I NAL
U. S. DEPART MENT OF LABOR
N AT URALIZATION SERVICE
~-~. ~~.A
OF INTENTION ~
m= Invalid for all purposes seven years after the date hereof
C -'f~--P'~~-----]ss: In the __ :{!_-~f.u.-~ Court
~-~-~-~---------·-----of ~~,~-~
~' --------~--~--------------------------------------------·• aged ----------l--7-----years,
occup ation ----~-------------------------------------------• do declare on oath that my personal
description is: Color -~--• c~--4:------• height .lfeeL5 __ inches,
weight __ L __ q.__~----pounds, color of hair ------------------------------• color of eyes~--------·
-other visible distinctive marks ---~-----------------------------------------------------------------------------------
1 was born in -----~~---------------------------------------------------------------------------------------
on th e ---------~/_3_ __________ day ok----~"-------------------·• anno Domini L_!jl'J'-__ ; l now reside
at ----------------£/--Jc---~--w-£_ ___ .:::J:L..~------------~2~-----------------------------------------
(Givenumber,stroot,mt~~
~~ ~~!r~::~e ~ ~--~~~:~ -~ t~ \e~ -~ ~ ~=-~~~~~-~-~:=-~~---------------~--~~~~--~~-~---------~~~~~~~~~~-~~~~~~~~~~~~;--~-~-;~~~ {lt the alien an· o erwise than by vessel, t charo.cter of eoo.veya.noe or name of tmnstwrtation compa.ny should be given)
foreign residence was___ _ __________________ ; I am -~--married; the name
of my wife is ____________________________________________________ ; she was born at ---------------------------------------------------------
and no\ v resides a t -----------------------------------------------------------------------------------------------------------------------------
It is my bona fide intention to renounce forever all allegiance and fidelity to any foreign
prince, potentate, state. or sovereignty, and particularly to _'!Z/~--G~-----
__ JZZ-_£~#~---------------------------------------------------• of whom I am now a subject;
1 arrived at thl port of --~---~/4------------------------------------------------------------------------·• in the
State of ----n---z;/.Jr-----:lf---------------------------------------------------------• on or about the _____ 2:-: __ 2:: ___________ day
of -------------LP~c _______________________ , anno Domini r --'9-.4.1-~; 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. ( Jl · r-h .,._ -+J.fJ.~----~~------------------------
[SEAL]
1 (Original signature of declarant)
Subscribed and sworn to before me in the office of the Clerk of
said Court this~ __ day of-----~----· anno Domini 19 ~c
----------------------~-~~------
G:-Clerk of the ---~__t;;j?~-Court.
By ------·-·---~_q~c_-~----) _____ //] "/J, ~--Clerk. -~ -----:J.L -~-.-:t--
U.S. DEPARTMENT OF LABOR
O RIGIN A L 45
j NATURALIZATION SERVICE
No/24--~-; .,~Til or
~~~
~ DECLARATION OF INTENTION
w-Invalid for all purposes seven years after the date hereof
d~---~~----~ss: In the ___ _
~-~~~------of~~---~~--------------
~1 ------------------~-----~-----------------------------------·• aged _____ :t;[_ __ ~----years,
occupation -----------~-----·-----------------------------------·• do declare on oath that my personal
description is: Color --~-• complexion -----~-• height~---feet cL~inches, weight _-'/-b __ Q __ :--pounds, color of ~ai~ -~-~color of eyes-----~------------
other visible. d1stmct1ve marks ----~~--~---¥--~-~_{/__ ______________ _
:;w;:e_b:o: __ '~_::~~~::~~~=~~i--~:~~E:-i:_::~-:-r~:i~:
(Give number, street, city o · wn, and State)
I emigrated to th~ States of America from__ _ _ _ _ _ _ -------------·
on the vesse 1 _____ :_ ______________ ~----------·-----------------------------------------------------------------------·; my last
~ . (If the alien ar~ o~rwiae than b! ve~sel, the charac of nveyance or name or transportation company should be g~ven)
foreign r~Sl~ence was --/--~r------------;:z-:: I am ______________ marned; the name of my wife Is -------~-----:----------------: she ~or t ~ ... -~d
and now resides~ ----~----___ __ __ _ _____
7
__ ~ __ J::c:::u_, ____________________________________________________________ _
It is my bona fide intention to nounce forever all allegiance and fidelity to any foreign
prince, potenta:e, state, or sovereignty, and ~articula:Iy to___ _ ______ -~-rf)'~--~-------~---~--~~ __________ ,of :Xhom am now a su~ject;
I arrived at the port of ---------~--¥~?-------------------------------------------------------------·-·• in the
State of -------------------4""----:¥-------------------------------------------------·• on or about the _____ ./.._6 _____________ day
of -----------------~---------------• an no Domini r _.j!o..,L.; 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 ~rmanently reside therein:
So HELP ME GOD. ~ ---~~--------------
[SEAL]
Subsoribed and sworn to before me in tne office of the Clerk of
said Court this .. 3. .... day of-----~--· anno Domini 19~.0
______ 2~--£~~-
Clerk of the----~~~
BJ' ---~,~~~-,--~--Clerk.
46 ORIGINAL
U. S. DEPARTMENT OF LABOR
I No.L2.~G_.fW: ~ ., .. Tltl or ~~· ~-t'~~ ~~ .4 ~ DECLARATION OF INTENTION ~
NATURALIZATION SERVICE
U.S. DEPARTMENT OF L ABO R
NATURALIZATION SERVICE .;
No. Z_3_/LfZ-%d, d
~~· ~~ ~ DECLARATION OF INTENTION
ORIGIN AL
@"'Invalid for all purposes seven years after the date hereof
47
~~-------------] ss: In the -~!!:;:g~:LJ:-2_/~---~~~~~~--Court ~¥!2r~-~--------o~~rJ--~--~L--
:!l, -------------~--if~-----------------------• aged ·--*--t7------years,
occupation -------------~------------------------------------------• do declare on oath that my personal
description is: Color -~----• complexion ~-----------·• height .. a-feet-¥--inches,
weight .:./_(;z __ Q ____ pounds, color of hair --~------• color of eye~------·
~t~:s v:~:~e i~i~t~q~~:::::::::::~::::::::::::::::::::::::::::::::::::::::::::::::::::·::::
on the -------------~-----------day of ----------~------------·• an no Domini I __ i!f-1--; I now reside
at ------~--~~---Q~-----------------·---------------------------------------------------------------------------
-(Give number, street, city or town, and Stato) ~
I emigrated to the United States of America from--~,---~-------------------------·
on the vesseL _____ :________ __ _ · _ _ ____ _ '__ _ -----------------------------------------------------------------____ ; my last
(If the alien ar · ot ise than by vessel, the character conveyance or name or' transportation company should b e gi ven)
foreign residence was _ __ -~-__ '--_ --------~e------------married; the name of my wife is----~----------------: she was born at --'j~~~ :;~s n~; r~~~~e},~~ -i~~~~;g;~~~~--~-;;d-fid~i·i·iy-~~-~;;y-;~r~ig~ ·
~-ri~~~:~at:, _stat:, or sover~J~nt~:~~~-~:~~~~l:rl~to~~~~~~~
I ,;;;~he port oi ______ __ --¥~r---------------------------------------------------------------·-• in the
State of ---------~-L :Ji~----------------------------------------------------• on or about the ______ /. ___ h_ ___________ day
of _____________ #~_' ___________________________ , an no Domini I -K-1~; 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. -%~~tt.~----r1~_j ________________ _
(Original signature of declarant)
Subsocibed and sworn to before me in the office of the Clerk of
[SEAL]
said Court this _______ day of________ _ __ _ _
48 ORIGINAL
U. S. DEPARTMENT OF LABOR
NATURALIZATIO N SERVICE
No./-~.d~ ij. ., t\ tEa or
~~· ~ '\1 DECLARATION OF INTENTION
I
~Invalid for all purposes seven years after the date hereof
~--~----------] In the -----~Q~-Court ~~a':_,~L _____ ss: otd/~~-~
~ :----_ ~ ~ ~------------------------------------------·• agedh·-~-----------years,
occupatiOn ----------~-----------------------------------------• do declare on oat t at my personal
description is: zolor ~--· complexion ____ p_&X ___________ , height '-.2 .. feet ~-inches,
weight __ /3_ ________ pounds, color of hair -'~---• color of eyes--------~-------------
other visible disti~tive ~arks ---~--~~~-----------------------------------------
1 was born I~ --~~c¥~------------------------------:···:· -----------:-----------------:·---
on the _____ _/_ ___________________ dafoJ-... ____ ______ _ ----------------• anno Dommt L-Xf-j--• I now reside
at ___________ __ __ _ _ _ _______ __ -;r--------~-----------------------------------------------------------------------------------------------
(Give number, street, ctty ~~ ~
~~~~=r~:::e~~-~~~~:~--5~~:::=~~~-~-~:=-~~~~~-~~~~~~~~~~~~~~~~-~--~--~~~~~~~~--~-~~~;--;;;~~~~
-~ii~~ived ise than by vessel, tne characteU ~"';;: :• name of transpNtation company should be gi van)
foreign residence was______ _ _ _ ·_ __ ----)~ =-.:::~--------; I am ----------;---married; the name
of my wife is --------------~~-----~------t ~ was born at ---~~-
and now rest des at --------~--~------------------------------------------------------------------------------
It is my bona fide intention to renounce forever all allegiance and ~elity to any foreign
:in_ e, ~ote~¥~~er_ei:~t~:·-~~--~::icul:r~~-~7.~~~~~~
1 arrived t the port of ------~~---*~-------------------------------------------------------------------·• in the
State of ----------------------:?4---~------------------------------------------------• on or about the ______ 2:_!L'__ __________ day
of -------------~-------------------------• an no Domini r -9--~6--:; 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 Goo. _____ L},atJi ____ g~~~--------------------------t! • (Original signature of declarant)
Subscribed and sworn to before me in the office of the Clerk of
[SEAL]
said Court this __ !:of: __ day of----~----· anna Domini 19 :t""
--------~&~~4---------------
Clerk of the______ Court.
By ¥_~-~-----------------, -~---Clerk.
U.S. DEPARTMENT OF LABOR
ORIGINAL 49
NATURALIZATION SERVICE
INTENTION
~Invalid for all purposes seven years after the date hereof
~~-------Jss: In the--~~-Court -~---2/iff--~---of~~~-y-~--~-~---------~' ·-----------~~----~-----------------------------------·• aged --~--~----years.
occupation ________ : ___ _ _ _ _______ ----------------------------·• do declare on oath that my personal
description is: Color --~----• compl~ion -------~---·• height ~fe~ /---if\ches,
weight -1---lz-':::.:2.-::._ __ pounds, color of hair -~---• color of eyes--~------------·
other visibie distinctive marks ---~---------------------------------------------------------------------------------·
I was born in ~~,---~b-_-~,----------------------------------------------------------------
on the --------~-?/---------------d~ of _____ ____ _____ __ ___ _ _______ , an no Domini I_.£':_~~; I now reside
at --------------_ _____________ _ _________ -~-·--------------------------------------------------------------------
(Give nu ber, street, city , and Stat ) ~
~~~:r~:::e~~--~~:-~~~~~-~~:=-~~------~---------------------~~-~~~~~----_-_-_-_-_-:_~~~~--~~~-~~~~~~~~;--~-;-i~~~ .
(If the alien arri otherwise than vessel , e characte of c veyauce or name ot transportation company should be gi'ven)
foreign residence was __ _ _ __ _' __________ _ "/ __ _______ __ ____ __ _ I am ______________ married; the name
of my wife is-----~~------------------: sh'e was om at---~~---~------------
and now resides at _____ _ _ ___ _ _ ____ ,~.Q~----------------------------------------------------
It is my bona fide intention to renounce foreve all allegiance and fide~ to :ny foreign
prince, potent~te,~~te, or sovereign~y, and. p~rticul~~ to -~-~--~-~-------~-'>}~~--';!-~of whom I am now a subject;
I arnved at the port ot ---~-~~--------------------------------------------------------------------·-·• m the
State of ________ 5 ____________ aJ.!--~~-----------------------~--~---------------• on or about the------~-£ ____________ day
of -----------------------------__ _, ____________________ , an no Domm1 r .f.£L.::'I ; I am not an anarchist; I am not a
polygamist nor a bel ever 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 permantly reside therein:
So HELP ME GOD. ~7~ c?:f ~
---------------------<-origi~;!;i~~t,;;;-~r'd~~~~;:;;~t;~:.--------
Subsc,ribed and sworn to before me in the office of rfire Clerk of
[SEAL] said Court t:~s_:::::~~~~~~i:r_r9 ~~
; Clerk of the ---· ----------_ _ ______ _ ________ Court.
By ----ft-~Q..-~_if _____ , __ 6)-~ Clerk.
50 ORIGINAL
U. S. DEPARTMENT OF LABOR
NATURALIZATION SERVICE
OF INTENTION
w= Invalid for all purposes seven years after tlte date llereof
~ __ __ ____ _ __ _ _ _I ___ In the ---~~~--C ourt
--------___ a_ _/'_ ss: of.21~~--~
~1 ·----------~----~--~ __ _ ---------·• aged ____ .j.._~-7------years,
occupation __________________ _ __ _ _ _ __ -------------------------------------• do declare on oath that my personal
description is: Color ~------• comp l~io_R -----~---·• height ---~e ~-----inches,
weight /---& __ _:~pounds, color of hair ---~-• color of eyes-~------------other visible. distinc~s ----~--~---~-------------------------------~~w~e::o~~~~=:=·--~=~~~~~=~~~~=: ___ J __ ~n:~=--r~~~~~
(Give number, street, e1ty ~·and State)
I emigrated to the United States of America from ---\.<2{.~~--------------------------------------------·
on the vessel _____ .:2/~-~---------------------------------------------------------------------------------; my last
(lf thf'l alien arriv~~tba.n by ~el,~ter rey&noo or name ot transp0rtation company should be given )
• • ' ~ d' -J~d--. . . . foreign residence was---'"-~----------------,._ _____ -----------------------------· I am ____________ marned, the name
of my wife is---~~-~-----------------------; she was born at .. OR-=~--------------------
an d now resides at --------'-~CL...-:------------------------------------------------------------------------------
It is my bona fide intention to renounce forever all allegiance and fidelity /~0 n foreign
prince, potentate, state, or sovereignty, and particularly to --~---7-'-~
-------------------------------------------------------------------------------------------------------------• of whom I am now a subJect;
i arrived at the port of :----~-~----------------------------------------------------------~-----------• in the
State of -----------------------------~-<-1/: ____________________________________________ , on or about the --------------------------day
of ----------------~-~---------------------------• an no Domini 1 __ qJJ_'::J.; 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. t-f _ _ ~
' . ..; -------------------------------------...... ------------
[SEAL]
(Origina1signature of declarant)
Subscribed and sworn to before me in the office of the Clerk of
said Court this-----~--day of ------21--~---, an no Domini I 9 .2-~
-------------~~-~~~-~1--------
Clerk of the-----~~-Court.
By -----~--r:!I:_ __ /!1~ :_/{a_~----, -----~ Clerk.
I / ~ ..
U.S. DEP A RT MENT OF LABOR
O R IGINAL 51
NAT URALIZATION SE RVI C E
tl
No. __ ,1_3__§_$ 0--t, l/-,
~~· ~~ ~ DECLARATION OF INTENTION
~Invalid for all purposes seven years after the date hereof
--~J~-~lss: ~r--x~1£J of _L_~F~-
In the __
~, -----------------~---;:-.:q:;._~.c;?L ___________________________________ , aged ______ 3 __ ,1 _______ years,
occupation ----------------~----------------------------------• do declare on oath that my personal
description is: Color --~~--• complexion ----~----• height -~feet 1---inches. weight---~~-~ pounds, color of hair --~--• color of eyes ~-------·
~t~:s v~s~~~e i~i~~~:~ ~-----~--~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
:; -~h~-~2.---~~~Jf~~~~~~: __ a::~--~-o:i:i_~-~:~=~---~---:~:r::i~:
(Give number, street, ciUf!: and State) ,
I emigrated to the United States of America from--------~----------------------------------------------
on the vessel _____ ~~--------------------------------------------------------------------: my last
• • (If the alie~~~ otherwj.se tha,. by rtJ.l, th»chara.cter of con v~ name ot',transportation company should b e g~ven)
foreign residence was/~~=J..~ I am ______________ marned; t~me
_of my wife is ----L-----~------------------: she was born at~~~
and now resides at -----------~~--------------------------------------------------------------------------------------------------·
It is my bona fide intention to renounce forever all all egiance and fidelity to any foreig n
prince, potenta~e, state, or sovereignty, and partic u larly t0~-~~~~~~111 ~--~~--~~-,j-___ _ __ _ ___________ o~m I am now a suoJect ;
I arrived at the port ot -------~:Jf--------<-----------------------------------------------------------------------··-• in the
State of ----------~---------------~~: ___ 1:1_ ___________________________________________ , on or about the _____ 2:__({_ _____________ day
of ____________________ __ __ _ __ J _______________ , anno Domini r_<J-L_i8._; I am not an anarchist; I am n ot a
polygamist nor a eiiever in the practice of polygamy: and it is my intention in good fait h
to become a citizen of the United States . of Am e rica and to permanently reside t herein :
So HELP ME Goo. __ (/Ji/~~-~-----------
[SEAL]
conginal signature of declarant)
Subsc;ribed and sworn to before me in the office of the Clerk of
said Court this /Q __ day of----~--· an no Domini 1 9? ~
------~-------=---------~-------
),--, C }!?k of the -----------___ -------------_____ Court.
By ___ 22l_ ____ Q_~_d.L~----, ~ 1 /_ --r ~-----Clerk. fT!-; -----~------~--U-~;:
52 ORI GIN AL
U. S. DEPARTMENT OF LABOR
NATURALIZATION SERVICE
No. _ti_~_y __ _ s1 A. tEe or t4l j}~ !\~· ··~·~ .~ wo4 ~ DECLARATION OF INTENTION ~
m= Invalid for all purposes seven years after the date hereof
~~r~{; In the .. ~--~_J_-Court
~~1-~~r2 : 0~~~-~--~, ··-----------------~L~%~---~--f{_-T.. _________________________________________ , aged ----~-~--years,
occupat ion ----------~----------------------------------------• do declare on oath that my personal
description is: Color ~---------• complexion _____ ----------~---------·• height -~feet _§__inches,
weight _!__Q_Q _______ pounds, color of hair ____________________________ , color of eyes--~-----
other visi b 1 e dis t~ ~i -:'e marks ~-------------------------------------------------------------------------------------------~nw:e b~~:~-i~~~-:-~~~;-;;~;;;;~;-;-~~i-~~~-~~~;;;~ at --~--PLd.~~~~-z' d1------'--~-------------
l emigrated to the United States of ~merica from ___ L~ ________ 7 __ -------~~~------------·
on the vessel ___ ~~~--____ _ _ __ _ -----~--~~~~,( _______________________ ; my last
(lf th~ alien o.r~ otherwise than by v charactec of oo.n vey11nce or name of traosp(\rtation company should be given)
foreign residence was~~-;/----~---0~_:_ __ ~ ___ ; I am ~.:t:. .. married; the name
of my wife is ---------~------------------------------------------; she was tfo rn at --------------------------------------------------------
and now resides at -----------------------------------------------------------------------------.,_ _______________________________________ __
It is my bona fide intention to renounce forever all allegiance and fidelity to any foreign
prince, potentate, state. or sovereignty, a~a;:acularly to~-<b'~-i/!~ ~~Z-L_~~iJ!!-:~..::;~~--:(/-----• of whom I am now a subject;
1 arrived at the port of ------~-~~-------------------------------------------------------------------·• in the
State of -------------------21------~ ~---------------------------------------------------• on or about the ---L~ ___ { _____________ day ~~iyg;~~ii~~~~--i~--(t;;--pr~~~~ ~~~~~;~~~-f-~n~ "f: i~0 ~~n i~~:~~~~ti~ ~~~ ~~~~
to become a citizen of the United States of America an~o perma~nntl reside therein:
So HELP ME Goo. n ·-------------. __ _ .re _______ ---~~----------
{Original•ignat or d eclarant)
Subscribed and sworn to before me in the office of the Clerk of
[SEAL] said Court t:::~~::~~~zi:i19~
Clerk of the--~~~-Court.
By--~~~--------, --~~~----Clerk.
U.S. DEPARTMENT OF LABOR
ORIGINAL 53
NATURALIZATION SERVICE
No. ________ (__~ __ £_$__
~~· ~~ ~ DECLARATION OF INTENTION
~Invalid for all purposes seven years after the date hereof
~-------------;<"-*~ss: In the ---~?~~ Court
_____ _ --~~~ _ of ---~ff;_~---~
~1 ________________ ?f~-----------~~------------------------------------------• aged --------------------years,
occupation ---------~------------------------------------------• do declare on oath that my personal
description is: Color ~--• complexion --~-------• height _§feet!{_ __ inches,
weight -"_/ __ d.__2 ___ pounds, color of hair -~---• color of eyes~----------------
other visible distinctive marks -~-------------------------------------------------------------------------------------
1 was born in ~7 ---~----------------_---_-------------;-----------------------:---
~; _the ~----=7?------------~"Y_ oL:-~;;:a;::~~=mm --'~:~~=~--~---::: r~~~~~
(Give number, street, city o~wn~d State)
I emigrated to the U ited States of America from---~---'-~~-------------------
on the vessel ________ ~_ _ _J-L___ _________________ _ ___________ • _______________________________________________________________________ ; my last
(If the ali arrived otherwise than b ssel the character of conveyance or name or' transportation company should be given )
foreign residence was ___ -------------------------~-r-Q~; I am ---~married; the name
of my wife is ----------------------------------------------------; she was born at --------------------------------------------------------
and now resides at -----------------------------------------------------------------------------------------------------------------------------
It is my bona fide intention to renounce forever all allegiance and fidelity to any foreign
princ~, potentate, state, ~r sovereignty, and parti ... cularly to -~fE~-~-~-
~---'4--~--~--¥~-~-· of whom I am now a subject;
I arnved at the po ~----------~-~---------------------------------------------------------------• in the
State of ----~-------~---~---------------------------------------------------• on or about the _______ ) __ 6: ___________ day
of --------------:d-"~--------------------------• anno Domini rtjJLL_; 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 Goo. ;~~-----~------------------------------------
congi.natsignature of declarant)
Subsoribed and sworn to before me in the office of the Clerk of
[SEAL]
said Court thisl __ L_ __ d of ___________ ,6~~
II
I
H
r
54 · O R IGIN AL
U. S. DEPARTMENT OF LABOR
NATURALIZATION SERVICE
"
No .. L.~§~Pd ; s1 ~ 111 or
. ~~1).
-.~ DECLARATION OF INTENTION
~ Invali.d for all purposes seven years after the date hereof
~--~~---···]ss : In the --~-~~urt --~-::~---····---········--------~=~~~. occupation ----------------------------------------------------------------------------------• do declare on oat t at my personal descrip tion is: Color ~----• camp~---······• height'\5::. feet .'i.. inches,
weight ____ !..J-.£. pounds, color of hair ---=-------------------------·• color of eyes -F-7------------------·
other v isi b 1 e dis tin cti ve marks ----~--~:e:-:!-:!:._~---------------------------------------------------------------------------------
1 was born in _ff~ ___ .,/!L _______ ~~-Cb~&:{/(f;;::f!/d!.L'1·----------------------------
~~ ~~-::0!..~-~::~::·· da~_o_f_:::: .. : ... : ... : .. =~Qn:::-.2b:_~~~ini ~::~~~i~:
7· (Give number, street. ett~ ))o;:n;/:d State)
l emigrated to the United States of America from~/~ -------~-__________ ---1 --------------------------------
on the vessel ____ ::_':'1L~-65_ ____ :2_/_ ___ ~-J.-d:~~---------------------------·; my last
(U th~ alie~ved otherwiB n by veasel , tne cbat~~ame of transp<>rtation company should be given)
:~r~~ ;;;~~:n::.:a_s __ :=:: .. :: ..... :.: .... ~:;e ~~~b£;~-~-;--~-~=~~~-:~r-i~-~~~~-:~::
and now resides at ---------------------------------------------------------------------------------------------------------------------------
It is my bona fide intention to renounce forever all allegiance and fidelity to any foreign
P~P¥J potentate, sta~e, »~o,reignty, and particularl y to -tL~-~~--~--/-U=--/l~--~~~:~-------------------------------------------------• of whom I am now a subject;
i arrived at the port of :;~-~-~-------------------------------------------------------------------·• in the
State of --------------.---------:---)1_!_ ___ '1/__ ___________________________________________ , on or about the ----------/4L_ ___ day
of _____________ Cl/~----------------------• anno Domini f7-~-~ ___ ; I am not an anarchist; I am not a
polygamist nor a believer in the practice of polygil.m ; and it is my intention in good faith
to become a citizen of the United States of America and to permanently reside therein:
$0 HELP ME GOD. ·--~~~-~~--~--~ (Originalslguatnre of decl<>rant)
Subscribed and sworn to before me in the office of the Clerk of
said Court this.d~ay of----~@-/------· anno Domini 19.7.e7
--------~-k~---~CX:L~---~----
cterk of the ---~..OU:t&<.(_.:e~-Court.
By :/4;Jf2~---, ~-Clerk.
[SEAL]
U.S. DEPARTMENT OF LABOR
ORIGINAL 55
NATURALIZATION SERVICE
I ;(
N /.9_6 -/d_ * 0
-----------------~~· S1 ~ 11:1 or ~-~·~
.~ DECLARATION OF INTENTION ••
~ Inyalid for all purposes seven years after the date hereof
-~-~~:c~k~~------~ ss: -In the --!J';~.aZU.-D~-Court 4~~j'~ of _______ '-a_~ff~~-
:!l,. __________ ,x_~--z:~_<d__,_:, _______ ~~--------------------------• aged ____ )._g_ _ _____ years,
occupation -----~LL ___ ~--~x:: _________________________ , do declare on oath that my personal
description is: C~r =L~------• complexion ----~-L ~----• height -~--feet --~inches,
weight ___ _L_t:z_ __ ~--pounds, color of hair _____ "b_-.~~.1., color of eyes-~~~-----
other visible distinctive marks --·--~---------------------------------------------------------------------------------~~· 1-O~L I was born in 0 --o--~--=~~~~--------------------------------.---:------i ----------------------------~----
on the _______ / _______ =---------day of ----------~d'l~-------------• an no Dommt 1 _____ 5i_j ; I now reside
at .. --f-.2c--~~--/IJ!__4__<d.~Q~.=fti·------------------------------------
calve number, street, City ~nd State) ~
~~~~:r~::~e~~--&~~~-~~~:~-~-~:=-~~-------~-~-~~-:::~~----~---~-i~~~-
• . (If the alien ~ed otherwise tha by vessel, the ch~ r of~v:,-nc~ or name ot'J:rnsportation company should be g~ven )
foreign r~si~ence was __ ____ __ __ _ __ _ ___________ 7\._L_~ I am -----~--17 ___ mar~trr-Jse name
of my Wife IS___ __ _ _ _ __ _ _ ___ ; she was ~ at~~-J~
:~~s n~; r~~~~e~~: -;~-~n!io~ -~~~j--~j~-fid~"iii·---~;--;~y--;~-;cig~
prince, potentate, state, or sovereignty, and particularly to __ C;?~ _ _ _______________________________ _
------lf/!J£:~-~-------------------------------------------------------------------• of whom I am now a subject;
I arrived at ~e port of -----~~-~~------------------------------------------------------------------• in the
State of ---------21-'----{-------------------------------------------------------------• on or about the _____ :7:::-:_L ____________ day
of -----------~~-----------------------------• an no Domini r__7-L-~; 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 Goo. ________ tj_~~--p__~----------------
[SEAL]
(Original signature Df declarant)
Subsoribed and sworn to before me in the office of the Clerk of
said Court this .l.;z.day of ___ 2~--~----· anno Domini 19 ?~
-~~---"'-=t-~~-,q;f------
9 uf-:::t of the--~----~ Court
By _____ (__o~_t:_Z "'22z~~dy'4;---Clerk.
56 O RIGINAL
U. S. DEPA RTMENT OF LABOR
NATU RALIZATION SERVICE
OF INTENTION
~Invalid for all purposes seven years after the date hereof
Q£:-dJ~~~-----~ 55 : In the --§--------------------: ~-~---~urt ~-#«; ____ £_ ol _____ 4zdo------~
~ ______ ~~~£_~--~------------• aged ____ ] __ 2: __ years,
occupation --~c:t:'~L~---------------------------:_7, do ,declare on oath that m?ersonal
description is: Color ~---• complexion ---~------·• height .. ~et ______ inches,
weightL.~_q _______ pounds, color of hair ___ d~ .. color of eyes ~-------·
-other visible distin~e marks ... .L.~"------------------------------------------------------------------------------------~~w:e ~~ :~:~~51~~:=::=~~~~~0~~~-~;--;--_-;;__1:~;---;--~~~-~~~;~~
at ~----~~----------------------------
1 emigrated to t~tte~ States of Amenca from___ __ .a-;.~ .. c.. _________________________________ _
on the vessel---~~~------__________ , ·---------~--------------------------·; my last
(lt th" alien an·j~se than 7 vesa;, tne ch~r !'-)conveyauce or tlhlllB of transp<'rtation company should be given)
foreign residence was-----~--~-~,----~~--: I am --~!:::married; the name
of my wife is ----------------------------------------------------; she was born at ----------------------------------------------------------
and now resides at --------------------------------------------------------------------------------------------------------·-------------------
It is my bona fide intention to renounce forever all alleftiance and fidelit_.: NY foreign
prince, potentate, state, or sovereignty, and particularly to l..il-.-/-,_~-y~-~-
------------------------------------------------------------------------------------------------------------• of whom I am now a subJe~t;
1 arrived at the port of ~-~~-~-----------------------------------------------------------------.=------• in the
State of ----~--___ ~}J-~_-:f.j_ ______________________________________________________ , ori or about the _______ Q.:j _______________ day
of________________ _ ----·----------------• anno Domini r .f'OS. I am not an anarchist; I am not a
polygamis or 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 Goo. ~ L /f"/ / . / .
·---------~~---!.Z'~~--(Original signature of declarant)
Subscribed and sworn to before me in the office of the Clerk of
[SEAL] said Co urt t~-~~~~~-v-~
Clerk of the-~~~-----Court.
By---~--C?DL~----, --~-----·--Clerk. ~-;.> c;;r ' ,.--o ..
O RIG INAL 57
U.S. DEPARTMENT OF L ABOR
NATURALIZATI O N SERV I C E
j c?/; . No .__/_3_.2~/--~::.,~,~~ or~ ..
.. ~~· ~.~ ~· 1}14 DECLARATION OF INTENTION ""'?/
~Invalid for all purposes . seven years after the date hereof
(2/~--~. -~.--------] In the --~-~~d Court, ~-~~~~: oL.Jt-~~cJ"k<&.~·
:!!, ·-----~·~~~-------------------·--------------------• aged ·--'*--~----years,
occ upation ---------------~---------------------------------------------• do declare on oath that my personal
ces_cription is: Color ~If..~~-----• _complexion ---~------·• height Q:. __ fee t &inches~
w e ig ht ____ _L~ __ £ pounds, color of hair _d. _____ ~ color of eyes---~---------------
cth er visi b I e distinctive marks ~-----------------------------------------------------------------------------------------
1 was born in ---~-~,.--C/~------------------------------------------------------------
on the ---------1---0---------day of ·----~-----------------·• anno Domini Ifl-?-s,-1 now reside
at -------~~-----~~t.-f!o;t~---~~~~-----------------------------------------------
1 emigrated to ~h~ited Stat~s of America fro -~-E£.zc~~--~-.c:-.L~~~'j'----
on the vesseL __ ~~-_4_,_ ___ ~-______ ~-,!;:"~_ .. :!?~~----------------------------------: my last
• • (If the alien arr· otherwise th~\Y:Yessel, t c ara ~~transportation company should be g~Yell)
foretgn res tden:; wa _ _ ___ ____ _ -------~---------------------------------d·-------------marned; the name
of my wife is________ _____ _ _ __ _ _ __; sh(:fi born at---~-----~--------------
and now resides at ___ _ _ , ___ __ ___ 7-----------~----------------------------------------------------------
It is my bona fide intention to renounc forever all allegiance and fidelity to any foreign
prince, potentate, state, or sovereignty, and particularly to :~~./-~---(;;r~£ ....... -z7-;;,--------o/;/,·--·------"'"···---------·-·······• of whom I om now a subject :
I arrived at the ~ ~f ;pz-~u--~---------------------------------------------------------------·-·• in th e
State of ______ ?5_ ----,~..L/--'--(7"--·-----------------------------------------------------• on or about the-----/-~------------day
of ------------~---_ _ _ ________________________ , anno Domini 1 f-~; I am not an anarchist; I am not a
polygamist nor a Iiever in the practice of polygamy: and it is my intention in good faith
~o0 b:~~;:; g~~n of the United States of Am~r-rc_a ~k~I=~~;z~t:~r:r.n· r (Original si~;~fdeclarant)
[SEAL]
Subscribed and sworn to before me in the office of the Clerk of
said Court this/? .. day of ____ 2z__~--· anno Domini 19' 0
---~-~2f.t-ff{Q_~4 -------
f2--. _/perk of the ---~~~Court
By __ '2l;._p ~~?~-Clerk.
58 ORIGINAL
U. S. DE PAR TMENT OF LABOR
,j NATURALIZATION SERVICE
No/J!J_Qd,_L. 4., ~ 111 ~~· ~~ ~ DECLARATION OF INTENTION
~Invalid for all purposes seven years after the date hereof
ffr'--:~~~---jss: In the ~~~C~rt ~-(j{JZd42.:f:Ll.,__ of~-dk-~~-~1
~' ------------------:~(~-~~4---------------------------------·• aged _____ d_J------years,
occupation _______________ : _____ ~----------------------------------• do declare on oath that my personal
description is: :go lor --~---• _complexion ---;;J:A-~-------·• height ~nches,
weigh~ ___ } __ &:_ ________ pounds, color gf hair ---~-~------• color of eyes-------------------------------------·
ot er VISID e Js me JVe mat • ~ -----------------------~n-----------------------------------------------------
1 was born in ~-~ ____ 0_£_~~~----------------------------
h . "l 1 d" t" f "k'-. . ~
~ -~-~~~~~:
~~7~:r~::~e~o-t~=~::~k:::;;: ___ ::~: _________ : ______ :: ___ :: _____ ~~-~~~;
(lf thft ellen ~.}t97io• t~by veos~n~ oo~an ce or ~"'J!If' of tmnsp<'rtation company should be given)
foreign residence w~_:~~..r------~----: ~-------------married; the name
;;~~~:i~~i~~~}~i~~~~i~~~~~;~~~~-~~~~~:~~~~i~~
prince, potentate, stat , or sover ·gnty, and particularly to ----------------------------------------------------------------¢---_ _ _ _ _ _____ ' ___ ___ --~--------------------------------• of whom I am now a subject;
I arrived at t e port of _____ :'__'rj_ ___ 1.£_ _______________________________________________________________________________________ , in the
State of ---------;7;--~-~/---(__ ---------------------------------------------------------• on or about the _____ 2___ _ ____________ day
of ---------------------~---------------------• an no Domihi r q_ '-1--; I am not an anarchist; I am not a
polygamist nor a believer in the practice of polyg{my; 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 Goo. <~, / ~ t A /}4 ----------~~~~-;i-~~7fd~~~~~t) _____________________ _
Subscribed and sworn to before me in the office of the Clerk of
[SEAL] said Court t~-:~~ an no ~:~Jr:i _19 JO
142
(Old 205B) U. S. DEPARTMENT OF LABOR
BUREAU OF NATURALIZATION
WASHINGTON
October 29, 1923
Brothonotary , Common Pleas Court,
'Nashington , Pa..
Dear Sir:
IN REPLYIHG PLEAS E REFER TO THIS
FIL£ NUMBER
2838-d.-1359
The Bureau is in receipt of the application of the pers on named below
for certified copy of declaration of intention made in your court .
The application has been approved and the Bureau is inclosing herewith
Form 115 for issuance of the copy requested. It should be an exact copy of
the original in your bound volume and be signed by the declarant if pract i-
cable; otherwise, his name may be entered by you in the plac e intended for
his signature. The blanks in the red ink certificate s hould be filled in
and signed by you .
You should enter o n t he or iginal declaration in your bound volume a
notation showing the issuance o f a certified copy thereof . It is not neces -
sary to issue and send to the Bureau a duplicate of the certifiBd copy.
The app li cant has been notified by the Bureau that as soon as he pays
your fee he may receive the certified copy. Of course, if you have already
received your fee, you may proceed in accordance with the foregoing without
further delay. The completed copy may b e given or sen t direct t o the
applicant .
Incl.
Nam e: Adam Sacrofka,
Address: Manifold, P. o. :Box 192, Pa.
Declaration num u er: 1359
Ve~ truly yours ,
Commissioner of Naturalization.
14-1991
U. S. DEPARTMENT OF LABOR
ORIGI NAL 59
NATURALIZATION SERVICE
· ~Invalid for all purposes seven years after the date hereof
~--~~J--]ss: In the ---~_.,Q~ourt ~-?{::::2/-~F-----. of2f~----~! ____________ _
~r ~---------------r::Z.~--a~----------------------------·· aged ____ .;:;'__~_years.
occupatiOn -------------~-~-----------------• do declare on oath that my personal
cescription is: Color _____ @~---• complexion_________ __ -= --------·• height ~~feet;?: __ ~ inches,~
weight .--~J-__ 3_:~--p~unds, color of hair_ _ _______ ---------------·• color of eyes --~__d: __________ _
other visible d1stmct1 ve marks ______ __ _ ---------------------------------------------------------------------------------
1 was born in -;!!;~~-_7 ____ -~---------------------.---:-------;;,-~--------~------------~-~--
on the __________ -~------da of _____ _ _ _ ______ : __________________ , an no Dommi 1 ~---------; I now reside
p-/' ;te~ig;~ted ~the Un;ted ;tate~ o~ i;;;~;~;;;;,~~~:
on the vessel _____ ~~L--t~/ _________________________________________________________________ ; my last
& • (If the alien ar~:e: ot?e~se tha/ by veBBel, trllar~ of conveyance or name oi transportation company should be g~Yen)
foreign residence W!l~--::7£~--~--~-: I am _____________ mar::uied · .e,name
' • _,. ,, r ' / (J -~ -----,. of my wife is .·' · · _ · . · ___ ..:.:~---· __ ! __ .; she was born at/J .. &:::YL~-_ _ _ -~
~;~, n~~ r~~~~e~~~ -~~~~~--~jj;g;;;~~~--;-;;d·--fid~iiiY-t;--;i--~~~ ~
prince, potentate, state, or sovereignty, and particularly to .6.-~--¥---------~ ---~~~-----------------------------------------------------------------• of whom I am now a subject; ~
I arrived at the port of -------~-~~-----------------------------------------------------------------··-·• in the ~
State of-------~--------------------~-:.--*-------------------------------------• on or about the ____ j_ __ Q._ _____________ day ~·
of______________________ _ _ ________________________ , anno Domini r_f-()__!_ __ ; I am not an anarchist; I am not a
polygamist a believer in the practice of polygamy: and it is my intention in good faith
to become a citizen of the United States of Amer~/ar:9 to perm~n~tly resi:r;e erein:
So HELP ME Goo. ({o!u{/JJV d":/, _ ----------------------------------------~~------------------
[SEAL]
(Original signature of declarant)
Subscribed and sworn to before me in the office of the Clerk of
said Court ~hi_'--~~~nno Do~in~-19i2
( W Clerk of the ---' ___ _ _ ___ _ -~Courl. ~
By _dJJJ_,~~-----, -~--Clerk.
60 O RIGINAL
U. S. DEPARTMENT OF LABOR
y NATURALIZATION SERVICE
18&0~J
No.-------------------·· . ., ~TIS or
~~· ~-~·~ ~~ .4
DECLARATION OF INTENTION '"?!
~Invalid for all purposes seven years after the date hereof
~-~~ In the~~~ Court @~~o/~::l~~~rJss : . 0 ~~~r-~~q.
~' -~~A~dke.-~ged ·----~3_ ____ years1
occupation -----------~-~--------·---------------------------------·1 do declare on oath that my personal
des.cription is: Color ~-----I _co mplexion ·--~---------• height ~feet 7--inches,
weight ___ L_f--0_ _____ pounds, color of hair -----~-• color of eyes ___ ~-----·
other visible distinctive marks ~=--:=-~~-~Ef:{'J.Lf_ _______________________________________________________ _
I was born in -~~--~~-0~-------·--------------------------------------------
on the ----~-'1--------------------day of~--~--------~-·· an no Domini I __ f~1-; I now reside
at --~~~---~~---------------------------------
1 emigrated to th~Uq1 ted State? of Amenca frO)!) ;---------------!~~-~-~-~-7--------------------·
on the vessel-----~. ~~.4..~--t-.:~---~.a::~-~~-------------------------------------------------·; my last
(lt th• alien ·:v therw,. than by veesel, ~ cha · of conveyance or name of transpNtation company should be given)
foreign residenced)as __ :_'2«-~-..4.f---~--; I am ______________ married; the name
of my wife is ----~(ft -'-1 ------------------------: she was born at~'~-----------
and now resides at ------~-U-~4':. ___ -------------------------------------------------------------------·-------------------
It is my bona fide intention to renounce orever all al!egiance and fidelity to any foreign
prince, potentate, state, or sovereignty, and particularly to ·---------------------------------------------------------------
--~~~---a_;;!Q_~~---------------1 of whom I am now a subject;
I arrived at the port of ·--~--~4-----------··--·--------------------------------------------7 ________ , in the
State of ----------------------~:_:lj_ _______________________________________________ , on or about the ---------~---------------day
of ------------~------·---------------·• an no Domini 1 -.9-'"./LL: I am not an anarchist; I am not a
polygamist nor a believer in the practice of polyga'my; 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 Goo. _____ fh_k------~-cM~-~-------------(Original signature of declarant)
Subscribed and sworn to before me in the office of the Clerk of
[SEAL] said Court :;:;:::~~:~:::i_:''9~ 0
Clerk of the -·---------------------------------------~-----_ Court.
By -----~--{?:Y~·-----) ---~-r--Clerk. r~-~ 1 ··~, ..
O RI GINAL 61
U. S. DEPARTMENT OF LABO R
J NA TURALIZATION SERVICE
~~· ~~A .~ q~ .V> ~
DECLARATION OF INTENTION ~
~Invalid for all purposes seven years after the date hereof
~')f'~-~ss: In the ---~7~Court ~--~~e.~Jd of _,:M ____________ ~-1---------------~
~ ------_{2~~~-d~---------------• aged ____ !3._,2,_ years,
occupation ----------~-~-------------------------------------------------• do declare on oath that my personal
cescription is: Color -~~:e.~i!& ______ , complexion_,.L~--• height~---feet _____ :-inches,
weight _______ l_ __ b_Q_ pounds, color of hair -:~-----·• color of eyes ___ ~------·
ether visible distinctive marks ____ :_ ~--~------~----:--------------------------7;--;-----------------~Jj----------
I was born in £L'~--~~~~--dd~-~-£~-g)~.JcJ: __ {-4
on the ____ L_~-;;rp--~-: ~ay of ·--~: __________ 7/J ________ , anno Domini ~~--[-~ __ ; I now reside
at __ ?-l/~-~ru&::J::~oobi~~fii~~:~~---------------
1 emigrated to t~ed States of .America from -----~-~1 __ __ _ ___ _ __ --~------------
0 n the vesse I -----'=-------"--:xc __ ~-~-c.,_-g_ ___________ -----------------------------------------------------------------------; r11 y last
. • (If the alien ~he~erwi~ t,.n by vesse!, the cha ter of co.nvey.an~we ot transportation company should l.Je g~ven)
foreign residence was u~ ------------~~~m ______________ marned; the name
of my wife is ____ {3_~'--<P.-:.c~-----------------: she was born af:L~~~~
and now resides at -~--@~~-c-~~-~-------------------------------------------------------------
It is my bona fide intention to renounce forever all allegiance and fidelity to_Jf~ foreign
prince, potentate, state, or sovereignty, and particularly toczz--L_~--~L~ .
.r~--aLd-&-~-~~------------------------------------------------• of whom I am now a subject;
I arrived at the port of ----------~~:¥~-------------------------------------------------------------------·-• in the
State of -------------------------~: __ 1/ ___________________________________________ , on or about the _______ /! __ 6_ ____________ day
of ______________ 0 ~ ,-,~_; ./;_ ___________________ , an no Domini 1 _q _Q ___ ; I am not an anarchist; I am not a
polygamist~;;r;b~I;~er 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. --~cr_L~----q~-~~~-~ p (Origin;&'~re r.f declarant) /::-:::::-:_C/" ~
Subscribed and sworn to before me in the office of the Clerk of
[SEAL] said Court ~h~s~f ~~~· anno Do;~i_,_~C)
a c::/h
4
Clerk of the___ _ _ ________ ~"'-~-•./ Court
By --------~----LL1---J~-----~ ~---Clerk. J . t'-~>e
62 ORIG I N A L
U.S. D EPARTMENT OF LABOR
N AT URA L IZATION SERVICE
~· ~~
'\1 DECLARATION OF INTENTION
~Invalid for all purposes seven years after the date hereof
-~~ss: In the.C~.CJ.:.~ourt
--------~-~----~~n J of r!~-#.::JL~~
:!), ·······---~~-~~---·-····-·······················• aged .... ~.':£ ... years,
occupation ---------------~£:---~-----------------------------------• do declare on oath that my personal
description is: Color --~-• complexion -----~----·• height ':Q __ fee ~"--inches,
weight ----~--~----pounds, color of hair ------~-e4---• color of eyes--~------·
other visible distinctive marks ---~~-G--------------------------------------------------------------------------------
1 was born in ... ~-'~---·--····-·····································-······················ ~~ ~~e.:~:x~~~-~-~2~:~-=~:~:o_~::~I ... :.~~ ... :::,~:i~:
(Givenumber,street,cryu:mu t >
~~~~:r~::~e~--~=-~~~:~-~-~:=-~~-=-------~--------~----~~~~~~~~~-~~------~--------~~----~~~~~~~~~~~-;--~-~-i~~~
(lf th" a lien arli~erwiffthan by vessel e character of conveyance or name of transp('lrtation company should be given)
foreign r~si~ence was ---~~-7 ________ ~-_ _ ______________________ ; I am --~;---~--pla.:2_ed~}he name
of my wife Is-~----------------------· s e was born at -~-F-~--------------
and no\V resides at _________ ____ _ ______ ---------------------------------------------------------------------------------------
It is my bona fide intention to renounce forever all allegiance and fidelity to any foreign
pri~ potentat~ state, or sovereignty, and particularly to ·-----------------------------------------------------------------~~--Jt2~~~-~--· of whom I am now a subject;
l arrived at the port of --------~--~~-------------------------------------------------------------------• in the
State of--~------___________________________ ?;_,_~----------------------------• on or about the _______ t.z_ __ ~---day
of ________________ __ _ __ _________________________ , anno Domini r_rj __ 2c:._; I am not an anarchist; I am not a
polygami 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 HEL~ ME GOD. • ·.. . . ~;~·-··-·······
Subscribed and sworn to before me in the office of the Clerk of
[SEAL] said Court :hit~.-·:·a~n~-Do-~-i:ii9 ~
7
_ ~ p,terk of the___ _ ______ Court.
By ----~~~-_ _ _ ___ ____ ----------1 0/!_/ __/_~ -~--Clerk . ~--</-/V.C~-
ORIGINAL 6 3 I
U.S. DEPARTMENT OF LABOR
I
NATURALIZATION SERVICE
No .. ___ 1_5__t_'3 __ f!~ J
~~· ~~ ~ DECLARATION OF INTENTION
m= Invalid for all purposes seven years after tile date hereof
---~--~---------------___________ ,a..-In the ---~~Court
~--~-:;¥~~--ss: of~~--~~~-
~' ·------------------~--a~----------------------------------·· aged -------k-7----years,
occupation ----------------~----------------------------------------·• do declare on oath that my personal
cescription is: Color --~-• complexion -------~---·• heigh~---feet _l __ ~inches,
weight ______ ,;_Jt2 ___ pounds, color of hair_____ _______________ __ _ col~-~-'--
other vi sib I e distinctive marks -~--~-r-pr ---~------~------------------------------------------------
1 was born in ---~----------~--~----------------------------------------------
on the ____________ CI _________ ,_ day of ·---------~---------------·• anno Domini r ~7q2-; I now reside
, T ~
at ______ ---------1------------~----· -----------------------------------------------------------------------··-
, (Give number, street, city or to~nd State) + •
I emigrated to the United States of America from ------~d?'~---------------------------
on the vessel _____ ~-~~----~-----------------------------------------------·; my last
• • (U the alien arrh~therwise than bt:§_el, the c rac~er o o~nnce or~ ~i transportation company should be g~Yen)
foreign residence was ___ :~--------__ _ ,L~ a~ ___________ marned; the name
of my wife is---------------~----------~-: she~ a~~-~
and now resides at ______ _ .._ ___ ____ ---~--~::_ ___________________________________________________ _
It is my bona fide intention to !l nounce forever all allegiance and fidelity to any foreign
prince, pot~ntate, state, or sove~ei nt , and particularly to -~-~-¥-----~L'K-~-----• --r~t • Of WhOffi l Offi nOW a Sutile ct;
l arnved at the ,Port of _____ -2J__f1/ _____ ---------------------------------------------------------------------------------··-·• m the
State of ----------------------------------~-.._ __ 1; _________________________________ , on or about the ___________ :3_ ____ Q ____ day
of ________________ L7~~----------------• an no Domini I 7-L:!...; I am not an anarchist; I am not a
polygamist ~-b~ll;~-;;. in the practice of polygamy: and it is my intention in good faith
~o0 b:~~~:: gg~~n of the United States of Am~e~=d~;::l_n_:
(Original signature of declarant)
Subscribed and sworn to before me in the office vf the Clerk of
[sEAL] said court t~~s_::~~-~=o-f ____ /~['2fno ~o-~m~_:9 ?-o
a L Clerk of the --~--------------------~ourl.
By __ '21l_r-~----, --~Clerk.
6 4; ORIGINAL
U. S. DEPARTMENT OF LABOR
NATURALIZATION SERVICE
and no\v resides at -_ _ ____ __ __ -Ja..-..--------------------------------------------------------------------------
lt is my bona fide intention to renounce forever all alle~_ce and fidelity to any foreign
prince, potentate s e, r sovereignty, and particularly to __ -.[/~-~~
~---· ___ _ .. . ... ·-------,r;;)----·--·c::;J=-------------------------• of whom I am now a subject:
I arrive_ at e port of -----z;::r)-£~--------------------------------------------------------------• in the
State of-------~----_______ -------------/-LZd! ... A-=~-=-----------------------• on or about the ______ j{3 ______________ day
of _______________________ ___ _ _____________________ , anno Domini tf_1-_03 I am not an anarchist; I am not a
polygamist a believ r in the practice of polygamy; and it is my intention in good faith
~0 b:~~~:: g~~n of the United States of Am~:;~i:~~t~e~:i~-:
Subscribed and sworn to before ·n the office of the Clerk of
[SEAL]
said Court this--/---day of____ __ _ ______ , anno Domini ~~
O RI GINAL 65
U .S. DEPAR TMENT O F LA BOR
NATURALIZATION SERV I C E
No . .}_j_b ____ :L __ .(} o-()1-{
~~· ~~
'0) DECLARATION OF INTENTION
(Orlginalslgno.ture cf declarant)
Subscribed and sworn to before in the office of the Clerk of
[SEAL]
said Court this __ _/_ ___ day oL ~~~~-
66
No .. _/:?__{( __ j_if J
~~·
U. S. DEPARTM ENT OF LAB O R
NATURALIZATION SERVICE
ORIGI N A L
•.
't)~ ~ DECLARATION OF I NTENTION
J2--/J ~/). ---.(5;£~~----/~L..f~------------
<onginal•ignatur• of declarant)
Subscribed and s worn to before ·n the office of the Clerk of
said Co ur t this ____ / __ day of____ __ _ _ _ ___ , an n o Do min i 19&
[SEAL]
OR IGINAL 6 7
U. S. DEPARTMENT OF LABOR
NATURALIZAT IO N SERVICE
.~ . tt10 .~ '4
DECLARATION OF INTENTION ~
[SEAL]
·.68 ORIGINAL
U. S. DEPARTMENT OF LABOR
NATURALIZATION SERVICE
OF INTENTION
occupation --------------~---------------------------~----~---• do ~clare on oath that my personal
description is: Colo~------• comple~n ~--·• height"::97 feet '::::2Tnches,
weight -----'-!/.~-----pounds, color of hair ----~---• color of eyes-~
and no \V resides at --------------------------___ ------··------------------------------------------------------------------------------------------
It . is my bona fide intention to renounce forever all all~i~nce and fidelity to any foreign
pnnce, potentate, state, or sovereignty, and particular! to~--~~--~------
-h' -+-· ()~· 7--~-~-----------_ _ _ ___ _ ___ __ __ --~of whom I am now a subject;
I arrived at the port o ______________ __ _ _______________ --~--------------------------------------------------------·• in the
~:·~: __ o_~_::::::::::::~~=:::::-~.~~--n~;:;:;~;-~:=:~::;:-~~ ~~·~~~~h:~~;~~~---i-~;:;:-~:;~
polygamist nor a believer in the practice of polygaly; 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 Goo. C1f j t_,tll,,, ... AIY/
-------------L~~~~t~;":-[r~~~~~-----------
[SEAL]
Subscribed and sworn to before me in the office of the Clerk of
said Court thi~--day of -fi-_~---· an no Domini I 9 ~ o
-----~ ___ ff::_Q~-----;:J:: Clerk of the~~Court.
By ___________ : ____ ~~~--_~~---)~(_._~--~~--Clerk. ~--~~,-c--:~-
U.S. DEPARTMENT OF LABOR
OR IGIN AL 69
NATURALIZAT ION SERVIC E
No /d2_~-?!-t'l~ ., ~ TIG or ~-.. ~~ ~.~ .'9> ~4
DECLARATION OF INTENTION ~
[SE AL]
(Original oignature o ( declarant)
· the offi ce of th e C lerk of
____________ , anno Domin i 19 7-C/
70 O RIG INA L
U.S. DEPARTMENT OF LABOR
NATURALIZATION SERVICE
Na.li.zo2!d'-! ~ ~~~ (1/t)f#l s1A~ lit. @I ~,. ~· ~~· ··~~~ ~~ 04
DECLARATION OF INTENTION "?/
~Invalid for all purposes seven years after the date hereof
~· .... ~.-.~ . .<: ........ Jss: In the-~~~~
-:cc:~~~·:: •• ~~~~=.;=;;~~r~·~~:~~
description is: Color ~ .. , complexion ..... ~ ... , heightr. f't '/-inches,
weight ____ /£~pounds, color of hair --~----• color of eyes-------'-~
other visible distinctive rr:arks ---~--~---------------------------------------------------------------------------
~nw:e b.o~:;:_k~.~~:·~~ ............ ;;;.i;::; .. ;·:[:;J.J:::;-·j··~~;;;~~~id~
at ... -<// .. ~.= .. -#"-~~ .. ~ .. -:.~:~< . ;;;;;·;;;.,;. .. ~ti~ · · .. ... ................. .. ~ ...
~~~~:~::~e~o .. t~~~~.:::::~~.::~~::::~·;;;;·;~~;
(lf thf't alien o.r~ o~rwise tha n by veasel, tne charJfr of coyveyance or name of tra.nsp<'rtation eompany should be given)
foreign residence was --=a~-~----------: I am --~_!Tiarried; the name
of my wife is ----------------------------------------------------; she was born at -------------------------------------------------,-------
and no \V resides at -------------------------------------------------------------------------------------------------------------------------------
It is my bona fide intention to renounce forever all allegiance and fidelity to any foreign
prince, potentate, state, or sovereignty, and particularly to ---~ ___ V__j__! __ L_;)~
--~~~ ........................................................................ , of whom I am now a subjec£r
1 rrived a the port of --------27M~i/--~--------------------------------------------------------------• in the
State o~------_____ -----------------------LJ-:-~-----------------------------------• on or about the ----------------------------day
of_____________ _ _ _ ____________________________ , an no Domini r .r-C2 -J __ ; I am not an anarchist; I am not a
polyga nor a b iever 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 Goo. ·------------(/_;:!~--~~/""Y-jfp h --------u-!'.., (Original sig#r~d-;.~!:;:M;t~g-
SubSCribed and sworn to before in the office of the Clerk of
[SEAL] said Court t~.day oL .. _ ....... , anno Domini 197-o
--------------------------------~----
(/--_jijfrk of th ____ _ __________ Court.
8y2!;.~~· . _, .~ lerk .
U.S. DEPARTMENT OF LABOR IA,J' 1 ORIGINAL ,/ £1 "'"""'"'" "'""'
No .l:i;£!_ __ ~~ s1 ~ Tltl or
~~~
~ DECLARATION OF INTENTION
~-~~~-~~1/~(L~~?lf::nty: "_:~-~:~;arl~-~--:: -__ .-~i ~h;m ~;;;--~;;-~-~~bj~~;;
I arrive~ at the port of ·---------------------___ ___ _ _____ 1 __ ~--------------------------------------------··-·• in the
State of ____________________ € __________ ~: __________ : ____________________________ , on or about the ____ }_ ___ Q _____________ day
of _____________________________ /:!~~~--------• an no Domini r -9--f.dfi.; I am not an anarchist; I am not a
polygamist nor a bcli;;~7-il-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 Goo. ------------------------______ d~....--------~•------· riginal ·:r~;reofdec~) ,, ~'.
Subsoribed and sworn to before in the office of the Clerk of
[SEAL]
said Court this .LC!.._ day of ___ ~-~--~~~
I
7 2
No. _j j__J!J_/MJ
~~9
U. S. DEPART MENT OF LABOR
NATURALI ZATION SERVICE
OF INTENTION
~ ~ DECLARATION
[SEAL]
ORIGINAL
U.S. DEPARTMENT OF LABOR
ORIGINAL 1 3
N A TURAL I Z A T I ON S ERVICE
No Ld;~_/}g/J s1l.111 or
ftfp. ~-~·~
.. ~ DECLARATION OF INTENTION ~.
(Original signature of declarant)
Subsvribed and sworn to before m · the office of t h e C lerk of
[SEAL]
said Court this _j__~ day· of_______ ____ _ ----c...-; an no Domini I 9 ~
14 ORIGINAL
U. S. DEP ARTMENT OF LABOR
N ATU RALIZATION SERVICE
No.flJ-/llt/4
~~· ~~ ~ DECLARATION OF INTENTION
~Invalid for all purposes seven years after the date llereof
<C/~;1'~---------)
55
: In the ___ -_ ---------:-----£---___ Court ~¥'~~p of L¥~-------------------------~' ---------------~--q~------------------------------·• aged ____ ;J_:!f?_=---years,
occupation ~ _ _ ______________________________________ , do declare on oath that m' personal
description is: Color ___ __ _ _ __ _ _______ , compl xion ____ __ _ ~-_________ , height ~ feet ______ inches,
weight ___ /~pounds, color of hair --------------------------·• color of eyes--~-------
other visible. dist~e ;narks ----~--~---~-----------------------------------------------------------------
1 was born m -------~-~---------------------------------------------------------~; ~~e-~~~~:~-CJi:.:~=-----=::~·--~n::_~~=-~:~---~cji-~-~~~~~~~---~---~:: __ ~~~~~~
(Give number, stzeet, c.tt y ar , a State)
l emigrated to the United States of America from----~ _________________ t --~------
on the vessel ____ ~--------___ --------------------------------------------------------------------------------------------·; m last
(lf th., a.li en arrive a an by vessel, tne charactec ol ,-;~ya.s.oo___j,!am»e of transpC'rta.tion company should be given)
foreign residence was __ 7 _;----------------~--~ I am ______________ married; the name
of my wife is __________ '6_~----------------: she was born at---~-------------------------
and now resides at ---~-_!_0 C\.... ____________________________________________________________________________ _
It is my bona fide intention to renounce forever all allegiance and fidelity to any foreign
prince, potentate, sta~e, or sovereignty, ,a~ pyticularty to -~--~~~~
~~ -----~~---• of whom I am now a subject;
1 arrive_ at the p~of __ _ _ ~ _ -----~------------------------------------------------·• in the
State of ---------~~~--------------------!0-:-!..~----------------------------------·• on or about the _________________________ day
of ---------------------------------__ L/---------• anno Domini r --1.l,J_; I am not an anarchist; I am not a
polygamist nor a b ·ever irf the practice of polygamy; and it is my intention in good faith
to become a citizen of the United States of America and to yermanent_Jy reside ther~ig:
So HELP ME Goo. or~ ~--1?~
(Original signature of declarant)
[SEAL]
U. S. DEP ARTMENT OF LABOR
ORI GINAL 75
NATU RA L IZATION SE RVICE
other visible. disti~ive ma_rks ---------r -------------------~------------------~----------------------------------------------
1 was" bo~n m[--~~-;1------_ ______ __ _ _ __ --~:2------------'f.-~·-:··----------:··
:; ~.o L0i~: _ _ day o~ :· :--~~~~--~-~~-----~=:~---~---~:: __ ~~:~~:
' (Give number;'§tretJt, cit~, and State) / ·
I emigrated to the United States of America from_[__~--------~--------------
on the ve ssel~~-------------------------------------------------------------------------------: my last
(If the alien ar . d otherwise tp.an by vn the ch~ ~f conv c r name ot transportation com pany should be given)
foreign r~si~ence w~ y---~-/-----------____ ; I am ______________ married; the name
:~: ~0:1 :::;d~~-~~---~~~:_a~-~-~-~:--~-~-~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~===~~~
It .is my ~ona fide intention to .renoun~e fore~er ~II allegiance ~nd fidelity~ any f~
pnnce, poLntate, state, or sovereignty, a d particularly to ~--~·-------~---------~~~-~-~~~o~'f'~m:f1su~
I arrived at the port ot ---------~:z::~-J---------------------------------------------------------------··-·• in the
State of ---------------------------------------~----~-: ___________________________ , on or about the ________ / __ ?£ _________ day
of -------------0-~------------------------• anno Domini r_?--<?..§C; 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 Am e rica and to permanent ly reside therein :
So HELP ME Goo. _____ {(:!!~--------~~---:_ _________________ .
/-----(Original signature of d eclarant)
[SEAL] I'
I I
I
76 O R IG INAL
U. S. DEPARTMENT OF LABOR
NATURALIZATION SERVICE
No._/21f.!ltftf .. ·[Ell~ ft/1!;1 .,~~~~ ~, ~~~·
~ DECLARATION OF INTENTION
~Invalid for all purposes seven years after the date hereof
44:~~------)55 • In the-~~--Court .
-~-~~~1£. of __ :2/-~g---~~ ~~ -----------------~~-----J:/-~----------------------------------• aged ·--~_Q _____ years,
occupation --------------------~~--------·• do declare on oath that my personal
description is: Color ~----• comRlexion -------~---• height~. fee~--inches,
weight ----1--2 __ 3 _____ pounds, color of hai~--------• color of eyes ____ ,£_~_
other visible d is~nct%e marks _____ _______ _ _ _ ___________ -cJZ _________________________________________________________ _
I was born in cd_-f;Jtfli __ -~,------~-------------------------------------------
~~ ~~e~::=b:.~-~~~:::~:-.,o,;.~~; .. ~~~rJ-::_~;;;;~=r~~i~~
~~~=r~::~e~~--~~~=~~~a -~ro_~_:::::: .. :~:~:=:: __ :::::.:: ___ : __ : ___ ::=:;;;-~-~:S;
• • (lf thft e.lien~;::an by vesa-;i-;'fne ter of 0011 ey&n""/1-t!mJj'f transpt'rtation company ';)'ould be g~ven)
foreign r~s1~ence wa~-1---;:;r"oa&d._ ____ _ -~f I am :::U£~_marned; the name
of my WIfe Is ---------------------------------------------------; she was born at ----------------------------------------------------------
and no \V resides at ---------------------------------------------------------------------------------------------------------------------------
It is my bona fide intention to renounce forever all allegiance and fidelity to any foreign
pri~yotentate, state, or sovereignty, and particularly tof~--~~~_?.__T_
~-~--~k~------------------------------------------• of whom I am now a su~ject;
l arnvec\ at th(potfot ·--~~¥-~---------------------------------------------------------• m the
State ~------------~~--=q·---------------------------------------• on or about the ---------------------------day
of ----------------~--------------------• an no Domini r .. ya£; 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 1:he United States of America and to permanently reside therein:
So HELP ME GOD. ///1/7 , D -/ t1J'--e.L;6-
,. ___ :_r_£~-----------·-----------------------------------
(Original signature of declarant)
[SEAL]
U.S. DEPARTM EN T OF L A BOR
O RI GINAL ~7
NATU RALIZATION SERVICE
~~9 ~~ ~ DECLARATION OF INTENTION
~Invalid for all purposes seven years after the
of my wife is ----------------------------------------------------; she was born at ---------------------------------------------------------
and now resides at ---------------------------------------------------------__________________________________________________________________ _
It . is my bona fide intention to . renounce fore~er all allegianc: and ~to any foreign
~~Ga~":~:r_e':_n_t~: __ a_~~--~:r_~~~l :rl~-to_~ho~ 1 a,;, ~=~;-;
I rived at the port ot -------------------------------------------------------------------------------------------------------------··-, in the
State of ---~------------------------------------------------------------------------• on or about the --------/~---da y
of ____________ :._ __ ///-~-------------------• an no Domini I -fLZ-----; am not an anarchist; I am not a
polygamist nor a lfjliever in the practice of polygamy; and it is my in t ention in good fait h
to become a citizen of the United States of America and to permanent ly reside therein :
So HELP ME Goo. _V~ ____ J{a-..;:t~a!i _____________ _
[SEAL]
(Original signature of declarant)
Subsc,ribed and sworn to befo:e ~n the ~office of the Clerk of
said Court this __ 1_5:._ day of~-· an no Domini I 9 z. o
---~~--~-------~
Clerk of the _ _ ________ _
By~~~------, -
78 ORIGINAL.
U. S. DEPARTMENT O F LABOR
\
NATURALIZAT IO N SERVICE
'9 /),14 No . __ Jdl~_L ___ _
s11l11S or~· ~~· ··~~~ ~ ,;~ .~ ~4
DECLARATION OF INTENTION ~
[SEA L]
~~ No.)J_J_f-/?t ¥
~"·
U.S. DEPAR T MENT OF LABOR
OR I GINAL 79
NATURALIZATION S E RVICE
~~ ~ DECLARATION OF INTENTION
[SEAL]
Subsoribed and sworn to before ~;?in the office of the Clerk of
said Court this_:;k..,l_day of-~,~~--. anno Domini 19-:;.._ o
--~~-Ka~
Clerk of the --~24~ Court. BY .:-~: __ c?__r=-d} __ _f_~~~~---~ _LlF~~§J_ Clerk. ~--~~-=~---?-=--_, ___ -;c_~::__~y-
8 ORIGINAL
U. S. DEPA RTMENT OF LABOR
NATURALIZATION SERVICE
No.i.JJ!a ... /Wd .. ' st t\ TIS or ~AI ~~· ··~~~ .~ ,;~ .V> ~4
DECLARATION OF INTENTION ~
[SEAL]
ORIGINAL 8 1
U. S. DEPART M ENT OF LABOR '?t tf t1 I "''"'""'"" "'""
~ DECLARATION OF INTENTION
[SEAL]
82 ORIGINAL
U.S. DEPARTMENT OF LABOR I NATURALIZATION SERVICE
No.aflcL~ ~1 ~111 or .. ~~· t11·~·~ ~~ ~~
DECLARATION OF INTENTION ~
of my wife is ----------------------------------------------------; she was born at ----------------------------------------------------------
8 n d no\ v resides at --------------------------------------------------________________ -----------------_____________ ----------------___________________ _
It is my bona fide intention to renounce forever all allegiance and fidelity to any for~i~n
prince, potentate, state, or sovereignty, and particularly to ~::::-~-0::-:¥:.~--~
~~~"~-~-k1:LL __ -x__~--~1Whorrfta~now ~ect;
I arrived at the port of ··-'·····-~·-lf-~---·····--------~---~--------··-------------·-:;,;:s:···---• in the ~:·t: __ ~~-:=:--::q~:~1.:':-::.f.-~~~~--o~·;;;;~;-·~:y;3 1 ~:~~~~~:~~;~h;~;-;--·;-~;;:;-~~:~
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. d:::' _ fl ci:£ · c/
___________________ Q_;rj!~----------~-2:P_~-------
(Originalsignatnre of declarant)
[SEAL]
ORIGINAL 8 3
U.S. DEPARTMENT OF LABOR
NATURALIZATIO N SERVICE
for all purposes seven years after the date hereof
[SEAL ]
8 4 ORIGINAL
U. S. DEPARTMENT OF LABOR
j NAT URA LIZATION SERVICE
/::7 c_/7'd. L-f. No,L~J2-~---., ~ 11& or ~-
~~~· ~·~~ ~ DECLARATION OF INTENTION .,.
Subscribed and sworn to before
[SEAL]
said Cour t this ___ 2f-_day oL_
ORIGINAL 85
U. S. DEPARTMENT OF LABOR
NATURALIZATION SERVIC E
No ... L!lE:?~tt_ ~ ~., ~ 11:1 or ~"'WI ~·~ ~~ ~~o ~ DECLARATION OF INTENTION ~
[SEAL]
8 O RI GINA L
U. S. DEPAR TMENT OF LABOR
N ATUR ALIZATION SERVICE
.,~tie or~~ .. ~~· ·~~~.~ ~· .4 DECLARATION OF INTENTION ~
~Invalid for all purposes seven years after the date hereof
JU _ _ _ __ _ _ _ __ : -·-·] In the -~(f_~----------Court
~1-~---------:~-----ss: ot:Y~~--~-----------·
~' -----------~----~------------------------------------------------·• aged -----¥-L ...... years,
occu pation ------------~--------------------------------------------·• do declare on oath that my personal
description is: Color c:2/-~--------• complexion ---~---------·• height ~~-fee t K __ inches,
weight ·----1-~---5. __ pounds, color of hair -----~-----·• color of eyes·---~-------------·
other visi b 1 e d i sti n cti ve marks ~-------------------------------··---------------------------: ________________________________ _
I was born in ~--.,d~g --~--~0"~------------------------
~~ ~~:_::ai--;j_;_:}!l:;.z_-;:_}:Ji;J_~~~~~~~~---~~--~~~~=-~:~---~~~~~~~~:---~---~:: __ ~~~~~~
(Give number, street, ett , and State)
[ emigrated to the United States of America from"-'-~~---------~-------~------------------____________ _
~ on the vesse '------------------------------------------------------------------------------------------------------------------------------·; my st
(lf thfll allen arrived otherwise than by vessel, tne character of conveyance or name of transpC'rtation company should be given)
foreign residence wa~.0.~-~-~/~ ~_:m ______________ married; the name
of my wife i~ ---¥-~---; ______________________ ; she was born at ~-d-~-~-~: ~, ~;~s n~~ r~~~~e ~~~ -j~~--fe!~~~ev~;~ii---~~~~[;j~~~~--;~d---fid~iiiY-i~~;;-y--i~~~~~
prince, potentate, state, or sovereignty, and particularly to t:i.ud:::./~.:?.:!:.E-:_._1~~)d._.A1J:L.~--I::i.J.
~~..rcj~~-~~=1~~--~----------• of whom I am now a subject;
i arrived at the port of ------=-L~--~~-------------------------------------------------------------------------·• in the ·
State of _"7)/;;;·----------------------------~------!lf---------------------------• on or about the __ , __ s_ ________________ day
of -----------.----/-/-f./UL,.·--~---------~-------------• an~o Domini 1 .j-IL(__ __ ; I ~m .not an. anarchist.; I am no~ a
polygamist nor a believer m the practice of polygamy; and It IS my mtention m good faith
~'::, b:~~~:: g~~n of the United States of America 2/e p~/~~erein: ~L------------------------------------------·············-------
(Original signature of declarant)
[SEAL]
Subscr~bed and s~orn to befort]i" in the office of the Clerk of
said Court thts .. J .. day of___ ____ _ ________ , anno Domini ~~0
----~~-7--·------~----------------
/~7 _p;terk of the -~-a~-----Court. BY----~~--~~~ /;r-~--Clerk . CT I i4~;1
U. S. DEPARTMENT OF LABOR
NATURALIZATIO N SER VICE
~· t¥1f'•
ORIGINAL
~~o
INTENTION ~
~Invalid for all pm·poses seven years after the date hereof
87
~--~_Cfj___ _ ___ _ _ · ~------] In the ~-(?._~----------Court
~-'/:2/ _________ -:_ ~-----ss: of :2/~ft~--~-
~ ------~:::Ji~--------------------------------------• aged _____ if::_,?_ ____ years,
occupation ----------~-~-------------------· do declare on oath that my personal
c!escription is: Color~~-------• complexion -~----------·• height ~feet-{---inches,
weight_--/__,{_~---:--pounds, color of hair --~----·• color of eye~------
~t~:s v:~~~e i~Istmctive m:~~(Z~~~:::_::::::::::_::: _________ :_::'J.A-
on the-------~_()________ y~7~ -----------------·• anno Domini I.K J _L_; I now reside
at _______ ,u__L_ ___ ~_ ------~-·------------------------J-a~~-----------------------------------------
(Glvenumber,street,c~ a
~;~~!r~::~e~~--~~:-~.!~~----~-~-~~------·:_-_-_~----~-~-_-____ :::~~~~~~~~~~~;--~;-~~~~ (~_t;;arrhed o erwiBe than by veBBel, the character of conveyance or name or transportntion company should be given)
foreign residence was ____________________ : ________________________________________ ; ~~-~------~~--0 rrie~; th;r~ame
of my wife is -~-----------------u;_:~~s)>om at ---~-~~--""'-~ ~~~s n~~ r~~~~e~~~ -~~~~;;-;x;~-~~-~-~d---fid~JilY-1~--;;;;y ·;~reign
prince, potentate, state, or sovereignty, and particularly to~----P-~
------------------------------------------?11·-----_-------------------------------------------------------• of whom I am now a subJect;
I arrived at the port,J#W.-.1-(U(L"¥~-----------__________________________________________ : _____________________ , in the
State of --~--~---:_Lf----*--------------------------------~--~---------------• on or about the ____ L __ ~--------------day
of _______________ U __ ~----------------• an no Domini 1 __ q:_lk_; 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 pzr ent,!Y reside therein:
So HELP ME GOD. f /1 ' .4
______ !'(~_/,"'~--------~~4------------------------~-'olt. (Original signature of declarant)
[SEAL]
88 O R IGINAL
U. S. DEPARTMENT OF LABOR
NATURALIZATION SERVICE
~· ~~ ~ DECLARATION OF INTENTION
l:W' Invalid for all purposes seven years after the date hereof
~--P.---... ----~s?'.· In the.~~{}!_~----.. Court ~y:M. of .. ~~~ -~ ______ : _____ -_(j;_~-~----~---_______________ , aged .>.iifS::L .... years,
occupati o~---~~---------:-----• do declare o~ oat~hat my p~rsonal
descript ion is: Color ~~-------• complexion ---~------·• hetght-.6 ____ feet~ ___ mches,
weigh)!··~-£ ....... pounds, color of hair ~-~-----·• color of eyes --r~----------------
other visfble di~ve marks ~7)--------------------------------------------------------------------------------------
I was born in CL_~_'!?.::-;7~~-------------------------------------------------------------·-----------------------:~ th~~Vf!!e.tf!z_;;·~oz;_i~:~:---~--~~=,~~i~~ ~ St cmve number, str~t"f~ town, and tate) /a£~~
~~~!r~ ::~e ~ ~--~:: __ ~-~-~~:---~ ~~~-~-~--o ~ Am ~-~~~~ t~:=-~~~--~~~~------------~--~-~~~--2~~~~--=~-~Z~~~~~~~~~;--~-~-~~~~
(lf thl'! ~en an· oth wise n by vessel, tne c c r f con ya.nce or name of transp<'rta.tion company should be given)
foreign r~si~ence was -----------------------------------------; l)illll)-------------marrie~e/Jname
of my w1fe IS ~-------------~--------; she was born at ___ Lf_~r~~-----
and now resides at ___ . ---------_ -----__ --a~~-----------------------------------------------------------------------
lt is my bona fide intention to renounce forever all allegiance and fidelity to any foreign
prir:7e •. potent~te0_:1,a~, or sovereignty, and particularly to ~-&:_~~1-l./
~h-~d/~-7/. -----------------------------------------------------• of whom I am now a subject;
( arri\tid afthe port of ~~Ld..f~-.!Hy~---~Ar~, in the
State of -----------------------~ -----------------------------------------• on or about the _________ }_ _______________ day ~~Iyg~;;;·;~~--~~~-~~--~;;~·;,~~~~e ~~';~~~~~;1~~1 ~~ i~0~ ~n i~~:~~~~\~ ~~~ ~~~t~
to become a citizen of the United States of America and to permanently reside therein:
So HELP ME Goo. .""b~Ori-ff~~----···
Subscribed and sworn to before me in the office of the Clerk of
[SEAL] said Court ::is .... :~-,.~~-~o..._a__,~"--o~--------· anno D:'_":i 192 o --~_{:k __ c:r~
. _;:;;;;:' /7' 4-h Clerk of th e -~{]!_~--Court.
By .La_c.._G __ f/~-~~-______ ) &:L---4~_z7 ____ Clerk . . ----o·-=-~7-~--~~---~
OR IGINAL 89
U.S. DEPARTMENT OF LABOR w d "''"'"""'O' ""'"
No_/2__lf/!t 6 s1 ~ 111 or ~ Al.tJ
~~~ '!rlf'A ~~ .,. ~ DECLARATION OF INTENTION ~
[SEAL]
Subscribed and sworn to befor:~e office of the Clerk of
said Court th is----7-day of~~------· an no Domini 1 o/---(}
--~------:--------~ J----------------
c lerk of the --------------_ --------------------------------= Court.
By _'i;;_;:L_~CL~----------, -~-Clerk.
90 ORIGINAL
U. S. DEPARTMENT OF LABOR
..( NATURALIZATION SERVICE
or~ 4~~ ··~·~
... ~4lt)
DECLARATION OF INTENTION ~
~Invalid for all purposes seven years after tlte date hereof
"'.,#...h._~-~, In the---~~----Court
~~ _ _ _. -·~~s: . of;)/~1-~---~
~~ _______________ _ ___________ ---~~---------------------------------·• aged -----d----f-----years,
occupation ___ ---~--~-----------------; do d;clare on oath that my personal
description is: Color ------~-----• complexion ------~-----·• heighk __ feet _Linches,
weight __ : __ /~--pounds, color of hair -~~-<A-L .•.. , color of eyes~----------·
other visible distinctiye marks~--~~-~---------------------------------------------------
1 was born in ~r-:,.:::;: -.Jd'~do';'--~-;;::-------:----------~----------
on the ----------r=f---r_-~--da~ ~-~----------------------~------·> anna omt~---7--j ___ , I no v reside
at ----/-l--~~-~---ca;;~~~~~-\_Jlf~~,=:::·:;:·-----------
1 emigrated to the United States of America from~----'~'~,=~~7--------------
on the vesse 1 ________ '::._~~--------------------------------------------------------------------------·, my last
• • (U the alien an~thenvise than bY. vesselt t~characte~ ~ vey~nce or name of tmnspC'rtation company should be g~ven)
foreign residence was --~~Lr~~~arr; ;-----~------marned; the name
of my wife i: -------~----:-------------------: she .was born a~--~-=Ai~_ ~~~s n~v; r~~~~e~~~ ~;;-~all -.~~~--a~::O a d---fi·d;iiiY-(~~ey--f~;;;g~
prince, potentate, state, or sovereignty, and particularly to «c<P·~h~.!!.Y:.~~~~ ,. d .. -.L
~~<.r.-?::.~.::=:-4~~-· of whom I am now a su~ject;
I arnved at the port of ---~--------------------------------------------------------------------------------• In the •
State of ----------------p);r··--::_---~~-1f~--------------~--~---------------• on or about the--~----day
of ____________________________ L/.a:JL•. ________________ , an no Dommt r j-11.£.: 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. ---~-~:{ 'f._ ____ zJtg_1t}!f!(/d_1::_ ___________________ _ -y-~· r= (Original signature of declarant)
Subscribed and sworn to before-~-e office of the Clerk of
said Court t:~s --~: __ da~ of --~~:~~-:i_'9 ~ V [SEAL]
Clerk of e... _ _ __ __ _ __ _ ________________ Court.
By ___ 22( -_ __ _ ______ ~-----------) __ &~------Clerk. --7--------;~
O RI GINAL 91
U.S. DEPA RTMEN T OF LABOR
NAT URALIZA T I ON S ER VI C E
w-Invalid for all purposes seven years after the date hereof
#~--_ __ _ _ _ _ ____ ___ In the -~---(Z_~---Court
~"f-"21-~ ss: of 21:~~--~
~' -~~--~~--------------------------------·• aged .;!l_::::L_ ______ years,
occupation ---------~~---------------------------• do declare on oath that my personal
cescription is: (:'olor --~~----• com:Qlexion _________________ · ---------·• height g. feet , ____ inches.
weight _________ j£t/__ pounds, color of hair __________________________ , color of eyes __ _[_~-------·
of my wife is ___________________________________________________ ; she was born at ---------------------------------------------------
and now resides at -------------------------------------________________ ---------------------------------------------------------------
It is my bona fide intention to renounce forever all allegiance and fidelity to any foreign
princ.e, potentate, state, or so ereignty, and ~artic,ula~ t~ ---~----------------------------------------------------~-------1!~_?:__ ___ _ ---~17~L____ ___ _ f-'=4.:.~-----• of whom I am now a subJect;
1 arrived at the port of :__ _ _ _ _____ _ __ ___ _ ------------------------------------------------------------------------·-·• in the
~~~;;;~~~;i~;~;.:it~-:;-,~~~~:~~~~~~~f~:~ ;~~;~~~~:~~~~i%~~:-~~~~
to become a citizen of the United States of America and to permanently reside therein :
So HELP ME G O D. J~ _ ~--~-~ _ ~--~-!~-----------------------17~(,./-------~~~t'ure of declarant)
Subscribed and sworn to before
said Court this_j _~ __ day of_
~~_(f_ ---~------f: Cler';Jf_ the _@a,~ Court
By _____ $'12;7& .. /fJ------,cl5~ Clerk.
[SEAL]
92 OR I GINAL
U. S. DEPARTMENT OF LABOR
NATURALIZATION SERVICE
No .L'3 .. CjLOolt/ ., ~Till or ~~· ~-~·~ • ., qo4
DECLARATION OF INTENTION ~
~Invalid for all purposes seven years after tlte date hereof
sd~~---jss: In the -~-(E~------------Cc
~~------of_~~-~-
~' __________________ cr_~~!:4-~---~~------------, aged ---------A-7---yea.
occupation----------~~!::: ___________________________________ , do declare on oath that m1 persc
· · · • c?)/ 1 ·-t-~-h 'ah r~e ~ ..--, · F descnpt10n Is. Color ~~-------• com lex10n _____ ---------------------·• ei 0 t -~--I et---;2._.:-mch
weight ____ /;2_Q __ pounds, color of hair________________________ _ __ , color of eyes--~--------------
other vi sib I e dis t~ti ve marks~~-----------______________________________________________ : _____________ ~-------·---
( was born in ---~r---V..~-~-------------------------------------------------------------------------------·
on the ___ -~--_______ day of T/:5~-----------·? anno Domini ~_f.1-~---; I now res
t -1...._/~ a ------ -------------- --------------------------------------------------------------------------~-------------------------------------------·
(Give number, street, city vwn, and State)
.. [ emigrated to the nited States o America from L~---~--------------------
on the vessel ____ ----------------------------------------_____________________________________________________________________________ ; my las
(l th" alien a~therwise than by v~e character of conveyance or name of transJl('rtation company should be given)
fo reign r~si~ence was -=-ti~--,----V..~-------------; I a~ ------------~ied; the nam-.
of my wife IS ---~-----____________ ; she wa . born at 1./~----~
.and now resides at _ ____ _ __ ---~------------------------------------------------------------------
~~~~~:~eo?~~:i:n~~~~-~~-~:~~~~~~:1~-::_~~~.
I arrived at the port of ____________ L~~---------------------------------------------------------------------·• in the
~~~;:~;:~~:;~~~~~~:i~--:;~~::;,~~~~i p~~~?i?~1 ~i~i;~~~~~;~=~~~i i~--~i:-~~~~
~ to become a citizen of the United States of America and to perma nen t ly res ide t h erein :
So HELP ME Goo. ----~~-~-----~--~-__ · _'{/
(Original signature of declarant) c~,
[SEAL] subs:~:~·~o:~~~:~~~Zl_::~'9k;:
C. Clerk of th e----~~--Court.
By -~--4'221-~--~'---------------------------, --~~----Clerk .
I tJ:
U. S. DEPARTMENT OF LABOR
IN REPLYIN G PLEASE REFER TO TH(S
Form 142
(O ld 205-B) BUREAU OF NATURALIZATION FILE NUMBER
WASHINGTON 2838 -d-1:392
October 6,1925.
P ro tho notary, CO.fi'll'lOn Pleas Court,
\lashineton, Pa.
Dear Sir:
The Bureau is in receipt of the application of the person named be-
~o~ £or oorti£iod oopy o£ declaration of intention made in your court:
Name: Oscar Howard Malakoff,
Address: Charleroi, Penna.
Declaration number: 1392
The application has been approved and the Bureau is inclosing here-
with Form 115 for the issuance of the copy requested. It should be an
exact copy of the original in your bound volume. You should enter on
the original declaration in your bound volume a notation showing the is-
suance of a certified copy thereof. The blanks in the red ink certificate
should be filled in and signed by you. It is not necessary to issue and
send to the Bureau a duplicate of the certified copy.
The applicant has been advised that the certified copy will not be
issued until your fee has been pa1d. If he resides in your vicinity he
should call at your office to sign and receive the copy, after identifying
himself as the person entitled thereto. IF THE APPLICANT RESIDES AT
A DISTANCE, THE CERTIFIED COPY, AND ALSO THE 'POST OFFICE ADDRESS OF THE
APPLICANT, should be forwarded to the following-named officer for sig-
nature and delivery.
~ TO THE CLERK: Please note
carefully the above under-
scored instructions.
Inclosure.
5-13-25
;-
r
'
j'
Very truly y mrs,
Commissi oner of Naturalization.
14-1091
ORIGINAL
U. S. DEPARTMENT OF LABOR
3
NATURALIZATION SERVICE
Noj2_'f-~-b~ ., ~ 111 or 4-
.. ~f1> ~.~ .V> .4
DECLARATION OF INTENTION ""'!
~Invalid for all purposes seven years after the date hereof
~--!~0~ In the ~-Cl_~--------Court y;---=r / (/ # . ~ ss: . ~ ~r~ ----. --. otc:21~-~~~--
;il, ------¥~~---------------------------------------• aged ___ -;;]_ __ ':.-/_ ____ years,
occupation-------------~---------------------------_, do declare on oath that my personal
~--~~ .. -------------------
[SEAL]
Subsoribed and sworn to befor:_~-~--office of the Clerk of
said Cou~i::::/E'nz_:'_'97-0
~ ~ Clerk of the---------------------__ --·----________ ourt.
BJ' .Eo/-:-~~~~-----------, ff~-!_A_L;:;_ Clerk. r 1 -=-"r=-=-c:-::=:r
94 O RI G IN A L
U.S. DEPARTMENT OF LABOR
NATURALIZATION SERVICE
~Invalid for all purposes seven years after the date hereof
~":/-~---] . In the --~~-0:.~-------------Court
~_uf-3-.f~--~---ss. of :2-l_~f~-~--------·
~1 ---------~~-----------------------------------------------• aged ---~-L------years,
occupation ---------------~--------------------------------------------• do declare on oath that my personal
description is: Color __ ::Jd--~------• complexion ---~------------• height ---'-/eet _j __ inches,
weight -----Ll-~--: ____ pounds, color of hair --~--• color of eyes----~-------
other visi b I e dis tin cti ve marks -~---------------------------------------------------------------------------------------------
1 was born in -JA-~-~7~-----------------------------------------------------------------------
on the ___________ f_L ___________ day of ---~-: ___________________ 9 anno Domini x__.f-:(_T I now reside
at --------~;ij_J--if---~~#;:~ty-;-t,----~;;d-si--;)-------------------------------------------------------
1 emigrated to the United States of Amenca from~-------- ---------ff7------------
on the vessel _________ -~.[75~-----------------------------------------------------------------------------------------; my last
(U thl'l alien arrived ot~ than by vessel, tne ~ter of convey nee or ua of transp0rta.tion company should be given)
foreign residence w ------&:4-~--CQ._-::::._ __ _________ _ _ __ ; I am ______________ married; the name
of my wife is _ . ______ _ _ _______________ ; she was born at --~E.'~.---------------
f~~s n~; r~~~~e~~~ -;~;~B;~;-~~~-~~~~g;;;;;~~-~-;;d--fid~JiiY-\~~~Y-f~;;;g~
~t~ta_e. or-~~~:r~i:(t~:_a_n~p~~~~rl~~~~h~~i~
I arrived at the port of ------------~~~-4----------------------------------------------------------------------• in the
State of -------------------~--------------;?z ____ ----------------------------·• on or about the _________ _.!Si _________ day
of -----------------------------------~-----------• an o Domini r --f-Ll-_; 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 eside therein:
So HELP ME Goo. ----~~-__ : _!~V M:::7
(Original signature of rant) r~
[SEAL] Subs~::~e~o:~~ ~::~:--t~d~~~~~z::_:~k: 0
Clerk of the_______ _ ______ __{Y~----Court.
/h -----By-/-//~ --------------.--'~----Clerk. . ~· '*"'
ORI GINAL 95
U.S. DEP ARTMENT OF LABO R
NATUR AL IZATION SERVICE
~~· -~A ~ q~ ~ DECLARATION OF INTENTION ~
w-Invalid for all purposes seven years after the date hereof
4~~~: In the ... ~~-----Court ~;{!~~-~ of ------------------?J-~--~-
:li, -----------~--:·-~-------------------------------------------• aged ---~--.$.-.... years ,
occupation -----------~----------------------------------------• do declare on oath that my personal
description is: Color --~~--• comRiexion --~· height .~eet _L_~ inches,
weight ---l----1-~--pounds, color of hair -~--• colo r of eyes----~----·
other visible d istinctive marks --~----,-;z~--;:;;;__-----------------------------------------------------------
:nw::e b-o~~n ··_: ____ -:_d~;:~===·rn~~~;-·;·n:r:···i--~~~-;~~id~
at _________ .:_ ------------____ a~---------·-----------------------------------------------------------------------------
(Give number, street, city or town and State) ~ :~7~:r~:~e~o .. tC:JS~:~-~r::.::~::::::::::::.:~_:·_-_::::::::::: _·;··;;;·~-;~~;
• • (If the alien arri'ed. otherwise than by ve~l, the charyte,r of conveyance or name ot' transportation company should be g~ven)
foreign r~si~ence was --~-~--~A~-~1 am -------------rr:arned; the name
of my wife 1~ ----~(-------------------------; she was b~n aY ____ ~-------------------------
~;~s n~~ r;~~~·~~: ·;~~~~~-;;Ij -;;;~g;~~~~--~~d---fid~i"iiY!~--~~~~~reig~
prince, potentate, state.' or so~ereignty, and particularly to -~---~~L __ ez __ "-:".._1-.~~
---~-~-~-1:,.-Jk~----------------• of whom I am now a subJect;
I arrived at the port ot --------------------~-?-!:7:!'!..\-"-------------------------------------------------------·-·• in the
State of -------~-----______________________________ /j_-:_f-_---------------------------• on or about the ______ ---5-------------day
of ----·---------------__ _ ____ --~-------------------• an no Domini I -'f./iJ.. ___ ; I am not an anarchist; I am not a
polygamist 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 a n d to per~anentl reside therein :
So HELP ME Goo. · k ~~ _______ /Jfb _____ (_of~~ sig(,;e.-?f!!+~~----------------
Subsoribed and sworn to before in the office of the Clerk of
said Court this..;2_QI __ day of______ _ ____ , anno Domini 19 :2-o
e _ r, ~~-~ ~:~: -:~:~_::·------~~ourl
By -----------------------------------~-----------, ~ Clerk.
[SEAL]
96 O RI GINAL
U. S. DEPARTMENT OF LABOR
NATURALIZATION SERVICE
No/3.-f'LPd. £/. e1 ~ Tlli or
~~· ~ ~ DECLARATION OF INTENTION
~Invalid for all purposes seven years after the date hereof
~-~~js. In the_~~-Court ~~~~-~::j~ __________ :f~~~~
occupation __________________ __ ------~-----------------------------------------------• do declare on oath that my personal
description is: Color ?1-~-------• comR xion _ _ _________ · _____________ , height ~-feett{ ____ inches,
weight 1--~-----pounds, color of hair__ __ __ ______ ____ ------·• color of eyes---~-----·
other visible disti;:stiv~ ma;ks -~----------------___ ------------------------------------------------------------------
1 was born in -~--~--________________________ -----------------------------------------
~; -~::~~~~~~:~:: __ a: __ ~-~-o~i;;~~~:-~~:r:~i~:
he tfZted States o tm.onom,_,.....,~~ -~ ~:~~:r:::~e~~--~~~~-~~~~~-~-~:=-~-------~--~-~-~-~~~~~~~----~-~:~~~~---~~~--~---:_:_---------~~~~~~;--~-;-~~~~
• • (lf thft alien o.rr?f ~thpise than by v~, tne chyacter; convey&nce or name of transpC'rtatio n company should be g~ven)
foreign residence ~-~,--~..4-~~--------: I am __ : _________ ~hed; ~he name
of my wife i: ------,LL~-----------------------= s~s 4orn at -~~--
~;~s n~~ r~~~~e~~: -~~~~~-;[~-~~~~~~~~-;;;,~d---w~,itY-!~--~~y-;~~;;~
prince, potentate, state~ or sover~ignty, and particularly to ~--/i~~-1---~ ~-~-~~--__ S!fi7rJ------• of whom I am now a su?Ject;
1 arnved at the port of -~--~------~-----------------------------------------------------------------------·• m the
State of -----------~-p--------------~=----! _____________________________________ , on or about the _____ L _Q _____________ day
of ---------------------~~~~---• anno DominLr_~J_~L ; I am not an anarchist; I am not a
polygamist nor a blii~~~~--i;-t-h~ practice of polygafny; 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.
[SEAL]
U.S. DE PARTM EN T OF LABOR
O R IGINAL 91
NATURALIZATION SERVICE
~'fp· ~~ ~ DECLARATION OF INTENTION
raT" Invali(l for all purposes seven years after the date hereof
4~-------- -. In the ~~----------Court
~-/f-J/~~--ss: ot:?f-~§-~---~ ---
~~ ------------------------C::Z:.~-~--------------------------·• aged ___ g__~---years,
occupation -------~-:7 _________________________________________ , d_o declare on oath that my personal
descript ion is: Color ~~----• com~xion --k-------• height --~feet ~-.inches,
weight ---1---!f-~--pounds, color of hair _i::f)'~-----·• color of eyes ___ fij~--------·
other visible distinc i ve marks __ _ ___ _____ ---------------------------------------------------------------------------------------
1 was born in ____ _ _ _ _ _ _ ___ ------~--~~-.;;.----------------------:
on the __________ / ______________ day of ____ _ ____ _ _ _ _________________ , anno D~ini (/_%:f. __ 8"_; I now reside
;te~ig;~~~~-';-(!frf;_;;~;';;Tcff~-:tJ::::;;;:;i:::::=::::=:::-
on the vessel _____ ~~~------------------------------------------------------; my last
. • (If the alie~ed ot~ise thanJ3'y ~of v yance or name oi transportation company should be g~ven)
foreign residence was E~-r---------------------::. _ _ ______ ________ I_;;.m _______ 7 ____ marned; the name
of my wife is-----~----------------: she was om at---~--------------------------f;~s n~~ r~~~~e~~~ -~~~~~~;-~~~--~~~~g;~~~~-~~d---fid~-,-~;y-tc;--~;;y--f~reig-;;
prince, potentate, state, or sovereig~ty, and_ particu la r ly to~fi;f~f--------
~--~-~--~j--14"-f/f whom I am now a subject;
I arnved at the port oi ~----~)/_~14-~--------------------------------------------------------------------------• m th e
State ~p-~------------------~--7 ___________ ?;._l_1f----------~--~---------------• on or about the-----~~-------------day
of ----0-~----_______ ~-------------• an no Domini I _q_o __ C; I am not an anarchist; I am not a
polygamist or a believer in the practice of polygamy; and it is my intention in good fa ith
to become a citizen of the United States. of America an d to permane ntly reside t h ere in :
So HELP ME GOD. _.&d_ _____ :;fr:;;;~-----------------------
[SEAL]
< Original signature of declarant)
Subsoribed and sworn to before--~ office of the Clerk of said Court this .;;U2_ day oL~a~----· an no Domini 19.:<' o
~~------------------------------
-~ TA~'~---------------------~ou7
By ____________ _r_L _: __ -=_Lfl__ ----------_________ ) _A;e/~--Cler~?-. 7~:----7~~
98 ORIGINAL
U. 5. DEPARTMENT OF LABOR
NATURALIZATION SERVICE
\
No .. !~_r;f_(/t/4 ., ~ TES or
~~· ~ ~ DECLARATION OF INTENTION
m= Invalid for all purposes seven years after the date hereof
xf'~-~-__ . _ -------------~ In the --~-Cf~court
~--tt/--~~l~ ss: of~~~--~---
~, ---------------~£~-~~---------------------------------------·• aged ________ .:t__t__ years,
occupation ---------------~-------------------------------------------• do declare on oath that my personal
des.cr iption is: Color ::1/-_:r6d_Z£ _______ , _complexion --~--------·• height -~ f~et -1--inches,
weight ____ j~2t __ pounds, color of hair ~-------·• color of eyes --~~---------·
other visible dis tine i ve marks ---~-~---------------------------------------------------------------------------------------
1 was born in ________ ~--,--~---------------------------------------------------------------------
~~ ~~::::~::::~:::::·:·····---da~ o~ .. :·:··~~~";;s3~;;~::;~:;~-:~~;--~~:~: .. r:~i~:
I emigrated to the United S_tates _of America from --'-~---~~.1?"~---------------------
on the vessel_________ _ _ _ _ ___________________________________________________________________________________________________ ; my last
(l! tho alien an-iv ·se than by ve el, tn~llracter ~;"or name of transJl<'rlation company should be given)
foreign residence was_ ___ __ _ · __ -----~-------: I am --~a rried; the name
of my wife is -----------------------------··----------------------: she was born at ---------------------------------------------------------
and no \V resides at -------------------------------------------------·----------------------------------------------------------·-------------------
It is my bona fide intention to renounce forever all allegiance and fidelity to any foreign
piince, potentate, state, or sovereignty, and particularly to~~--<!:f:--····· ~~~~ft-__ · _aj?d~..,-~of whom I am now a subject;
I arrived at the port of ·-------~-----~-------------------------------------------------------------·• in the
State of ------------------------------=------·---~-------------------------------------·• on or about the ___________ {:__ ______________ day
of ---------------------~-----------• an no Domini r __ q/-fl. I am nat an anarchist; I am not a
polygamist nor a believer in the practice of polyga~y; and it is my intention in good faith
to become a citizen of the United States of Ame~i~a to e~manen 1 · re~~e the n:
So HELP ME Goo. .,{;..__;.
... - - - ---------------·-------------------· -----------(Original signature of declarant)
Subscribed and sworn to befo;e(? ..... i~~e office of the Clerk of
said Court this d'<i. daJT o~z;:-···:.:; a Domini rg;<' o
--------------------___ &_-'.------------------
[SEAL]
£ , ~)i,lerk;:!£ the tLL.'I:Z4m,((;:.d. .. <:<...:_ K-___ -~Court.
By_ ------~=//~(!~4~----, ___ J;d4/A~--Clerk. 1 ~-r----.~-
No. ---f-~_f__9__fJ ,_(/
~~·
U.S. DEPARTMENT OF LABOR
NATURALIZATION S ERVICE
ORIGINAL 99
~~ ~ DECLARATION OF INTENTION
~Invalid for all purposes seven years after the date hereof
~-eja _ _ · In the --~-Q~------Court
~-~~7/,.~;f-~--ss: of _:2/_~~-~-
:11, :--------~cg ____ u(L_Q~---------------------------;------• aged --;;~--Z----years;
occupatiOn ----------~----------------------------------------• ~o dec are on oath t a_ my persona
description is: Color -~~-• comple · ____ _ ___ _ __ _-________ , height Q-=-feet --J inches.
weight --------1-}.Gounds, color of hair _____________________________ , color of eyes-----~----------------
o ther visible dist~ye marks ~~--~~U~-~
I was born in .fdT~-~---~-------------:·--:-----y;j""j----------------:----~; ~he:~~;:J;.:~::a_:~: ~o:'~'m~ -----~~~~~~~~---~---~:=--~~:~~~
(Give r.umber, street, city ~to~n,•rm~ _ j, j .
I emigrated to the United States of America from --~-IL.J____ __ _ ~-------
on the vessel __ ~-~~--------------------------------------------; my last
(If the alien a · • therwise than by v sol be cbara r of veyance or name o~ transportation company should be given)
foreign residence wa _ ___ _ 7 _ ___ _ ____ _ _ · ______ ; I am ______________ married; the name
of my wife is___________ _ _________ -: _ ---~ she~t --~----------------------
an d now resides at ___ 'J;£~(_/_~-----f~~---: _______________________________ _
~~ie~~;;~~~~:~~~--~:~~~~~~~~~~~~~2~~
I rived at the port ot ________ : ____ L~---'1:/-~-------------------------------------------------------------• in the
State of------~---__ ---------------------------~~--1f-: __________________________ , on or about the ____________ [_ _____________ day
of ____________________ ----~--------: ____________________ , an no Domini I --!fa._r;_; I am not an anarchist; I am not a
polygamist r 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 Goo. -----~---fl~--~LI --------------------
(anginal signature of decl~*
Subsoribed and sworn to before · n the office of the Clerk of
[SEAL]
said Court this_2:--L __ day of----_________ _ ___ , anno Domini I9Le;
100 ORIGINAL
U. S. DEPARTMENT OF LABOR
NATURALIZATION SERVICE
No .. /~ __ W, -4
~~· ~" ~ DECLARATION OF INTENTION
[SEAL]
U.S. DEPARTMENT OF LABOR
ORIGI NA101
NATURALIZATION SERVICE
~ _,/_/) ltid .?-/ No.L~f~Y.----~~ ~.,~Til or~~
~~~'\] ~.~ ~ DECLARATION OF INTENTION ~.
~Invalid for all purposes seven years after the date hereof /~~-___ ~ Inthe-~-~Court
rL4-~7h -----~--~ss: of-~~~-~
(/, ---------------~-___ _ _ -------~------------------------------·• aged ____ ?::: __ !_ ______ years.
occupation _____________________ -------------~-------------------------------------p~· ~?__,declare on oath that Il!Y personal
description is: Color -~~--• complexion --~"---------·• height ~feet-~-inches,
weight ______ / ___ .fi__S__ pounds, color ·of hair --~color of eyes-~------·
other visible distinctive marks --~-~--_____ -------------------------------------------------------------------
I was born in ---~-_ ___________ ----------------------------------------------------------------------------
:~ ~he:==-Lrl;~~:~--~o ____ i:i r_:E!sJl _r:~i~:
(Give number, street, cit t n, and Stat b t:J;
1 I emigrated to the Unit~d States ~merica from _____ ---tj------------:/----------~-~----------------------·
on the ve ssel~----~t:______________________ _ ____ _ __ _ __________________________________________ ; my last
(If the o.lien arriv~~ae than by vessel, )b~aracter of nv ance or name ot transportation company should be given)
foreign residence was ____ -:._ __ /~--________________ ; I am ~~~.{ __ married; the name
of my wife is ----------------------------------------------------; she was born at -------------------------------------------------------
and now resides at --------------------------------------------------------· ------------------------------------------------------------------
It is my bona fide intention to renounce forever all allegiance and fidelity to any foreign
prince, potent:be,~e»'or sovereignty, and particularly to __ i(__~ __ fff..~_:rz? ~--r~-----------------------u ------·--------------------------~----· of whom l am now a subject;
I arrived at the port ot ---------~~---~------------------------------------------------------------------··-, in the
State of ---~---~~-----------u"2J ,_'1f------~--------------:--:---------i}J on or about the --~-~---?: __________ day
of ____________________________ 01.._ ___ ..:-_______________ , an no Domtm I -'1---------: 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. _______ (f)f-~~ / ~---~--Q-~----------
7 '""'-c"O;:tginalsignature of declarant)
[SEAL]
102 ORIGINAL
U. S. DEPARTMENT OF LABOR
NATURALIZATION SERVICE .,
'·.
~Invalid for all purposes seven years after the date hereof
~--¢Ld---------~1 -In the--~~-Court (Ldj:.tJj-~ ----t,_ ss: ~ R' of~~ -----------------------
:!!, ----------------------__ _ : ____ __ _ __ :~_-dL _______________________ , aged ______ 3__!{'_ __ years,
occupation -------------:£t-~.LL-~-------------------------·• do _declare on oath that my personal
description is: Color ~~---------• complexion ~-·• height \.2= feet ~--· inches,
weight __ _/ ___ ~-~--pounds, color of hair -~~----• color of eyes--~--------------
other visible distinctive marks ---~---·-·f;·----------z---~-~---------------------------------------------------~nwt~e b;;;;~~~=::~~;;;i~;-·;-j[~2;--j--~~:;-~~~jd~
at --------~r-~----'Z!.~~oi~~;~~;;~~-~~------------------------------------------------
1 emigrated to the Unite_d Stj}tes JIAmerica from _'_xj~4---_ ------------------------------_____ _
on the vesse l _~~-----------------------------------------d_ ________________________________ ; m last
• • (U thA alien e.n·,v~orwi.se than ~vessel , tne ~ ter of con veyo.nce or name of transpN'tation company should be g~ven)
foreign residence v · s _ ~L ~ __ d/.j _ -~~-: I am ______________ marned; the name
of my wife is ---------~------:·------------: she s born 1at .d~---~~ ~;~s n~; r~~~~e~~~ intenii~~~[o-;;~~1.d~liiY--\-;;--,;;:;·-~-
~ri~~a~i=~-~;;;~ic~~:~-~~~:o~-l-~~-n~~ -. ubject;
l arrived at the port ogf _________________ Jfj~---y---~-:k_ ___________________________________________________________ , in the
State of -----------------n·------------;----__ -'-'-*--------------------------------• on or about the -----------~-_{ ___ day
of --------------------------4-::-.------------______ , an no Domini r _(lj:J, I am not an anarchist ; I am not a
polygamist nor a believer in the practice of polygal;y; 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. ------~---~--~-----------
<onginru oignature of declarant)
Subscribed and sworn to before -e in the office of the Clerk of
said Court this _'2:qday of_ __ _ __________ , anno Domini 19 : 1
---------------------------_____ :gg~ [SEAL]
lerk of the ________ .:;:;·::P:7~1Lndd:#.::/7~t4;ourt.
---. . -----------------&~fterk .
[SEAL]
ORIGINA1_ 0 3
U.S. DEPAR TM ENT OF LABOR
Subsoribed and sworn to before me in the office of the Clerk of
said Court this .a;-day of-----~-· anno Domini 19-:2 0 7 ~'7:1t~~trl By~-~-----· ___ d-~ Cle r k.
104 O RIG INA L
U. S. DEP AR TM ENT OF LABOR trl. """'"""'"" "''><'
No.-11/fltfO 4 s1 A 118 or
~~· ~ ~ DECLARATION OF INTENTION
~Invalid for all purposes seven years after the date ltereof
~_;,;_,:_ ______ ).. In the --~-Cl_k_. _____ Court
~¥a'~k~: of:?/~~~~
~ ~------~-<k-~~~~-------------d~-d~~j~~~-~na~:~h-;h:~~~;s:::; ~::~~;:~i~~ -;~~--~~~~~~~-,--~~~pl~~;~~-~~~--~~~----• · ___________ , heigh~-feet ~nches,
weight __ / _ _3 __ ~------pounds, color of hair ---~"-~lor of eyes~---------
other visible distincti~ mar~s _____ ~-----;::::..-?--------------.--------------------------------------------------------------------------
1 was born in~-----~ ___ _ _ --./--~.L1 -~Jt'L _____________________________________________________________________ _
~~ ~-2:1=:~~~:~ _ -~--:-:_ _ __ :··:-· •:no _(E~_~[:__~ ___ :~:_r~~i~:
(Give number, street, ty Ol' e) ~1d_ . ~~7~:r~::~e~o-t~: __ IJ=:~f~::~:=:~::_::: ____ :: _____ ::: __ :~~Jt~~:::::;--;;;-;;-~~;
(lf th• a.Uen 0/!Jl~-· ~r of oonveyanoo or name or transpC'rtation company should be given) :~,:~n :~;~~:n::_:~s_: ____ :::~----:~-=-~-:-~: _____ C~~~-~;-~--~-::_:~:::_~:-~=-e-~:--t~~~~::
and no \V resides at -------------------------------------------------------------------------------------------------------------------------
It is my bona fide intention to renounce forever all allegiance and fidelity to any foreign
prince, potentate, st~ or sovereignty, and particularly to ·---------------------------------------------------------------9J'~-=:::jd~~---l:fj~---L&.£'--L.. _____ , of whom I am now a subject;
I arrived at the port of _____ Q~a!:-~~-tL--------------------------------------------------------• in the ~;;~~;~~~;~r::~~:·:~~~::ir!~~~:~~~:fz~::;:~ ;~·i;:~~~:;~:~~~~i~~i~-~~~~
to become a citizen of the United States of America and to permanently reside therein:
So HELP ME Goo. ~9~
(Original elgnature or declamnt)
[SEAL]
ORIGIN AL
NATUR ALIZA TIO N SERV IC E 105 U.S. DEPARTMENT OF LABOR
No _-J-_@_s Lf. ~4., .. Til or Cr"'. ~-~
4(\VP ~~-.V> '4
DECLARATION OF INTENTION ~
~Invalid for all purposes seven years after the date hereof
sJ~.diu_ __ iC2~-~-------l In the -----~~4&!Court ~-Y--2E~-FJss:. of /l~d~~
~~ ·----------~-----~---------------------------------------------·• aged _____ 2__5£_ years,
occupation ------------~----------------------------------z-·· ~do declare on oath that my personal
cescription is: Color -~~~----• complexion -~.c.L.C.-4----------·• height _s;5.1eet f -inches~
weight ____ _/E_ __ L __ pounds, color of hair --~---• color of eyes----~------·
ether visible. d~tirfo1J.vEJ marks ~---------------------------------p--,;-·-----------------------------------------~nw::eb.~=~-2~:::::~:~-~-;~"1~-~~~-;~~jd~
at --------------------~a~----------------------------------------------------------------(Givenumber,street,c~
~~~~!r~:::e~~~ S~a~es ~f ~~e~~~~-~-~:=--------~~-~~--~~----~-----_-_-_-_-____ __r; __ -!'>... ___ ~---~--t.,---~--~-~~::::::~-t::<~--l<:':l~-!L:-~~~~~·
. • (If the alien arrh e ot ise a y ve"Lsel, the c~cter of conveyo.nc~ame ot tmuaportation company should be g~'·en)
foreign r~si~ence was ___ _ _____ -----~--~-~------~---: I ~/ __ 7 _______ marned; the n~me
of my wife Is ______ _ __________________ ; she was born at~~---
and now resides at __ _____________ __ __ _ _ _________ Qg_,_~------------------------------------------------
It is my bona fide intention to renounce forever all allegiance an
prince, otentate, state, or sovereignty, and particularly to \,_..,;~.-6A~~
·-----_ _ _ ________ · ______________ __________________ ____________________________ _ ____ , of whom I am now a subject ;
I arrive at the port of __________ _ _ ___ _ _ __ __ ':_d ____________________________________________________________ . __ , in t h e
State of -----------rx_---7!--------------~d..-_________________________ , on or about the _____ /_ __ ~---------day
of ________________ £?~-~-----------------------• an n o Domini I .f:-<!1-~; I am not an anarchist; I am not a
polygamist nor a believer in the practice of polygamy {and it is my intent ion in good faith
to become a citizen of the United S tates of America and to permane ntly reside therein :
So HELP ME Goo:
[SEAL]
Subscribed and sworn to before me in the office of the Clerk of
said Court this~day of ---~a:----· anno Domini 19 .2-o
___ s;;VO::::,_~_.{; ___ t?_~-·--
Clerk of the -------~-CJ~urt.
-d__;;;.o....-.--'-'=. • • ~---------, er:rry_ Cle rk .
106 ORIGINAL
U.S. DEPARTMENT OF LABOR
V 0 /J J. """""'""" '""c'
No .. J!Jo ____ ¥ ., .. ,~~ or ~'fp· ~-~. ~' ~~.4 ~ DECLARATION OF INTENTION """11
~Invalid for all purposes seven years after the date hereof
xf-L-...&-:JfE. _ · In the ----~-CJ!>~ Court
~-~--_ ··-f··-·· ~ of ·'%~~-~~
~' ________________________ _ ___ __ _________ -------------------------------------------------------------·• aged -------~--years,
occupation ______________ _ _ --~-----------------------------------------------------• do declare on oath that my personal
description is: Color -~~------• complexwn -~~-----------·• height'\!5L. feet¥-:. inches,
weight _j_1J_ __ 5_ ___ pounds, color of hair------~ color of eyes --fj-~~--------------·
other visible. distinctlY,e ~ ----~-------------------·----------------------------------------1 ________________ _
~nw~e b:: __ ''(_~d~~--~~~:=-~~-~~--D~~;-~;-·;:J'jl:·-;·-~;~-~~~jd~
at -----~+-~a_________ __ ____ ___ __ ____ _ _L __________________________________________________________ _
(Givenumbe s t,c~~ ~ ~~7~!~::~e~o-t~:_d[~_r:: ___ : __ ::_:::_::~-.:_: ___ -:::~~:::::;·-~·;;~~;
. . .. (lf th~ alien aniv~o~he0~n by vessel, tn~r of conveyance or name of transpC"rtation company should be g~ven)
forei gn res1aence ~s -~·---/~--~...a:::.~--------; 1 am ______________ marned; the name
of my wife is ---W~--'-1:-~: she was born at --~~_r;E_g__. ________ _
and now resides at _______ jJ_{!;;);;fj _____________________ ~-rC:Z:.~:------------------------------------------------------------------------
It is my bona fide intention to renounce forever all allegiance and fidelity to any foreign
prin~tentate, state sovereignty, and particularly to --------------------------------·--------------------------------____ o.f~-::-_ ___ _ ________ . -----------------------------------• of whom I am now a subject;
l arrived at the port ofZ'J1. .. _ ---F~----------------------------------·-----·------------------------• in the
State of -----------o;:!;-:L-/-!_____ -----------------------------------------------• on or about the ---------7-:::------------day
of ____________________________ e/:. ______________________ , anno Domini r__ff22 ; 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 Goo. ~ e. ~
---~o;igm. .. i;;""in~tur~ ot d-;;;,i~~{)·---------------------
Subscribed and swc to before me in the office of the Clerk of
said Cour~~m~:i.I9~ o
Clerk of ttfe __ ~~Court.
Byt:JlJ_~~---------, _ _d;~-Clerk .
[SEAL]
U.S. DEP A RTMENT OF L A BOR
O RI GINALl 01
I NATURAL IZATI ON SE RVICE
No ... f_t±g _ _J/)~~~~TII or
y ~\\ ~-~ .(t~~ ~~~ ~... ~4
DECLARATION OF INTENTION '9ft
W"' Invalid for all purposes seven years after tile {late hereof
~--1JY~~s: In the.~~--~~ourt -~i:J!~f;~' . of.2L~~~ ~ :··-_ _ _ :··!"'f_~-~---------------~----------• aged ·;/'~----year:;
occupatiOn -------~--------------------------------------• do aeclare on oath t at my person
cescription is: Color'*~-----, complexion ----~-• height ~feet -~{{inches.
weight -f-~----pounds, color of hair -----~----• color of eyes ___ ~
other visi b I e d i sti n cti ve marks ----~-------------------------------------------------------------------------------__ _
I was born in a~~!!!£~ - --------------r---€~----··:··----------------·:··-
on the --/?---~-~day of_____ --~e.U7.:·---------·• anno Do n1 '----'fJ'Z I now resJde
at _ _2_2-tj--~-~~;;;-;;~~"be~:~"tr~~t;~~-f(-~Q., __________________________________ _
I emigrated to the United States of America from ____ (]~--~-----·
;:r:~~ ::~:~~-_:m~:~~;;;·;;o;;~~~:~~;~:~~;-:~~~::
of my wife is ---------------------~-------------------; she was born~---------------------------------------------
a n d no Vol resides at --------------------------------------------------------------~--------------------------------------------------
It is my bona fide intention to renounce forever all allegiance and fidelity to any foreign
prince, p~~ate, state, or sovereign_ty, and pa~~larly to ----~---------------------------------------------------~--------------------~~y::/fof-~ --~---• of whom I am now a subJect ;
I arrived at the port of -----------~L~--------~---------------------------------------------~--------··-• in the
State of -----------;;?t?~--------------4~-------------------------·• on or about the-----------~-----day
of _____________________ :./~-------------------• a o Domini r__fj_L_f; 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. ---~1:£-e ___ Jj_~---------------------------~--------
(Original signature of declarant)
Subscribed and sworn to before me in the office of the Clerk of
[SEAL] said Court this .. ;--_a~ of-~_1f;fq~~-~
Clerk of th --~-(/!~court.
By-~~~~~-------· -~Clerk.
1 0 8 / U.S . DEPARTM ENT OF LABOR J N AT URAL IZ ATION SERVICE NoJ _LjQ~_O ~ .,~,~· or .~1) ~-~·~
.. 'V> ?fA
DECLARATION OF INTENTiiON ~
O R IGINAL
_f~ ____ (;_-:rti:t. /-r ,-~-J / ~. ~
(Origlna.loignatnre of dec~~
Subscribed and s worn to before me in the office of the Clerk of
[SEAL] said Court~o_f_£~~::_I:i_'9~
Clerk of the ---~~~Court.
By _22;_)4:1~~ ------,~Clerk .
ORIGINAL
U. S. DEPA RTME NT OF LABOR 109 rJ t( """'""'"". ""'"
No.J.tf.e.rt ()' A .,~Til or ~~~ ~·~ ~~'VP ~~. ~ DECLARATION OF INTENTION ~
a;r Invalid for all purposes seven years after the date hereof
w/£~f]:._ In the-~-_Court Y~ . . of ?£~~---~-u:.~
~' ·-----------~~q:::/~------------------------·• aged _______ 2:-__ _ ___ yea ~.
occupation--~--~--~~. do declare on oath that my personal
cescription is: Colo~------• complexion__ __ · _________ , height \Sfeet _c__ inches,
weight(_ __ ~---~-pounds, color of hair__ _ ___ __ ____ _ ________ , color of eyes--~----·
other vis i b I e d ist1 n cti ve marks ----~----------------------------------------------------------------------------------
1 was born in ~----~~-~~·······-·························:·:··
:; .the~.cf!:;;L~· (!}~:::;;i}2~ ....... :~-~~~~~--~---~~: .. re~I :~
(Give number, street, citry-rr;;;• and State) · 0 /J
I emigrated to ~tates o America fr~m ------~~---~---------·
on the v essel____________________________ __ _ -------------~-----------------------------------·; my last
6
• (If the alien arrh/::)Pe:.J:e~'fi.a.n ~y ve~e~haracter ot conveyo.nc r name or transportation ~ompany should be g~ven)
foreign r~si~ence was ____ '!':"~L!'~ __ _ ___ _ --~ am .::z.L.tlrnarned; the name
of my WIfe Is ---------------------------------------------------; she was born at ----------------------------------------------------
and now resides at ----------------------------------------------------_______________ --------------------------------------------------
It is my bona fide intention to renounce forever all allegiance and fidelity to any foreign
prince, potentate, state, or ~reignty, an? yarticularly to --------------------------------------------------------~------
·----~--~JI-j!?--~~---------• of whom I am now a subject ;
I arrived at the port of ------~-#-~-----------------------------------------------------------------·• in th e
State of ________________________________________________ {_ __________ -2/~-¥-..-------• on or about the --------'-7------------day
~~iyg~;;;·;~~--~~~~--~~--th~··;r~~~~e ~~~~~~£;~n~ ~~ i~0 ~~\~~:~~~~\~ ~~~ ~~~~
to become a citizen of the United States of America and to permanently reside therein :
So HELP ME Goo. -~<~~+-----~~---------------(Origi~f;ure of declarant)
Subscribed and sworn to before me in the office of the Clerk of
[SEAL]
'
110 ORIGINAL
U. S. DEPARTMENT OF LABOR
NATURALIZATION SERVICE
4/fi{)_l/_d.f ., ~Til or
~~· ~~ ~ DECLARATION OF INTENTION
~Invalid for all purposes seven years 1 after the date hereof
y{..I~~CA~~-----_ In the --~CJ!~-court ;~'---' SS • n / · -~if_f/L ____ -----7;--_ · of _g;-~-;J--~-~--
:ll, -----------~---~-------------------------------·• aged -----~-years,
occupation -----------------~---------------------------------• do declare on oath that my personal
description is: Color -~~-------• complexion ---~-· height~----fee7---inches,
weight ______ _J_;$.1--pounds, color of hair --~--• co~ of eyes----~~----
other visible distinctiVJ . marks ---~-----------------------------,-------------------------------------------------------~nw~e b~~--i ~_::---~d~QF~~;;;;-~;--;-:?~:~-~--~;;~-~~~jd~
at ______ Qj~<L(G;;~~;;;;,;-;,~;;;f!:--{'?',;;,_;~_L!J--~-----------------------
~~r~~:r~::~e~~--~::_~':::l}t~~-St:t~: A~er~~a ~~::_:~::::'!!~:~~~;
(lf th., alien arriv othe~~~~~c~f co~veya.n~r u~me of tran sp0rtation company should be given)
foreign residence was _ · __ --~~----~---: I am --~arried; the name
of my wife is ____________________________________ (J_ ___________ ; she was born at ----------------------------------------------------------·
and no \V resides at --------------------------------------------------------------------------------------------___________________________________ _
It is my bona fide intention to renounce forever all allegiance and fidelity to any foreign
pri~ce, pote~tate, state, or so er i~nty, and par:i~l~to -~--fi~~--~~~ _ ______ _ _ _ _ --~~-H of whom I am now a subJect;
1 arrived at the porlc;r:_ ·-------___ ___ _ _ __ _ __________ ----------U---------------------------------7:-------, in the
State of ---------~-------------------------------------------7;--------:--~-------------~on or about the ________ :: __________________ day
of ______________________ __ _ _ _____________________ , an no mmt r _Q __ , ____ ; I am not an anarchist; I am not a
polygamist nor a belie er in the practice of polygamy; and it is my intention in good faith
to become a citizen of the United States of America and to permane~ reside therein: S~HE P M~,GO~D. • J~~-•-~--------a ~ J (o'~ture of declarant)
~ Subscribed and sworn to before me in the office of the Clerk of
said Court this--/$ day of ----~nno Domini 1 g;:2-CJ
lSEAL] ~ ~~~:=~ourl.
By ____ _L~~-2)~~~C!erk.
. U.S. DEPARTMENT OF LABOR
ORIGINAlli
NATURALIZATION SERVICE
No _j_{;t!/O&flfv' s1t\111 or ~~· ~.4"., .. 4~ q~ .V> ~
DECLARATION OF INTENTION ~
-\ , . _ .......
[SEAL]
Subscribed and sworn to before ~; ;~e office of the Clerk of
said Court ~~da~of_:---~~~~ 0
_ ~ ~: _________ LfJ:;, -----------ourt By{f;_~ _____ .//-(-_V1/~---~ ___ .. c ••• ~Clerk. , , ... 1~~/
O RI G I NAL
112 U. S. DEPART MENT OF LABOR
NA TURALI ZATION SERVICE
No . J?f:f y_{J_o-f /
~· ~~ ~ DECLARATION OF INTENTION
[SEAL]
---~ - , ~ --~-r'~~-----------~lsig~~-~ide'cJ.;~-------~
Subs cribed an d sworn to before me in the office of the Clerk of
said Court th is---/-~ day oL ... ~_fo'-----, an no. Domini r 9 ;1--tJ
<f' -~;t~~~ourt.
By ----·--~<2LL;.1 ___ , ~n-Clerk .
U. S. DEPARTMENT OF LABOR
ORIGINAL113
NATURALIZATION SERVICE
O RIGINAL 114 . I u. s. DEPARTMENT OF LABOR
NATU RALIZATION SERVICE
No.J!fft_tf fJtJI+ .,~TES or ~~· ~-f'·~ ~ q·~ ~ DECLARATION OF INTENTION "'ft
eT' Invalid for all purposes seven years after tlte date ltereof
~--11:/---~~r-----]ss. In the-------~ __ -------~ourt -~--1/-'21-LuL-h!...... · of _df,________ __ , __ --~~-------------------
~' ------------~~-----~ _____________ __ _ _ _ __ __ _ _______________ , aged _________ -!/(--years,
occupation ______ ------------------------------------------------------------~-------· do declare on oath that my personal
description ~: Color ____ :l/~---• complexion______ _ ___ "_:-___ , height~feet;L<Z inches,
weight _/___fz_(J_ ______ pounds, color of ~air ~-K _____ , co!o:J.:j:L_ .. ~:-··----
~t~:sv:~~~e 1 ~i~tJ~~-:~-:~ ____ :: __ :_::~~:~::
:~ -t~)..2-J:!Ji:;...;d:~Q~i:i ___ ''!t..:: __ I ___ :~=-r :~i~:
(Givenumber,street,cttyor;_~te) // ~ _ -+-,
I emigrated to the United States of America from ----u::./~_a_._ __ ~--------
on t~e ves~el ___ ~ -.;;-.;:;~~~.-;:;~;.;;·.;-!!~~~;p~~;;ii~-;;~~;;;-p;~;;;l.~-;,1 d_b;·g:·,~;.;:) ___ ; my last
foreign residence was.kJ[~t:Lq::.------~--: I am -~arned; the name
of my wife is ----------------------------------------------------; she was born at ----------------------------------------------------------
and no\ v resides at ------------------------------------------------------------------------------------------------------------___________________ _
It is my bona fide intention to renounce forever all allegiance and fidelity to any foreign
prioce, poten~ate, state, or sove~eignty, and partie larly to~-&..~~----#----~-~ _________ __ _ _ ---~ __ '4-Cff,=--• of whom I am nck a subJect;
I arrived at th port of ·---------~-~--¥, -----------------0-: ______________________________________ : __________ , in the
State of --------~-~----7 ·------------~.L---~-------------·• on or about the ---------(----ff.. _______ day
of _______________ .t1)~------------------• anno ~omini 1 .¢(a; I am not an anarchist; I am not a
polygamist nor a believer in the practice of polygimy; and it is my intention in good faith
to become a citizen of <he United States of Amer~ _to perM moe,tly reside there in:
So ~!f:op. --~~~)':~,..$~:1:-
. '} (Ori~:7l'"rtu rdectara.ntJ
(!!//v :; "'~ ~~~ ' ~ "Subscribed and sworn to before me in the ofi1ce of the Clerk of
LsEAL] said Court this~~-da~ of-~--~a~9_2.6
~lerk 5{~ e _______ ___ _ __ _ __ -~
By .. E'OL:.-~4~~--,----~lerk. d / ·(j
U.S. DEPART MENT OF L ABOR
O RI GINAL . C:::.. llu
ar Invalid for all purposes seven years after the date hereof
~-____ cL".a..,-______________ lss: In the--~~ourt ___ _ __ _ _ _ -f;-~~-of -~adfL __ , ___ @b_, _______________ _
~' ·----------------------~~------22J~---------------------• aged -----~--~---years,
occupation ___________ _______ _ _____________ -------------------------------------~ do declare on oath that my personal
cescription is: Color -~-----• complexion ---~eight ---~feet ___ Mnches,
weight _____ j_f?~--pounds, color of hair~ color of eyes--~
other visible_ distinctive marks -~-----------··;-··--------------------------------------·-z,··---------------
1 was born m ~_b_----~-~-~--~~f
on the--~--------~~ of ·------~.L:;-------------·• anno -f>omini r_f5:_82'( I now r~ . {_ ifo--. ;te~i~~~d to the Un~ted-~tate~-~;_-%;;;;~;~~----~~:-_ -:_------
on the vessel____ _ _ _ _ _ _ __ -------------------------------------------------~----------: my last
• • ( the alien ~t~baracte r of conveya~ame or transportation company should be g~yen) :~r~~n :~;~~:n::_:_a_s ____ : _a'=-------~------::;~-bo;~-~=-~~~~-e~-;--~he_:~::
and now resides at -----------------------------------------------------------------------------------------------------------------------
It is my bona fide intention to renounce forever all allegiance and fidelity to any foreig n
prince, potentate, state, or sovereignty, and particularly to ~~-:1:.-'!::'Z'ft:J(i~ ~'JI..-.ddz-~~1}~-~. ~m.-nl'iipW a su_ ject;
I rn v ed at the port o t ________________ -:1?-'--~---_________________________________________________________________________ ., m the
State of ------------------------------------------<'1/'-·---------~---------• on or about the _______ ::;z., ___ x______ day
of -------------------------~-tJL::-----------• an no D ini 1 ---~d I am not an anarchist; I am not a
polygamist nor a believ&-_ 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 ~anently reside therein:
s~qo. ~ \, -~-~-~---~--------
,.cr~ of declarant)
Subscribed and sworn to before me in the office of the Clerk of
,_.--'--~-<:1-1~~-----said Court thi{ .. ~.day of------~---__ , anno Domini 192-0
[SEAL]
116 / . U. S. DE PART MEN T OF LABOR v NAT U RALIZATIO N SE RV I CE
No J;}Lfa ___ /)o-ftf .,~,~-or
~~· ~ ~ DECLARATION OF INTENTION
O RI G I NAL
ORIGINA L vO· S. DEPARTMENT OF LABOR
NATURALIZATION SERVICE 117
\ ()of~
No _ _ItfL 7 s1 ~Til or ~~· ~-,~~ ~~ .4
DEC LARATION OF INTE NTION ~
118 ORIGINAL
U.S. DEPARTMENT OF LABOR
NATURALIZATIO N SERVICE
No. ___ J#tllol tf1
., ~Til or ~~· ~-~·~ ~., ·~
DECLARATION OF INTENTION ~
[SEAL]
U.S. DEPARTM ENT OF LABOR
ORI GINAL119
NATURALIZAT IO N SERVICE
No .. itll-1l/~:;1~TII or~-
1)~1)\J "~~ ~ DECLARATION OF INTENTION ~.
~ ' , ~' . ____ __ _ ----U-~------------------------------------------·• aged _____ k.:z._ ______ years,
occupation _______________ _ _______________ -------·------------------------------------• do declare on oath that my personal
description is: Color -~----> complexion--~~ height ~-JeeC:: .. inches,
weight --1---(+9-----pounds, color of hair ---~---• colo of eyes---~
other visible dis~ ve marks -------;,-------------_ ;;.z-;---------------------------------------------------------------------
1 was born in LJ:.. __ ____ _____ _ _ _ __ _ _ -------,-----------------------------------------------------------------------:; -~~-=-~:~ ---~~~~--------__ --~---~--~-~.~=--~~-~--~~~--~!c~:-~---~~:--~::~~: ~:7~!r~::~e~o--t~~~ed St:te:_ ~~ ~~~:~~~~··=~~:~a:t:::::=;-;;;;·j~~;
. . (If the alien rhe~ o erwise than by ves..,l, the c~nveyanc e or name or transportation company should be g~ven)
:~r:~n :;:~~:n::_=~s-------~:~:::: ;~e ~~~;-;-~-:~-a~rle-~;--t~~-:·-~:
and now resides at ------------------------------------------------------------------------------------------------------------------------
It is my bona fide intention to renounce forever all alle~~e and _fideli~y to any foreign
State of ___
7
_________________________ ~------~----------------• on or about the ____ (.,(; ___________ day
of ---------------~------------------------• an no Domini I -1-LJ:.._; I am not an anarchist; I am not a
polygamist nor a believer in the practice of polyg<tfny; 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 Goo. 111"" ~ _ N ---~-----~-~---1c~-----------------
[SEAL]
(Originalsignature of declarant)
Subsc;ribed and sworn to before me in the office of the Clerk of
said Court this _ _.f..,§:day of------~---, an no Domini 1<?-0
~ ~~-:~~ourt
By ________ :: __ ~~/!~-~~_..-T _, ~---Clerk. v -r-r---=-,J__~:,
ORIGINAL
120
NATURALIZATION SERVICE
U . S. DE PARTMENT OF LABOR
,; -
No . ---1-fiMV ~; s1 A. 11:~ or
~~1)~
~ DECLARATIO N OF INTENTION
[SEAL]
U.S. DEPARTMENT OF LABOR
OR IGINA:t 21 v NAT URAL IZATION SERVICE
No .. L't .!:'Ltl~ ., ~Til or ~-
.~~"J ~.~
-OJV> D4
DECLARATION OF INTENTION ""'~/
~Invalid for all purposes seven years after the date hereof
~~~<L .. lss: In the.~ Court
-------- ---------~~-7 of ~-~·-----------: ____________________________ _
~, ·------_ __ _ ~--~----Fi!~--~ged -------.3--S:--years.
occupation ___ -------------~---------------------·• do declare on oath that my personal
description is: Color ~----• compJexjpn ~·· height'.:i..Ieet. _.inches,
weight .--lt~·:--pounds, color of hair _d_~ col. r of eyes. ... ... .. . . .......... .
~t~:sv~:~~~~tlnctlve .. ~a~~:-~-~~r;~;;~
on the ___ .(f_9Z____________ _ _______ day of ______ _ __________________ , an no ~-i-~;-· 1 _________ -::=-.,2_1 now rest de
at _________ _ _ ___ __ _ __ ______ _ _____________ ------------------------------------------------------·-----------------
<Givenumber,street,ci~
~~7~!r~:::e~~--~~~~t~~f-A~-~-~~~~-~~:~-~~~~~------------~------------------------~-~~t::-->/.---~~-:.....--~4--=:::~~-:.t:-~~-~z.,--~&~;':l.,_ m,-:::1--~;~
. . iu·o;;-;·;,;;,;-:;e;.;r.o;~~· .~ • .,-fu. -~., ••• , oo "'M' :~r:~n ~;:~~:n~:~=~s::'Z:=~:~~w~s boZ!' .. I_::~:.: ... :.: ........ ".I·e-~;--1~~-:~=:
and now resides at -----------------------------------------------------------· ___________________________________ -------------------------------
It is my bona fide intention to renounce forever all allegiance and fidelity to any foreign
prince, potentate, state, or-sover ·gnty, a_2;d partic~Iarl y to .Llu.o~~~
~~---_·_ -~~~~~~su.~e1 ;-·
I arnved at the port ot ______ __ ~ _ __ _ __ __ ------------------------------------------------------··-·• m the
State of ----------------~--p-----------------/--/f---~--------------------------• on or about the __________ _2=_(2 ______ day
of --------------------~----------------• anno Domini L 9}2_7. I am not an anarchist; I am not a
polygamist nor a believer in the practice of polyg/my /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 Goo. -
Subsoribed and sworn to before mf;F;_~t> the Clerk of
[SEAL]
said Court thisJ-3-da of--------~'-___ , anno Domini 19 -:.;? -a
122 OR IGINAL
U. S. DEPARTMENT OF LABOR
NAT URALIZATION SERVICE
No.f_/j_~ ~fv(
~~· ~~ ~ DECLARATION OF INTENTION
m'"' Invalid for all purposes seven years after the date hereof
~-'f---_C1!.a_. ··--------------------] In the ------~!J~ Court --~ _____ t(,f__ ___ }_f-_~--------------ss: of _,,ll/~·----~----------------------------·
. ..(...4~~~u.~..u......e::~ __ i,d ________________________ , aged ____ ¢:_0! ____ years,
occupation ______________ __ __ _ _ ___________________________________________ , do declare on oath that my personal
description is: Color -~~-• complexion__________ __ _ __ ' ___ , heigh~feet .fAnches,
weight ---/-~unds, color of hair~~---___ , color of eyes ___ ~------
. other visible distinctive marks ____ _ · ___ ----------------------------------------
[SEAL)
Subscribed and sworn to before me in the office of the Clerk of
said Court this_/~-day of---~-~-----· anno Domini 19 ;;z-d
-~~-L::r---~~~--------
Clerk of the-~-~-Court.
By 4--2ft--:::3f& ----------, --~~--Ckrk.
U.S. DEPARTMENT OF LABOR
ORIGINA1 23
[SEAL]
ORIGINAL
U. S. DEPA RTMENT OF LABOR
NATURA LIZATION SERVICE
[SEAL]
------------------------------,..,-RrGJNP\t:-------
U.S. DEPARTMENT OF LABOR
NATURALIZATION SERVICE
;.In 5 ~du v No .L~&_____ ' s1 ~ 1'1:1 or ~~· -~·4"·~ ~~ --D4
DECLARATION OF INTENTION· """
&""Invalid for all purposes seven years after the date hereof
~~--;1_~---~C?_a__ ______________ l
_______ a·---¢-~~---------ss ..
[SEAL ]
In the ---~~ourt
of -----~-~~------~---~------------------
_________________________ : ______________ .. , aged ·---~year s ,
1 25
126 U. S. DEPARTMEN T OF LABOR
ORIGINAL
N A TURALI Z ATION SERVICE
No. ____ L_ __ !J_ __ ~ (} j:
~~· ~~
'G DECLARATION OF INTENTION
(Orlginalllignature of declarant)
[SEAL]
ORIGINAL
U.S. DEPARTMENT OF LABOR 1 27 NAT URALIZATIO N SERVICE
IJ.,/;· v'
J L/-v7001r-
No ...... -······-·--------· ., ~Til or
ft~· ~·~·~
.. ~ DECLARATION OF INTENTION ~.
~ r~~soribed and swo rn ,!9 before me in the office t he erk of
said Court this ___ }0day of-----~-_ _ _______ , an no Dom ini I 9 2-0 [SEAL]
--:i__ ----- ------ ----.r ____ -----~
Clerk oft ----~Q~ourt.
By -~~v ___ 2J~--; ---~ l__~~(Clerk. u . ~-..!L --'-'7.::. 1"-6 ~
RIGINAL
128 U. S. DEPART MENT OF LABOR
NATURALI ZATION SERVICE
[!L ~ o-1 '-{--/ -
No ..... +--------() ~ ., ~ Tl:~ or
~~~
~ DECLARATION OF INTENTION
[SEAL]
U.S. DEPARTMENT OF LABOR
OR I GINA1_ 2 9
\
/ No/tl=flf__jJ~~ • ~ &111 or
. • ., 1!\\ ~ ~-~
.. ~'f)~ ~·~ .. ~ -~ DECLARATION OF INTENTION ~
NATURALIZATION SE RVICE
130 OR I GINAL
U. S. DEP ARTMENT OF LABOR
NAT URALIZATION SERVICE
No.t-!f~~lf~: stA.TII or .~'f) ~-~·~ .V> ~4
DECLARATION OF INTENTION ~
'
Subscribed and sworn to before me in the office of the Clerk of
[SEAL] ~id C ourt~~~~~9 ~
By .E~~:~0~~ .. ~~~~~::: -.. L~~-k: .. ~.e •. y-~-y_--
U. S. DEPARTMENT OF LABOR
ORIGINALl3l
NATURALIZAT ION SERVIC E
No.JIJ:_2_JJri'-J-.,~,~~ or
ea9 ~ ~41~ ~<t~ ~~,o
.~ '4
DECLARATION OF INTENTION ~
[SE AL]
132 ORIGINAL
U. S. DEPARTMENT OF LABOR
NATURALIZATION SERVICE
or~ 4~~ ··~·~ ... .4
DECLARATION OF INTENTION ~
&"Invalid for all purposes seven years after the date hereof
--~f£{l_g_ ________________ l ss: · In the ___ ~ _ ___ _____ .{.!;; . __ -------Court
... &..-¥--~~------------· of --------~-----····-----···--··--··--··------·
:Jl, ---~---~-------------------------------------------·• aged .... 3.-t--· years,
occu~at ~on -~------------------___ _ ____ .--____________ ------~-----------------• do declare o~ oa~at y p~rsonal
des.cnptwn f: ~o~or --~-______________ , _comple_39on~ hetght ·-----·feet -f--mches,
wetght ----/--~pounds, color of hatr --~color of eyes ---ff:.=-~-----------·
other visible disti tive marks ----~----------------------------------7__ ________________________________ _
~nwt~~e b-o~: .. in_::~:::::· d~;-~~--¥~-~~~~--D~;;;·i~;--;·:;_n:~·;-~·~;;;;~~;~-~
at ___________ ___ _ ___ ___ _ .. ----------~-------------------------------------------------------------------------------------------------
<m•on"m'"'·'"""d"~ ~ ' ~~~~:r~::~e~~--~~~:~~~--~-~--------------~-~--~--~~-~~~~~-~----_-_______ t[~
(lf th~ alien arl'jye erwise than by vesse tne character of_?~vey~nce Ol' re of tranSp<'rtation company should be given)
foreign residence was__________ __ ___ __ __ 7-----~-----: I am ______________ married; the name
of my wife is____ _ _ __ __ _ ___________ ; she was born at .. ~---~-----
and no\v resides at ____ _. __ ___ _ ____ ____ _ __ __ ____ -----~------------------------------------------------·-------------------
It is my bona fide intention to renounce forever all alleg iance and fidelity to any for~~n , ·
prince, potentate~ state: or sovereignty, and paArticularly toO~~-~~-,-~~_ ~~-.L:}~~~~~#1flo'W'fSubJect;
i arrived at the port of ·-----------~--~-.:.-------------------------------------~-------------------------------------·• in the
State of --------------------------------------:/1-~--~-~-----------------------------·• on or about the ------------~--if-day
of -----------------------~ ~~----·• an no Domini r __ fZo...if i am not an anarchist; I am not a
polygamist nor ~~-~~ii;'~er in the practice of polygarf1Y; ~n d it is my intention in good faith
~~ b:~~~~: g~~n of the United States of Am:~_c_k ___ ~m,~;z~:s~:e:::r~i-n.:
[SEAL]
(Original signature of declarant)
Subscribed and sworn to before me in the office of the Clerk of
said court ::~dayoL ... fl~9=o
Clerk of the_____ __ _ ---~Court.
By.~~~.d.~--------1 .A.~~ ~j *~---Clerk. (7' v--b'·y~z~-
U.S. DEPARTMENT OF LABOR
ORIGJNA~3 3
NATURALIZATION SERVICE
No ---Jir0 _ _230 o-!~1 ~,~~ or ~~· t41·~· .. ,~ ~'o .V> ~
DECLARATION OF INTENTION ""'W
134 ORIGINAL
U.S. DEPARTMENT OF LABOR
NATURALIZATION SERVICE
[SEAL]
U.S. DEPARTMENT OF LABOR
OR IGINA1s s
NATURALIZATIO N S ERVICE
No -J~:£5'() b/ ~--.,~Til or ~~· ~-<t·~ ~~ .4 Q DECLARATION OF INTENTION ~
136 OR IGINAL
U. S. DEPARTMENT O F LABOR
NATURALIZAT ION SERVICE
No .J_t/2 .. 6 .. /JtJ/I f .,~Til or ft~· ~-f'·~ .~ ~~ Q DECLARATI ON OF INTENTION ""¥/
U.S. DEPARTMENT OF LABOR trl '""'"'""'" """'
\
ORIGINAL13 7
No.f_t!f_3 ·2 0 ; &1 t\ Til or
.. <t~ ~·~.,0
~'~ ~ ~ DECLARATION OF INTENTION ~
138 ORIGINAL
U. S. DEPARTMENT OF LABO R
NATURALI ZATION SERVICE
No L!l :zgp ff f ., A TIS or !\~· ~-t'·~ .~ ~4 ~ DECLARATION OF INTENTION ~
(Original signature of declarant)
[SEAL]
U.S. DEPART MENT OF LABOR
O RI GINAL 13 9
NAT URAL IZATIO N SERVI CE
No _ _jtf-3_-f-/!if~ .,~Tfll or ~~ ~ ~·~ ~~ ~~,A ~ w~ ~ DECLARATION OF INTENTION ~
[SEAL]
the name
~-~.~.,----------------------
Subscribed and sworn to before me in the office of the Clerk of
said Court this .. ld'day of--~~--· anno Domini 19d-d
-----------------------------~---~~-
~ Clerk of the----__ _ _ __________ __ ___ Court.
By __ (£__~~~~~----,,~~--Clerk. --~-~-------~-l&-53
1 4 0 ORIGINAL
U. S. DEPARTMENT OF LABOR
NATURAJ.:.JZATJOH SERVICE
"
No . .J.!fl[Q_Ii~; s11l1r18 or
~~t)
~ DECLARATION O F I NTENTION
[SEAL]
U.S. DEPARTMENT OF LABOR
O RIG INAL 1 41
NATURALIZATION SERVICE
No. jljJf/ oz •' t\ Til or ~-
~~~ "•~ ~ DECLARATION OF INTENTION ~.
Hr' Invalid for all purposes seven years after the date hereof
~--1/:-(Z:~--------------~ In the -~Cf~Ldl.L ___ Court
__ fl~(L-----~--~~L----SS ." Of __ 'Jd_~, ___ ea_. ______________________ _
~' -----· · -------7 ----;r -----,..-~----------~~-------------·• aged ·---d-~----years,
occupation ----·--··-----------~ _____ ----~-~~ ~~l~re on oath that m~ersonal
description is: Color ~-----• c nnp~xion ---~--· height -~-feet ______ inches,
weight -----/~ pounds, color of hair -~• color of eyes~------------·
othe r visible di,,!inctive marks--~---~;;················································
I was born in . . ....... -----------'------------------~----~-~~~~~~------------------------------------------..
:; -~~-~--~~~~~~~;;~~:;.;··--=~~--~~r:si~:
~~7~=r~=~e~o-.11~:eri~~-~~~:.::::.:~-:~::::::::: .. :·.?::::::::::;··;;;·~-j~~~
(If the alie ar · otherwise than by vesse l. the chara r of ct;>rtveyft~ name ot transportation company should be give11) ~
foreign r~si~ence wa ___ _ _ _____ -----------------------,~~ I am ______________ ma,rried; the n_a~!-
17 of my wtfe Is---------------~------------: she was born at __ _ _ _ _ _ _ _ _____ q_._ __ ~
and now resides at --~7(£_0=_____________________________________________________________________________ .
It is my bona fide intention to renounce forever all allegiance and f~n
~rince: p ~~~tate, __ s.~r-s~ve eJgnty:_an·~--~:r_t'~~l:rl~-~-o .. :~~~ 1 ~~-~~;,;·a subj~~~~
I arnved at th ort ot _____________ :-.. __ ~---------------------------------------------------------------------------------··-• m the
State of ~pr---=--~ _ -----(7----:"-----------------------------·• on or about the--------~--~---------day
of -----------~~-----·----------------• an no Domini I _y_Q_T:.,; 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 Goo. ______ !! _ #!~ o I(~ ~ !!:_ ________________________ _ '--f~igiMleigna~~t)
[SEAL]
ORIGINAL
142 U.S. D EPARTMENT OF LABOR
N ATURALIZATION SERVICE
No _ _f_{l=q_kooz .,~Til or
~~~
~ DECLARATION OF INTENTION
W' Invalid for all purposes seven years after the date hereof
1:!:jrj~:::::::· ss: In the~~::;zE~)~:~: ~ __ :v~-___ __________ __ ___________ ~7f¥---------------------• aged _____ :f'l__£ ___ years,
occupation ---~ _ __ _ _ _ ___ ----~4~12._, do declare on oath that my personal
description is: Color -~----• complexion ____________ Lj-·• height -~feet-~-inches,
weight ---1-~S..-pounds, color of hair-----------------------------_, color of eyes~-------------
other visible . distin_~e marks -~--;;-----------------·-rr·--------------------------------------------------
~nwt~e b~~n;_:i!:..:::~~ _ '--~=~~;;;;-~;--;·:ffi?l---~~::;;-~~~jd~
at --~-Jk:-~--¥-~~dJ_______ ------------------------------~~------------------------------
(Give number, street, city Ol' to , d State
I emigrated to the United States of America from_____ __ _ _ _ __ _
on the vessel ________ ~-.A---~-----------------------------------________________________ ; my 1 t
. . (lf th~ alien ani ed ot ise than by vessel, tne~ter of conveya.nce or rue of transpPrtatio n company should be g~ven)
foretgn residence was_ · ___ ___ _ __q__,v ___ r,_____ ___ _ _______ ; I 2f71------------marned; the name
of my wife is-------~ ______________ ; she w(JB"rn at .,dr~~~
~;~s n~~ r~~~~e~~~ -i~te~tl~~ to ren-o~~~e-f~;-~ll--~~j;~~~--;~d~~i~-ii-ty--t~--~;y--f~~;fg~
~~~~~~~:_a_n_~--~:~~~~~:~t-~=~t~~=
I arrived at the poriiii3!__t of _____________ ---------~-~--------------------------------------------------------------------• in the
State of -----------------------__________ __ ----:1f-----------------------------------P on or about the --------L-~-----day
~~iyg~~-i-~-t--~~~--~--b~lle~er l~--t-h~--;r~~~~e ~~~~~~[~~ ~~ i~0~~n i~~:~~~i~t/n ~~~ ~~(t~
to become a citizen of 1he United States of America and to permanently reside therein:
So HELP ME GOD. -~--~---~;-.:o;;.;;;,;;-------------------
Subscribed and sworn to before me in the office of the Clerk of
. said Court th is . .J..If day of---~ an no Domini I<P"-d
(SEAL] ~::r~tt!:Y!:t~:!~ouri
By.fl'--~~~--,~-Clerk.
U.S. DEPARTMENT OF LABOR
OR I GINAL14 3
NA TU RALI ZA TI O N S E RVI C E
No/d:f:t.~_Jjo-/;1-s1~TII or ~~· ~·t'~~
.. ~ DECLARATION OF INTENTION ~.
Subsoribed and sworn to before me in the office of the Clerk of
said Court this/t--dayoL ... ~no Domini 1<?--o
~~~rl-1 -~~--B-ry_~_---~--~2-~~-,~-Clerk. ~
[SE AL]
144 O RIGINAL.
U. S. DEPARTMENT OF LABOR
NATURALIZATION SERVICE
No.{td_tf_cfLI~: .~ .. T~~ or 4(\~<J ~·~~~ ... .A
DECLARATION OF INTENTION ""'11
ar-Invalid for all purposes seven years after the date hereof
~--d~~------j In the------------------------- ------·--__ Court
___ (!_...,__'f-----1}!_-~-----ss: ' of 6Ji:~-----~~---------------------
occu!t~~~-~~~~~~~:: .. ~=::=::··;;~d~~;~~~-;;na~:~h-;h~;~;-~~;s:::;
description is: Color ~-----• compjrx~n ---~----• heigh~---fe~ _.!£inches,
weight ---------i--7-D-pounds, color of hair --~---• color of eye~--~
other visible. dist·nc ·ve mark~----------------r...;z:~--------------------------------------------
1 was born m ___ ___ __ ____ _ _ __ _ _________________ 7~0--:--D~i·;·------------------------------------------
~; ;t:·:;:i~~::~~~ ·:-·:·-~_:_:::_~0:~~~~~--~~~==~-~--~~=-r~s-;~:
(Give number, s&eet, cit~ to;r~state) . ~
I emigrated to the United States of_ America from-~-~--~~---
on the vessel_____ _ _______ -------------------------------------------------------------------------------------·; my last
(lt th" a.lien a.rl'iv erwise than by vess~ c_ha.ra.cteOf ~nveyftlu~ or uame of transp(lrtation company should be given)
foreign residence was----------------__ -~-~--------: I am~arried; the name
of my wife is ---------------------------_______________________ ; she was born at ---------------------------------------------------------
and no \V resides at -----------------------------------------------------------------------------------------------________________ --------------------
It is my bona fide intention to renounce forever all allegiance and fidelity to any foreign prince, potentate, state, o s;t>Ye!~n;y, and particularly to "1'...~--£;~---
__ ,0' __ ~~-_ _ ___ --~~-;r---~ ____ -----------------------------------------• of whom J-am no~ a subject;
1 arrived at th _ po of --------4=--------------------------------------------------------------------------------------------·• in the
State of -----(2--;---y~--~-----~----_ --------------------------------------• on or about the ____ ?:-__/-------------day
~~iyg~~-i-~~~~~--i~--t-h~--;r~~~~e ~~~~~~~~n~ ai~ i~0 ~~n i~~:~~~~\;n ~~~ ~~Jt~
to become a citizen of the United States of America and to permanently reside therein:
So HELP ME Goo. ___ (1~----~ .-~----------------------(! <er::Jm11:~;>·
Subscribed and sworn to before me in the office of the Clerk of
saidCouu~~~~?-0
Clerk of tfre _{______________ _ _ __ __ _ ______ ourt.
By cf_~flr__<;;!_-::~---, 4y~--Clerk.
[SEAL]
U.S. DEPARTMENT OF LABOR
O R IGINAL14 5
NAT URAL IZA TI ON S E RV ICE
No. J/j__d___;zlJ~ .. ~ .. Til or
:JJI -\\ t4!4f~ ~~~~ ~1t~ ~ DECLARATION OF INTENTION ~.
~Invalid for all purposes seven years after the date hereof
~:t~:::c}s: --_ In the ~;-~::Z~::_~o~~~
~' ·--------------~--_p;, _ __ ___ _____ _ _ __ ---------------------------·• aged __ if}__~----years ,
occupation -------~--~--------·• do declare on oath that my personal
description is: Color -~~----• complexion--~· height ~feet tL__ inches,
weight __ f __ ~ __ cf_ ___ pounds, color of hair----~--· color of eyes~--·----------·
other vi sib I e dis tin cti ve marks ------~----------------------------------------------------------------------------__ _
I was born ~~-~--------------------------------~---:·--------;----------------------~---
on the ----------------------------day of _______ @:-~C[__ ____________ ., anno Dommi ~__K ____ c:r; I now reside
at .. 02 .. £-j-----~-~-(G;.; •=b.;;;;;;;;;;;; --, --;--.-, .... ;-______ r:f_ __ ~----~-------------------
~:7~=r~::~e~o-t~:--~~i~a--f_r:~_::::::~:J':~_:·_-_::::~:~
• . (If the alien a.rrivW~an by v esaejt the c,haracte f nveya e or name oi transportation company ehould be g~ven)
foreign r~si~ence w~_; __ ~~---_ _ _ _ _______ ; I am ______________ marned8· he name
of my wife Is --------~---------------~: s e was om at ---~~----____________ _
and now resides at _____ @:-~ _ -------------------------------------------------~--------
It is my bona fide intention to renounce forever a! all egiance and fide lity to any foreig n
prince potent~te, sta e, or sov~rei nty, and partic ularly tiff/~?;;_~
·------~H~_z:______ _ _ _____________ , _______ ----~~---------__________________________ , of w h om I am now a su.bJ ec t; ;JZ . . (}+-~ .
I arnved at the port ot ------------------------~----_____________________________________________________________
7
____ .. _., In the
State of --------------------------------------4---¥--------------------------------·• on or about the __________ :fC2. ____________ da y
~~iyg~;;;·;~~-~-£~~~-;~--i-;;;--;r~~~~e ~~~~~~~;{0-~n ~ ai~ i~0~~n i~~:~~~~\~ ~~~ ~~~~
to become a citi z en of the Uni t ed States of America and t o perman en tly reside t herein :
So HELP ME Goo.
[SEAL]
__ fJtf;; ___ ~~-----------------------
-(Original signature of declarant)
Subsc;ribed and sworn to before me in the office of the C lerk of
said Court thisf---9":-day oL----~-· anna Dom ini 1¥-0
------------------------------~~----
Clerk oft. ---~~ourt
BJ' ___ E__~C) __ -:2/-7·----------} -----------~-_____ lerk.
14-b:
•
O RI GINAL
146 U. S. D EPARTMENT OF LABOR
NATU RALIZATION SERVICE
No.__f!f_q;~_l!of; .,~,~$) or
~~~
~ DECLARATION OF INTENTION
~Invalid for all purposes seven years after the date hereof
__ if_~'-----] In the-~-~--Court ·--~71;7= ss : c:;JJ
________ _ ~ -----~~-·---of -------------~-----~~--------------------7~ ~ 1 /J /} I ~~ ·--------------------------_________________ LL-1~--------------------------·• aged ______ cg __ ~-----years,
occu~ati_on ·:·-------___________________ -.------------------------:-----------------• do declare o~ o~~hat my p~rsonal
descnptton 1s: Color ~----• complexton ----~------·• height ·-____ feet~-mches,
weight __ /_ __ 3 _Q ___ pounds, color of hair ____ d_~ colo~of e es --------------·-----------------------·
J •
other visible. dis~nctjv~ marks --~ ---------------------~:::.___ ----r--------------------
~nw:e bo~:~.':j~~~=~--:: ___ ~.:~.-=:·~~;:;~··o~;;;;-~;-·;·$j~;---i·-;;~~-~~~;~~
at --~1 ---0!--~----: ________________________________________ ::_ _____________________________________________________ _
(Givenumber,street,ctty~ ~
~~~~:r~::~e~~--~~ i ted ~ t:~~-~----~-----~~~~-~~~--~~~-~~~:~~--------· _______ :_~~~~---~~~~~;--~~-i~~~
{lf tbft en aniv otherwise than by vessel, tne ch~('j /-:yan~r ~ame of transp0rtation company should be given)
foreign residence was _______ ____ __ __ ------r-~-~--------: I am -~--married; the name
of my wife is _: _________________________________________________ ; she was born at ----------------------------------------------------------
and now resides at ----------------------------------------------------------------------------------------------------__________________ _
It is my bona fide intention to renounce forever all allegia~ce and ~elity to any fore~
prince, potentate, st or sovereignty, and particularly to ~-{Q~_U/-
~£~£1------___ __ ~-----------------------------/[~-----------------------• of whom I am now a su~ject; la~i;edt: t e port of ......... ..z5Jl't/'2], ____ '7,--·-···· ---------------------------------------------------• m the
State of ~--;·J7:·---~----;-·-------------------------cr---O -----------------------------• on or about the ____ ='!:._y_ _____________ day
of ----------~-------------------------• an no Domini r !!f/£_; 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 Goo.
[SEAL]
_ _d_~-~--~~~------
(Original signature of declarant)
Subscribed and sworn to before me in the office of the Clerk of
said Court this..L. .. d y of ---~~no Domini 1¥-u
------------------------~~
Clerk oft -~-0~----Court .
• ~m/~A ---~ ~~ By ---------~---Q.---<---14-v _______ ---------____ , g)_&_________ _ ______ Clerk.
• £4.--..:)C)
U.S. DEPAR TMENT OF LABOR
ORIGINALi 47
NATURALIZATION SERVICE
~Invalid for all purposes seven years after the date hereof
~;t---__ -----~~-:------------------~ In the --~~----Court
~. '?I ~ ss: f "'11. fl . r?!-o. ----·-------------------------------------·---------------o. L£~--------------------------------------------occu!ti~~--:::::::_-~=~--_ ·::=:~----_:_ ·::::·--: --~~-d~~~~~~-~na~~h;~~'f.;-~-e;s:::;
description is: Color ________ _ . _ _ _____ , compl on. __________ : -----------·• height ~feet& __ inches,
weight _____ ;_.0z __ ~-:-pounds, color of hair~. color of eyes-~-----·
other visible di~~-------------------------------------------------------------------------------
:;~;~~~~~~::~:-~~~-i:~:;-~~~-~1~-:~=:~~~i~~
(Give number, street, city ~own, and State)
I emigrated to the United States of Ameqca from L~~--------------------------------___________ _
on the vessel __ ~------?1--~-------------------------------------------, my last
.. • (If the alieu arriYe therwiso th by vessel, the~cter of ~onveyance or nr:Je ot transportation company should be g~ven)
foretgn residence was _ . ________ \.£__~-----: I am -~marned; the name
of my wife is ----------------------------------------------------; she was born at --------------------------------------------------------
and no \V resides at -------------------------------------------------------------------------------------------------------------------------------
It. is my bona fide intention to . renounce for~~er all alleg~e ~nd ,p~elity to any foreign
pnnce, potentate, state, or soveretgnt~, and parncularly to .. U~----f.--r£..~
-~---~----~~----------------------------------------• of whom I am now a subject;
I arrived at the port of ·---------------------LI-----o/------------------------------------------------------------------------·-, in the
State of -----------------------------------~--1:----------------~--~----------~~ ~n or about the --------"!---_--------------day
of -·---------------~-----------------• an no Dommi r --7--------• 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 Goo. ----t:::-__________________ ,£!_ _ _ ____ ------------------------
conginal ature of declarant)
Subsoribed and sworn to efore me in t e office of the Clerk of
[SEAL] said Court this /f---day Or-__ ---• an no Domini 19 /--"
-----------------______ .,.1.______ ----------------------------
~ Clerk if the--_______ . ____________ --------~ourt.
By __ t;;;_'2__:_:L2J~~-------------~ -~ ~--Clerk. r . vry-u .. --b ~
ORIGINAL
148 U. S. DEPARTMENT OF LABOR
NATURALIZATION SERVICE
No .. JLiifU&/1 . ~ .,~~ or ~-,~ ~~~'l
.. ~ DECLARATION OF INTENTION
~Invalid for all purposes seven years after the date hereof
~----4--£~--.-------] In the --~if~ourt .. ev .... ¢~~: _______ ss: -of 2i:~~J!!.&_, __ z _________ _
~ ---'--~· -lf~<-----------------------------------------------------• aged _____ L.f: __________ years, occu~ati_on -~~-~~ o~ ocr-th that m~p~rsonal
descnptwn .!(: ~lor --~---• complexlort1 __ ~, height~ feet (Q __ mches,
weight _}_~------pounds, color of hair ~---------• color of e~e s -~-----
other visible. di~e marks ---~---~~-~---~'t---~-------~nw~e b-o~n-'n __ d::~4~;;--o~;;;;-~;--;·=il~li--~~~-~~~;~~
at ____ .:;;;l_~~-2 ______ , _____________________________________________________________________________________ _
• • (Give nu~ber, street, ctty o:: ~·~t at<>) ~
I emigrated to the Umted States of Amenca from ----=Vf7-~------~-------------
on the vesseL_ ' _ __ _ ____ ?':_ ____________________________________________________________________________ ; my last
(lf thn alien ani.~erwise tha.n by vessel, tne ch~_r of conreya.uoo O.[ name of tranap('rtation company should be given)
foreign r~si~enc~ wgs _L_~-~~------: I am --------------m~rried; ~
of my wife I: __ SJdk _______ a _________ ~ __________ ; she wa~ born at _§~_~9::£~-----------
f~~s n~~ r~~~~e~~~ -;~;;;~~--;;~~g-fidcl·;;y-t~--~~Y--f~~;;g~
~ri~~::.~:t:~_ta_t~: s~~t:·~r--~:~:r:;;:; .. ~:rt~u~~~~-~0--=~--.-~f ~h:~~
I arrived at the port of _______________ !:_ __ {f_:lr-------------------------------------------------------------------------------, in the ~;:~;:i~;::~~~:~:i:~~~~~~~~i~~~~~ln1 ;~·i;~~~~:~i=~~;;:--~~:~~i~
too b:w~n of the United states of Am:7~J&t~r~--~:::i_n_:
o_;~ :-_::~-4 h/11/,_' .l(-q_ Bign reofdecl~mnt) V ~/v--....-r~Subscr~bed and s~orn to before me in the office of the _c_Ierk of
said Court this-J-~day of-~----· anno Domm1 1g.;>. CJ
[SEAL] ?:;=(} /JZ!_ ~ p _ £ . -----------------------_____ C:_ ______ ~(__L __ ~ .... .::.
_;;:::::--Clerk of e a~~-Court.
By _(£;)._ ___ ~c_)--~~-~ / / &~-----Clerk. -~---~-.--7 / r-
U.S. DEPART MEN T OF LABOR
ORIGINA149
NA TURA LIZ ATION SERVICE
No. /tLt£i/~.y' •' t\ Til or
~~ ~ DECLARATION OF INTENTION
il@r Invalid for all purposes seven years after the date hereof
~~~:~Z::Jss: In the ~;-T~e~_::.~:~'.t
~1 ·-----------------~---CJ?~-------------------------------• aged --~-6_ ______ years,
occupation~---~-~ _ _ __ _ _ _ _, do declare on oath that my personal
description is: Color ~----• c plexion _______ ----------~---------• height \2 __ feet ~--inches,
weight ---~-L-a'-\2=-Pounds, color of hair ~----• color of eyes--~---·
other visible distinctive marks ~---t.?:::-::!P~--1--~~-~·
!nw:e b~~: i/ ~~~--;;~;;;;·~;;:2i:fi·;-~~;:;;·;~~~~-~
;~~i~~~~~~-~~--~
on the vessel _________ ~-~-----------------------------------------------~t
(It the alien .. ~thorwi•• ti~M· character of con,;;'7ance o~ nz· oj transportation compnny •hould b• give!l)
foreign r~si~ence was .. ':..L~-----{J-~4c---~~ I am ______________ married; the name ,
of my w1fe IS---------~/@;·-----------· she was bom at ~--fi}o~aL ~ . f;~s n~~ ~~~~e~~: -;~~-;~~:tc~;';'~;~~d···fid~liiY--!~--~~y--f~-;;ig-;;
prince, potenta~e, state, or sovereignty, and particularly to_ ~~if.-:~~-~~·
~-~ _--__ -i}~-~---~~~now1asu_bJec t ,
I arnved at the port ot _____ _ __ _ _ _ __ _ ---------------------------------------------------------------------------• m the
~r;:;~~;~;~~~~~:~~~£i~i}2ln~ ;~~;~~~~:;~:~i~\~~~~-~;~~
to become a citizen of the United States of Amer ic a and to permanen t ly reside therein :
So HELP ME Goo.
[SEAL]
Subs<>ribed and sworn to before me in the office of the Clerk of
said Court this_L _f--_day of-----~?;------· anno Domini 19 ::7--o
9£_~ _____ £__'Q~
Clerk of the --~--f~ Court.
By __ L __ ~-2Jtv _;zt~----------~ ~~.-_ Clerk. r1 -y--------~=~:7-
i
I
1_50 U. S. DEPARTMENT OF LABOR
ORIGINAL
NATURALIZAT IO N SERV ICE
No.Ji6JJM4 e11lTII or
~~· ~ ~ DECLARATIO N OF INTENTION
U.S. DEP A RTMENT OF L ABOR
OR I GJNAL151
NA TURAL IZ ATI O N SERVICE
No .L'l£-~:",~TI:I or
·YkW' ~ ~-~~ ~~f) .,.
~ DECLARATION OF INTENTION 'rtf
[SEAL]
Subse>ribed and sworn to before me in the office of the Clerk of
said Court this ,;;_a __ day oL---~-----· anna Domini 1 cp-o
SJd~ __ (Q.!/{;Z_~
. Clerk of th{!__~~ourt.
By [i_3::_/}j}d~------, H~ Clerk.
I
I
-I
152 O RI GINAL
U.S. DEPARTM ENT O F L AB OR
NATURA LIZATION SERVICE
No. __ _t:!±!ii! I):" s1 ~Til or ~"' ~ ~-~-~~ tt10 ~ DECLARATION OF INTENTION "4
Subscribed and sworn to before me in the office of the Clerk of
[SEAL] said Court this:~:~:~-a~:~:~-~Zff;?~
~ J CJ.1;k oft e --~~ourt.
By ________ . ___ t2 _____ L//~~J~~-Clerk. (/ --7---------.~7-
U.S. DEPARTMEN T OF LABOR
ORIGINAL i 53
NATU RA LI ZA T IO N SERVI C E
No .. J!l~ ~1-1~,~~ or~-
4~1) ~.~ ~V> D4
DECLARATION OF INTENTION ~
~Invalid for all purposes seven years after the date hereof
~---f/!;--r2~~---]ss. In the-~-~ Court I' -----~---1;---~~---· of --~~1 ---····•·------------~, ·-··--·---_ _ _ ___ ___ _ _ _ --------------~---~---• aged ---~_f:._ ____ years.
occupation ______________ _ __ _ _ _ _ _ ------------------------------------• do declare on oath that my personal
cescription is: Color __ _ _ _, _ _ ____ , complexion---~ height ~feet _T inches,
weight _, ____ (p ___ Q ______ pounds, color of hair ~color of eye~
ether visible dis": :a~ks ---~---------:-:;!;6---------------------------------------------------------:nw~e born--i~L::1Jl::!£~: .. : ~h;;~~;-·;·"ij.2;···i--~~~~~~;~~
at _E ' __ _ '-_ ----~_Qd_._ --------------------------------------------------------------------------
co~~~ number, street, clt~to~, ~State) . . • ~
I emigrated to the United States of .A miCa fr.om_.k:V..~,~~~
on the v essel _______ :_ __________ ___ ___ __ __ _ __________________________________________________________________________ ; my last
(If the alien ~rwise than by v~yanc r name · transportatio~~d be given)
:~r~~n \:~;~~:~::_:_~~------~-~-~~~~~~~~~~~~-; s~~-w;~-~~r~-~-----~-:=-~~~~~-~~~~~--~----~~~-i-~-~-~--~-h~~~=:
and now resides at ------------------------------------------------_________ -----------------------------------__ ---------------------------
It is my bona fide intention to renounce forever all allegiance and fidelity to any foreign ~
prince, potentate, state, or sovereignty, and particularly to --~~--?;;'~ J/ ( ~
~:r--j/f.-~~---······················-····················• of whom I am now a subject; ·
I arrived ~he port of ----------------------------~~----------------------------------------------------------------------··-·• in the
State of _________________________________________________ :::_IJ---_ _ __ , _______________ , on or about the ------'----7 -------------day
of ---------------------L2AL~---·-------------• anno ini L/2J2_; I am not an anarchist; I am not a
polygamist nor a belie r in the practice of polygamy; and it is my intention in good faith
to . become a citizen o the United States of A met ica and to permanently reside therein:
So HELP ME Goo.
[SEAL]
Subscribed and sworn to before me in the office of the Clerk of said Court t;:~;:dayoL-::Ltz:~ 0
c;,.~~~O~outt ,
By .. £&-_2i'_d_~---······· --~~
154 ORIGINA L
U. S. DEPARTMEN T OF LABOR o-fJ '""'"'m"' ""'"
or~ 4~~ ··~·~ .~ .4
DECLARATI O N OF INTENTION ~
------------d-4J!UtL_r)kf __ ~--------------------
(Original signature of declarant)
[SEAL]
H2
(Old 205B) U. S. DEPARTMENT OF LABOR
BUREAU OF NATURALIZATION
WASHINGTON
September 27, 1922.
Proth9notary, Common Pleas Court,
Washingt on, Pa.
Dear Sir :
lH REPLYING PLEASE REFER TO THIS
FILE NUMBER
2838-d ... l455
The Bureau is in receipt of the application of the person named below
for certified copy of declaration of intention made in your court.
The application has been approved and the Bureau is inclosing herewith
Form 115 for issuance of the copy requested. It should be an exact copy of
the original in your bound volume and be signed by the declarant if pract i-
cable ; otherwise, his name may be entered by you in the place intended for
his signature. The blanks in the red ink certificate should be filled in
and signed by you.
In compliance with rule 17 of the regulations, you should enter on the
original declaration in your bound volume notation showing the issuance of a
certified copy thereof. It is not necessary to issue and send to the Bureau
a dupl ic ate of the certified copy.
The applicant has been notified by the Bureau that as soon as he pays
your fee he may receive the certified copy . Of course, if you have already
received your fee, you may proceed in accordance with the foregoing without
further delay. The completed copy may be given or se n t direct · to the
applicant.
Incl.
Name: Bartolo Cassagranda,
Address: Hanlin Station , Pa.
Declaration number: 1455
Very truly yours,
Commissione r o f Naturalization.
a-1991
U.S. DEPARTMENT OF LABOR
ORIGINAL 1 5 5
1
I •
[SEAL ]
156 ORIGINAL
U. S. DEPARTMENT OF LABOR
NATURALIZATION SERVICE
No. ;_Jj_.:z]t>_(J ~; •" ~TEl or
~~~
~ DECLARATION OF INTENTION
Subscribed and sworn to before me in the office of the Clerk of
[SEAL] saidCourt~~~~a
g:_(_ Clerk of thf~-~urt.
By ___________ : __ ~el_'2f~-, ---~~Clerk.
~ "/-.. ~
U. 5. DEPARTMENT OF LABOR
ORIGINAL 15 7
NATURAL IZATION SERV ICE
No l .¥~1fl~ .,~Til or~-
.~~ ~., •
• V> ~
DECLARATION OF INTENTION ~
ORIGINAL 15 8 I U.s. DEPARTMENT OF LABOR o-1 "'"""''" .. ""'"
or~ .<t~ ··~·~ ~· ~4111J DECLARATION OF INTENTION ~
~Invalid for all purposes seven years after tlte date llereof
~-.~a<Y. ____ Jss: In the.~rourt
___ &_~ ___ jf-~b . . of -:"2&+~----~, ----~--------------------~-~)~---·· aged ·------1---r -----years, occup at~~~~~~~~------------___ _ __ ~-------------------------------~~~~~~:=Tct~:lare on orth that my personal
description is: Color ___ --~• compJ!xiWl -~ heigh~ feet --1-inches,
weight ____ _L~ pounds, color of hair ---~-~color of eyes,~
other vi sib I e distinctive marks ----~-----------------------------------------------------------------------------
1 was born in ~~ .... --~-t~------------------------------------------------------------------
on the~-----~---day of --------~-----------·• anno Domini r_jfL_J_; I now reside
at _;£:..:.3_q;{_QL~r(i,,,; n ·;,;;. ,.;;;;;;-,;;y-;;-----; '""_,cz:.12J, ________ 7JJ_'"'"'""'"""""
I emigrated t o the United States of America from -----~-----~4 -------------
on the vessel _____ ~-b~-----------------------------------------------------------------·; my last
(lf th~ alien arriv~6th¥W~o than by veBSel, tne chamc'r ~nveya.nce or uaruo of tro.nsp<•rtation company should be given)
foreign residence was-----~--~~---_ ---~..cLL.L __________ ; I am ______________ married; the name
of my wife is -------------------_ _ _____________ ---~--· e was born at ----~-~
and no \V resides at _ --------------------------t----__ ..!::_,. _______________________________________________________ --------------------
It is my bona fide intention to renounce forever all allegiance and fidelity to any foreig n
prince , otentate, state, o~vereignty, and particularly to -~-~~~-7T:z
__ ____ ______ _ _ __at/!_~--------~~--------------------------------------• of whom I am now a subJect;
l arrived a the /art of __ :_ __________________ ~)1 ---1:/.--------------------------------------------------------------------, i~ the
State of-----------------------~----_________________ 22..'_-::/{-----:--.---------------• on or about the---------~~~-------day
of ---------------------------------_____ _ ___ ! _______ , anno Domtm ,_qf-!/:; I am not an anarchist; I am not a
polygamist nor a believ r in the practice of polygafuy; 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 Goo. -------------~-~-1__~------------------
<onginal signature of declarant)
(SEAL]
U.S. DEPA RTM ENT OF LABOR
ORI GINAL 15 9 .
I NATUR ALIZATION S ER VICE
No .. -L@7j L'~~1~TII or
~~~
~ DECLARATION OF INTENTION
I
~~
r ~Invalid for all purposes seven years after the date hereof
_M~ ____ d_CE~-~--Jss: . In the----~~ court !1 -----~·--¥--1!:-~----of .J.t:~--$~~~ : ~' ------~-_ _ _ _ ----~~~--~----!.:-/: __ q_ ___ years. 'J·
occu~ati_on -~--~---~----~----------------·• do declare o~ oath that my p~rsonal
cescnptton 1~ Color ~---• complexiOn ------~--• height~. feet K ___ mches,
weight _____ ..;.. __ \2 ____ f-pounds, color of hair------~ color of eyes---~---
~~~:s v:~:~e i~i~~~~~:g;::::::::::::::::::::::::::::::::=:::::::::::::::: j
on the ------~-(7----------day f ---------~--------------• a .. nno D~ rj[8:_g I now reside
at -----~ ---------(aite-;~~~--------------------~~-G~------------
~;7~:r~:~e~o--t~~~e~i~a--fr::_::: __ ::_:: __ : __ :__ _ ____ : _______ ·:~:_:_~:~~
. • (If the alien a.rrhed o~se than_ by v~ssel, the c~a/ter ~eyo.nce or name oi' tr sportation company should IJe g~von)
foreign residence was __ _ -~----v..:::. , I am ---------:---married; .t)le name of my wife is ______ __ ~------------: she ~ at -~Q~--------1 ~;~s n~~ r~~~~e~~: ~~~~~~-t~ ;~~~~-e-·;;:V-;,~--~jj~~d---fid~-;;;y·~~--;~--~~reign j prince, potentate, state, or sov. reignty, and particularly to~-~-Gt~
-~-~------___ ----------------------------"---------------------------• of whom I am now a subject;
I arrived at the port of ---------------------------~-------_ -<----~--------------------------------------------~---------··-·• in the
State of -----------------------------------------2 ____ • ______________________ , on or about the ________ } __ 2...L_ ________ day
of ----------------~-----------------• ann Domini r_'!fCZ __ , I am not an anarchi s t; I am not a
polygamist nor a believer in the practice of polygamy; nd it is my intention in good faith
to become a citizen of the United States of America and to p e rmanent ly reside t here in:
So HELP ME GOD. ----~-'i!J!~;;;;;.£~~---------
[SEAL]
ORIGINAL
U. S. DEPARTMENT OF LABOR
NATURALIZATIOK SERVICE
or
U.S. DEPARTMENT OF LABOR
ORIGINAL 1 6 1
NATURAL IZATION SERVICE
No.L':i .. ~~-()o-1 1--.,~Til or ~~ ~ ~-~ ~(tVP ~~,o .V> w
DECLARATION OF INTENTION ~
[SEAL]
62 ORIGINAL
U.S. DEPARTMENT OF LABOR
NATURALIZATION SERVICE
No._f_~y_IJ.)Jt-/-., .. ,~. or~~
~~· ~.~ ~ wo4 ~ DECLARATION OF INTENTION "'(f
a;r Invalid for all purposes seven years after the date hereof
--~-~-£E~--.···-·-jss: In the-~~--Court --~~-c:Ji.:<t."7.A!~.. . . of .. '2t~Cl&_, ___ ~-----
~' ----~-(?~--~--~--------·• aged ______ _/;rf. ________ years,
occupation -----------~--~------------------• do declare on oath that my personal
description is: Co for -~----• complexion---~--· heigh~--fe~ _\.Oinches,
weight ____ ;__Q_~---pounds, color of hair ~-:-1::-Yfolor of eyes--~--~ ·
:~i~~=
on the --------1-----------------day of __________ _ _ _ ___________ , an no Domini 1 I?.f6-:; I now reside
at --------~--a_::;z ___ !:z{.__ ---------------------------~cz-~------------------------------------------
(Give number, street, c1ty or/Jn~ 0.:~_, ~ .-J ~ / r
I emigrated to the United States f America from ----~~.JL~/..'="{-"~'-1-----------------_________________ _
on the vesse '--~ ___ : ______ -----------------·-----------------------------------------------------------------------·; my last
• . (lf thf'J alien an:ived u1e than by vesselto.tne harac~nveyance or name of ransp<'rta.tion company should be g~ven)
foreign residence wa __ __ __ _ _ ______ v:_( ____ _ · I am ~arned; the name
of my wife is ____________________________________________________ ; she was born at ----------------------------------------------------------
and no \V resides at ________________________ ------------------------___ ----------------------_________________________________ --------------------
It is my bona fide intention to renounce forever all allegiance and fidelity to any foreign
prince, potentate, state, or s~ereignty, and particularly to --~--¢-rZ:..~ ~
~-~--d_~-~-~----------------------------• of whom I am now a subject;
I arrived at the port &f/. ................... ~-* ................................................................. , in the
State of _______________ -------------~)1-----o -----------------------------·• on or about the --------1-..:!/:---------day
of ___________ ___ _ __ _ _ --------·----------------• a no Domini I .f-.tJ...!. I am not an anarchist; I am not a
polyg ·st nor a b liever in the practice of polygamy; and it is my intention in good faith
~o0 bee~;~: ~~~n of the United states of Am~s~:r:i~.:
~ r ~ubscribed and sworn to before me in the office of the Clerk of
said Court this .. 2 .. aday of--------~ .. , anno Domini 19-:L o
-i~
U. S. DEPARTM E NT OF LABOR
ORIGINAL ]_ 6 3
NAT U RALIZAT IO N SERVI C E
.. tt~ ~10 .~ ~
[SEAL]
DECLARATION OF INTENTION ~
Subscribed and sworn to before me in the office of the Clerk of
said Court this -~-iday of ----?a,nno Domini 1 <P-6
----------------------------------~--------~
Clerk of the------- ___ A'\t~aurt.
By ---~--~~@:'--2~----~ ___ T{_4-A" :f:uc terk. r --7 -~=-:'
/
ORIGINAL
~Invalid for all purposes seven years after the date hereof
~--¥--rL~rZ'] ss: In the ______ _______ __ _ ____________ -~ourt __ ea ______ ~fr/Jt:&a _____ t'_. __ J , of ~21~. ---------~----------------~1 ------------_ ___ _ _ _ ~-------------~~------------·• aged ____ k__(/ ___ years,
occupation -----------------------------------------------------------_ _ ~ _________ , do declare on oath that my personal
description is: Color ~--• complexion_~, height~feetb ___ inches,
weight __ __;_1/R_ _____ pounds, color of hair-~---• ,;t; eyes----~
~~;s v~~~~e i~i~~~c~~:~ __ ::~+::~:::~::::::::::::::::~::::
~; _:~_?z:;;;;;;:_::_d:~~~f_:::·~~-t~:~:=::::: ____ ::: __ ~:=-~:~:~ __ ::::r::'~:_
(Give number, street, city or t~ s_,:,ate~ ... /J _, . A /
I emigrated to the United States of America from _________ .L_~~_.., __ -------~------------
on the vesse I-----------~-----~------------------------------------------------·; my last
(l! tho alien ar1iv ot ise than by vessel, t~conve ce or name of trnnop~rtation company •hould be gh•en)
fOieign residence wa __ ___ ___ __ __ ______ ___ _ _ _____________________ ; I am ____________ married; the name
of my wife is ___ -----~--------------: she was orn at----~~-------------
and now resides at __ __ __ _______________ _ ________ a:_~--·----------------------------------------------------------------------
It is my bona fide intention to renounce forever all allegiance and fidelity to any foreign
prince, pate ta e, state, or sovereignty, and particularly to ~-~-~
~---___________ ___ ---11!..-~-?:_~---------------------------------• of whom I am now a subject; ,
i arrived at the rt o ·---------·----~t/------------------------·-----------------------------------------------r-----·' in the j
State of -------------zz;;_;·--------~'-if--'----------------:-·:-------------;,on or about the ___ d2_:/(2 _____________ day I
~~lyg~~-i-~t--~~~--~--b~li ~i ~--t-h~--;r~~~~e ~~~~~~f~; ~n~ ~~ i~0~~ni~~:~~~~~\;n ~~~ ~~i~~
to become a citizen of the United States of America and to permanently reside therein:
So HELP ME Goo. j; / · _ t -~4:--{/-~~~t) _____________________ _
Subscribed and sworn to before me in the office of the Clerk of
said Court this . .2c1.:day of ____ CZ_A:~t---· an no Domini 19 '2-.o
~-~•-----([;!~
~e;}j of th~~~Court.
By __ <;i_ _____ ~/ZZ_cy__-4.46!1t-.~-Clerk.
[SEAL]
H2
(Old 205B) U.S. DEPARTMENT OF LABOR
BUREAU OF NATURALIZATION
WASHINGTON
IN REPLYING PLEAS E REFER TO THIS
FILE NUMBER
2838-d-1464 .
Ual', 22, 1924 •
• Prothonot·· !'y, Co;nmon Fl!3as Court,
Washin gton, Pa..
Dear Sir:
The Bureau is in receipt of the application of the person named below
for certified copy of declaration of intention made in your court.
The applicat~on has been approved and the Bureau is inclosing herewith
Form 115 for issuance of the copy requested. It should be an exact copy o f
the original in your bound volume and be signed by the declarant if practi -
cable; otherwise, his name may be entered by you in the place intended for
his signature. The blanks in the red ink certificate should be filled in
and signed by you.
You should enter on the original declaration in your bound volume a
notation showing the issuance of a certified copy thereof. It is not neces-
sary to issue and send to the Bureau a duplicate of the certified copy.
The applicant has been notified by the Bureau that as soon as he pays
your fee he may receive the certified copy. Of course, if you have already
received your fee, you may proceed in acco rdance with the foregoing without
further delay . The completed copy may be given or sent direct to the
applicant .
Incl.
Name: Joseph Paliani,
Address: P . 0 . Box 32:?., Slovan, Pa..
Declaration number : 1~64.
Very truly yours,
Commissione r of Natur ·.on .
ORIGINAL 185 U.S. DEPARTMENT OF LABOR
J NATURALIZATION SERVICE
NoJU'~-~:=z~~: .,~Til or~-
~~~ ~.~
" DECLARATION OF INTENTION -4
i!@r' Invalid for all purposes seven years after the date hereof
~--~~]ss: In the ---~(;r;p_~-Court __ fi!&_~-¥--'--2£~-----(JS . of _-:li. _____________ , ____ S!_, _________________ _
~' ·---------------------------~-----------~~---------------------·• aged ----~---~-years, occu~ati_on -:-----------____ ------,---7 ___ 2 _______ : ___________ ~ ________ £ __ , do declare o~ oath th at my p~rsonal
descnptw n Is: Color ~~-• compl xwn __ _ _ _____________ , height ~feet ~nches,
weight ---/--~p ounds , color of haiC: ____ _________ _, colo of eyes---~
other visible . distir~)!e rna k ~---~----7 ---=----~----~------7 --------------------------------------------
I was born m ---~~-_ __ --~---Cf.~----------------------------------------------
J
~; _the~~-~: .. ~;~~~;;~~;,:-;~;~~=o~:--~=~~-~--;~=~:~1~: '
I emigra~ed ~o t~e United States of America from ----~~~-'-:1?..r ___ l __ ~,-~
on the v .... .sset ___ ~~---------------------------------------------------------------------• my last
(lftheaHen ar~~racterof~~portation company should be given) :~r~~n ~~;~~:n::_:_a_s~::::~ __ ::_: __ :_:_:_= __ : __ =::=:a-~-~~; ~0 ;~ ~; : ___ :::::::_a_rr_Ie-~;--t~-:~::
and now resides at ----------------------------------------------------------· -------------------------------------------------------------------
It is my bona fide intention to renounce forever all allegia ce and fidelity to any foreign
prince, potentate, state, or sovereignty, an_d particularly to __ ----------~ _____ d_c:;P~,
-~---~----(7"~-~----------------------------• of whom I am n6fv a subJect; ~
I ar rived at the port of --------------------~!------~-------------------------------------------------------~.r-----·--• in the ·
State of _________________________ ----~4------:1L._•---------~--~---------------• on or about the --------~-----------------day
of__________________ _ _ _ _ _______________ ,c!"nno Domini IJLIJ_; I am not an anarchist; I am not a
polygami or a bel" er 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:
____________ ft!~ __ e:.eA!!:< __________________ _
(Original aignature of decla;~-
So HELP ME GOD.
[SEAL]
O RI GINAL
U. S. DEPARTMENT OF LABOR
Subscribed and sworn to before me in the office of the Clerk of
[SEAL] said court ~his:~:-~-a~~~-n~
. [;' {!/. ~erk of the --~-'~our!.
By ---------------------~-----, ----¥4 Clerk.
142
(Old 205B) U.S. DEPART M ENT OF LABOR
BUREAU OF NATURA LI ZA TION
WASHINGT ON
IN REPLYING PLEASE REFER TO THIS
FlU: NUMBER
2838-D-1.467
September 25, 1923.
,Prothonotary. Common Pleas Court,
Washington, Pa .
Dear Sir:
The Bureau is in receipt of the application of the person named below
f o r certified copy of declaration of intention made in your court.
The application has been approved and the Bureau is inclosing herewith
F o rm 115 for issuance of the copy requested. It should be an exact copy of
the o riginal in your bound volume and be signed by the declarant if practi-
c a ble; otherwise, his name may be entered by you in the place intended for
his signature. The blanks in the red ink certificate should be filled in
a nd signed by you.
You should enter on the original declaration in your bound volume a
notation showing the issuance of a certified copy thereof. It is not neces-
sary to issue and send to the Bureau a duplicate of the certified copy.
The applicant has been notified by the Bureau that as soon as he pays
yo ur fee he may receive the certified copy. Of course, if you have already
r e ceived your fee, you may proceed in accordance with _ the foregoing without
further delay. The completed copy may be given or sent direct to the
applicant.
Name: Assid Sherfdeen,
Address: Bo~ 22 1 Vest Alexander, Washington.
Tieclaration number: 1467.
Very truly you rs,
Incl .
U.S. DEPARTMENT OF LABOR
ORIGINAL l6 7 ol tl-"''""'""'" ""'"
No lt£r:/z ____ t {J ., t\ Til or ~~· ~-~·~
.. ~ DECLARATION OF INTENTION ••
~Invalid for all purposes seven years after the date hereof
~--~C?~------~ss : In the --~~-CJ~court
-~--~-------~~)__________ of __ ()j:~-~----~--~----------------------
~1 ------·---~----_ ______ ____ __ -----------------------·• aged __ g_ __ ~----years,
occupation ______ _ _ _ _ _ _ __ _ __ _ ________________
7
___ , do d~c,lare on oath that my personal
description is: Color ~-• comp}rx~ --~---• height\6 __ feet _6}nches,
weight ---/--~~--pounds, color of hair -~----• color of eyes-~--~-------· -~
other visible disti~vS--tpar}s ~~--~-----~'------------------------~ ; ~nw;:e b-o~Jf.::'::~~z:~~-~~--~~;;;i~;-;·;r,s::~---j--~~~-~~~jd~ \!
at _________ : _______ ~~-,:~~~---------:-------------~
::~~=r~::~e~~--~~~-~~~~~-~~~~=-~~~~~-__ -------~--------------~---~~-~-~--------------~L~~~~~:~~ ~ (I~~arriv erw· e tll_an b esse!, the character of co eyance or name oi transportation company should be g iven)
foreign residence was_ ·T _ _ _ _ ___________ ~-----~~~ am ______________ married; the name
of my wife is ----~----------------: she w!1's born at ~~---
and now resides at ---------~--~~--------~.r----------------------------------------------
It is my bona fide intention to ·renounce forever all allegiance and fidelity to any foreign
prince, potentate, state, or sovereignty, and particularly to 22u:.lt£~a22~!~J;aR_,_ __ V/. ______________ _
f;;_-~-t-~-----(2!_~------• of whom I nm now a subject;
I arrived at the pon of ____________________________ -;;LJ. ___ U--------------------------------------------------------------··-, in the
State of -----------~d----------~-'2k ________ £_:--·-;;--;·-·• on or about the __ £_~------------day ~~i;;g~;;;-;~~-~~/-fb~~:~;:--;~-~h~--~r~~e ~~~~~~~-y-;·-;n~ ai~ i~0~~n i~~:~~~~\~ ~~: ~~~~
~0 b:~~~:: g~~n of the United States of Am:~_;zne~-~~~-r~s:e_: __ :r:i_n_
[SEAL]
(Original signature of decla nt
Subsoribed and sworn to before me in the office of the Clerk of
said Court this:h~~day of ----~k--· anno Domini 19 2-
------------------------__ fi:_ ___ c;:L~---
£ Clerk oft e --~~Court.
BJ' _________ 2:~---L~--------, ~~--Clerk.
(/ 14-6~
168 J
ORIGINAL
U. S. DEPARTMENT OF LABOR
NATURALIZATION SERVICE
No. Jk/falll~t/-
~~· ~ ~
" DECLARATION OF INTENTION
U.S. DEP A RTMENT O F LABO R
ORI G I NAL l6 9
~ NA T URALIZATION SERVICE
No ... /£tz._f_J~ .,~Til or~-
.~~ ~4>~ ~V> ~4
DECLARATION OF INTENTION '9ft
m= Invalid for all purposes seven years after the date hereof
~c£/~l . In the ----~-.CZ:~ourt
-~-¥!---~~-----------ss: of --~~-~ ___ C?o_ __ : ______________________ _
t':--------~'--"' -'"-'---------m•m ~~-"'aged ·----"7--Q ____ years , occupatiO~:: _____________________ --------------~~-~---------____ , d<? declfe o~ oath tha. my p~rsonal
descnptton IS: Color ~. complexiOn ____ _ ____ ---------·• height ~feet fi':._ mches.
weight --~---L_6_ __ ~_ pounds, color of hair.k___ ____ ___ _ ____ olor of eyes-~---------------·
ot her visible. distinctive marks ---~~----------------------~---------------------------------------------------------------------------
1 was born In -o~-"'-"--------1:'_-~------------------·:···:·-----------·o·:··-----------------·:··--
on the ________ bd_ _______________ day of ·--------------------~~----------, an no Dommi 1 _Q.._'J_ _____ , I now reside
at -=tf-~-"k-~~=--~.r.::Ld..dd-~~~£4 -------------_____ (7CL{ ________________________________ _
(Give number, street, citY, r and State) ,--.__ /' .
I emigrated to the United States of Amer~ca from---~--~1---fl __ , ___ ~~-~-----------------
on the vessel____ _ _ __ _ __________________________________________________________________________ ; my last
se tha y vessel, the cba~ 2v:yance o~ name oi transportation company should be g~yen)
___________ ---aJ,-~.1<':--~-; J-a.rrt ______________ marned; the name
. . _ :_~ ________ ; s ~ w ~ at_(,;_/>~_ -~ ___ _
and now resides at -----"£~r -----·------------------------------------------------------------------
lt is my bona fide intention renounce forever all allegiance and fidelity to any foreign
~Q/~~-~~~~ereignt~:_a_n~--~:~i~~':ri~t-~;-:1~-~
I rrived at the port ot ___________________ ------~-;.--------------------------------------------------------------z---------··-·• in the
State of ---------------------------------;;;-------__ --------~['-;:-------------------------• on or about the ___________________________ day ~~iyg~;;;;~;--~~~-~--~h~·-;r~~~~e ~~~~~~,k~;~n~ ~~ i~o~~n i~~:~~~~\~ ~~~~ ~~~~
to become _a citizen of the United States of America and to permanently reside therein:
So HELP ME Goo. cj: / ~ --'!\-r'?~~!-d=~f,ori$-;:;.;,~~-;i"d~~~;-,:;,.~i>____ -------------·
[SEAL]
Subs<>ribed and sworn to before me in the office of the Clerk of
said Court this .~day of -----~anno Domini t<J2 0
------------------------~--C!_S ______ ~ F. ../Clerk of e~~ourt. BJ'---------~--~-~~~~ kL,_~, ;0, _____ Clerk. (J '""--r~~~'L~
170 U.S. DEPART MENT OF LABOR J NATUR ALI ZATION SERVICE
ORIGINAL
No, __ l_JfzQ _/)~4 ., .. Til or
~~9 ~ ~ DECLARATION OF INTENTION
U.S. DEPA RTME NT OF LABOR
ORIGINALl71
v' ~~~ "'"'""'".' ~"'"
No.!IL-tL_ ~ s1 ~ 11:1 or ~-
~~~~ ~~~ ~ DECLARATION OF INTENTION ~.
~Invalid for all purposes seven years after the {late hereof
~---#--(£~-·---------------] ss: _ In the ---~-(ft~urt
___ e__~-o/---~-~-------of ---71~~-----------'--
~, -------~-~'L--~~-~~~---• aged ·-----~-1-----years,
occupation ------~L~-----------------------·• do declare on oath th at my personal
description is: Color ~----• complexion -~-------·• height ~-=:-teet La. inches,
weight ----1---1-~-pounds, color of hair -~--------·• color of eyes_~-----·
other visible distinctive marks--~~------------------------------------------------------------------------------------
1 was born in --~-----------------------------------------· --~-~------(['?_--~-~-~-.,--
on the ------~-~--------------~of ___________ Q2/__~-J-----------·• anna Domini r_%__c_j__l_; I now reside
at __________ J__:i_L ___ eL-d:--~---~~L _______ f£_ __ @__~~----_ !? ~
(Give number, street, oi~ or :7yand State) ~ ~ f
I emigrated to the United St~tes of America from.~~~-------------------------________ _
on the v essel ___ a~--£~_(t; __ ~---------------------------------·; my Ia .
(If the alien a rri~~=rwi~e than vessel, the chat'acter or~eyance ~~-~~;;;;·.;~~~be given)
fore ign residence was --~P"'--_________________ • ----~:~ .. ; I am ______________ !.'f'farried; the name
of my wife is '21~~6.-~~-; she was born at --~~--~-------------
and now resides at ----~---0?_~----------------------------------------------------------
H is my bona fide intention to renounce forever all allegiance and fidelity to any foreign
prince, potentate, state, or sovereignty, and particularly to --~~f._~_xx-.-.J:t.-:_~~·~
--~------~~----------------------------------------------• of whom I am now a subject;
I arrived at the port of ______ : _____ ~--:-¥-------------------------------------------------------------------------------·-, in the
State of _____________ ---------------4 --¥-_-------------------------------------· on or about t he _______ z _________________ day
of ____________________
3
__ _ _________________ , anna Domini L f-/..i;;L.; I am not an anarc~ist; I am not a
polygamis or a believer in the practice of polygamy; an d it is my in t ention in good faith
to become a citizen of the United States of Ame rica and to permanently reside therein:
So HELP ME GOD. __ Yiitd1!/L: _____ r2/f_CM4Jrlz1Jl -~-~-----------
coriginal signature of d eclarant)
[SEAL]
172 ORIGINAL
U.S. DEPARTMENT OF LABOR
NATURALIZATION SERVICE
J
No .. /d~~~~TII or ~~1f) ~-~4>~ .. ~ .4
DECLARATION OF INTENTION ~
Subscribed and sworn to before me in the office of the Clerk of
[SEAL]
said Court this~_Q_day oL----~--____ , anno Domini 19 ?-o
~:::6~ t£:;.-~ourt
By ------~----~~e_-:2/_~-J -~~ / /~ Clerk . , ---~-----7-~::r-
U.S. DEPARTMENT OF LABOR
ORIGINALl7 3
NATURALIZATION SERVICE
No /-7"f~tie, _,LS1 ~ 111 or ~~· ~-f'~ ~~ .,. ~ DECLARATION OF INTENTION ~
ORIGINAL
U. S .. DEPARTMENT OF LABOR
U.S. DEPARTMENT OF LABOR
ORIGINAL17 5
tl NATURALIZATION SERVICE
NoJ!f/!z-zi~L/ .1~111 or ~~· ~-~·~
.. ~ DECLARATION OF INTENTION ••
In the ______ e._ ~_r;.., __ :::1:-:i_ ~~~~ !07.~~~-Court
of -~~-~---~-L ____________________ _
-------------------------·• aged ·---~--years,
176 ORIGINAL
U. S. DEPARTMEN T OF L ABOR I NATURALIZATIO N S E RV ICE
No .i/fl,_Uoltf;. s11lTie or ~~· ~-~·~ ,.., qo4 ~ DECLARATIO N OF INTENTION ~
[SEAL]
ORIGINAL17 7 I
U.S. DEPARTMENT OF LABOR
J ~ """'""'""" ""'"
No. /liZZ!A ~ s1 ~til or ~-
.<t~ ~.~ ,.,.. D4
DECLARATION OF INTENTION """
cth e r visi b 1 e d ist1 n cti ve marks ----~-------------------------------------------------------------------------------
1 was born in a~a~E-<.d~---~~---~~ :~ -~he_·---~~1-----·--_ ~~~-~--=:::=~~;~:.~:~~-:~: __ a;,::;~~-:=~~;;=~--~---~~: __ r::~d:
I emigrated to the nited States of America from ____ :::_~~--~-----------------·
on the vessel ___ ~~----------------------------------------------------------------------; my last
(If the alien ar~herwiso than ve~sel, th character o~xn: or o:e :1 transpo rtation company should be given)
foreign residence was L:::L:~ -----------------------~LL-~1 __ ; I am ______________ married; the name of my wife is---·-_______________________ ; she waf!Jrn at .. 0..~~=------~
and now resides at ___ _______________ _ _____________ 9.=.:..~ _________________ [_ _______________________________ _
It is my bona fide intention to nounce forever all all~ance and fidelity to any foreign
~;a~~a-te: ~X~:a.~~--~:r.ti~~~:~~-~-o--~~:;:~=lZT 1
I arrived A thwG'ort of -----~-----------1-----------------~--:ji----------------------------------------------------------, in the
State of--------------------~----______________________ -:2!__-:_ ___ {L_~-------------------• on or about the -----------~--~------day
of -----------------------------------_ _________ _, an no &mini I -9-0. __ 3, I am not an anarchist; I am not a
polygamist nor a b ver in the practice of polyglmy: and it is my intention in good faith
to become a citizen of the United States of America and to pe~an~;r reside therein:
So HELP ME Goo. ~~~0
----------------------------------------------------------------------------·
(Original signature of declarant)
Subscribed and sworn to before me in the office of the Clerk of
[SEAL] saidCourttJ~~~o
s=_ Clerk of the --~~~~urt.
By _____ (£)_ ____ 8._ __ 2_4_~~ __ Lfle:if~Cierk.
d I -::_~-1
ORIGINAL
U. S. DEPARTMENT OF LABOR
~Invalid for all purposes seven years after the date hereof
_Jt_~---¥-il_,~~ . In the~--{}!_~---------Court
~'f-/}1:-~~Jss. of ~~~---~-~1 _____________________ _ _ _ ---~------------------------·• aged _______ .3_.21_~---years,
occupation __________ __ ____ _ _ _ _ _ · -----------------------------·• do declare on oath that my personal
description is: Color~~--------• complexion ____ )~-----------·• height 5.: ___ fee~-----inches,
weight ____ J_6__.s:_ ____ pounds, color of hair ---~--• color of eyes--~--------·
other visible distin~iv~ m~rks -~-------------:--------------·-------------------------------------------------------------
1 was born in -~--~-----------------------------------------------------------------------
on the ________ :g__Q _____________ day of ________ -~--------------·• anno Domini ~__!_8:_K__; I now resid e
at ---~--~ __ L_ ___________________________ --((iiv-;~~-:t-:;~-t!.~-;;;~;;~~;;d-st;t~)---------------------------------------------------------
1 emigrated to the United Sta~es of America from~----~---------------------------
on the vesse ~-----------------------------------------------------------------------------------------------; my I ast
(lf th, alien anive therw· ethan y vessel, tne character of conveyance or name of transpcartation co.mpaoy ehould be given)
foreign residence was ___________ _ -----------------------------------------------; I am ______________ married; the name
of my wife is~-----------------------: she was born at~--~
f~~s n~~ r~~~~e~~~ i~J~--~~~;-~ii··-;;ii~g;~-;;~~--~~d···fid~ii\Y-i-;;·-~~y-·;~~~;g~
prince, pot~ntate, state, or sovereignty, and particularly to ~~---'(·"'·"4t-~ '•'h ,.1 -4~-~~-i-i-~~4ff~pf whom I am ow a su~Ject;
I arnved at the port of --------2-~-lf~---------------------------------------------------------------------------·• m the ~
State of ----7YJ,?·----------------------~:-1j.---------------------------------------• on or about the _____ l__2, _______________ day
of ________________ /LI-~--------------------• an no Domini rt:ffl.1-__ ; I am not an anarchist; I am not a
polygamist nor a believer in the practice of polyglmy I 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 Goo. . -----------~-'k_ ___ ~~~~---------
<original si~~~~ra.nt)
Subscribed and sworn to before me in the office of the Clerk of
said Court this ___ j_ ____ day of --.d#-------· anno Domini 19;2. o
/ ---~~~~::::::·-~ourt
By fi ___ , ___ '2llv.OZ •. d.1 .-.&--~----clerk.
[SEAL]
U.S. DEPARTMENT OF LABOR V NATURALIZATION SERVICE
ORI GINAL i 7 9
.. <t~ ~~~ .V> ~
DECLARATION OF INTENTION ~
w-Invalid for all purposes seven years after the date hereof
~d:v-o/-U__ _ _ __ ·__ . In the ~-C/~--------Court
~--i::;% ___ -------_ -----ss. of-:Ji:~r-~---~-'-
~1 ·--------~-----~-----------------------------------------------------• aged -----¥-..;?,; ____ years,
occupation -------------------~--~---------------------------• do declare on oath that my personal
cescription is: Color -~~-------• complexion --~----·• height ..s_ __ feet -7---inches»
weight .--.~----1--/r:--p~unds, color of hair --~~-------------L---------:• cJfor of !yes---:~--------------·
other visible distmcttve marks-~----_______________ --~--~--------~------------------
1 was born i~ ~--2zl_~1g~-------~-----_---_---··g;,·g·:··-----------------:·-=
:; the~-~Y 12::·:·24_=~:----------·::··: __ a~~~--~~:1~1---'=~==--'--~~: r:~1~:
(Given er, street, city.J.:j'own, and State) ~. _ --_ ~ • J , _
I emigrated to the United State~ An:e 1ca from~~~---~~£~------------------·-·
on the vessel _____ ~--------~----~-~------------------------------------; my last
.. • (If the ullen ar;»1j o~~jlo t~ vessel, the character ol conveyance or name ot transportation eompany should be g~ven)
foreign residence was --P'~.LL..f_~]J&~4dL~; I am ______________ marned; the name
of my wife is -~--------------------rf-shl was born at --~-~-------
f;ds n~~ r~~~~e~~~ -;~~~~;~~~-;;f-fid~!i(---~~--;;-~-y·;~reign ~d~~~a_t:·_:'_~:~:r:i:"_t~: __ a_n_~--~::1~~l:rl~-~-o_'::~~~""J~~~j~~;·;
I arrived at the port of ___________ 9}: __ 1/-;----------------------------------------------------------------------------------·-·• in the
State of ___________________________________ '!11~----'1f-------------------------------• on or about the _____ _2_~-------------day
of ----------------------~-------• an no Domini I .f~-1----; 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 Goo. t'Y , r1"J ,, _. /)· ~..., /'/
4/,-0,;!. 4-!7 't) -;.c.9v vv-VY L.Ar'/;J --------------------.------------------------------------------------------
(Original signature of declarant)
Subscribed and sworn to before me in the office of the Clerk of
said Court this_/ ______ day of---~-------· anno Domini I~
-------------------------2~--. -C cter·k~he~~---court.
By --------~---~(V __ -------·---_________ ,~~-~~~---Clerk. '--/~~e
[SEAL]
180 ORIGINAL
U. S. DEPARTMENT OF LABOR
...; NATURALIZATION SERVICE
No.lf/itJ_f!~ e1 ~,. • or ~~~ ~·~·~ ~ DECLARATION OF INTENTION ••
~Invalid for all purposes seven years after the date llereof
af~?"'J:Z . . · In the .... ~.Q~. court
~4~ss: _ of~~~~--
:!1, ·······t-~~~~---········-····• aged ··········(,_······ years,
occupation --------------~------------------------------·• do declare on oath that my personal
descr iption is: Color ~~--------• complexion -----~----·• heightS ___ feet~---inches,
weight -1--t:.-/----pounds, color of hair _d._~_, color of eyes~-----·
other visi b 1 e distinctive mar~s ~-~~---------------------------------------------------------------------
1 was born in -------~----~---;sC;/~---------------------------------------·-------------------
~~ -t~~_za~:-=2::::1..~R~ .. _:·=:: __ f!?.:_o:.i:i __ '~~::=:.' ... ::~ ,~~i~~
(Give number, str , ctty qr town, and State) ~
~~7~!:::~e~o t~~-U~t:~~t:!~~--~~--~-:e~i:~_f_r_:_::::~: ...: .. ::::::::: .. -~=:=:::::;;;;~-;~~;
. • (U th~, tne character of conveyance or name of tmnsp<>rtetion co~pany should be g~ven)
, foreign residence was---------------------------. _ __ _ ___________ ; I am ______________ marned; the name
of my wife is~-~-------------------: she was born at (2 __ ~~-----------------------------------f;~s n~; r~~~~e~~~~~~~~~~-;i!-;;ii~g;;~~~--~~d-·fi·d;j;;y··(;··~;;-y-i~~~;g~
prince, potentate, state, or sovereignty, and particularly to -~--L~-~~-~--~·············~·-··------··-·-····• of whom l am now a subject;
I arrived at the port of ·---~--~---···--···--·-··--··-··········-··············-···························• in the
State of -~-;:,--.:_-------~.;.-'2/.._,--------------------------------:--~-----------7 , on or about the _____ /__:~------------day
of ______________ L£1--~--------------• anno Dommt rfL_f2_; 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. -~OfWUaM._kaaZi~d~J..-------
--(Origmat signature of declarant)
[SEAL]
Subscribed and sworn to before me in the office of the Clerk of
said Cour~~~~o=-i:'.'9~0
C' -Clerk {j the~-~~ Court.
By .fa~ .. f:L.~2J~--~~:·· Clerk . \
ORIGI NAL 18 ..
U.S. DEPARTMENT OF LABOR
NATURALIZATION SERVICE
No/~1/Liol~ .,~Til or ~"' WJ ~·~ .~ ~'o .~ ~
DECLARATION OF INTENTION ~
~Invalid for all purposes seven years after tile date hereof
_d~--r--s:?~~ ss: In the--~~--Court ~--1-?1 ----' of -----~~-------s~ . ~' ·----------~---~~-------------------------------------------• aged ____________________ years,
occupation _______ -~-------------------------------------------• do declare on oath that my personal
cescription is: olor ?f-~----• complexion ------~-----·• height _Q_ __ feet -1---inches,
weight -----f-~ __ Q __ pounds, color of hair -----~----------• color of eyes----~--------------
cth er visi b I e d i st in cti ve marks ---~----------~-------------------------------------------------------------------------
I was born in -~+-~------------------------------------------------------------------------------------------------
on the ____________ %_ _____ ~---day of ______________ U_~_-:_ _____________ , an no Domini I-¥%-£; I now reside
at --_ ~-!oC-'----2/~~~i~-~---------------~-----------------------
I emigrated to the Unifect States of Amenc from ______ ,_dli.to¥y -./Jd~----------------
on the vessel ______________ ~~-----------------------------------------------------------------------; my last
• • (If the alien arrhed ot 'ae than by vessel, the c}1~~of veyance or name 01 transportation company should be g~ven)
foreign r~s1~ence was ________ ._ _ _ --~-~-' _ _ _______________ ; I go __________ : ___ marned; the name
of my wife Is-----------~ _________ -;.--~---; she as born at ----~1_t:.l,__1li_~------
and now resides at _____ _ · ___ \.J_'4-._~-:. _________________________________________________________________________ _
It _is my bona fide intention to .renounce fore:er all _al!~nce and fidelity to any foreign
~r~~-Se~~dfgllt~:a~~-~~~~c-~l~r'~~oJ:~~~e;
I arrived at t e p rt of __________________________ _/;7~¥~------------------------------------: ____________ , in the
State of -----P"vr--------------------:"'2:1.:--];------------------------------• on or about the ______ _/__2-::-__________ day
of _________________ L~------------------------• nno Domini I __ tj_Q __ L; 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. --~~-gj_~_di_~~
(Original signature of declarant) ~
[SEAL]
ORIGINAL
~Invalid for all purposes seven years after tlte date hereof
~~--1-;~-__ .. ________ ~ In the ~-(l_~---Court
~-1_-71~ ss: ot/J~-~-~
:!!, -------~~ft~---------------------·• aged ______ ,s::_~---years,
occupation -----------~---------------------------------------------·• do declare on oath that my personal
descript ion is: Color -~~-----• complexion --~~-------·• height ~ea?hches,
weight ______ /~ __ Qpounds, color of hair ~------------·• color of eyes~----------------·
other visible di~tive marks -~'-------------------:-------------------------------------------------------------------~nwt~e b-o~: __ 1:1~:~ --_::::_----=-=-=-=:-~~;~--D~~-;-::~~:f:·--i-~~~-~~~;;;-~
at ____ /t_!I_ ____ ;£_~-~-----Sj(({i~-e--.;21-.~treet~e~ty-------~~-/1£~~--------~--~----------------------------------~~~~=r~::~e~o ~~~~~--~~-~=-e~':_~~: ______ ::::::::::::::::_:::::::::::_:=:::~-r~:;;,;;-;~~;
• . (lf the alien e.rri~herwise than b essel, tne;!J_racmr of conveyance or name of transp<'rtation company should be g:ven)
foreign residence ~~ -,-G. __ ,_ __ __ ---------------------------------------------; I am ______________ marned; the name
of mv wife is----~~ _____________________ ; she was born at~---------------------------
and ~ow resides at _-:21___ _____ _ _ _' ____ -~-+--Cf_ __ ~:: ______________________________________________________________ _
~~~~;E~-:~~~~~~::~-~~:~~n~~~
I arrived at the port o ---7'j;j =--L/~~------------------------------------------------------------------• in the
::;;;;:,~~~~~~~,~~::;,:~~~:~i~~~~~lf~~:~ ;~"~;:~~~~;~:i~~~-1~:-~~~~
to become a citizen of the United States of America and to permanently reside therein:
So HELP ME Goo. ~~-J!_~ ___ d_!;i_~
(Original signature of declarant)
[SEAL] Subs~:~e~o:~: ~~~~~~~d-~:;~~~~~::_:r~
,.>::-Clerk of he-~~--_ Court.
By (Q_ ~.'2/~--------, _ _A-'~--Clerk .
ORIGINAL 1 8 •
•.· \'
v o-f. "''"'"""'0' "'""
No .l/il:i_O :.,~Til or~·
~~"' ~t'A .,~ ·~~ ~V> ~
DECLARATION OF INTENTION ~
U.S. DEPARTMENT OF LABOR
[SEAL]
1 8 4 ORIGINAL
U. S. DEPARTMENT OF lABOR ~ NATURALIZATION SERVICE
No ... It lt/0~~ .,~,~·or~-
~~~ . ~.,0
~ DECLARATION OF INTENTION 'ftfl
[SEAL)
Subs:;:~e~0 :~~~::~~~~~-1 :1l~:k ~
c;; . '/ _/Y}f;~the -·-~~--------1~-Court.
By -----Le--~CL_: __ =_z/l __ --______ . ___ , ---------------------------~-Clerk .
i4 .
U.S. DEPARTMENT OF LABOR 1/r! o71 rrl t/ '""""''"o· "'""
ORIGI NAL :t 8 .s
No. .............. ~ ., ~Til or ~·~
~~~ ~~o ~ DECLARATION OF INTENTION ~
w-Invalid for all purposes seven years after the date hereof
~--zf.il~ .. j
55
: In the-~~~ Court
-~p_~ of2i~tf·······--~
~' ·--------------------------~------_ ---------------------------------------------------·• aged ______ -2!.__7._ ____ yearsi
occupation ________________ _____ ____ _ ______ ------------------------------------------• do declare on oath that my personal
cescription is: . Color ~------• co~Ae~ion ---~----• height __ Q feet fl._ __ inches,
weight --1-~t:?------pounds, color of hair L~------• color of eyes--~----·
~t~:s v:~~~e i~i~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
:; the~~~&~=-~~:~--~~=:~-~::===-~--~~:~:~i~:
. (Giv~ number, street, city~· and S~ate) + /T' -I-'
I emigrated to the United States of America from-~-~---~--------------·
on the vessel _________ --~ __________ ~-----------------r-------------------------------------------; my last
(If the alien arril oth wise than by ssel, the =cter of conv ance or ~arne or' transportation company should be given)
foreign residence was ______ -----------------~---------------_____________ _ __ ; I am --~--married; the name
of my wife is ---------------------------------------------------; she was born at -----------------------------------------------------
and now resides at ---------------------------------------------------------------------------------------------------------------------
It is my bona fide intention to renounce forever all allegiance and fidelity to any foreign
pr_ince, potentate, state, or soverei~nty, and particularly to ~~-~-rJ-~~
~--~-~---J-~-'-'-!-<~--Q1~-m· of wh~ sub]elt~
I arrived at the port of ------------~1-~-------------------------------------------------------------------··-, in the
State of ----~----------------~·--o/:,------------------------------------• on or about the ________ 2: __ ~----------day
of ------------------L--1--1---~----------• anno Domini r --'fL_Q; 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. ~----:J;-tirJg~-----------------
(original signature ct declarant)
Subscribed and sworn to before me in the office cf the Clerk of
said Court this ... 2 ... dayof~annoDomini 19">-n
[SEAL] ------------------------------------~ ~
E :;;/--: -1Jt otye. .. . . . . ·-.. 7uu.2 Court
By ····-c·---·--··~:...·~···· ·--~4~~-Clerk .
186 ORIGINAL
U. S. DEPARTMENT OF LABOR
NATURALIZATION SERVICE
No.i_/1~---~~ rJ/ t/-., ~ 1'18 or ~~· ~-~ • . ,~ ~~-.~ w
DECLARATION OF INTENTION ~
~Invalid for all purposes seven years after the date hereof
z_----~~-~ff~~------j--In the~--(£~---Court =-;--ss.
~--¥!--'2ta.~-~-· o t'21:~~-~--~-------·
~' ·-------------------~~-~~-(-J?.4-:! _______________________ , aged ___ 3 __ ~---------years,
occu ~ati_on -:--------------~~----------------:-------------• d o ~eclare o~ oath that my p~rsonal
descn pt10 n Is: C olor --------~--• complexion -------1---~------·• height '-fi.. __ feet E _ Inches,
w eigh t _________ Lh_O._ pounds, color of hair --~----• color of eyes----~---·
o t h er vi s i b 1 e dis tin c ti ve ma{:j ~------------------------·--------------------------------------------------------------
1 was bo rn ~n/ -------~----:J~~-P_~~~---------------------
on the _____________ ';:t;£ ______ aay of --~-4:._,~~~-~-..... --(j---------• ann: Don;Ell 1 _______ 'f __ ; I now reside
at --------f3-~-~21&:.:sd~9.--~~-;:,~-~-r -------=-----------------------------------------~:7~=r~::~e~o--t~02.~::k:e~i:~-~~:=~~:-~=:~:::-
, . (lf th" a lien ~fl otherwise tha or~ ..Z~L :.:;~eya.nce or n~a.we of tra.n sp('lrtation company should be g~v en)
foreign r~si~ence was -.V,~-~--~-~-----=-~~.a&-.c ___ =---; I am --------~-----marned; the name
of my wife Is ____________ {)j-:A.-!..J6.::t _______________ ; she was b,S!D_at -~~-----
and n ow resides at ______ fl __________ ~_& ~--,-~L':~ ___ : _____________________________________________________ _
It is my bona fide intention to renounce forever aU allegiance and fidelity to any foreign
pri~" potentate, ~tate, or sovereignty, and pa~icularly to -~------------------------------------------------------~---------~-o/'~4---~---------_______ ____ _ ________________________ , of whom I am now a subJect;
I arrived at the port o ~-;---------;;::-~1f~-------~-----------------------------------------------------• in the
State of _____________ ? __________ ~.!1: __ -!J ----------------------------:--~---------------• ~n or about the _________ :_g_ _____________ day
of __________________________ :J;ad.:::t.j. ______________ , an no Dommt r__t;l./2 _ _; I am not an anarchist; I am not a
polygamist nor a believ~ in the practice of polygamy; and it is my intention in good faith
to become a citizen of the United States of America ~ to permanently reside therein:
So HELP ME Goo. ________ g_~tf:k:?_ __ f._ ___ }t{__e;(c~
(Original si gnaf:td~clo.rant) ---,'d
Subscribed and sworn to before ~n the office of the Clerk of
said Court this_0_ ___ day of __ id____g,_ ___ -~----· anno Domini 19~ o
-----------------------------r:2--~
;:;;;;;, --~ACler~e --~Q:~-~Court.
ByC2. ____ C/_: ___ £L(__t!)__/L~~---~~.A-Clerk. f " I ----------i:=l
[SEAL]
ORIGI NAL 18 7
U.S. DEPARTMENT OF LABOR I NATURALIZATION SERVICE
No.idfzY..-/~ ~1~111 or~·~
.~~ ~'o ~V> f4J
DECLARATION OF INTENTION ""W
~Invalid for all purposes seven years after the date hereof
~~~---¢.V~ In the -~=t_~-----Court
~2~-Flss: otJ1 .. ~1"~_(.£~deM~
~1 ·---------------_ _ ___________ Q~Q..d_ ___________________________________ , aged ____ 3 __________ years,
occupation _______ __ -----------------------------------------------------------• do declare on oath that my personal
cescription is: Color ~:(~---• complexion __ :_~----• height ~~eet-=:. ___ inches.
wei ght ___ _/_/___~_ pounds, color of hair--~! ______ , 1Color of eyes __ fu~-~y __
~~~:s v~~~!e i~i~ __ :ark:_::· __________ ::: · _ ::~·-: __ :~:-~~~::'-!!
:: ~~::::~~
I emigrated to the Unit~ States of America_ from ----L ~---::::-::r;_---~--=-:::.=-7 ____________________________ _
on the vessel ______ ~---______ __ --------~-----~-c _________________________________________________________________ ; my last
(If the alien arwtherwise tha y ve el, the character. ol cr:u::;;c/~n~me o[ transportation com pany ahould be gi ven)
foreign re siden~e wa~_t ___________________________ · --~IL~1 ______ ; I am ---~--married; the name
of my wife is --------------------------------------------------: she was born at -----------------------------------------------------
and no \V resides at ---------------------------------------------------------------------------------~------------------------------____ _
It is my bona fide intention to' renounce forever all allegiance and fidelity to any foreign
prince, potentate, state, or sovereignty, and particularly to -~--~-----
~---1$-~--------------------------·--------------------------------• of whom I am now a subject; I ;rrived /the port of ____ : _______ ~-~~-.------------------------------------------------------··-·• in the
State of --;:;----;/·----------------------02-: __ ~-""-----------------------------• on or about the ___________ L_:Z _________ day
of ----------W~-::: _______________________ , an no Domini I -f./.-~-: 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 Goo. --------~~---!1!.~--------------------------
<onginal algnature of declarant)
[SEAL]
1_88 O RI GINAL
U.S. DEPARTMENT·OF LABOR I NATURALIZATION SERVICE
No.l!if~d~; .,~Til or
~~~
~ DECLARATION OF INTENTION
a;r Invalid for all purposes seven years after tile date hereof
w~~a~ In the ___ ---·-------·---· ---·----(/;=---~~~~, ~¢Jt~-~.,jss: -of21-~~-~ ~ ---·-----···~-~~-----------------------• aged _____ }}_ __ </:_ __ years,
occupation --------------~----~;:~;~~---~declare on oath that my personal
description is: Color -~-• com~--~~;-----·:; height £feet_{,__ inches,
weight f _S{)_ _______ po~nds, color of hair ------------------------------·• color of eyes--~------------·
other visible dist~ve marks_~~---~-=·=-------------------------------------------------------
1 was born i';__ ~~r-y_;;t.--------------=-~~-~=-t/'-:7·----p,r,~:--~-~:;~~~~d~
on~------------------------a a~ ~~---------------=--------------------·• an no o m 1 ____________ , I
at ------~~-.4.--------------------------------------------------------------------------------------------------------------------------
ratefto the_Unit cmvenumber,stroot.ctt~ ~~ ~~~~!r~::se~~-~~-~-ited ~~f£~~--~=-~-~~~~-~-~:=-~~~---~~~-~~~~~=--_-__ ::::_-_-~~~:~~:~:_-_-_-_-_-_-_~----~--~~~~--~~~~~~~~~;--~~:1
(l! tho ali ';'!f_~sel, tne characte~r name of tra.nsp<>rts.tion company should be g~ven)
foreign residence wa _ " _ ------------r-~-~----------.:&-·---: J.Jm _____ 11 _______ marned:. the name
of my wife is ___ ./5:: _ _ ~-=-.:'=::'----------------------/~he was born at~~-~::::~-
and now resides at
It is my bona fide intenti to renounce forever all allegiance and fidelity to any foreign
~~~~~~~-~-~~-------~-----~-a ~~---~-~--------7 of whom '(am ~ow a su~Ject;
l arnved at the port of ·---------~~-:--------------------------------------------------------------------·• m the
~;::::~~~Eit~;~;:;~-~~~;-;r:~~~:~~~~~;~:~:;:~ ;~~;~~~~:;~:~i~~%1~~-~~~~
to become a citizen of t he United States of America and to permanently reside therein:
So HELP ME Goo.
[SEAL]
__ ff~---~~R.~----------------------------~ C/ (Original signature or declarant)
Subscribed and sworn to before me iE the office of the Clerk of
said Court this __ j[ ___ day of _____ Sk:::J#~--• an no Domini 19 ~v
~ ___ (£Q~.
c-Clerk of the -·~(J~ Court.
By ifi: __ 1_2lz_J_22__~-----, ff~-Clerk. r ,..-.,.------~:=r
U.S. DEPARTMENT OF LABOR
ORIGINAL 18 9
NATURALIZATION SERVICE
~Invalid for all purposes seven years after the date hereqf
~--A{'CE~~s: In the~~-Court ~--:--------x--:·----~--~~-_-_:::·_·:~-~~::;:_~
occupation ____ ______ ___ _ ______________________ -----~-----• do declare on oath that my personal
description is: olor ~----• complexion ~-----• height ~--feet_...,__ __ inches,
weight ------~~---pounds, color of hair ~--~--~Y-_, color of eyes--~----
h ''bid''. k~ ot er v1s1 e. 1~c~ve mar s --;--------------------------------7 ---------------------------------------------------------------
I was born m ~~ __ __ _ _ __ ----------~---------------------------------------------------------------------
~; -t~~f~i;~~~~;;;~~'~;;::;~~~-~:i __ ~::~I~:~~~~i~:
I emigrated to tl{e United States of America from --~u_, ____ , ___ ~r-"C-=--~-~~~-!J.. _____ _
on the vessel _______ ~ __ __ _ ~___L _________________________________________________________________________ ; my last
. . (If the alien arrh herwise than by vpssel, t~cter of conveyance or n}rue ot' transportation company should be g~ven)
foreign residence .... was_ · ___ __ _ _ _ --·/-J--~~---; I am ______________ m.arne~he name
of my wife is<;;_ _____ ~ ___ ; ~;s born at---~--------~
f;~s n~~ r~~~~e~~~ ~~~~~;;;~;--~~~ --~~~~g;;~~~--;~d---fid~--iy·-~~--;;:;y··;;;;:~ig~
prince, potent~te, state, or sovereignty, and particularly to ~ ________________________ _
~---~d_ ____ (;i:~--t:~---------------------------------• of whom I am now a subject;
I arrived at the port of -------~--~:-----------------------------------------------------------------··-• in the
State of---~---_ ----------------------~-~--~-----------------------------------• on or about the ____ d ____________________ day
of ---------------------------------______________________ , an no Domini I -7--L ___ ; I am not an anarchist; I am not a
polyga.mist nor a bel ever 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 Goo. ------7~~~~4~-~---·---------------
Subsoribed and sworn to before me in the office of the Clerk of
[SEAL]
said Court this ____ £ __ day of~-----· anno Domini I9Z-a
~c.?:_~£yZ~
6?' t?: ~erk of t!fl~~---Court.
By ________ : ___ ~ ___ LZls::!.2fbdd?----~ ~ ~;_:~ __ Clerk. (] /---'L-.-:.~ __ -:-_--:::::::..~
]_90 ORI GINAL
U. S. DEPARTMENT OF LABOR
' NATURALIZATIOif SERVICE
~ ~ .~ ~4
DECLARATION OF INTENTION ~
@"'Invalid for all purposes seven years after tlte date hereof
o/~~L4Li~~!~~: In the -~-;t~-Court ~¥;/)1~7),~_j of-----~------~-----
~ _______ ,;jf_-"<LL.< ____ 'f;f_ __ Q~----------------------• aged ___ ]__5_ ____ years,
occupation -----------~~-·'Y--'"~_: ___________________ , do declare on oath that my personal
description is: c~for ~------· complexion·--~--·· height .~feet '----inches,
weight _________ /9:_f!___ pounds, color of hair -~---• color of eyes------~------------·
other visible distinctive . marks -~-~~~------------------------------------
1 was born in ________________________ ----------------1---(fL ___________________________________________________________________________ _
=~~~;~~~~:::~~
I emigrated to the United States of America from -~--'Jt~~~!::~~-----------------------
on the vessel __ ~&::2 _,_ _______________ ( _________________________________________________________________________ ; my last
• • (lf the o.Jien ar~~·~ than by ~ter of COJ>.vey..aoo or ·niUlle of transp~rtatiottcompa!>y should be g~vcn)
foreign residence was __ /¥-?J -:~----------------------------------: I am _____________ marned; the name
of my wife is-----------~~~-------------------: shew~ born at __ Cf~--------------------------~;~sn:;:~ r:~~~e~f.-~evefa~-;;~~~-~;d·--fid~
~:~.ez!~~~~--~~cu~~~~-~-::~ I~~-~o~-a-s~bj~~t; "{'
l arrived at the port of -------~~-----------------------------------------------------------·• in the
State of --~-----__________ --------------------22~------------------------------------·• on or about the _______ _ ______________ day
of ________________ ___ _____ _ _____________________ , nno Domini r .r-a. ; I am not an anarchist; I am not a
polygami nor a liever in the practice of polygamy; and it is my intention in good faith
to become a citizen of the United States of Ameri and to permAnentl~ide therein:
So HELP ME ~
--~---hX--1:;.---------------------------~ (Origtrull~eclarant) ~~~Subscribed and sworn to fore me in the office of the Clerk of
said Court this ..X ___ day of -~iil.:_---7----______ , anno Domini 19 Z
[SEAL) ~-"'¥-f-a~-----
~ Clerk of ffze -~~--Court.
By __ (fl~~----, elf_~_ Clerk.
U.S. DEPARTMENT OF LABOR
ORIGINAL 191
J NATURALIZATION SERVICE
trl¥ .
s1t\111 or~., ~~· ~4-~ ~~Y' . .,.
~ DECLARATION OF INTENTION "4
~Invalid for all purposes seven years after the date hereof
~~--4-0~------l... In the-~~~---Court -~f2-1::~: -of21:_~r~-
~' ·---------------------_ __ _ ____________ --~--------·-----------------------------------·• aged ·----~---_______ years ,
occupation ____________ ___ _________ _ __ -------------~------------·• do declare on oath that my personal
description is: Color ~---------• complexion --fod-------------·• height~ feet _t_~_ inches.
weight --/-£~------pounds, color of hair --~-----• color of eyes--~-------------·
other visible. dis~e m~rks , --~---------~------~a~--------------------------------
1 was born m -~+---u_~_:: __________________________________________________________________ _
:; _the: _______ j_£_:~~~ ---=~--::~~---:_: __ ::_-7{__~:-~:n_o --~~-~~---I :~:~: ___ ~ ___ :~:-':~i~~
(Give number, street, city o~n, and State) (} ./
I emigrated t the United States of America from __ .t_~--0~~¥--------------·
on the ve ssel---~-~~-'--~-~-~--------------------------------------------------·; my last
(It the alien ar~erwis~ than ~y iJBBe~aracter of conve a nee or name or transportation company should be giYen)
foreign residence ~s .J.dPI~j-~~--~~m ------------;;married; the name
of my wife is ---U~~~~--0-------------------------; s~as born at~-~Q~ ~~~s n~; ~~~~e~~: -~~~-~~~~~~~~jj~g;~~~~--~~d---fid~-~-~~-~; ~~~--f~reig-;;
prin~tentate,, state, or s~~ty, and particularly to _Q~ ________________ _ _ _ _
tt/-~-~-/~-------------------------• of whom I am now a subject;
I arrived at the ~t ~---~----~---:·;;.d:dd{; __________________________________ :------------------• in the
State of;:;=:::;_77 ___ Lf-~!___ _ =·----------------------------------------------------• on or about the _______ / __________________ day
of --------~~---_________________ , an no Domini I -~L__Q _; 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. _____ .11_~-~------~d---------------------------------~ f-t:',--! (Origina.lsignatnre of declarant)
Subsvribed and swo;z to before me in the office of the Clerk of
said Court this __________ day of .0~-----· anno Domini 19 ?. Q
~ __ fK_Q!_":_~--£;_ __ [SEAL]
~ Clerk of the-----------------------------__ _ _________ Court.
By<-2_~-?2~-r.t-------------, ~~;t;;L-Clerk. (} =-y-~-~-~-~~
192 O R IGINAL
U. S. DEPARTMENT OF LABOR
NATURALIZATION SERVICE
U. S. DEPARTMENT OF LABOR
ORIGIN A L i ~ 3
/
No.f__td_CJ__,}_& o~tl s1~TII or
NATURALIZATION SERVICE
~~· ~-~·~
.. ~ DECLARATION OF INTENTION f)4
~Invalid for all purposes seven years after the date hereof
~~-t,...kfJ~ In the ~~-Court
~'/?J;~i;;,_,Jss: of~~-~+ ~ ···---~-----~---························-········-···• aged ...... 1":.L .... years,
occupation ·---~---·····-··········-·······················• do declare on oath that ll'personal
description is: Color ~-~&._:/;& ______ , complexion --~-------·• height ·:~feet ______ inches,
weight _f-__q_.() ________ pounds, color of hair --~~lor of eyes-----~--------------·
other vi si 151 e d i s_!_i n c~~-ve marks --~-~.__e_!.._ ____________________________________________________________________________ _
I was born in 7!'_;.·········· ___ .... 1 •• ~---····---~---········-~·-·:················:·················· :··=
on the-~---·-·-···· d y of ·····---~---·······;t._; o Domtm '-W -· I now restd-
at ----~---~-----7 ---~~be;,s"k~~t~ci-o~-i~;;,.--;;;d.-stC!t-~-Cl.~-"'--Ut/~---------------------
I emigrated to th nited States of America f rom ~_,. ____ !;;1_~-~-
on the vessel ___ ~-~-~-------------------------------------------------------------------------·; my last
(If the alien arrive ot rwise than b veaeel, the character o conve~a.nce or name of transportation company should be g.iven)
foreign resi dence was ___ ,-__ --------r·----_____________________________ ; I ~ ______________ married; the n~me
of my wife is _______ ----------------=------------------:-----: she ~born a~~-~--~
and now resides at ~ ___________ -------------------------~-~~-----------------------------------------------------------
It is my bona fide intention to enounce forever all allegiance and fid~l~ty to A-ny foreign
~ ~otent~e 0st~te, or sovereignty, and. particularly to~==-~-----------------
~~-~-~----~--------------• of whom I am now a subject;
I arrived at the port of ----~~--1/--tt±:fr.---------------------------------------------------------------------·-, in the
State ~f ________________________________________ :.1;1------------------------------------·• on or about the--------~/-------~-------day
of __________ __ _ __ . ___________________________ , an no Domini I -L~-~; I am not an anarchist; I am not a
polyg st nor a eliever 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 Goo. C)___ ./1 L!Jd ~ I
~.l: -~nt)
[SEAL]
194 O RI GINAL
U. S. DEPARTMENT OF LABOR
J NATURALIZATION SERVICE
No.__f_;Jf(lf)f~~ ~,~,~~ or a.~ 4~~~-~~~ ~'o
'.
"' DECLARATION OF INTENTION ~
m= Invalid for all purposes seven years after the date hereof ~P. .. _ _ _ __ . In the ~Q~----Court
~¥-ss. of/r~-~-
~' ·-----------------____ _ _ _ ____ ___ __ ____ __ _ -------------~-----------------------------• aged ______ /_Cd__ _______ years,
occupation ------~---~~~L ________________________________ , do declare on oath that my personal
des_cri ption is: Color ~C~------• .complexion -~---------·• heightC 5:_._ feet --1 inches,
weight .. j.li_.;J. _____ pounds, color of hmr __ _ ---------------~------• color of eyes ~-~--------
other visible. dis~i · e m~rks -------------~-____ 'f.~-c-~--"?.:U'. ______________________________________________ _
I was born 1n ""--------~---_ _ ___ ~h.= __ JL~-~--------------------------------------------------------------------
~~~r~:::z~~~~;;~-~;;~::,~-o-:i:~ __ -' -~;;:-;~--:~:'~~i~~
( emigrated fZ the United Stat s of America from___ _ _ _ . _ _ ~-~-------------------------
on the vesse I ___ ~ -----------------------------------------------------------------____________________________________ ; my last
. . (lf th" alien an·
1
rwiae than by ve~ tne charac~oon~eyQll~o or came of transp0rtation compn.ny should be g~'·en)
foreign residence was__ _ .''LZLL,---~-----------: I am ~---marned; the name
of my wife is ---------------------------------------------------; she was born at --------------------------------------------------------
and no\ v resides at -----------------------------------------------------------------------------------------------------------------------------
It is my bona fide intention to renounce forever all allegiance and fidelity to any foreign
prince, potentate, state, or sovereignty, and particularly to ~-/i_~~--~-~ ~--4{/..~~~--7;-/'_~~~-------• of whom I am now a subject;
i arrived at the port of ------~~~----------------------------------------------------------------------·• in the
State of ----------·---·--·---·-··-------··------:21'·.--·1':·--------------------------~ or about the _________ 2::__?c:: _____ day ~iyg~;;;-j£~~~~--i~-~;;~--pr~~~~e ~~':~;~;;;-;;n~ ~~ j~0~~n i~~:~~~~\~ ~~: ~~~~
to become a citizen of the United States of America and to permanently reside therein:
So HELP ME Goo. ------~0.~~~----------
[SEAL]
Subscr~bed and s~om to befo~ ~ in the office of the . c_lerk of
said Court this __ y ___ day o~----------· anno Domtni 19 ?--0
~~-0~~ ~ ~lerl'!J;!t __ ·---_ ________ __ ~ourl.
By _({_j __ c:z__~.eL-----~--· ·-·---~ Clerk.
ORIGINAL 19 5
U.S. DEPARTMENT OF LABOR J NATURALIZATION SERVICE No._i_i~_J-t~; .,~,~~ or~-
.~~ ~.~ ~y> D4
DECLARATION OF INTENTION ""f/
[SEAL]
196 O RI GINAL
U.S. DEPARTMENT OF LABOR
NATURALIZATION SERVICE
OF INTENTION
m= Invalid for all purpo
1
ses seven years after tlte date hereof
r;;/_1-~o/J _ _ _ _ _ ____ ~';; In the~-T:;;;-------Court
~~ _ _ ___ __ ___ of~~------------------~ ~-----~~~-~~-~-~~~~na~:~h-;h~:::-~;s::~ occupation _________________ .cfi;.?"_ __ __ _____ ____ __ __________ _ ___ , Y p
description is: Color~ __ , complexwn -------~-·• height ·---_feet _(p __ inches,
weight -----/--{!!__3 __ pounds, color of hair d_~color of eyes-------------------------------------
other visible . distiQ:ctive marks ~;;t:---77 ----------------------------------------------------------------
I was born m ~~~T~~t --------------------------------------------------------------
on the _________ y_q ________ d~-of -----~~-------• ann~mini 1 ~--i--~-; I now reside
at -----f-2:_3_:::: __ 0__q:d_ __ ~~-~-wn~ and-~t;;')-----~-------------------------------------------
[ emigrated to the United Stat of America from__ _ _ _ _______________ ------~-~ ~-----------------------· . '-...-=":-::'-1 _
on the vessel __ ~ _________ ------------------------------~----------------------------------------------------------·; my last
• . (l! the allen aniv~erwise tha n ~1, tn.e ~t..r of ooo.rerJn~o·. of ... transp0rtation company Jhould be g~ven)
foreign residence was ~------~---r--~: I a~_marned; the name
of my wife is ---------------------------------------------------: she was born at ---------------------------------------------------------
an d. now resides at ----------------------------------------------··---------------------------------------------------------___________________ _
It is my bona fide intention to renounce forever all all~iance and fidelity to any foreign
prince, potentate, stat71 ?r sovereignty, and particularly to~}i_~ __ 17T
~-4j-~K~77/i-------:~---------------------------------• of whom I am now a su~ject;
I arnved a the port of __ : ____________ /..~----~----------------------------------------------------------------·• m the
State of ---------;::;=:;.,--t?------------------------21!___ --------------------------• on or about the ------~------------day
of ___________________ \d..--ed;d_ _______________ , anno Domini IatJ_;!; I am not an anarchist; I am not a
polygamist nor a-b?Ii;;~~-in the practice of polygimy; 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. Subscribed and swo~:::-:·-,~--?:::;~~~;~~:-:;
[SEAL] said Court ~~~i-19 2o
;;; d Clerkoflli~Court.
By_____ ------~--?2JaJ5J~-dLf-4---Clerk.
U.S. DEPARTMENT OF LABOR
ORIGINAL i 91
NATURALIZATION SERVICE
~!);
No L!£rzz ~; s1 ~Til or e41-
~~~ ~·~ ~ DECLARATION · OF INTENTION ~.
~Invalid for all purposes seven years after the {\ate hereof
11.~~-nJ-~--(J'~~~-ss: In the -~CJ~~'o;:~ ~~'"'---=~:;p-~;_ -----·---------of LI_~~--~ ~' ·-------------__ ---------------------------~-~--------------------------·• aged ______ :?:!_ __ §:_ __ years,
occupation --~~----------.:]};_-----:• do declare on .oath that my personal
description is: Color ~---------• complexion~--~------------·• heigh~feet !:-_.:inches,
weight -----/5ll---pounds, color of hair--~ color of eyes .~----------·
other visible. dist_~~e T_!.rks -~--~~-~----------------------------------:nwt~e borLn ~~~~:-~n~~--D~;;;;~i--;-F;f5_;---j--~~~-;~~;~~
;te~ig~~~e~--;~-~~ n-~d~~;-%;;;;;r;;;;;;;;;~-~=-:=::::~-=::=::::::::::_: ___ :------
on the vessel _________ :____ _ ____ __ _ ____ ------------------------------______________________________________________________ ; my last
(If the a lien arriv oth ise than by vessel, the char er o :veyance or na:r;ue or' transportation company should be given)
foreign residence wa __ _ _ -_ __ · _ ____________ __ _ ___________________ ; I am -~arried; the name
of my wife is ----------------------------------------------------; she was born at --------------------------------------------------------
and now resides at -----------------------------------------------------------------------------------------------------------------------------
It is my bona fide intention to renounce forever all allegiance and fidelity to any foreign
prince, p~ate, or s~d }articularly t~-~--~~~--~-:-6::!,·--~--o:..<..t.~l ~---~-------~----• of whom I am now a subJect;
I arrived at the port ot _J~~-------------------------------------------------------·-• in the
State of -----------------o:.___------------------------------------------~~:--------;--;t.• ~n or about the -------~~---------day
of _________________________________ 4 ______________ , anno Dom 1 f/.----------· I am not an anarch 1st, I am not a
polygamist nor a believer in the practice of polygamy; and it is my intention in good faith
~0 b:~~~~: g~~n of the United states of Amw~:~_'
(Original signature of declarant)
[SEAL]
Subsuribed and sworn to before T)Je in the office of the Clerk of
said Court this ____ jLday ofC2f...~--------· anno Domini 19 '2-6
~---EIT~-f"'
0
Clerk of the ------------------__ _________ Court.
By ______ , __ ~£if21~
:t98 O RIG INAL
U. S. DEPARTMENT OF LABOR
NATURALIZATION SERVICE
No.L!Ifi-!tt/4-. ~~til or •• , ~~ft}~
~ DECLARATION OF INTENTION
@"Invalid for all purposes seven years after the date hereof
c/~-------~dd-~~~----J---In the -~fd?~-----Court A.J~ ss. -~_/ -------------·-.tJ.:ff:;/-/;;;, · of Qi.~~---=---~--T ~~ ·-----------------_______ -~---------------------~-k~J.._: _____________________ , aged _____ :z__q_ ______ years,
occupation -----------~ ____ -----------~-------------------·• do declare on oath that my personal
description is: Color~_Ad ______ , complexion ---~--------·• height £. feet_!__ __ inches,
weight ____ ./_ __ ~ __ Q_ pounds, color of hair-------~ color of eyes---~--,---------------·
other visible distinctive marks L'~--------------------------------------------------------------------------------
~/7-J~ l was born in ____ ------------------------------r-~---L ___ -----------------------------------------------------------------------------------
on the ---·-------/ ........... day of ... 0:;-;{;j····R~;--~ ------·• anno Domini &j/2_.; I now reside
at ---1--g __ [ __ ~~---------------------~------------------------------r-_{7:_~-------------------------
<Give n umber ~treet, city or town, and State) ( ~ _ . . _ . . .
l emigrated to the United States of America from --~-r---~-----·
on the vessel ____ ~--~: _________________________________________________________________________ ; my last
. . (lf th., &lien anived otherwis tha!l by; vessel~ name of trnnsp0rtation company should be g~ven)
foretgn residence was _ ___ _____ ___ _ -V-----------------------------------; l a_T _____________ marr~ ~~~ ~~:~ ,_,
of my wife is ______________ /!_=-~--------: she was born atc5(-~+----~---::--y.
and now resides at ---~~-0.. ______ (f0:::_._ ________________________________________________________________ _
It is my bona fide intention to renounce f ever all allegiance and fidelity to any foreign
prince, potentate, state. or sovereignty, and particularly to~~-~--(}:_~
------~-------------------·-------------------·----7-0 -----------;;z:z_~------------------------• of whom I am now a su~ject;
I arn ved at the port of .......... ·-;fo,;~--71 __ ......... tf ........................ ·-······---------·-----------------, In the
State of ---------~--------------------=---ll:_.-:._1{ ________________________________ , on or about the ___________ /() _______ day
of __________________ U __ "U:_ __________________________ , anno Domini r f-<2. ____ ,-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.
[SEAL]
---~0~~-------------------
Subscribed and sworn to before ~jn the office of the Clerk of
said Court t~~=~~~i--19 P1J
• c ~ Clerj_p[ the~-Cottrl.
s.J.t2 ...... :2Jle/.:::.L!~......zsM.-L .. 1 Clerk. ~-/ __ w:-:._:;:.. 14-..()
U .S. DEP ART MENT OF LA BOR
ORIGINAL199
v . w NATURAL I ZATION SERV ICE
No __ j/iff~ .,~,~~ or ~"' ~ ~-~-~~ .. ,. ~ DECLARATION OF INTENTION ~
~Invalid for all purposes seven years after the date hereof
'XLt:a~--¥-C!~-------In the -~CE_~-----Court
~-~J;P-------_____ ---ss: of~~-~--
~' ----P-~---_ _ · --~---------------------------------·• aged ·---~_f _________ years,
occupation _________ __ _ _ _____ __ ____ __ _ _ ________________________________ , do declare on oath that my personal
description is: Color --~-----• complexion ·--~--------·• height -~feet -1---inches,
weight ___ j__SQ _____ pounds, color of hair ~--~-• color of eyes-~-------·
other visible distinctive marks --~----------------------------------------------------------------------------------------
1 was born in · _a~ __ ,_,££~---------------------------------------------~---:------------;;--------------------~--~; _theaf_;L:--z.t__:Y_~f~-d___~-:::~-~:=--=:--:::~C:~~~=,n~:~~:=::: __ ~ __ ~:='~~~~-~
. . • (Give nu~ber, street, olt ~· an4ftatc) jti;, /}, /
I emigrated to the mted States of Am~nca from___ -~-~----------:..:.---~---------------------
0 n t~ e ve s~e 1----<ir the -alien -~rri~ oili~~~-;;~~-;~~i--~~-.;;,~;;~~-;;"-.-~~-~;;,:;;-~ii~~;j;~rt;ti~~-~~;,:;j;;~;;;t,~-;,l~!i;;·i:-;;;)--·; my I as t
foreign residen~_;:;a_: ------~::Jtli~-------------------: I am ______________ marned; the name
of my wife is __ _£)::_(-~~---------: she was born at -----~--~~-------
f;~s n~; r~~~~e},~~ -;~~~~-~~t;9;;;;'=~~~~~g;~~~~--~~d---fi-d~ii!Y -t~--~;;-y--;~,~;;
priJ1n..Pot ntate, state, or sovereignty, and. particularly ttl!~--£~ ~--~ -------~----------}(~----------------------------------------------• of whom I am now a su.bjec t ;
I arrived at the ort ot ---~--~----------------------------------------------------------------• tn th e
State of ------rV------------"':lJ'--¥---------------------------------------• on or about the -----2~-----------day
of __________________ u__'d_ _____________________ , annQ Domini L1-~-}; 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 fa ith
to become a citizen of the United States of America and to perman e n t ly reside therein:
So HELP ME Goo.
[SEAL]
Subsoribed and sworn to before !!J? in the office of the Clerk of
said Court this./~l.day of -$21-~-----· anno Domini 19 ;2 0 _ __________________ ----~.aL ~-l!. __ fl __ (!A._ _________ _
O RI GINAL 200
I U. S. DEPARTMENT OF LABOR
NATURALIZATION SERVICE
I .f)OO 2fo-f¢
No. --------------~ ., .. 11:1 or ._(\'f)~ ~·t'·~ .~ ~4
DECLARATION OF INTENTION ~
a;r Invalid for all pu1·poses seven years after the date hereof
~kh--Aj-lf~-------1 . In the ---~--0~-------Court Ck~p*tdss: oi?t~F--~ ~ ____________________________ Q_If.L-£¢~-----------------------·• aged ______ -!:!:_g ______ years,
occupation -----------~-g~_:LLa: _______________________________________ ., do declare on oath that my personal
description is: Color ~~-------• complexio~-------------·• height-2 ___ . feet -~--inches,
weight ---------JS-1 pounds, color of hair --~--·• color of eyes--~---------------
other visible disYJ?ctive marks ~-------------------------------------------------------------------------------------
~nw;:e b~~n i~~~~~=--__ -:-~n---;·r;~;;;;-~;-;-::?E<z:·--;--~~~-~~~id~
at -----~~-~~~;-,-,;;;;;, ------Y""-----_--------------~~7~=r~::~e~o-~~-~-~e~i~~-f-r::::=:~_:::: ___ ::_:_:: ____ ::_: __ '!!_~~;~~;
(U tho alien an~therwise t51'n by vessel, tne chara.c oonveyo.nce or name of transp~rtation compru!y should be given)
foreign residence~~/--d-_,_L~~ ___________ --~---: ~----married~~he naf!1e
of my wife i:~~------: she ~r~ at '/----r---~-~~-~ ~;~s 0 ~~ r~~~~e~~~ -i~i;,:;-ii;;~-~~-;~~~~e!~ii~-~ii~g;;;-;~--~~d--fid~litY-i~--;;;;y·~c;~;ig-;;
prince, potentate, state, or s~vereign_ty, and particularly to .~-~~--r~..~6..&u; __ -::: __ _
~-~/~--'1~7--· of whom I am now a subject;
i arnved at the port of ·----/7~-~-------------------------------------------------------------------------• m the ;~~~g~::~~~::~;;.:i~::~;r~~:~~~~~~~!~t~:1 ;~ai;~~~~~~!i~~~~~~~-~~~~
to become a citizen of the United States of America and to permanently reside therein:
So HELP ME GOD. ·----~ ------------------------------------------------------~-t.L:3-( ginal signature of declariLllt}
Subscribed and sworn to before me in the office of the Clerk of
[SEAL]
said Court this_L3._day of __ gf.:~j-'!:d:: _________ , anno Domini 19 :2-o
~~t!!!::::;;CJ1;::;_::-~ourl.
By __ {f;___d_~'21_~--, 0t_~;----Clerk .
ORI GINAL 2 01
U. S. DEPART MENT OF LABOR
NAT U RA LI ZAT ION SERVI CE
v Oo-!4--~~-No.!~Q _L_ ~ ., .. 111 or~-~
~(t~ ~~-~~ '4
DECLARATION OF INTENTION ~
~Invalid for all purposes seven years after the date hereof
v~--1-Jdl___ -----, l In the (J,_~CJ:_~------Court
----~-~-1--Jb . -~-ss: of 2[_~~~----~--------
~, _______________________ __ -~-----1._~-------------------------------• aged ____ d_2::: ______ years .
occupation _______________ _ _ _ ___________________________________________________ , do declare on oath that my personal
Gescription is: Color ~------• compl:t:~ =-~-----• height~---· feet =inches,
weight -----1--f-6:.. __ pounds, color of hair __________________________ , color of eyes-~--------------------
cth er vi s ib I e d isti n cti ve marks --~--------------------------------------------------------------------------------___ _
I was born in ----;!-~~-~---------------_---.------);--·--------------------------.-----~; _th~:2T --~ ---------;_~::!;;;;~:_@.~~~m':'~=~:~---~---:~: __ r:~~~:
(Give number, street, city own, and State) t2A
I emigrated o the nited States of America from _ _ ____ -------,--£~~----------------·
on the vesse I -------------------------~--------------------------------------------------------____________________________________ ; my last
(If the alien arri~)Je than by vos selt)he charac o conveyance or name or' transportation compa ny ehould be give n)
foreign residenne as--~~---------------------7-: I am _____________ married; the name
of my wife is _______________________________________________ ; shew s born at ~k£~~
f~~s n~; r~~~~ fi~: -;~~~;~?;'";;J~ii~g~~~~~-;-;;d--f~d;ii\Y--1:-;;--;;-ey·;~reig n
prince, potentate, state, or sovereignty, and particularly to ~-fi_~~-f--~
--~--~--.:xi~--'!1~~-~------------• of whom I am now a subject ;
I arrived at the port of ~~---~-------------------------------------------------------------------------··-·• in t he
State of-----~--~-~-0---------------------------------------------------·• on or about the ______ J._?-: ______________ day
of ___________________ _ --------------------------------• an no Domini r ___ ;_q__?d__; I am not an anarchist; I am not a
polygamist no 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 t o permanently reside therein:
So HELP ME GOD. 0 (/
__ _ci~-----t!Jttfft!~id.~~j~;:;,_~t) _____________________ _
Subscribed and sworn to before me in the office vf the Clerk of
[SEAL]
said Court this ___ _L4 day oL>2f~-----• an no Domini 19 2-o
~·~------~-------
Clerk of the~~---Court.
By __ S ___ C{_~_ry__-:22_ __ ~------~ -----~--Clerk.
202 O RI G I NA L
U. S. DE PARTMENT OF LABOR
NATURALIZATION SERVICE
~ ~4
DECLARATION OF INTENTION ~
~Invalid for all purposes seven years after the date hereof
~~-;!-@ ~-;~-----Jss: In the ---~~ourt
r{A _~~~udi:-.u_ . of _?1:~·----·-------·-··-------·
~' ·---------------------~-&_~------------------------------·• aged ______ J__2 ______ years,
occupation ----------~-----~-~-----------------------------------------• do declare on oath that my personal
description is: Color __ 2/:~£&. ___ , complexion ----~---------• height~---feet-~--inches,
weight __ L~.tL. ______ pounds, color of hair --~---• color of eyes-~-----------·
other visible distinctive marks ----~ --------------------·--------------------------------------------------------------
1 was born in ~c!:~;t'"'-l-~,1~----------·--·--~ -:·----r;----;;,-:------~ --;,---;·:··--
:~ -t~~-~~~?i£;p~~-/~:-__ ~!._::::~~~~=;~~;::;~:~::,-~~:!:1_ I_:Pt~-~--~··-··~·-··1 Sl~~
I emigrated t o the United States of America from ----~~,--------------------.:f-~----------
on the vessel ____ Q~--~----------------------------------------------------------------------------·; my last
(lt thl"l alien an~ otherwise than b~essel, _me c~cter of oonveya.cce or nnme of tra.nspC'rtation compauy should be given)
foreign r~si~en~~s _-f-_i2.g,_~7~kj--~-1----~---_----------married; the name ~~my wrfe rs ____ L ___ . ___ c ______ L"'----------·-----------: she tlr(7:.om at-------~-~ ;j
~;~s n~~ r~~~~·~~~ ;~;£;-:.;-~.;-~u --~~~~g;~-;;~~--~~d---iict;i;;y--;~--;;;;-y-t~~;;g~
prince, potentate, state, or sovereignty, and particularly to ~---?i__~--· _________ _
~--~---_ ~~of whom I am now a subject;
I arrived at the port of ~ _ ______ __ ____ -----------------------~----------------------------,---------• in the
State ~of ______ ---------. ---------~--/..L~-*--------------------------------------------• on or about the ----------------------------day
of ____________ _ _ _ __ . --------·----------------• an no Domini 1--/--12 .£.. I am not an anarchist; I am not a
polyg 1st nor · eliever 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 Goo. ~ {)~~
[SEAL]
(Original signature of declamnt)
Subscribed and sworn to before me in the office of the Clerk of
said Court this_/..._.;:}__ day of d.~--· an no Domini r 9 :2-o
~~~~----------
c-----Clerk of the--~~-Court. B~--~-~CL2J__~-~--------44_---~':-~-=Clerk. ··~··· ~~/-~"C
U.S. DEPARTMENT OF LABOR 205B IN REPLYING PLEASE REFER TO THIS
BUREAU OF NI\TURALIZATION
WASHINGTON
Prothonotary, Common Pleas Court,
Washing ton, Pen.~sylvania.
Dear Sir:
FILE NUMBER
M~ 18, 1923. za3s-d-15oo
The Bureau is in receipt of the application of the person named belo~
for certified copy of declaration of intention made in your court.
The application has been approved and the Bt:reau is inclosing he:::-ewith
Form 115 for issuance of the copy requested. It ::;hould be an exact copy of
the original in your bound volume and be signed by the declarant--if practi-
cable; ot ·herwise~ his name may be entered by you in the place intended for
his signature. The blanks in the red ink certificate should be filled in
and signed by you.
·In compliance v1ith rule 17 of the regulations, you should enter on the
original declaration in your bound volurJe notation shov.ring the issuance of a
certified copy thereof_ It is not necessary to issue and send to the Bureau
a duplicate of the certified copy.
The applicant has been notified by the Bureau that as soon as he pays
your fee he may reeeive the certified copy. 0.:' course, if you ·have already
received your fee, you may proceed in accordan:::e rr.:.th the foregoing without
further delay. The completed copy may be givan or sent direct to the
applicant.
IncL
Name: Mr. Gennaro Caccbiani,
Address: 113 North Ave., Canonsburg, Pennsylvania.
Decla!·ation number: 1503
O RI GINAL 2 0 3
j U. S. DEPART ME NT OF LABOR
NATURALI ZATI ON SER V IC E
No. __ j_§!?__~_ld. ~
s1t&TII or~· ~~· . 4/<t&t~ ~~ ~4 ~ DECLARATION OF INTENTION ~
~Invalid for all purposes seven years after the date hereof
d~-i---a _ In the~~-Court '
~-~~-ij2Ja& of~«&L~~-~,
~' ·----_ _ _ ----------------------·• aged -------~--~---years.
occupation _______ --::!?._~-~----------------------------------------• do declare on oath that my personal
C!escription is: Color ~_i:u_ ______ , complexion ----~--?.:::::?:. ______________ ., height -~feet_ _ __ inches,
weight ____ }_ ________ -:-:_ __ pounds, color of hair -~-----• color of eyes ~---------
ether visible distinctive marks -&~----------------------------------------------------------------------------------------
1 was born in Q~--------------~-----------------------------------------------------------------------------------
on the ---------~2--1-------d ay of ______ Cl_~~------------------------• an no Domini 1 %J[_1:_ __ ; I now reside
at ----------/--t-_3___0___._ __ ~:J_________________ _ __________ _ __ t __ r;E__~-----------------------------------------
(Give number, street, city or town, a ~ 0---f:,_, fl A
1 I emigrated to the United States of America fro m--~------------+---~----===--=,-------------------------·
on the vessel_ _ _ _____ · ____ ----~------------------------------------------------------------------------: my las t
(II the o.lien ar . ' ise than by vessel, th~ cr~rz~yance or name o 1 transportation company should l>e given )
foreign residence was_____ =---~-(---~=-:::--=-r-----------------: I am -----~--------married; the name
J ~ of my wife is~--------------------: she wr-}.orn at----~----~-(-
and now resides at -----~~-_______ g _________________________________________________________ _
(\\ It is my bona fide intention to renounce fore er all allegianc~ and fi ~ to any foreign
~ princ_e , _potentate, state, or sovere!gnty, and particularly to ___ '21._~------~-
~ _ Z a _____ ~ ____ .tf/_ _______ !'_t~-: ___ ~-----------------------------------• of whom I am now a subject;
~ I arr ived at the port ot ------W ~----~-----------------------------------------------------------, in th e
State of ____________________________________ _::C _~ __________________________________ , on or about the ____ / _____________________ day
of--------------~;_~: __________________ , nno Domini I _J_g_{:_; I am not an anarchist; I am not a
lygamist nor a belie er 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. ------~-----_:~ _---____ f.:(d_~~-"M--L -~~gnature of declarant)
[SEAL]
Subscribed and sworn )P before me in the office of the Clerk of
said Court thi{ __ ~_day of d..~: ________ , anno Domini 19 ?--c.
-----------------___ (£~~----
~ Clerk of he~~-Court.
sy ---~----a_:2l19/4~dJ~ czerk.
204 ORIGINAL
U. S. DEPARTMENT OF LABOR
NATURALIZATION SERVICE
No. _{[~--~~-e ~
~~· ~ ~ DECLARATION OF INTENTION
[SEAL]
H2
(Old 205B) U.S. DEP ARTMENT OF LA BO R
BUREA U OF NATURALIZATION
WASHINGTON
• Pro thona.toey Coumon Pleaa Court
washington ~enn~tlvania
Dear S i r :
IN REPLYING PLEASE REFEit TO THI S
FI LE NUMBER
2838-d-1505
Februa.ey 2 6 , 19.23
The Bureau is in receipt of the application of the person named below
for certified copy of declaration of intention made in your court .
The"application has been approved and the Bureau is inc l os i ng herew i t h
Form 115 for issuance of the copy requested. It should be an exact copy o f
the or i g inal in your bound volume and be signed by the dec l aran t i f prac ti-
cable; otherwise , his name may be entered by you in the place inte n ded for
his signature . The b l anks i n the red i n k certificate should be filled in
and s i gned by you.
I n complian ce with rule 17 of the regul ations , yo u s h o uld e nter o n t he
original declaratio n in your bound volume notation showing the i ssu a n ce of a
certified copy thereof. It is not necessary to issue a n d se n d to t he Bureau
a duplicate of the certified copy .
The app l ican t has been notified by the Bureau that as soo n as h e pays
your f ee he may receive the certified copy . Of course, i f you have a l ready
received your fee, you may proceed in accordance with the foregoing wi thout
further delay . The completed copy may be given or sent direct to t he
applic a n t.
Name: Albert Sam,
Addre ss : Vanvoonia, Pennmylvania
Declarati o n number: 1505
Comm i s si o ner
Incl.
U. S. DEPARTMENT OF LABOR
O RIGIN AL 2 0 5
NATURALIZATION SERVICE
~~· ~~
" DECLARATION OF INTENTION
~Invalid for all purposes seven years after the {late hereof
d~-~Q~ In the--~~Court
I. ~--'J-1L~7!Jss: of __ 21_~?--~--~-
1 ~' _________________ aa._~-~----------------------------------------• aged----~?!:: ______ years,
I occupation _______________ ___ _________ ___ _ _ _ ____________________________________ , do declare on oath that my personal
Gescription is: Color --~~---• cd~~----~ height 9;_ feet Q:~ches,
weight J_ __ t._(L _______ pounds, color of hair ----~---------------------------• color of eyes----~
~~~~==~======= ~; ?1~:~~:::=;;.;~;~~-~~~~~:~:~;:~;:f~~-~--~~=-':~i ~:
I emigrated to the Umted States of Amenca fro m--~-----------~-----------
on the v essel ______ ~_..ck~--------------------------------------------~!__ ____________________ ; my last
(If the alien O.n:_i~erwise than by ~sse~he character of conveyance or n ame oi transportation company slwuld be given)
foreign r~si~ence was .d!J.J_~';..2J-r=__ __________________ ; I am ~ ___ married; the name
of my w ife Is ____________________________________________________ ; she was born at ------------------------------------------------------
and now res 1 des at ----------------------------------------------------------------------------------------------------------------------
It is my bona fide intention to renounce forever all allegiance and fidelity to any foreign
~~s-t~t::_:;;r:i~:t~: __ :~--~::i~~l:rl~-t-o---~--!~~~bj~~;;
I arrivfci at the port of ;;;?j-1--~~~----------------------------------c_-~-----;·-• in the
State of _____________________ L.L! _____ "::/--'--------------------------------• on or about the--------------------~------day
of -----------~---------------------------------------------• an no Domini 1 -f-!!_-~ 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. ---------~~--------------------------------------
congmaJ signature of declarant)
Subscribed and sworn to before me in the office of the Clerk of
[SEAL]
said Court this ___ /-J-day of----~----· anno Domini 19 _0
~«~-r---~-2~
_ f Clerk of the -~~Court_
By 2;ZJ[/-_f22_fk ____ ----------------,~-Clerk.
206 ORIGI NAL
U. S. DEPARTMENT OF LABOR
NATURALIZATION SERVICE
~· ~~ ~ DECLARATION OF INTENTION
~Invalid for all purposes seven years after the date hereof
J4i.j:...k;f~-~4 ss: In the --~Q~--Court
~--f--2~~~ of ?J:~-~~--
:!1, _____________ ~-~~'lc------------------______________ , aged _______ ,:i3 __ ~---years,
occupation -------------------------~-------------------------------: do declare on oath that my personal
descript ion is: Color -"21-~---• comy~e~iLn ;_-~----• height _5_ feet-[-inches,
weight ______ j_L_Q ____ pounds, color of hair ~~--------------• color of eyes -----(f--~--------------
~~~:s v:~:!e i~~~~~::::::::_::·:_::::::::::_:::~::=::::::i ::~:::~:::::::::::,~::;::~
on the ------2------------------&£-o(J_ ______ 0_~~-~------------• anno Dommi LQ_1-------• 1 now s d
at -~L~ _d_._ L----f!_~;~~---~t;-Cl--~-~---------------------------------------
1 emigrated to the United States of America from _/J_ ___________ ----------------------------------------------------------
on the vessel ____ ~~--------------------------------------------------------------------------------; my last
. • (ll tho alien~ otheyvise than by vessel, t~ce or name of trnn sp~rtation company should be g~ven)
foreign residence '!!)S~./Z:?:L~-~-----------------------------------------; I am ______________ marned; the name
of my wife is ----~ ___ (!_ ______________ ; she was born aU~---------------------
an d no\ v res 1 des at -------------------------------------------------------------------------------------------------------------_ -------------------
It is my bona fide intention to renounce forever all allegiance and fidelity to any forei gn
prince, p~e/ntate, state, or sovereignty, and particularly to ~[i__~¥-~
-~-t!!:jt-M-:t~-~A_t;._ ~------1--~-----7 ------• of whom I am now a subject;
I arrived at the port of ______ __________ __ __ __ ------------------------------------------------------------------• in the
~r;:;::,~~~;;~;~::,~:;~~::;;~~~~:~~~~~~t!~:~~:1 ;~~~~~~:;~:~~~:--~i~-~~~~
to become a citizen of the United States of America and to permanently reside there in :
So HELP ME Goo. -/"¥-·tJ;!!t_~,'=;;------------------
Subscribed and sworn to before me in the office of the Clerk of
[SEAL] said Court ~~:;:~Q~_I92 o
Clerk of th e~--a~-Court.
By ~,-~--_;;/~dZJ-----------· dY~---Clerk .
U. S. DEPA RTMENT OF LA BOR
O RIG INAL 2 0 7
NAT U RAli ZAT IO N SERVICE
v
No .. Jti_'Q]_Lf~; .,~,~~ or~-~
4(\~ ~10 .V> ~
DECLARATION OF INTENTION ~
~Invalid for all purposes seven years after the date hereof
~--~~-:-)ss: ;n the -~CZ_~--Court --~·-f--'-1~ of-----------------~-
~--~~~~~~--~~--·aged ..... 2::.~-------years,
occupation ___________________________ q_~-----------------------------------• do declare on oath that my personal
cescription is: Color-w:.~--------• complexion --~---------• height .. -12---: feet !__t?.__ inches.
weight ___ j __ (e __ Q_ ___ pounds, color of hair ---~--• color of eyes __ ~------------------
other visible distinct~~------------fJ:·------------------------------------------------------------------~nwt~e ~::.z.~~:·;;~~--~~~~=:~;;;-~~;;ii:t::;···;-~~~-~~~~d~
at ________ 0~,--q,-~ber-;-;tr~t,~it~;--:t~;;--;,~;;;,a:st;t~)--""(;:·----------------------------------------------
I emigrated to the United States of America from-~~~------------------------------
on the vessel .... ,,;-;;;;·;,;~·;;;;,;;;;,,.;;;,; ,;,~;;;·;;;;;·;;;;;;~;;;;;.;;;·~~;;;;;·;;;;;,;·;;;·;~~;;;···; my last
foreign residence was ----~-~r-_ _____ _ _ ___________ ; I am~ __ marned; the name
of my wife is ------------~---------------------------------------: she was born at -------------------------------------------------
and n 0 v.,r resides at -----------------------------------------------------------------------------------------------------------------------
It is my bona fide intention to renounce forever all allegiance and fidelity to any for1
princ , otentate, state, or sovereignty, and particularly to --~~':~~---11----------
-------~--------------~----------------:·-----------------------------~~u---------------------------------· of whom ram now a su.bject;
l arnved at t e port of ~---:JJ~q-~-'-·---·--·------------------------·----·--------------------·• m th e
State of ---------------------------~L-'1{-~----------------------------------------• on or about the-----------'-~------day
of ---------------------------~-?[_ ___________ , anno Domini I .. t;f.L7-::.;. I am not an anarchist; I am not a
polygamist nor a believer~n the practice of polygamy: and it is my intention in good faith
~0 b:~~~~: ~~~n of the United States of Am:r.ic;&d~:e~~:~=-~-~:::::.~::r:i:.:
~ture of declarant)
[SEAL]
Subscr!bed and s~~rn to before m7;7in the office of the _c_lerk of
said Court thiS----7----day of .2:2~--------· anno Dommt 19 2--o
~-~--~Q~---
-~ Ckrk of the ~------~Court. a£,:;,;:t_:22:z..~L "71-~--, _____ ',!:.~_ Clerk.
2 08 O RIGINAL
U. S. DEPARTMENT OF LABOR
;§6 ~ OJ£~
No.····-·······-········ ., ~Till or
NATURALIZATION SERVICE ' '
~~· ~ ~ DECLARATION OF INTENTION
~Invalid for all purposes seven years after the date hereof
sJ..h.~~'F<ss: . In the~\3'~ ... Court
~-f--------~~,~-fJ or2fx~~~Jr-~--~ ~' _______________ £3~~------~~--------------• aged ______ £_¥----years,
occupation ---------------~-----------------------------------• do declare on oath that my persona l
description~: Color ~--• cdplexion .. ~ .... , height ~es,
weight __ L_ _______________ pounds, color of hatr ----=--~---·• color of eyes-------------------------------------·
other visible distinctive marks --~--rx.~~-----------------------------------------------------------------------------~nw~e b-o~:i:LP!..~;;_~·:·~~~~~Di;;;·i~;-·;·:3::;~:z;-~~;;;;~~i d~
at ---------J------~~------------------------~-----r--------~------------------------------------------------
. "' . (Give nu~ber, street, city. ;;t,p;p.d-S tate ) _ , N~
l emtg, a ted to ~ted States of Amenca from ----~-.,-----------------~-----------~----------------
\ ~ on the vessel ____ <_ir-t"t~-.:-li;~-~;.~~-~u,~-;.;;;,~-~h~;.-~,;.-~~;;;;1~---.;~t;.;~~;~(-.;;;.;:;~y;~.;-.;~~-~;~;-.;-ie;:.;~;;~;:;-;;~~~~~;~~;.-;t.~~;id.-b;-gi;;~i---• my last
~ foreign residence,~s --,-~~--__ ~~--~-{---------------------: I a;:p -;------------married; the name ~-of my wife is ___ c;J_/..f~::._ J.:..jj__l!..:/. ___________________ ; she was born at --~-~---------------------------------
~ and no\v resides at ----------------------------· __________________ Q:__~.: ___________________________________________________________________ _
\ It is my bona fide intention to renounce forever all allegiance and fidelity to any foreign
~ prince, potentate, state, or sovereignty, and particularly to 1f~---Fii:~J--~------_w_~-~----.J2t:.~------------------------------------------------------------• of whom I am now a subject;
I arri~~~--~{~he port of ---------·----~-'Zf-~----------------------------------------------------------------• in the
State of ____ ----------------------~":--~-=--------------------------------------• on or about the _________ L_::2_ _________ day
f .A. D . . dC 2 · I h. · I o _______ __ _ __ ---~---___________ , an no ommt I -L-~-------• am not an anarc 1st, am not a -
poly ist nor a believer n the practice of polygamy; and it is my intention in good faith
to become a citizen of the United States of America and to perman ently reside therein:
So HELP ME Goo.
[SEAL]
tfJ ~t-.4. A ~ -~-----4)~-~---------------~---::-~-y,t. ~---~'(l;riginal s1gnature of declarant)
Subscribed and sworn to before meJn the office of the Clerk of
said Court this.M day of ~~---• ann~ Domini 1 g 2.o ~ ....... :.Q~ .....
~ 2 /: Clerk of the -~.f!u . "· Court.
By &!J-~.~~---, (2'(}~ Clerk.
142
(Old 205B)
142-da.d
U.S. DEPARTMENT OF LABOR
BUREAU OF NATURALIZATION
WASHINGTON
IN REPLYING PLEASE REFER TO "('lll5
FILE NUMII£R
2838-d.-1500.
January 9, 1924 •
• Prothonotary, Co~on Pleas Court,
Washington, Pa..
Dear Sir:
The Bureau is in receipt of the application of the person named belo~
for certified copy of declaration of intention made in your c~urt.
The application has been approved and the Bureau is inclosing herewith
Form 115 for issuance of the copy requested. It should be an exact copy of
the original in your bound volume and be signed by the declarant if prac t i-
cable; otherwise, his name may be entered by you in the place intended fo :r
his signature. The blanks in the red ink certificate should be filled in
and signed by you.
You should enter on the or iginal declaration in your bound volume a
notation showing the issuance of a certified copy thereof. It is not nee e s-
sary to issue and send to the Bureau a duplicate of the certified copy .
The applicant has been notified by the Bureau that as soon as he pa3rs
your fee he may receive the certified copy. Of course, if you have already-
received your fee, you may proceed in accordance with the foregoing wi thol.-l._ t
further delay. The completed copy may be given or sent direct to the
applicant.
Incl.
Name: :SJ.ldi sera Bertelli,
Address: Box 41, Millsboro, Pu..
Declaration number: 1508.
Very truly yours,
Commissioner of ~atur
U.S. DEPARTMENT OF LABOR
ORI GIN A L 209
W' Invalid for all purposes seven years after the date hereof
_ 12:_~--~Q~ In the--~(}!~-----Court
_____________ _ -~~~ss: of _'2/_~-3'~-:J!_~
~ _____ -------~-if~-----------------------------• aged ___ ;?_ __________ years,
occ upation ----------------~----------------------------------------• do declare on oath that my: personal
c!escription is: Color ~------• complex~n ___ h._ ____ · ______________ , height \5. feet __ £_ __ inches,
w ei ght __ / __ Q ___ a_ __ pounds, color of hair d-;_J~-~---~ color of eyes----~_{_:_ ___ ~---
c th er visib I e d i sti n cti ve marks ----~--?::1.-~-------------------------------------------------------------------------__________ _
I was born in ___ : __ ~: ______ :.(! ___________________________________________________________________________________________ _
on the ------1 --~-----------day of ___ q{L_~-----------------------·• an no Domini 1 /f_ ____ c:__( I now res ide
;te~i~;;~!-o;-;;;;~~;ft~"''-~~:==::::::
on the vessel .l.fij_~~J--~~--------------------------------------------------------------------------------------·; last
• • (If the a lien arr~=ise than by vessel, tJJ> cham~ ~::.."J.:e o e or transportation company should h e g;veu) ·
foreign residence was -------~~--=.r="""'-"""': _ ---~----------marned; the name
of my wife is---~--__ -~!5 ______________ ; sfie was born at----------~-~---------------·--------
and now resides at ----~--------------_,___ -=~-----------------------------------------------------------------
It is my bona fide intention to renounc forever all allegiance and fidelit to am foreign
prince, potentate, state, or sovereignty, and particularly to~----==-_____________ __ __ --~-------
--------~------------------------------f--?A)·------:/i ·------T ··;f;··--pr ··=----~-------------------• of whom I am now a su_bJect;
I arnved at the port o x:,?~~-----------------------------------------------------------··-• m the State of ____ T/lU ________________________ (J'_f:l __ , _____________ :··:·········z ··• on or about the -----~--~----day
of --------------~.//~--------------------------• an no Dommt I ____ c ____ ; I .am not an anarchist; I am not a
polygamist nor a eliever in the practice of . polyga y: 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 Goo. _____ :_;[_~----~-~ _________ _
(Original signature of declarant) ------t
[SEAL]
21_0 ORIGINAL
Uo So DEPARTMENT OF LABOR
,j NATURALIZATION SERVICE
No. o_j2f__Q ___ V&{;{ s1~T~:e or~ .. ~~· ··~·~ ~V> ~A
DECLARATION OF INTENTION ~
~Invalid for all purposes seven years after the date hereof
~/£-~~~~-ss: In the -~£1F="--Court ~f-Jo?J!~--_____ of~~~-----------------~-
:!\, . fJft-:>'L _ __ _ ___ ---------~--?--~~--• aged -----~ _ _il ____ years, occupf{(;;_~:~--~-~:~-----------------------------------• do declare on oath that my personal
d ·· · 0
• C I 11 ::.A; I · ~/~~-~" h · ht~feet.{-;n h esct1pt10n ts. o or ~------• comp exton ----L-=-~,-;-"'-=-r·• e1g ·-----· ____ 1 c es,
weight ___ /_ __ ;j__f ___ pounds, color of hair -~--• color of eyes -~-f/-~-----------------0
other visible di~ctive marks --~-----------------------··-------"---~-------------------------------------------------~nw;:e bo~n _i:_t~;--:~::::-~~-~~-D~;;;;~;--;ji_:i_~--i--~~:;;;-~~~j~~
;te~;~~~:;:t;cr~~;~"'':~:::;g;;:;;;;;;,:_::::::::::
on the vesse ! _______ : ______ £_______________ ----------------------------------------------------____________________________________ ; my I as t
(If thl'l alien arrived otherwise,t vessel, ~haracter of conveyance or name of transpC'rtation company should be gneo)
foreign r~si~enc~ ws _____ ?Jl; ___ 0-----,---r':P.--~~-----: I am -:-: ___________ ~rried;L~
of my wife Is _SJ:j__~----?J5'iie was born at -~~--------(1-------------------f;~sn~~ r~~~~e~~~ ~~-~:~~~;~;~~~-~~~---~--~~--~~d---fid~-iiiY-l~-~~Y--f~~~ig;;
prince, potentate, state, or sovereignty, and particularly . _ _ ______ _ ___ _
0 ---P-~
-----------------------------------------------·--------------------------------------------------------------, of whom I am now a subJect ;
l arrived at the port of ------------~~d--------------------------------'--------------------;/·----, in the
State of -------------d.;~------------------------:Jf-------------:--:------------:; on or about the -------~----------------day
of ·------·---------------------------------o---------------·• an no Dommt r -<f-j_ _____ ; 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 per nent7 reside therein :
So HELP ME GOD.
[SEAL]
Subscribed and sworn to efore_me)n the office of the Clerk of
said Court this __ .2~ay of .'-J;:d~----• an no Domini '9-z o
~--I:I:¥1~--------
cterk of the -~(f~ Court.
B;· 0.~---Z~e-_?/~-------~ ·--~~ Clerk. I I i4~{
O RIGI NAL 211
U.S. DEPAR TMENT OF LABOR
NATURALIZATION S ERVIC E
No.i.DLIJofJd-., .. til or ~~ ~ ~·~ .tt'9P ~~,o
~V> ~
DECLARATION OF INTENTION ~
~Invalid for all purposes seven years after the date hereof
-~:i~~-~~~----------] In the --~Q4_!!::~. Court
----~~------~ ------·------------ss: . of. ?£-~--a~--
~ . ....... .. .... .. .. . IJ ... ~cfke-o.tl-4 ... :.. :"··········-• aged .... 2..fL ___ years,
occu~ ~on ·:··---________ ___ _ _ .:::-~---------• do declare o~ oath that my p~rsonal
cescnptwn Is: olor~Je.L _________ , complexiOn --~---·• height ~-feet-{--mches.
weight ----1-.f--t!.. ______ pounds, color of hai ~------• color of eyes __ dl: _ _t __ :__~~---------
~~~:s v~~~~e i:is~:~~:::::::::~::.:::::.:·:~::::=::::::::=::::::::::::::::::=:::::::::::::;::::
on th~--~-~------day ~r~T---------------------·• an no Domini 1 -~([~ I now reside
at ------~ ~..P ./ 4:..1.----------~------------------------· ---------------------------~-------------------------------------------~-~-oO"---=-(Give number, street, cit~ town, and State)
1 emigrated to the United States of America from-~-----r"""Y:.~-------------------
on the vessel _______ ~~----------------------------------------------------------------------~ my last
• • (If the alien ar esse!, the Cj:Jracter of conveya"Qce or name or transportation company aboul~ be g~ven)
foreign r~s1 ~ence w --------------------------~---1~--------: I am ---------.----marr~; }J~ nam~
of my wtfe ts ········-............. c.:-·"(;27-; she was born at. :~.~>lS.1.~~
and now resides at ----------------.----~---<:::-________ _______ __ _ _ _,_____ _ ____ :v,. ________________________________ _
It is my bona fide intention to renounce f ver all allegiance and fidelity to any foreig n
~1/~:l:.~' .. ~o;;g.nt~: .. ;~--~~!~~J~~.bje~;·;
l arrived a/the port ot-=·f:z?--L~----------------------------------------------------------------------------------··-·• m the
State of -----------------------~--~-----______ :·-------------------------~------·• on or abo u t the ____ /_( _______________ day
of ------.---------------------~----_______________ , an no Domini I -7--Q ____ ; I am not an anarchist; I am not a
polygamist nor a believer in the practice of polygamy: and it is my intentio n in good faith
to become a citizen of the United States of America an d to per manen tly reside therein :
So HELP ME Go o. ;;L ft _.., 1 _ ,_ .
--------------~---~~--------------------------------
(Original signature of declarant)
[SEAL]
12 O RIGINAL
U. S. DEPARTMENT OF LABOR v NATURALIZATION SERVICE
~f)-'o
.. ~ DECLARATION OF INTENTION "4
~Invalid for all purposes seven years after the date hereof
~~£~-------In the ----~~~-Court ~~--'i2 ____ ---__ ----ss: of)/-~~
:!), -----------~~--~--:-------------------~~-12------------------------• aged ____ ij__ ___ r__ ___ years ,
occupation ___ :-{;~--~~----------------------{f__(j_ _______ , d~ declare on oath that my personal
description is. Color ~~-------• complexion -----~-------·• height .£teet--~ inches,
weigh t -/--~-_ pounds, color of Qair ...,_.'J~------:• color of eye ~~-------·
other visible dis~ji_;,;e marks ~--tp£:---?~-------------------------------------------------------
1 was born in ___ '_/~-~ --------------------------------------------------------------------------------------
on the --------1---f-----------day ~f -~-:~~-----·----yy -----------·• ann~mini L O_~ __ Q _; I now resid e
at --~2-Lf£ ______ J~-;:!',d,;,~~'~;-;--":c-.---d~---------------------------
( emigrated to the Umted S ~ates of Amenca trom ______ _ __ ----------'-1--~-~-----------------------------
on the vessel __ -------~1'.. ____ !..-.=:..='--------------------------------------------------------------------------------------------·; my I as t
(lf th_, o.lien arriv otherwise than by veBBetJ~~haracter of conveyan ce or name of transp<.'rtation company should be given)
foreign residence was ~ _ _ _______ ... ,_':::: ... .1<-~----________________________ ; I am ______________ married; the name
of my wife is ---~-~~~-----?--; e was born at _:21.a~,_-~4f:y-------------
and now resides at ______ &~7 -~~--:·-------------------------------------------------------------------------------
lt is my bona fide intention to renounce forever all allegiance and fidelity to any foreign
prince, potentate, state, or sovereignty, and particularly to ~~--&'._~ ___ _,_ __
-~~"--~'T-------------------;;z;_---------------------------------• of whom I am now a subject ;
l arnved at the port ot ------------~--~-~-----·--------------------------------------------------------• m the
State of -----------~------4<~--------------------------------------------• on or about the ___ _!_Q ________________ day
of --------------------LL.d:~~f£ _____ , anno Domini r_<;{__g ____ ; I am not an anarchist; I am not a
polygamist nor a be~~er. in the practice of polyg{my; 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. . . --~ ____ _/}J}_f!'-~-~~ ~~~
(Original signature :ff~J~~F-'::""/.;
[SEAL] Subs~~:~e~o:~~ _:~:t~d-:~~~5k~f o
• [; ~lerk of the _______ ---------------~CJ!L~ Court.
By ______ , __ ~/L__f£ ___ -:2J_~_,dJ14.~~~---Clerk .
1 --r-=-~-~-=:z~-
U.S. DEP A RTMENT OF LA BO R
O RI G I NAL 213
NATU RALIZATION SERVICE
No/LSZ2 _0 ,p; ., ~Til or ~-
~~~ ~.~ ~ DECLARATION OF INTENTION .4
~Invalid for all purposes seven years after the date hereof
o/I-~-~lss: In the -~Qt::~--court {L__,_~----'2~-;t -;-f-• of '2/:~-j'-----------~
:!!, ~-------r--~-~-~-----------------------------·• aged ·----~-L ___ years,
occ upatiOn ----------------~---------------------------------·• do declare on oath tha _ my personal
description i: :,Color --~----, comRiexion __ ~------·• height _,2 feet £inches,
weight ------/Lt2.tJ. pounds, color of hair -~ed------------• color of eyes-~-
other visible distinctive marks --~----------------------------------------------------------------------------------
:;w;:e_b;-m. i:ni~~~-:-::=::=-=--~=~::.~~=~~i~~~~~~;: __ ~--~n~=-~e~J~e
(Givenumber,street,c~ ~
~~~~:r~::~e~~-~--~~~-~--~=-~-~~~~--~-~:=-~-----~~~~--~~~~~~~--~----------------~~~~~~~------------~-~-~-i~~~ ~U~~rriv erwise than by vessel, ch ra.cter of conveyance or name oi transportation company should b e give!l)
foreign residence was_ __ _ ___________ ______ __ ____ 4 _6 _____________________ ; I am ______________ married; the name
of my wife is _a_____ --~ she was born at ----~---~--
and now resides at -------------------------------------t ----~~----------------------------------------------------
It _is my bona fide intentio·n to _renounce fore~er all a l ~nce and fidelity to any fore ign
pnnce, potentate, state, or sovereignty, and parttcularly to --~--G~---
·-------!--1/~~---f--~~---------------------------------------• of whom I am now a su_bject;
I arn ved at the por~f --------;-~~-'--------------------------------------------------·:z;;_ , m the
State of~------~-----___ 7 _______ -:::2J, __ ~---------:--:--------------·• on or about the _______ _L ________________ day
of _____________ . ______________________________________ , anno Dommi r.J'd; I am not an anarchist ; I am not a
polygamist or believer in the practice of polygamy: and it is my intention in good faith
to become a citizen of the United Stat es of America and t o permanently reside therein:
So HELP ME Goo. t:----zf _____ JI~&o .. ~:-------·---------------·
(Originalsignatur~rrant)
Subsc;ribed and sworn o before m7}n the office of the Clerk of
said Court this k';j:_dayof S<;:?~ anno Domini 19 ~
[SEAL] ~~--'UL.~---
C lerk of tke -----------------------------------------------Court.
By ___ a_~--~~-4~-----, ______ /i;t_~ ~ cterk. ~ ~-7·--=---~::~7-
214 O RI GINAL
U.S. DEPARTMENT OF LABOR
NATURALIZATION SERVICE
~Invalid for all purposes seven years after the date hereof
~~?-~---]55 • In the--~~~ourt
_6. __ ~;::y~~0 · . of -----~-~--~--------------~' ----------~---~~-~-------------------------------• aged ______ l __ 1{_ ______ years,
occupation --------~------------------------::_y--·• do _ declare on oath that my personal
description is: Color ::J/-~----• complexion~-----·• heigh~ feet-¥=:-inches,
weight ____ j_~_s=-pounds, color of hair____ _ ____ · _________ , color of eyes----~----------·
other vis i b I e distinctive marks _________________ ________ -------------------------------------------------------------------------------
~nw:e b~-~~:-:::~::~~~---~--D~~;~;--;-::9[};-i--~~~-;~~j~~
at _ __££ __ ~----,~;;.~;;;;,;.;;,----~------n__._, ______________ __
I emigrated to the United States of America from _____ --~-------------------------------------------·
on the vessel --~:;~~-;;;;.;-~;~r-~;;;~-,;~~-~;-.;-!i~~;~;:;;;i~;:,-~~;;;:j;~~;;;i;~-;;jd-;;;-gi_v_;~)---: my last
foreign residence wa~-'"CY_~------------------: I am ~--married; the name
of my wife is ----------------------------------------------------; she was born at ------------------------------------------------------
and no\ v resides at ---------------------------------------------------------------------------------------------------------------------
It is my bona fide intention to renounce forever all allegiance and fidelity to any foreign
prince, potentate, state, or sovereignty, and particularly ~---¥..c.;i?j~--~~[.£/'
------------------------------------------------------------------------------------------------------• of whom I am now a subject;
l arrived at the port of ·-------r;lJ-~-~--------------------------------------t·-------·• in . the
State of ------~-----___ ------------------/~--~------------• on or about the ------------------------day
of ____________________ ___ _ __________________________ , an no Domini r ?--1_/l ; I am not an anarchist; I am not a
polygamist r a bel ever 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. -----~(4LL-2-___ :_~.&L:~<A-----------------(Orlginallligna!ure of declarant)
Subscribed and sworn to before me in the office of the Clerk of
[SEAL]
ORIGINAL 215
U.S. D EPAR TMENT OF LABOR
NATURAL IZATION SERVICE
N /~LG-~4:
OpJL________ · .,~,~~ or~·
-~~-•tt· ~~~ ~.,0
~ DECLARATION OF INTENTION "4
m= Invalid for all purposes seven years after the date hereof
~-----__ __ _ ____
1 In the___________ _ _ ____ __ __ ~c..--Court
~'--~---~-r-.... ss: ~ 0 (:7/~.,.~-~
:!), :··········-~·-··················-~·-···············-······-, aged ····-~·-i···· years,
occupatiOn -------~-:¥----------------------------------------• do declare on oath tha _ my personal
description is: Color :J/-~-----• complexion ------~-• height ~eet __ ? inchesj
weight ______ !._ ___ 'lo_ __ pounds, color of hair -~----• color of eye~----·
other vis i b I e distinctive marks ---~-------------------------------------------------------------------------------
1 was born in --~fid.-___ 7 ~~~-------------------------------------------------------
on the ........... /_':/. ..... day of ·········~············• anna Domini L ff'Zf _; I now reside
at ____ '::f_ii....~,-;,; ·=b.:;;o;;;o,~~f/··~0 ................... .
~~~~!r~:::e~~-th:--~-n~~e~ ~ta~-e~ ~-f ~~~r~~~~-~:~-~-~---~---~--~ _------------~~--------~----~~-~-~-~~~~
(If the alien arrive t rwise than by vee , the cha~of conveyance or name oi transportation company should be given )
foreign r~si~ence was ________________ -,----~rf~ I am ---------~----married; the name
of my Wife IS ______ £?~--------------------------; she WaS born at ---~LV7~--v f;~s n~~ r~~~~e~~: -~~~~~~;;;·£~~;~~~--~-;;d···fid~!iiY .. t~--~;:;y··f~-;~i~-;;
prince, potentate, state, or sovereignty, and partic1:Jlarly t~~e-t-~~-~
'A-hv ~~-~---'Y-~-~--~=--~0! whom I am -riOZ~ject;
I arrived at the port ot _____ : __________ ~--1(--~--------------------------------------------------------··-• in the
State of ------~---_______________________________ -::22_:--f---------------------------• on or about the _________ j_-&d::_ ______ day
of ____________________ _ _ ____________________ , an no Domini I f--'-_jjJ_; I am not an anarchist; I am not a
polygamist or a b ever 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 Goo. __________ 11~~-¢~ _____ c;6~J~L ____ _
(Original Fe of declarant)
Subsc;ribed and sworn to before me in the office of the Clerk of
[SEAL] said Court th~s-~~:::.a~·o·f--~~~
Clerk of the ~Q~_ Court.
By ___ f. _____ ,z:.~~~n -· Clerk.
ORIGINAL
U. S. DEPARTMENT OF LABOR J NATURALIZATION SERVICE
No.~~u:.,~,~-or ~""' ~ ~·~-4(\~ ~10 .~ ~
DECLAR ATION OF INTENTION ~
[SEAL]
ORIGINAL 2 1 1
U.S. DEPARTMENT OF LABOR
NATURALIZATIO N SERVICE
" No L 67;:-~:-, ~Til or et-
~~f) ~.~ ~ DECLARATION OF INTENTION D_.
[SEAL]
218 OR I GINAL
U. S. DEPARTMENT OF LABOR
NATURALIZATION SERVICE
OF INTENTION
~Invalid for all purposes seven years after tile date llereof
~~~~-~~~~~) In the~J;?'~~ Cou rt
~~~ss: . ~r-:J-L-r-~~~~~
~' ------------------~~ .. ____ :-_ -~---------------.---------• aged ---------~--SJears,
occupation ____________________________ · _________________ ---------------------------------• do declare on oath that my personal
description is: Color --~~. co.9Jplexion ___ -d_~----·• height~et ..1--~che~.
weight __ J__t_ ___ ()_ ____ pounds, color of hajyl:::_~ __ , color of eyes -------lf--~-----------
other visible dis~tjve marks --~---~~---------------------------
! was born in ~~~~~~~~~~~~~~~~ ~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~-~~~ ~~~-
~~ ~h-~~~~ ~~~~~~:::::~~~~::_~:~~-~::~~~~::~~':~;~:
(Givenumber,stceet, Gt' to and St t ~ ~~
~~7~!r~::~e~~--~-~~---------~~~~~~~~~~~~-~--------~---------~---_-__ ::_---~---~~~-~~~----: -~y last
(lf th• alien a.rl'iv•~!::~!!>eyjP• than by veSBel, tne character ~nee n11me nsp<>rtation company abould be given)
foreign residen~ wps__ -------~~ ,L,L_::'t:;l___ I am ___________ married; the name
of my wife is~~~-------------;;=h she was born at __ --~~
and now resides at ~~~---U-:_ t:(..) · ----------------------------------------------------------------------------
It is my bona fide intention to renounce forever all aile i nee and fidelity to foreign
prince, potentate, state, or :vereignty, and varticutarly to -------------------------------- ----~
--~~~~~~~~~~~ ~~ ~~~~~~~~~~~~~~~~~~~~--~~-~---~~:~-~-~-~~• f whom I am now a subject;
I arrived at the port of -/")j-~----~-------------------------------------------------------• in the
~~;:;;:~~!!~~;;:~~;~:~~~~:~~~~~~!?~1 ;~~;:~~~:~~:~~~;~!~~~~~i~
to become a citizen of Ihe United States of America and to permanently reside therein:
So HELP ME GOD. ~--~--------___ _ _ _ ~ __ -----_ _ ~------------
congina.l signature of declarant)
[SEAL]
U.S. DE PA RTMENT OF LABOR
ORIGINAL 219
NATURALIZATION SERVICE
f
No ____ _j__QL.z7_fo--£: #;" ., ~ 111 or
~~· ~·t'~ •'' .,,0 .~ ~
DECLARATION OF INTENTION ~
~Invalid for all purposes seven years after the date hereof
c;;dr~-~~-----~ In the -~Q~_z ___ Court
G ... ¢-~~T~--ss: -ot2/~f~--~
~' ·-------------~-dJ.---~--a._-~---------·• aged _______ fl __ 7-----years,
occupation -----------~~-------------------------------------• do declare on oath that my personal
descri ption is: Color~_, complexion ------~--• height ~et 0Tnches,
weight __ L ___ Q_~ourids, color of hair ~--• color of eyes.~.
other visible distinctive marks ----~--------------------------------------------------------------------------------
~nwt~e b~_r: __ i=~~7:~~~~:·:-~~~~--D~;;;;~;-·;·:::?::ii--i--~~:;;;-;~~i~~
at ---~c __ @~-----~~ ~~----,---a~ __ , ____________ _
(Give number, street, city or own, and State
I emigrated to the nited St tes of America from____ · _ _ ____ -~----_'a..fd'-{---------------------·-·
0 n the vesse 1----ciii'ho ~iien·a;,;~----'t!.~~;~~-~h~-;,-t,;.·;;;;;;l~-;b';~J,-;.-;:~-;~(~;jj;-.-~~~~;~;-~ii;.;;-~;;~;;ii~-;,-~~~;~~;.-;J.~-;.!;-ii;;-ii-;;,;)·-·; my las t
foreign residence as___ ---c---. ~,_.S:;;):'{ .•. P~--------: I am ______________ married; the name
of my wife is___ _ _ __ ?ff_ ------------------------~---~he was born at -------------~a.L-~~
f;~s n~~ r~~~~e~~: -;~~~~i'.ii i~~~~~--~~d--fi-~-li·;y·-~;--~~y-·;;;eig~ p~e, state, or sovereignty, and particularly to 2~-~~--~--......-..-1H
j-~;ri~~d ~t : t --e ~~~:~-~::~::~::.~:.:~:: __ 1 _~: __ ::~--~s.ui~et~~
State of-------------~---------------------,-----~-L ~-,---------------------·• on or about the ________ / _________________ day
of -------------------------------_______________________ , an no ~omini I-~-(}_" I am not an anarchist; I am not a
polygamist nor a b liever 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 Goo. ' --~-~!!._~-----------------
coriginal signature of declarant)
[SEAL]
220 ORIGINAL
U. S. DEPARTMENT OF LABOR
NATURALIZATION SERVICE
" No.&:'~Y-4
~~· ~ ~ DECLARATION OF INTENTION
~Invalid for all purposes seven years after the date ltereof
~-~~~ss: In the~-~Court ~-·--~~~ ___ _ of-----~~~-----------~---
~' ---------------~~------~----------------------------• aged ---~---~------years,
occupation ______________ ___ _ _______ ------------------------------____________________ , do declare on oath that my personal
description is: Color :Jd!.~---• complexion---------~ height~eet __ 'J __ inches,
weight ___ i_{_t!_ _______ pounds, color of hair -~--------• color of eyes-----~
other vi sib 1 e dis tin c ti ve marks --~------------------------------------------------------------------------------
1 was born in -~~----~~---------------------------------------------------------------------------
~; -t~e __ fi!~.J~~:~£:£_"£:~~~:~~~=::~_::: __ ~--:~: __ r:~~d:
(Give number, street, City or town, and State) () -r-
[ emigrated to th_e United ~tates of America from ___ : __ ~~~~--------------------
on the vesse 1-----~-----------------------------------------------------------------------------------------------------; my 1 ast
(U tho <>lien anived ot~han by vessel, tne c!"a'rJ"r o~nveyance or name of transp<>rtation company should be given)
foreign residence was ----~-~~7~-~~------------: I a~ --------;-----married;. t~ame
of my wife is ___ /&~------------------: she was born at __ ?;i~~----~-~
and now resides at __ : __ ft~ ___ Cl:!_~-----------------------------------------------------------------
It is my bona fide intention to renounce forever all allegianc~ and fidelity to any foreign
prince, potentate, state, or sove~nty, and particularly to _ _'1/~£~~
,LZ?;;~t;------tJ:f-----~~------------------------------• of whom l am now a subject;
I arrived at the po t of -------~-------------------------------------------------------------------------------• in the
State of -------n--;7------------------~-~-------------------------• on or about the ______________ j_ __ y(---day -
of -----------------~~'----------------• anno Domini r__'J_LL:::; 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. --~~~----------
Subscribed and sworn to before me in the office of the Clerk of
[SEAL]
said Court this __ _j_Q_ day of__ _ _ ---r---:::.:==::
ORIGINAL 2 21
U. 5. DEPARTMENT OF LABOR
NATURALIZATION SERVICE
NoL2~-u;., .. TII or .~~ ~-~~~ ~· ~4 DECLARATION OF INTENTION """'
~Invalid for all purposes seven years after the (late hereof
c;;/~-~J:f~-~ · In the -~9~-Court -~-'-1-~~kv_ ss: of-~~~
~ :··------c:S{~----~fl'-~-------------------,-------• aged ·---~--'1-----years;
occupatiOn -------~-~---fl ___________________________ , do dec are on oath tha _ my persona
description is: Color :21--~---·--• complexi9]1--------~--• height~---feet __ 2.1nches,
weight ---/-K_Q ____ pounds, color of hair __ d~ .. color of eyes----~---·
other visible distinctive mar s ---~---------------------------------------------------------------------------------
1 was born in a --------------------:..... --~----------------------------··:···:····-;;;··------------------------··: ----
on the ________ If ________________ day of ----~--------------------·• anno Dommi L_If:_t_.; I now reside
at --------------_________________ A_~---------~~-, --------------------------------------------------------------------------
CGive number, street, city or town, and State) ~~7~!'~=~e~0-.1 ~~h<~:~~~~:::::::::::::·;··;;;;·i~~;
. . (Y~ii~ a~ otherwise than y ve•sel, the character of ~e or name oi transportation company should be g:ven)
foreign restdenc~s-.Y-..1/_~ ___ __ -,.l-~~-----:~-------------marn ed; the name
of my wife is----/-/'(--~---------------------: she was born--at -Y---~.,£-~------
and now resides at ----------------~~7G..~--------------------------------··-------------
It is my bona fide intention to renounce forever all allegiance and fidelity to any foreign
prince, potentate, state, or sovereignty, and particularly to~-~~---I..-1-_!L
. ~~-4-~--------------------------------------------------------• of whom I am now a subject;
I arrived at he port ot ·----------------~~-~-------------------------------------------------------··-·• in the
State of -------------------------------~----1f-----------------------------------·• on or about the _________ fl._ __ / __________ day ~~Iyg~;;;-;;(·~~~-~h~-;r~~~~e ~~~~~~~!~. -;{n~ ai~ i~0 ~~n i~~:~~~~\;n ~~~~ ~~Jt~
to become a citizen of the United States of America and to permanently reside therein:
So HELP ME Goo. ----~~j ___ ~Cj~~-----------------·
(Original oignre of declarnn t)
Subs<>ribed and sworn to before me in the office of the Clerk of
said Court this __ }, ____ day of ___ c:t::_~---------· anno Domini 19 ~0
-----------------------~~------[SEAL]
222 ORIGINAL
U. S. DEPARTMENT OF LABOR
NATURALIZATION SERVICE
m= Invalid for all purposes seven years after the date hereof
~----------------------~----~---).s: In the~g--Court
_____________ --~~ · of~~-------------------------------
~' ----------~~-_ _ ____ ·__ _ _ __ -------------------·• aged ·--J3.--~-----years,
occu~at~on -:-------------~-k---------------------~-------------·• do declare o~ oath that my p~rsonal
descnptwn Is: Color ~----• complexion -----~----·• height ~--feet{ ___ mches,
weight _____ j_/__~-------· pounds, color of hair --~------·• color of eyes---~---······-·
other visible dis · · e marks~--------------------------------------------------------------------------------··----
~nw:e ~o~~~~-9::::::::::::-~~;-~; -__ : _____ :::~-::-:.~~-r;---_j~i;-=ii_];--i--~~~-~~~;~~
at ____ f?J ___ ;;{;__g:_ __ ~Ad--~ -----~-rt~-;;;JL-----------------------------·:·········-
co;ve number, street, city oc a.nd Sta ) ·
I emigrated to the United States of America from __ ________ _,__ -~-------------
on the vessel_~~-----------·-----------------------------------------------------------···-·-····; my last
• • (lf th" alien ani otherwise than y vesse=aracter of conveyaaoo a r ~&me of transP<'rtation company should be g~ven)
foreign residence was _ _ _ _ -----. . _ _____ ____ _ _ ___ ; I alT}-----:.;::,-------marned; the name
of my wife is J::1!.'~~--------: she )'I¥. born at ---~__d:£._g_, ________________ _
f;~s n~~ r~~~~e~~~ -;~;~;ti;;-n -~~--~~~~~ev~ ~~~~d~-fid~iii~\~--~~y-f;;;;;
prin ~9tentate, state, or sovereignty, and particul arly t~-J~---
d __ A~p~-~--~--=···-;~·:,··~-~ ___________ , of whom I am now a subje ct;
arrived at the port of ·······1--~~----------------------------------------------------------------·• in the
State of ---------aa--------------------------------------------:-~------~-~ on or about the --------~--------day
of ________________________________ : ________________________ , anno Dommt '!/-----__ , 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
~~ b:~~;:: ~~~n of the United States of Amer:l t~--~e2n:ntly :es~:e t ere in:
~-;~ of eclarnnt)
Subscribed and sworn to before me in the office of the Clerk of
said Court this ________ d y of------------------------· anno Domini 19
--------------~~--
~ 0 _.. pilerk of tlze ______ __________ ______ ~-Court.
By /Ff-~~541~ ___ k ___ .lf-:;_ ~~4
[SEAL]
ORIGINAL2 2 3
U.S. DEPARTMENT OF LABOR
J v
No _/~.21.9 7~9 ~1 ~Til or tt-NATURALIZATION SERVICE
~~~ ~·~ ~ DECLARATION OF INTENTION ~.
~Invalid for all purposes seven years after the date hereof
-~---~~-~_V~:l.. . In the~V~cour t ----------------'14~~-t;;: - . uf --~~/~~-----~' ·------~~---~~--------------------------·• aged . _________ !{_ _____ years,
occupation ----~-----------------------------------------------• do declare on oath that my personal
description is: Color?/-~---• complexion~· heigh~----feet l _t!!_ inches.
weight ______ l_1_tJ __ pounds, color of hair---~ color of eyes -----{---::::r~-----------
other visible distinctive marks -~------------------------------------------------------------------------------
1 was born in --~-~--~---------------_---_-------··r:;··----------------------·-:·· .
:; _the~:_~~£-~nn:Q';:_'~::::~=--1---~::r:sJ~e
-J' (Give number, streejflty or~ andJState) )
I emigrated to the United States of America fro ---'-~-_ _ ____________________ -----·
on the vessel _ __ · _ _ _'-d__f~------5!.:1-~ ... -----------------------------------; m last
the alien arri ot ise thi;l-D by vessel, the character of conveyance or name ot transportation company should be g iven)
foreign residen~--~----------------------------; I am ________ : ___ married; the name
:~:~o:i~::;d~s ~t-_,: ____ ~~-=::.~.0~~a~::~~f-·3
It is my bona fide intention to renounce forever all allegiance and fidelity to any foreign
prince , potentate, state, or sover~ignty, and particularly to ~'fl~--t~ ~~~~:i_~~:::.:~--=~:: __ 1_::.:::: .• i~et~~
State of ------~------------------~':::2f------------~--~---------------• on or about the ---&:._ ________________ day
of ___________________ /~fd:.d ________________________ , an no Domm1 I _f_ot_; I am not an anarchist; I am not a
polygamist nor a b iever 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 Goo. ___ ;!6d/._{_ ___ ~det._/llzu-__4__ ___________________________ .
(Original signature o f declarant)
[SEAL]
OR IG INAL
U. S. DEPARTMENT OF LABOR
NATURALIZATION SERVICE
j No.~1(~; ., ~T~~ or .. ~~ ~·~~~
•• ~A
DECLARATION OF INTENTION ~
Invalid for all purposes seven years after the date hereof .. _ _ _ ... _ _ . ..-zr In the ...... -------------. ___ --~court
----·-------... : .. -......... ss~ of _2!_~~~
~~ ____________ _ _ __ ___ _ ____ Q~--------------------------------------------------·• aged _______ ?!._ __ {:._ ___ years,
occupation -----~----------------------------------------------------• do declare on oath that my personal
description is: Color~----------• complexion --~--------·• height --~feet £' __ inches,
weight _____ [_{,__s_ ____ pounds, color of hair ------~-------·• color of eyes-~--------·
other visible distinctive marks ---~-------------------------------------------------------------------------------------
.OA':"' ~ /)-/_ ,_ -_._' A'.. ~ , . p{/
I was born~-~~-~~---v-/:~~-?--~--i~~-------------------;----
on the -------i~------day of _________ .Q~-----~----·• an no t>ommi 1 ____________ , I now res de
at /?'tS£,31~~--~~:~~t~QCL ..... ----------------------------------
[ emigrated to the United States of America fro __ _______ _ _ __ ---~-----------------.
on the vessel~~~--{~~~) _____________________________________________________ ; my last
• • (U th" alien a~s: t~ b~ ~e;~' tne character of OOl.lvcya.noe or oo.me of transp<'rtation company should be g~Yen)
foretgn residence was ~~-ILl.-~.:~ __ ; I am ______________ marned; the name
of my wife i: ~-c:b.. ____________ ; she was bor~ at ___ .:2/_~,_(J~.:::~
and now rest des at ---~Cik------------------------------------------------------------------------------------
lt is my bona fide intention to renounce forever all allegiance and fidelity to apy foreign
prince, _pot~ntate, state, or sovereignty, and p~rticularly ~~~-!::7-'..-~-~
~,,d..,cu--~uu.k1{~-~-h~-~-who~ I am now a su~Ject;
1 arnved at the port of ·-------~-11~-----------------------------------------------------------------------·• m the
State of ____________________________________ ::22~¥·-----------------------------------·• on or about the ____ 2L.__¢;f _____________ day
~~iyg~;;-i·;·t--~~~-;--b~~~--t-h~--;r~~~~e ~~~~~~[:~-~n~ ~~ i~0~~ni~~:~~~~ti~ ~~: ~~Jt~
to become a citizen of the United States of America and to permanently reside therein:
So HELP ME GOD. ·-~-flk~------------------~----------------
{Orlginal lllgnature of decl&l"3llt)
[SEAL]
Subscr~bed and s~orn to before 61_1 the office of the . C.lerk of
said Court:~~:~Z-'920
/),, _ PC!erk of the-~~ Court. By./I(.~Sd..~----~~-Clerk.
ORIGINAL 2 2 5
U. S. DEPARTMENT OF LABOR
NATURALIZATIO N S ERVICE
J
N i ~~u~
o. ··-······-··--·-----~ s1 t\ 111 or ~~
.. ~~ ~.~
.. V> ~4
DECLARATION OF INTENTION ~
26 ORiGINAL
U.S. DEPARTMENT OF LABOR
NATURAliZATION SERVICE
~Invalid for all purposes seven years after the date hereof
s;;r{_t_cJk __ ~~----1 In the----------·-------------------Court ·------------· --~;;M-~ss: ~ of'-lfi.d_/_..~4~--~-: __
' . . • . /, .11 ~ ~~~--~.. ,-:)· .-.
'i . . ·' . -~ ~ .. (J • ~ d ·~ .. i/6' d 1 __ ,_ "-' ~ _, ~-. . _ ~-------------------·• age _____ · __ ., _____ years,
occupation ------------------------~-(_-----------------------------~----------• do declare on oath that my personal
description is: Color ~-------• compJexion ~---------·• height ___ lf:i_ feet '1-inches,
weigh~/~t£7_ __ pounds, color of hair --~----• color of eyes -~--r~------------
other visible. dist~~ .. ~arks -~-~----~-;;)·-----------·-------------------------------------------------------------
1 was born m ---r ef~[U~y---~---·--------------------------------------------------------
on the~-____ //~ ___ !dayltf ~------~~--------------• a no Domini I ___ £1r~ now reside
, (7) I at ________ _._ __ _ __ __ .:/_:_J..~"-----L---------------------------------------------------------------------------------------------
caive number, Street, Ctt~~~ ~~ ~t•te)
1
I •
[ emigrated to the nited States of America from .y ~-~~-. '--~--_ · __ _
' / .,, ,. .
on the vesse ~---lll tbA all ~y-;~~l~-t~;~h-;.-,:;.;-t;;··f-;;;-,;:;;;;.;;.;;~~-~;;;;;·,;ft~~;p~;t;ti~;-.-~;;;p;~;;;h~~d-b;·g;;;;j·-; my last
foreign residence~s ... · _. ·· '_·' . -··-i--?-l-..-____ ; I am ______________ married; the name
• • A~~" t,J '_/ ~. '/~~~ r'"~AJ _;~L~ of my wtf_e 1:...._ ::· · .// _ _ ~-; shew: born at =---....:Yr·:._.---~(1---.ad:&..-------------
and now I est des at g~~a-----"-------------------------------------------------------------------
lt is my bona fide intention to renounce forever all allegiance and fidelity to any foreign
prince, potentate, state, or sov~eignty and particularly to -~-~-~----------
~-~--_ _ _ _ _ __ _ · __ _ __ _ _ __, _____ , of whom I am now a subject;
I arrived at the port of -~-~~~--(~:_A!.!.../~-~~./______ __ _ _ _ _ ·_ _ _______ _ ___________________ ?f; _____ , in the
---;., /.' /"' /--~ /
State of -----~--:._../.;...,:;~~ ..... ".--.:::....;-_;_../_ __ k~-~~---{-~--~~-:..--~~~-• on or about the ________ 1:: ~ · __________ day
of _____________ _;.;.1://-{~-----------------• anno Domini L~L-3-.; I am not an anarchist; I am not a
polygami&'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 Goo. -~~-----~~z:----------------:_t;f-.L, . t/ (0-;,!~gnature of declarant)
Subscribed and sworn to before me in the office of he Clerk of
said Court this--[----day of -------~t:J_ _____ , anno Domini 19 -z.a
~~?i_Q~---
c?)., f." jl Clerk of the-~~ Court.
By ---4--·----:r-~--P~~---, ~ (~_: · ~-----Clerk. CT «:~,,
[SEAL]
ORIGINAL 2 21
U.S. DEPAR TM ENT OF LABOR
NATUR ALI Z ATIO N S E RV ICE
v' Na.1&iZ11~~1~TII or~-~
.<t'f) &t,o
~~ '4
DECLARATION OF INTENTION ~
m= Invalid for all purposes seven years after tile d
~~J.. Qa...tJ________________ In the ____________ ---------_____ _ _ __ Court
_ ______ 7]~~ _ ss: _ u~~~
:!!, _ ________ __ __ _ ___ _ _______ _J'I_______ _ _ _ _1!--Ld ____________________ , aged ______ -±__/_ __ years,
occupation --------~--------------------------------------------• do declare on oath that my personal
ces_cription is: Color ~-• _complexion -=i--~------• height -~ feef:' ____ inches.
weight :-!1--~:---~--p~unds, color of hatr --~lor of eyes ----Jc--..LY-.-~--------
cther v1s16 le dts nett ve marks ---~---------------------------------------------------------------------------------
~ I was born i _____ _______ _ _ _ _ __ -,----------------------------------------------------------------------------------------------------
~; ~he:----~----;: __ ~ of _--:··--:~~:-~n~~-~~:-i:i __ ~:~~~-~--:::_':~i~:
(Givenumber,stree't,c~,a~ate) . L ·-
I emigrated to the United States of America fromv-~-~--y-L--~
on the ve ssel_~------_ ----~---------____________________________________________________________ ; my last
(If the alien ar · therwise than by vessel, the character of co eyance or narue oi transportation company shou1d be giveu)
foreign residence was __ --~~:r-_ __ · ~ am ______________ m~rried; the name
of my wife is. ______ __ _ _ _ __ __ ____ _, she was born at-----~~----------------
and now resides at -~~------------------------------------------------------------------------------
It is my bona fide intention to renounce forever all allegiance and fidelity to any foreign
prince, potentate, _state, or sovereignty, and particularly to ~E~rf!~
·--~-~-----_______ · ---;:1'-~.!:f-~---• of whom I am now a su.bject ;
I arrived at the port ot ________ ___ _ _______________________ ----/-----------------------------------------------------------------• m the
State of ____________ __ _____________ __ _ _ _ _ ~.t::b:-----~------------• on or about the ---------2---3--------day
of -----------------------___ _ _______________ , anno Domini L-1--/-~ I am no t an anarchist; I am not a
polygamist 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 an d to permanently reside therein:
So HELP ME GOD. ciu$.~~-____ (/{_.!?£-:!_~~!!!:_fl=._~-------
conginalsignature of declarant){/
Subscribed and sworn to befo e me in the office of the Clerk of
[SEAL]
said Court this _________ day of-------~~: ___ , an no Domini 19 72--o
-----------------------__ c-.Q_ ---------__ ,.. ___ _
228 ORIGINAL
U.S. DEPARTMENT OF L ABOR
{
NATUR ALIZATION SERVICE
No .L~[?.J/. ~ ., ~ ,.... or
.. ~~· ~-~·~ ~V> ~A
DECLARATION OF INTENTION ~
[SEAL]
ORIGINAL 2 2 9
U.S. DEPARTMENT OF LABOR
~~· "•~ .~ wo4
DECLARATION OF INTENTION ~
[SEAL]
230 O RI GINAL
U. S. DEPARTMENT OF LABOR
NATURALIZATION SERVICE
~Invalid for all purposes seven years after tll late hereof
~~---~--------] In the __ _ __ ____ _ _ ______ _ _ _____ Court YP;ftf;Jss: cfL~~~ ~ ______________ \, _____ ~-7_~-----------------------~"--------• aged -----~-~ years,
occupation -_----------~--------------_------------------• do declare on oath that mylersonal
descnptwn 1s: Color ~~-----• complexiOn ____ : __ ~_., height ___ bfeet -~--mches,
weight _____ j_.P__fL"Pounds, -eo lor of hair -~----• color of ;;ves --~-----
other visible distinctive mark~~-~--~--~----------------------
1 was born in_M~7 Q:t_~--0t~-~-------_---_--------------:-------------------:----
on the ____________ JC, __________ da:y of ---~----------------·• anno Dommi I.Zf-6.: I now reside
at --14&-~-Jii;-;;,,;/:.~-::,Clja.---,------------------------
l emigrated to the United States of America from ~-~~--J~V-~-~,_;--~~~-------------------
on the vessel__ ____ __ _ __ ____ ____ ___ _ _________________________________________________________________________________ ; my last
• • (lf tho alien arrived otherwise tha~ bY. ~:z=~f creyance or ~ame of transp<.'rtation company should be g~ven)
foreign r~si~ence was~O~: _ rf . ,:~~~--: I am -----~--------marned; the name
of my w1fe '~"'-!--------------:---------------: she <v~s 6orn a~-"1!--?J-~---------~~~s n::;~ r~~~~e~de ~~~~-~~~-"';t,~~~i;gl;;~~~-~-;;;;·---------:----~-;;--~;;-y--f~;clg~
prince, potentate, state, or sovereignty, and particularly toZ__ ___ ___ ____ .
---------------------------------------------------~----------~--------------------------------• of whom I now a subject;
[ arrived at the port of ----------------~------*~----------------------------------------------------------------• in the
~~~;:~:~:~~::~~~:;~~:;~:~:;:,~:~~~~~~fi/:ln~ ;~~;~~~:;~:~~~%--~i:-~;~~
to become a citizen of the United States of Am erica an~to ermanently resid e therein:
So HELP ME Go~ ~uyj' ~-------------· ---------([__~---------1' '----~----~-~~ (Original atu~&;.,j~;.,t)
Subscribed and sworn to before me in the office of the Clerk of
said Court this .. 4 __ day oL---~----------· an no Domini 19 ::?-.v
[SEAL] ~~ _ ______ ____ __ ___ _G_-.:_0~--------------------
2. '21'
O R IGINAL LJ
U.S. DEPAR TM ENT OF LABO R
NATUR ALIZATI O N SERVICE
I -~zrrt I v-
No 1-{J_-~[/L . q s1 ~Til or
~~· ~
" DECLARATION OF INTENTION
occupation _________________ ~-7 __ 7 __ ~---------------------------------------• do ~eclare on oath that my personal
cescription is: Color ---~~---• complexion -~• height ~ feet ~·inches,
weight ___ /s2.__Q __ pounds, color of hair--~ color of eyes __ L_~-----------·
other vi sib I e d isti n cti ve marks --~=::-------------------------------------------------------------------------------------
1 was born in -~ ~~-:_ ________________________________________________________________________ _
:tn _the~z~---~~:y o_f -_: _____ : ___ :!-_Jt:-:~ anJ1~-~~t-=--~-::: __ r:~i~:
(Givb number street, city or own nd State ~ .L, ~:~=r~::~e~o-t~-___ ited ~e~i~:-~r~=-::::=:_:_::::: __ :::_:_:-_::_:::: ___ : __ : __ :-_::z: ____ =~
(If the aUe-t, cd otherwise than by vess el , the ch~~~~nvy~u c:_ or name ox trausport.aUon company should be given)
foreign r~si~enc~ )----~~--------; I am ______________ married; the name
of my w1fe IS---~~----;;;=;;, she w~om at-----~~~ f;~s n~; r~~~~e~~: t;'f.~~; al~lr;~cl7i/t~-;;;;y·;oreign
prince, potentate, state, or sovereignty, an J articularly to ~-<J£}'~--'2!-------:-------~-~~~~-------------------------------------• of whom I am now a subject;
I arrived at the port ot -----------~---¥~----------------------------------------------------------··-• in the
State of -----------------------------.----'~..c'1f --------------------------------• on or about the ________ ?:_?:_ ________ day
of-----------------------------_____________________ , anno Domini r!L_lf ___ ; I am not an anarchist; I am not a
polygamist nor a eliever 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 Goo. ~ d a
___ L ___ ~~;:;-~.;-•pt~;~-------------------
Subscribed and sworn to before me in the office of the Clerk of
said Court this .. LL.day of ____ O::::_ed_:=--------· anno Domini 19 2-o
~---~--[SEAL]
232 ORIGINAL
U. S. DEPARTMENT OF LABOR
NATURALIZATION SERVICE
1/' v No.J ~£.2 d _ _.,( s1t\TIG or ft~· ~-~·~ .~ ~#'~ .~ ~4
DECLARATION OF INTENTION ""'1/
QU;%{1d for all-~urposes seve:n ::r~~urt
~--------------___ 2J; -jf~"' ss: 0 oV/~~-'-
:!', --------~"-" "-;-::rr;,--di~_c~l~fL_ ____________________________ , aged ·-----J/="f3.. ____ year's,
occupation --~-2 .0:-.~.L-(f:...:~------------------·• do declare on oath that my personal
description is: Color --~Ad~-----• com13lexion ·-----~.:;{: _____ , height!~. feet~nches,
weight /.14::."'5 _____ pounds, color of hair --tj.~~---·• color of eyes-~-----------·
other visible distinctive marks ~-~----~~---~~-~-------------------------------------------------
1 was born in _tl}~ ":!ftf;;:Jt:r----------------------------------------------------------------------------:~ ~~"2~:~~: ____ ~; ___ : _____ :_~-f:i-~:::~..:~: o ~z;:~*~;---~n::~:si~~
(Give number, street, c1ty wn, nad Stat fJ .F-L_
I emigrated to th tJU ~ted
1
States of America from___ ___ _ .;~~--y----------------------------------
on the vesse~;-.:u;n ;;;;;---t~.~;.;i~~:tb;;.-~,;,-;~;;,;i~-~-;;-chF~~;-.;;;-~;;y;:;;c-;;~~-~;;;;;-~i t;;~;;~~ii~;,-~~;;;~;,-;t.~~-~d-b~-ii-;;~>---: my last
foreign residen~a ____ _ __ _ ________ ~L!!._2~-'---------------: I am ______________ married; the name
I ~ ,
of my wife is -----/-..r--A...L .. ~..!..--------------------u!e W~ ~rn at ----~~£...z __ {_:fk.{ls_--~::'-------------::_:--·-;.;:c ----
and now resides at /..:6..~~--2"--~----~ -E=---~----/1:~ _ _ _ ______ -----------------· --•-------~----
It is my bona ftde intention to renounce forever aH all~apcyjindc::fidelity to y foreign
prince, p?t ntate, s>Jtt ('j sovereignty, and particularly to ..i!~~-:-----•-
----___ __ ---~<;:;_-~_( _ _._~-------------------------------------------• of whom I am now a subJect;
I arrived the ort of ---------~~L -~---------------------------------------------------------------·• in the
State of ----Cf;--·:rp ____ --:-_,--~-""~------------~--------:-~--------------• on or about the -~~~
of ----------------·---~------------------------------• anno Dommi ~~----"::; 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 Goo. ·--------~~42-. _!~&~--(on~;,;;t,~~;:..nt>
[SEAL]
Subscribed and sworn to before me in the office of the Clerk of
said Court this __ ~ ___ day of ___ ::::_.!~ __ ,_:.-:_ _______ , anno Domini 19
-------~;l~UE=~oun
By .212.,:/~-----, ~£t:--Clerk.
142
(Old 20.5B) U.S. DEPARTMENT OF LABOR
BUREAU OF NATU RALIZAT ION
WASHINGT ON
January 24, 1923.
~othonotary, Common Pleas Court,
Vashin~ton, Pa.
Dear Sir:
lN REPLYJNG PLEAS E REFER TO THIS
FILE NU MBE R
2838-d-1532
The Bureau is in receipt of the application of the person named below
for certified ~opy of declaration of intention made in your court.
The applicat~on has been approved and the Bureau is inclosing herewith
Form 115 for issuance of the copy requested. It should be an exact copy of
the original in your bound volume and be signed by the declarant if practi-
cable; otherwise, his name may be entered by you in the place intended for
his signature. The blanks in the red ink certificate should be filled in
and signed by you.
In compliance with rule 17 of the regulations, yo u shoul d enter on the
original declaration in your bound v;lume notation showing the issuance of a
certified copy thereof. It is not necessary to issue and send to the Bureau
a duplicate of the certified copy .
The applicant has been notified by the Bureau that as soon as he pays
your fee he may receive the certified copy . Of course, if you have already
received your fee, you may proceed in accordance with the foregoing without
further delay. The completed copy may be given or sent direct to the
applicant.
Incl.
Name: Lorenzo U~ Ro5e,
Address: 14 -'Talkers Row, Washington, Pa.
Declaration number: 1532
Very truly yours,
U.S. DEPARTMENT OF LABOR
NATURALIZATION SERVICE
~~'0
" '''3 ORIGINAL 2 ~.J
OF INTENTION
~~ ~ DECLARATION
~Invalid for all purposes seven years after tile da
-------~-~ ss: In the---------------------------£-Court -----_ _ -~4-(;~ . . of-2~----·---~~-----·
:!!, :--~---·":J.i/.fQ ~-~-L _________ , aged ·------------------years,
occupatiOn -----------------~-----.L _______________________ jj _____________________ , do declare on oath that my personal
Gescrip\ion is: Color ~.cL._fi. ____ : ___ , .compjexio n -------~ height -~
weight -----1-*-J:::: pounds, color of hmr --~CJoi or of eyes-------------------------------------·
other vi sib I e . d i sti~ti ~ r:/:.~----h ------------------------------------------------------------------------------
~~w~eb;~n--~~~,-~~~£~~:,~~:;:~~~---~:_~~:.-~:~i~:
I emigrated to the Unite States of America from ___________________ 2:._~~~LJJ::'d.L __________________________ _
on the v essel _______ ~~~-::!! ___ --~--------·----------------------------------------------------------! ____________ ; my last
• • (If tho alie~_:ed_o therwise th!'n by veaael, e eh d... conveyance or name oi transportation company should be g~ven)
foreign residence wa~£~_, -co--------]~-----------------: ~ ::Z:::aZmarned; the name
~~:~o:i:::;d~~ ~; :_:__ ----_---~L;!_~~-b-o~:_a~-~-:: ____ ~:_:::::=-~t::=:=====
It is my bona fide intention to nounce forever all allegiance and fidelity to any foreign
prince, potentate, state, or so;er?r't~d particularly to .d~~f,;:~!_ ___ _ . ..£I:l;_~---dj!-~;#af:u. ______________________ ;;J _________ , of whom I am now a subject ;
I arrived at the port t ------------------~----U-~-------------------------------------------------··-·• in the
State of _________ ___ _ ______ Jj:: _______________________________ (/_ ___________________ , on or about the ________ L __ Q _________ day
of _____________________ .,_--· _____ _ ______________ , an no Domini I _J-!2_2:-._; I am not an anarchist; I am not a
polygamist a belie r in the practice of polygamy; and it is my intention in good faith
to become a citizen o the United States of America and to permanently reside therein:
So HELP ME Goo. ~ · ell ~ JJ.. ' d!._~-----~~0;;~~-;;-g;~t,;;;~~-~---
Subscribed and sworn to before me in the office of the Clerk of
said Court this ___ ~L.day of -------~d~-----· anno Domini 19 ..:2 0
, AL.~~~aurl
By ______ fi: __ £?/f~-a ------, -------M-Clerk.
[SEAL]
234 ORIGINAL
U. S. DEPARTME NT OF LABOR
NATURALIZATION SERVICE
No.l_dcfl __ ~_zf£ r/.
e1t.TIIi or~· ~~· ··~., ~ wo4 ~ DECLARATION . OF INTENTION "f!
~ Inv · d for all purposes seven years after the date hereof
~d______ _ _ _ _ -----~ In the ---~~-Court Y--__ % --~ ss: . of _'2/~--~
:!\, ----~----~~---~-~----------------• aged --------~-=years,
occupation ___________ _,·:;:<>::::k::~":;e;L_~.t:::: ____________ ii!:.__________ do declare on oath that m)' personal
d . . . C 1 /lA-~ I . ~ h . ht '-G f k__ . h escnpt10n 1s: o or ___ -:...LL: _______________ , comp exton ________ -------------------·• e1g ---~s,
weight --1-f---_??_ _____ pounds, color of hair ---fl.-~-~ __ ~color of eyes--------------------------------------
other visible. di~1e marks ~fj}1--__ _ __ 1 _______ (/_ ____ ------------··-------------------------------------------------------------
1 was born m ·-----~-k~ __ fL. ------------------r---~ ~1------------------------------------~------------------------
on the ____ : ___ F--~-day of _____ --------~--------------• anno Do,m1ni Ff_l __ 6 __ ; I now reside
at -------~--=f-__ (2 ___ ';:4 __ o.__~-~,_/_ ___ --------------~j ___ ~!~ --------------------------------------
(Give number, street, mty to n, and State) ~
[ emigrated to t United States of A 1eri~a fro~ -:-----____________ _______ ------------------------------
on the vessel __ ~~~--___________ r -~?~---------------------------------------------------__________________ ; my last
(lf tho alien arriv rwise than~ tne charac r of 09Dveyance or name of transpN·tat ion company should be given)
j O -/ -/--.I • -1 foreign reside~ __ was --------~--_______ u~-----------~--------------married; the name
of my wife is _}2/_«_ ___ :_-s-_~ __ L _________________________ ; she was born at V~~---
d 'd a.-~ ~CA._ ' an no \V rest es at _ _ ----------------------------------------r'::::. __________________________________________________________ --------------------
lt is my bona fide intention t renounce forever aH alle~nce and fidelity to any foreign prin ~c, oten~ state, or sovereignty, and particularly to ----~-fi_~~~_<:_ _______ _
~-------;{f,~----r-·----------------------------------------------------------------• of whom I am now a subject;
-I arriv at t port o ~:;_ _______________________________________ ------------------------------• in the
State of-----~---------------------------------------------~----------------------------------• on or about the _________ ;_ ___ ._; __________ day
f \ -r / '/ D . . /1 7 I h' I o ----------~7_____ _/ _______ T ____________________ , an no omtm I _1_£2 __ a, am not an an arc 1st ; am not a
polygamist or -a beli~ver in the practice of polygamy; and it is my intention in good faith
to beco a citizen of the United States of America and to permanently reside therein:
So HELP ME GOD. rf:. a· ~ tr-~~rt-=:;,.~i-g~~t~~;-~id.~i~-------------------------
Subscribed and sworn to before me in the office of the Clerk of
[SEAL] said Cou~-~ .. ~~~:~~anno _Do:l;_l9 :a-~
B~----------~T ----. AfM:--Clerk.
ORIGINAL 2 3 5
U.S. DEPARTMENT OF LABOR .; NATURALIZATION SERVICE
NoL~ __ QJ})'~ .,~,~~or~ ...
~~. ~~~-
-.'tJ DECLARATION OF INTENTION "4
[SE AL]
ORI G I NAL
U. S. DEPARTMENT OF LABOR
t/ NATURALIZATION SERVICE
I ZJ~ Co Oo-/4
~ D4
DECLARATION OF INTENTION ""?/
U.S. DEPARTMENT OF LABOR
ORIGINAL 2 3 7
" .-/ . I """'"""''" "'""
No ~b2Z 0 er ., ~Til or ~~· ~-~·~ ~~ DECLARATION · OF INTENTION ••
ot her v is i b I e dis t 1 n cti ve rna~ ks~k---=----------------------------------------------------------------------------------------
I was born in ~,---~ ... --------~---------------------------------------------------------------------------------------
:; -t~~~>L~~--·:::---·---··:· __ :__ ~-: .. : ~=--~-:n_:~--~o:i:i ___ '~~:==--1---:~=-':~i~:
(Giv numbe, street, city or to~ (} _j__ ;1 .
~~7~!r~~::e~~--~:: __ ~:-~~~~---~~:=-~~~~~~~~~~~~~~~~~--~~--~--------~--~~~~~~~~------~---~~;--~~;-~~~~
(If the alien arriv ed otherwise than by ves &e l, the chara.cte~ co~ance or name ol transportation company should be gi ven)
fo rei g n re sidence was --------~--f---c;;#--~.a4----; I am L2:1_~married; the name
of my wife is --------------~------------------------------------; she was born at ---------------------------------------------------------
and now resides at ------------------------------------------____________________________________________ ---------------------------------_______ _
It is my bona fide intention to renounce forever all alle~ce and fidelity to any foreign ~e"~~':'~:t~: __ a:~P::'c-~l:rl~-t-o ___ -___ ~~~~~~;' I arnv a at e port ot ----------------~:·f----___ .!_ ______________________________________________________________ i __ 0 ______ , tn the
State of ___________ -----------------------------------------_________ -:_ __ ~--~--------------::__n or about the ---------.-------------------day
of ____________________ _ _ _ _________________________ , a o Domini I -f-.LL L.; I am not an anarchist; I am not a
polygamist nor a liever in the practice of polygamy; and it is my intention in good faith
to become a citi n of the United States of America and to permanently reside therein:
So HELP ME Goo. ---~---~---~---·
(Original signature of declarant)
Subsoribed and sworn to before me in the office of the Clerk of
[SEAL]
said Court this ___ ~ ___ day oL--~<--------· anno Domini 192-0 ---~--:-~ ____ f:;:__._.Q ~-------
Clerk of fh: __
By ~9~---------_ _ _ _ _ _ _ __ _ __ _____ ___ _ __ Court.
________ ,&..~----Clerk.
(/ (j-b ~
238 ORIGINAL
U. S. DEPARTM ENT OF LABOR } fJ """""''no• sow•«
.. ~ DECLARATION OF INTENTION ~
. ·'
[SEAL]
U.S. DEPARTMENT OF LABOR
f~
ORIGINAL 2 3 9
NATURALIZATIO N SERVICE
[SEAL]
240 ORIGINAL
U.S. DEPARTM ENT OF L A BOR
J NATURALIZATION SERVI C E
No ... {fi~Pof: .,~Til or 4(\~ ~-t'tt~ .. ~ ·~
DECLARATION OF INTENTION ~
ORIGINAL 2 4 1
U.S. DEPARTMENT OF LABOR
~~ NATURALIZATIO N SERV IC E
No ii?t _~fJol1 .,~,~~ or ~~· ~·~·~ ~~ .4
DECLARATION OF INTENTION ~
[S EAL ]
242 ORIGINAL
U. S. DEPARTMENT OF LABOR
v {r/ "'"'""'"0" '""" No.!Sil.£~ 1-.,~Til or
~~· ~ ~ . DECLARATION OF INTENTION
~Invalid for all purposes seven years after tile date hereof
C,J;t .... &.1J.L-~-4 ----------···] In the ~~L)~-Court a-~~4 --t!J.a~.(t-1:; ss: of ?l~J~-~ ~' ____________ U__cli..--k_-!&._ ___ ~----~;;;1;; _____________________________________________________ , aged _____ ¥ __ /_ _____ years,
occupation -----------------~Z----------------··········• do declare on oath that m{ personal
description is: Color -"11~--------• complexion __________________ ------·• height ~feet ______ inches,
weight j_j!_(!_ __________ pounds, color of hair _______________________________ , color of eyes------~-------------
other visible distinctive mark3-/ ------~-----------------------------------------------------------------------------------~nw:e bor:. inT:~;~::··::::::=:··=::::-.-~~~~ D~-;;:;;~~J~f~:;-j-~~~-;~~;;;~
at ·-----~d--~a:L----~;~.;;;-,;,;;;.00 , .,; ;-.. ~r~·-------···················
I emigrated to t~ed States of America from-~~-----~-------------------
on the vesse l ____ 6_r-lh;-;,:u~~~~~~-i"n.;~i;;;·--;;;;~(p;;-,;:;;;-~-;.-~..-~~-~;~;-,;-ii;;~;~;;;ii~;,-~~p;~;;;i;~-;,1~1i;~-g-i;;,;:)---; my last
foreign r~si~ence _ ~~-~~~----~.ct ____ --------~I ~----------;narried; the na~e
of my wife Is _______ _ _ _ -· _ _________ · he was born a~~-r--~
' and nO\V resides at ----__ _ _ _ ---_ __ _ -r----~-----------------------------------------------------------------------------------
It is my bona fide intention t renounce forever all allegiance and fidelity to any foreign
. pri~ce, potentate, state, or sovereignty, and particularly to~~-J ___ '1 __ fa._i:f[--dd..c .7 _~-~
~-~l~~-::~.0.!../ of whgm I am n"bw a subject;
I arnved at the porf of .......... ' . ./)._ ___ 1 _____ ~ ___ 1 /··········-----------------------------------------------• m the
State of ---r----z;------------------------------------------------------~-~-a~--------· on or about the ________ 2d_ ____________ day
of _________ s.~.tl:f?£-k ________________ , anno Domini r ~_.a __ :J..,?; I am not an anarchist; I am not a
polygamist no~-~~U~~;~~ 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 Goo. ________________ r/?~ __ r_~----------
(Original signature of declarant)
Subscribed and sworn to before me in the office of the Clerk of
[SEAL]
said Court this ___ l!._day of =----~?;;~-.----=-:.::.::
U. S. DE PA RTMENT OF LABOR
ORIGIN A L 2 4 3
NATU RALIZATION SERVICE
No _/ri:_~~ (}~~1 ~ 111 or
~~ff)~
~ DECLARATION OF
QP~" In0~~-~~::~oses seve~n :::~e:::h_ _ :te _ hereo:_ Court
--~-'¥-~ ----oCJl~-~-
~' ·------------~ c--------------------~-----------------------------------------·· aged __ 3_g' ________ years,
occupation ------------------~~---------------------------------·• do declare on oath that my personal
description is: Color _-:21._~~-----• complexion ----~-~-----·• height l.o . feet_/_ ___ inches,
w ei ght .--!1---~--~--p~unds, color of hair ----~• color of eyes--!-~-----·----------·
othe r v 1 s1 b I e d 1 s t1 n ct1 v e marks ---~-------------------------------------------------------------------------------------·
l was born in Q__~--~/~--""--r .L~-----------------------------------------------
on the ___________ }___\;-_______ day oc __ .h'2'_ _ .. d~----------------• anno Domini r __ ['[~ l now reside
at ----~~~--r------~-~----------------··--------------------------------------------------------------------------
. • (Give nu~ber,street, city or to~ St~te) ~ ~ ~:7~:,~::~e~o--t~~a::=~-~ro:::: :::::'::~:: ___ ::~:-~:::::::::::=';-·;;;;;~~;
• • (It the alien arri~ise than by~'_the cha ct~r of conveyance or name ot transportation company should b e g~Ye !!)
foreign residence was ----------~--.LLJ.. ________________ --~-------------: I am ~-marned; the name
of my wife is : ___________________________________________________ ; sh was born at --------------------------------------------------------
and now resides at -----------------------------------------------------------------------------___________________ ------------------------------
It is my bona fide intention to renounce forever all allegiance and fidelity to any foreign
prin~e, 12~tentate, state, or sovereignty, and particularly to ~--.:--~/(--~1,!:1--~-~~ ~~--¥-~~~~of whorh' I am no'W a suoject:
I arrived at the port of ·-----------~~---'1/-------------------------------------------------------------------------------·-, in the ;~~;:~;;:;t::~~~;~~::~t~~~:~~-~~~~~~~:tf~:1 ;~·i;:~~~:~~!~i~~~-~~-~~~~
to become a citizen of the United States of America and to permanently reside therein:
So HELP ME Goo. . ·-----------~----------~--4./~ ---~-~-~ --------------------conginar!'~~~~~
Subs<>ribed and sworn to befo e me in the office of the Clerk of
"d C h: _/_ Yd f /~ D . . o sal our( ·~-_______ ay o ~-------------'-----· anno omm1 :9 -;;. ----~--~-£~-~ -_i ___ ~---------
c-(_/ ?);j Clerk of tiiLdlLU.. --------~;Court.
By ~---L __ __L/j(V-_Jf~~-------------A-~_b:--Clerk.
{j u C$-6:
[SEAL]
O RI GINAL
~:};~~:~--~:~s es seve: :::~~=r;~::Jcourt Gc~--4-l:f4-~ of "JL~/l£::YLL~
{ ______________________ \_q -~Ifj~------___ <?.. __ ~~~------------------------------------·• a~ed ______ }[}_::lz years,
occupation ---------~~ ___ -----------------------------------------___ , do declare on oath that my personal
description is: Color _'21_ _____ ~-------• complexion ___ :: -----------~----------·• height __ /;§feet __ (_ __ inches,
weight ________ /_~ __ 1.__ pounds, color of hair _________________ -----------·• color of eyes---~--------·
other visible distinctive marks -----~--------------------------------------------------------------------------------------
1 was born in ~..£!~1-----__ --------------~---------------------------------------~---------------------------------:~ _th~~M~--~----~:~:::::: __ a~::_~_o:i:~ ___ '::~::~---1--n:: __ r:~i~:
(Give number, street, ctty or~ ~tate)_}_ ./F' _j_ -
I emigrated to the United States of America from--~~.,.--~------------------·
on the vessel ____________ !l:;;;;;;; _____ -=----------------· -----~----------------------------------~---------------------------·; my last
(lf th" &lien e.rr· otherwia han by; ssel, ~ ch~ter ~nveya.u~ or name of transp('lrtation company should be gi ,•en )
foreign residence was..,.._ _ ________ ----~------: I am -~--married; the name
of my wife is ----------------------------------------------------; she was born at -------------------------------------------------------
and no \V resides at ------------------------------------------------------------------------~------------------------------------------------------
It is my bona fide intention to renounce forever all allegiance and fidelity to any foreign
_ ~rince, potentate, state, or sovereignty, and particularly to ~=-~:_lj__~~-~~U ~~~1~C!:.Y.&d--~-(j~--e,n ----• of whom I am £w a subject;
! arrived at the port of /):, __ 1l ______ Ll_1J-,--________ ---------------------------------------------------?·--·• in the
State of _____________________ -----/f:---i -----------------------------:--~-----------~· on or about the -------~-------------------day
of ------------------------------::;-____________________ , an no Dommt r _r__l_ _____ ; I qm not an anarchist; I am not a
polygamist nor believer in the practice of polygamy; and it is my intention i"n good faith
~0 b:~~;~: g~~n of the United States of Am:~~c-~_$;~::;:e~:i_~:
Subscribed and sworn to before me in the office of the Clerk of
[SEAL] said C~:;~n :oD:mA_'9~ o
~ 7~ Cjj;k of the ----------------__ -~--'lf---Court.
By ____ : Lc ___ __/_Lfd-)1_~---------· _dj-;;-r~---Clerk.
-
U.S. DEP A RTMEN T OF L ABOR
O RIGIN AL2 4 5
..; NA TU RALIZATIO N SE RVI CE
/SllcSLf~d
No. ................. • s1 ~til or ~-
~~~ ~.~ ~ DECLARATION OF INTENTION ••
sri~:J::~oses seve: ::~~s::;;;~£;
;j!, .................... ~-£.?_±f ..... ~----·····························-·• aged ..... ;'1. .. ~--years,
occupation -----------~-----------------------------------------y~d~ ~~clare on oath that my personal
description is: Color __ 'Jf~---• comp~~---·····• height .2. .. feet .J __ inches,
weight _____ _j __ t,__2 __ pounds, color of hair ________________________________ , color of eyes------~-------·
other visible distinctive marks -----~----------------------------------------------------------------------------------
1 was born in ........ !£L2~-=£A/·-~---·······················:···:············;·····················:·
on the _____ ..... .2.:?2 ...... ~ay of ........... -~~---···• anno Domini r..II.fZ. .. : I now reside
at --------------· --------------(a!-;--;;-~~~~'t~.;"t~citY:·;--;,;;;~~~d-st;t~)--------------------------------------------------------
I emigrated ~ y_g~t:~ ~tates ~erica fr?m __ --~--~~-----------··-·
on the ve sse~~---~..7~ _ _ _ _______________ £Y..~-~ .... ____________________________ ; my last
~ • (If the alien a.rri erwise than by vessel , th_!.~haract~veya~ce or name oi' transportation company should b e g~ven)
foreign res idence was____ _ _ ___ _ _ __7 _C~-----------: I am ______________ marned; the name
of my wife is -----------------------------------_______________ ; she was born at ---------------------------------------------------------
and now resides at ---------------------------------------------------------·----------------------------------------------------··------------.:..
It is my bona fide intention to renounce fo rever all allegiance and fidelity to any fore ign
. prince, potentate, stEeignty, a~d particularly to a.d.c~df4,~-t'-~ ~t=:il :·~/j::;;;t.ft:':t~::~:::::.~~--~~--=--I-~=-:-=-~ ~,ui~et~~
State of···--------· -·-········-/.1'---y···'····.Ji ........................... , on or about the ......... ./ ... 1 ........ day
of ___________________ _ ___ ___ __ _ ______ , an no Domini r __ J-i-~; I am not an anarchist; I am not a
polygamist nor a b ever 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 perman ently reside therein:
So HELP ME GOD. ·----------~~--d(~--------------------··--------------(Original signature o l declarant)
Subsoribed and sworn to before me in the office of the Clerk of
[SEAL]
said Court this L --~-day of________ 2-o
s::u_~ad:d__ ------~--
By -~a72/t:;~~-:.: __ ,-: .... ~: ~::
246 O R IG INAL
U. S. DEPARTMENT OF LABOR
~ NATURALIZATION SERVICE
No.f@fb _t/~~ ., ~t i e or
~~~'11
'\1) DECLARATION OF INTENTION
~w for all purposes seven years after the d ereof
~~--: a:x-~::J~s: . In the;f2!~0_;::o:;;:;
~ ________________ __ __ __ __ _ ___ __ __<2.._~--__ a_ _______________________ , aged ___ -§_Q_ ______ years,
occupation ______ __ _ _ _____________
7
___ ].;.. ______________________________________ , do declare on oath that my personal
description is: Color __ 2 ___ _L __________ , complexion -----~4----• height __ fa __ feet--==--inches,
weight _)_ __ 7!__~-------pounds, color of hair____ _ _______________________ , color of eyes----~-~-~--------=: __ _
oth~r visible . distin~e m~rks _________________ --ry-------z;---------------------------------------------------------------------
1 was born m --------~--;:-L __ !A-----r ----------------------------------------------------------------------
on the ___________ 2_177_ day of ------r~------------------• anno D~L ~-~: I now reside
at -----/f-11--f-----d~~~---¥1~!~~ ~ ;~~;d --~> -_ -(}:_z ·/-~-------------------------------
1 emigrated to t~~ed States of~merica from c--__ 7 s::Y~~------------------------------
on the vessel -----~~-~JL.--~---:r------~-----------------------------------------; my last
(lf the a lien art~rwise 'than by ~el, tne charac~ of convey ance oT_n a me of transp<'rtation company should I.Je given)
foreign residence xas __ '::_L~-T~.;_r:a __ '!_ ______________ ; I am --:----------marricw~ t~e name
of my wife is---~~-: she rvas porn at ~-.~---~;~s n~: r~~~~e~~~ -;~~;!~-~~--~~~~~rJ~~~~~f~u;;~p;;~-~~d-fid~liiY!~--~~y--;~~~ig~
prin e, pot~ate, state, or ~ereignty, and particularly to -~-C:~~~;;--_
-----------____________ ..: _?({______ --------------------------------------------------• of whom I am now a subJect;
l arrived at t po of 7J---------fJ _____ ~t.C7/A!!:i_-/:_ ____________________________________________________________ , in the
State of-------~---(-,--_______ ll~_:(f=------------------1/-----------------------• on or about the _______ y ______________ day
of -----------------------_ _ __________________ , anno Domini r _j__q__~ ___ ; I am not an anarchist; I am not a
polygamist a belie er in the practice of polygamy; and it is my intention in good faith
~0 b:~~~: the United States of Ama4;;:Q=~
'}{~:f~ Subscribed and sworn to before me in the office of the C.lerk:
0 said Court this-J-~day of---~(-"":;' )an no Domm1 19
. [SEAL] ~-~ff~urt
BY ~---~----~, AYn_cterk .
U.S. DEPARTM ENT OF LABOR J NATURALI ZAT ION S E RVICE
No.Lcilf;zo: .,~111 or~-
ORIGIN A ~47
.. <t~~ ~.~ .v> .4
DECLARATION OF INTENTION ~
~l?i?j::~oses seve~n :::~s:;~~
~' _____________________ 0~----@_~-~-----------------------------• aged ____ if}_~-------years,
occupation ------------------~--------------------------------• do ~eclare on oath that my personal
description is: Color -~-~----• complexion __________________________ , height~--feet ---r.-inches,
weight --J-Jd ________ pounds, color of hair_____ _ ________________ , color of eyes-~------------·
other vis i b 1 e distinctive marks -~--J'~-=~-----------------------------------------------------------------------------
1 was born in ·--{f-~---~~:------------------------------_---_-------"i',·-------------------------:·--·
on the ____ .t2/__~----.;?;Jday o. ·--;:~----p -------~-7 _____ :_ __ -r _____ , anno Dom)pl ~g-~~.c;---hn ow restde
at _____ _J_O.~~~~i,££~if;~-p~-----~-"--------
1 emigrated to the United States of A erica from----~~!. ________________________________________ _
~ ~ on the ves seL--------------~---_ _ ______ _______________ _ _________________________ ------------------------------------; my I ast
(If the alien arriv iae than by asel, a c anrcter o nveyance name ot transportation company should be given)
foreign residence was _ · ___________ ___ _ ____ __ _ ',..d __ -·-----~-; I ~ __ t7 _______ married; the name
of my wife is__________ _ _ _ _ _ _ _______________ ; s~ born at _____ w_~-~-------------
f~_~sn ~~ r~~~~e~~: ~~~;~~~;JJ~~-~~d·--fi·d~iiiY-1~--;;;;y-;~,;ig~
~r~~~iFJ~e;~~~-t~: __ a_~~--~ar~I~~l:rl~-t~ _:_~--~~~;;
I arri ed at the port ot ----------~~---¥-!------------_;,----------------------------------------------------------------------• in the
State of ·-----------C!Ji ·-------·-------------------------'2l.: ... r;.. ............. , on or about the _____ L.2c_____________ day
of -------------------------------~------------------• an no Domini r 'l~~---; 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 Goo. /: ~ ~ -----~----~--------------~-~----
(Orlg:illaloignature of declarant)
[SEAL]
2 4 8 U. S. DEPARTMENT OF LABOR J NAT U RALIZATION SERVICE
ORIGINAL
No.J~'(ioo-P: 4\1~T~~ or ~l1P ~ ~-~-.. ~~ ~'o .~ ~
DECLARATION OF INTENTION ~
o&;I_(l~:.~~~-~urposes seve:n ::~s~;.:. Court -~·t::.· ... :·~£?~~-~:~~~
occupation -----------------~-------------------------------• do declare on oath that my personal
description is: ~olor -~~·····• complexion ...... ~. height£~
weight ___ -,L;i_{?_ _____ pounds, color of hair ----~----• color of eyes--------------·------------------------
other visible. distin~ marks -:--~--------~----#--~--------------------------------------------------------------~nw;:e b_or: __ '; __ S::::::~~::~~;:;··-~;;;;~;-·;·:=iiZ--i--~~::;;·;~~;;;~
at . .:.1/0L .~.£~----------~"<----------·····-·······-··············
(Give number, street, ct , and State) I~ ~~7~:r~:::e~o-t~:-~-~~f-'~=.-~i:~~r::.: .... ::.:::=.:.: ... ::~:-=_::::: .. ·:.:.: ... :::·_:::::::::::·;··;;;·~~~;
(U th~ allen~~ otherwise t!J.an by~ tn~c~rncter of ~ce r;,r nll.Dle of transp~rtation company should be given)
foreign residence wa,_s.);~~---L~-f::;;Y-~------:J,J!m ---------:·---married; the name
of my wife is ------~-~--p---.------------;/sh~orn at~~~~~~ :~~s n~~ r~~~~e~~~ ·;~~~~~;;,;;;~~/~~d-·fid;ii!Y--!~--~~y-fu;~;
prince pot!!Jliate, state,:Jr sovereignty, and particularly t~.(jj~£,[_,(__ ~-~~~---·····-······-;y;·····--·-·····--·-····• of whom I am now a subject;
I arn ved aV\he /ort-• .......... 71 ......... 21. ... 1 ........ ···········-·-···················-·············-············ , In the
State of _______________________________________ /J_r:_¥:,-~----------------------------------• on or about the --------/------------------day ~~Jyg;;;;·;~~--~~;-~~--~h~·-pr~~~~ ~~~~~~~;~-:;n1 ~~ i~0~~n i~~:~~~~tin ~~: ~~~~
to become a citizen of the United State s of America and to p e rmanently reside therein:
So HELP ME Goo.
____ f'g_~-----~~----------------------
(Orlgina.l signature of declarant)
[SEAL]
U.S. DEPARTMENT OF LABOR
ORI GINAL 2 4 9
NAT U RALI ZATI O N SE RVICE
4~1) ft10 .V> ~
[SEAL]
DECLARATION OF INTENTION ~
(Original signature of declarant)
Subscribed and sworn to before me in the office of the Clerk of
said Court this~~,L2 ctay of-~~~_:)~~. an no Domini 19 :1-"
C __ £_~-~-:r:f------~~~------
;:;; Clerk of thr:l~~~_k Courl.
By ~b--~£~~~~-~~~~~~, ~~ ~ Clerk.
250
[SEAL]
ORIGINAL
U.S. DEPARTMENT OF LABOR
NATURALIZATION SERVICE
Subscribed and sworn to before ~n the office of the Clerk of
said Court this __ JSctay of----------¥--, anno Domini 19?---0
(,A/--?!It·~_)~ ~ f ~~_/ ~c;;;:::~--~~::~-~ourl.
By ______ ~~~~-------. mM _Clerk .
ORIGINAL ~51
U.S. DEPARTMENT OF LABOR
NATURALIZATION SERVICE
~Invalid for all purposes seven years after the date hereof
_d~-~~~----) . In the.~ourt
_@a_, __ 1-~~-tiiifss · of------~<rt-~~ ~ :·---------M---tf2~----------------------------------------------• aged ·----~-2:::_ ____ years,
occu pat10n -------------------~---------------------------------• do declare on oath tha _ my personal
cescription is: Color _-:2{~----• complexion -----~----·• height .f:S. ___ fee~----inches,
weight __ L_~_Q ______ pounds, color of hair -----~• color of eyes---~------·
cth er vis i b I e d i sti n cti ve marks -------~--------------------------------------------------------------------------------------
1 was born in ___ : ____________ ~~.,.---~~-----------------------------------------------------------------------
on the -~---------k-5.._:: _____ ~f __________ ;xf;,_~----~r_;no Domini IX_~-4now reside
at ---~--"'---:2;T.4~;~;~;;;;;;~,;,:~i;;;-{!;i{!;~f~'f~)o,_j_Q.L, _____________ _
I emigrated to the United tat~s of America from-~~----------------------------------------------------
on the v-e ssel _____ :~t;;l _____________________________________________________________________________________________ ; my last
• • (If the alien arri>ed ot~e-tban by /J'"sel, ~he chamctevof conveyance or name or transportation company should be g~ven)
foreign residence was -~----~------~+-r;::;~_-.:;:;tz~--------: I am ~~--:arned~ame
of my wife is ____ qJ:~-----------------------: she w~at"lJtu._x_~_fld:.d:;~----f;~sn~; r~~~~e~~~ -i-~~~;1a~f!:;·-~;;~~~-~;;-d·--fid~-iii;;--(~--;~--f~r;ign
prince, potentate, state, or sovereigBty~ and particularly to -~-~~~----
... L,:/L _______ ~~---l~----~a.4<-----------------------------• of whom I am now a subject ;
I arnved at the por ot -·-----------------------~--~·--------------------------------_--------------• in the
State of ----------------------------(};,__----------------------------------------------·• on or about the -------1---~----------day
of ________________________________________________ M_. ___ , anno Domini r --1L_Q_; 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
~o0 b:~~;~: ~~n ~~ates of ;::: ... ~:~:::~-=~:::.~:er:i::
Subscribed and sworn to befo~ffice of the Clerk of
said court t:~s_:;zof-~-~Q anno ~~mlnl-:9 7-d.
Ck;;;;_~ ---~Court.
By a,~_J7_d.:_, ------
[SEAL]
252 ORIGINAL
U . S. DEPARTMENT OF LABOR
NATURALIZATION SERVICE
~· ~~ ~ DECLARATION OF INTENTION
~Invalid for all purposes seven years after the date hereof
,J~-B~~ . In the_~Q~_C ourt
~2/~__jss. . . . ot 2:f~~-~-'-
~' ·-------------,-------;r __________ y~-~-~---------------------------·1 aged ________ L_1.. ______ years,
occupation ~--------1/_-----------------------------------------~ do declare on oath that my personal
description is: Color ~-----------• complexion -----~-----• height <?=: ___ feet t ___ inches ..
weight ______ L-!f_(}__ ___ pounds, color of hair -----~------• color of eyes-~----------------
other visible distinctive marks_~---------------------------------------------------------------------------------
1 was born in ------~-------~--1--£_~----------------------------------------------
on the _________ ]::/,._ __________ day of --------~----------.------------·• ann(}omini L 1"~"'--; I now reside
at ---------/--P..-/_ft ___ ?J;_fLt.4A.I.. ___ dc/JJt2;!-;~:-;t;;;;,;~~--y-;-;;;;.~:~-;;-~-st~t~)~----~-~------------------------------------------------
1 emigrated to the United States of America fro . .L--C:C..~+-~~--------------------------
on the vesse 1---------~-----------------------------------------------------------------------------------------; my I as t
. • (lf the alien a r dved otherwioe th~n ~Bel, tne cha.racter of co~veyance or n ame of transp<>rtation company should be g~ven)
foreign residence was~-----~r~--i'a4--: I am -~---marned; the name
of my wife is __________________________________________________ :._; she was born at -----------------------------------------------··----------
and no\ v resides at ------------------___________ --------------------------------------------__________ ----------------------------------------------
It is my bona fide intention to renounce forever all allegi<ylce and fidelity to any foreig n
prin~yo!~ntate, state, or sovereignty, and particularly to -~--~~-LLL ____________ _
--0,~--fLd~dy------------------------------------------------------------• of whom I am now a su~ject;
I arn ved at the po_!! of ________________ 5f ___ r-<---------------------------------------------------------------------------------, m the
State of __________________ )l-:--7/·---------------------------------------------------------• on or about the ____________ ?_~----------day
of ----------------------Z~--------------------------1 anno Domini rf-2: __ (! ____ ; 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 fait h
to become a citizen of the United States of America and to permanently reside therein:
So HELP ME GOD. -~kZ-~-~ ~ -~----(Original~~-
[SEAL]
U.S. DEPARTMENT OF LABOR
ORIGIN AL . 2 53
NATURAL IZATI O N SERVICE v
;5F30o/4
No --------------~~· s1 ~ 111 or ~·~·
4~ ~10
.. '9> DECLARATION OF INTENTION ~
. ~Invalid for all purposes seven years after the date llereof
~-B--------0 In the~':J?.~-Court
-~¥-~~----ss: ot?i~~-~
~' ·----_______________ ~----______________ -----------------------------------------------------·• aged ________ 2::::-~----years.
occupation ____________ _ _ _ ________ _ _ ~---------------------·• do declare on oath that my personal
ces.criptio~ is:&~Color -~---• .com,~----·• height~s,
weight ___ J-:-.L21 _______ pounds, color of hair -------------------------------·• color of eyes--------------·-----------------------·
c th er visi b I e d isti n cti ve marks ----~--------------------------------------------------------------------------------
~ I was born in __________ _ ----------------------------,1--------------------------------------------------------------------------------------------·
:; the_::_=------~x~'ii~-~~~~~~-~----~~~~~--~-::~ ~:~-~-~~=~:~~~-~---I _:~~--~~~i~~~
(Give number, stroo t, city ~and St )~ ~:7~=r~::~e~o--t~~-:~~~~~~~-=-:::::::::::_:_-_-:_-_-~:::-__ ::=~
(If the alien arril' h ise tha y vessel, the character o onveyance or name oi transportation company shouh.l be given)
foreign residence was-----~ __ _____ _ -~------------_______ : _ · I am ~-married; the name
of my wife is ---------~----------------------------------------; she was born at -----------------------------------------------------
and now resides at -------------------------------------------------------------------------------------------------------------------
It is my bona fide intention to renounce forever all all~d fidelity"' t~:J_oreign
prince, potentate, state, or sovereignty, and particularly to ~~~~
~(~--~~~t/_""JjJ·-~----• of whom I am now a subject;
I arnved a t e port o ----~------~--cr~~r.LL.: ________________________________________________________________ ,_., m the
State of -------~ _____________________________ :2J.: _______ ff----~--~--~--------;,-~--;:_ on or about the ______ _J: __ f/: ____________ day
of __________________ _ ___________________________________ , an no Domini I ____________ ; I am not an anarchist; I am not a
polygamist or 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 ermanently reside therein:
So HELP ME GOD.
Subscribed and sworn to before m in the office of the Clerk of
[SEAL]
said Court this_f-,?---day of_ ___ ~---------· anno Domini 19 ?--o
'(~~-----~-I_J_~
Clerk of the -------~~ourt.
By _'}n_, __ ~~-----· __ ff~_ Clerk.
25 4 O R IG I NAL
V\. U. S. DEPARTMENT OF LABOR
~ NATURALIZATION SERVICE
or~ .~~ ··~·~ ... .A
DECLARATION OF INTENTION ~
iT Invalid for all purposes seven years after the date hereof
~ ~~:;::-----jss: In the---~-~~---Court -----~~:::_:_:-~::: _____ ------------___________ : ____ :~ __ :~~~:-~~:---~::;:,
occupation --~-:-::-: __ -----------------------------------------------• do declare on oath that my personal desc~iption i/,B7Jlor '2f:~-----• complexpn_d~--------• heigh~ches,
weignt ____________________ pounds, color of hair f~-~. color of eyes-----------------------------·--------
h . 'bl d' . t' . k ~ ~~ ::s v~~rn e in
1 ~:~:~-=:~~:::::_:-_::_-~:~_::::::::::::::::::::::::::::_:::::::::::::::::::::
~~ ~Jll~li!:~-~~---~~-_-_:::_:~-,~~;;~:;:;;~~:~~:-~:~==:: ___ 1-~~:r~~i~~
I emigrated to the nit d, States of America from~------~----------------
on the vessel _____________ ------------c---_____________________________________________________________________________________________ ; my last
• . (lf thft alien a.r erwis han by sscl , ;p: chamct_e~nve~ance or name of transp('rtation company t!hould be g~ven)
foreign residence ~as_____ ___ _ ______ -~---~-:::::kb-~------------; I am a1.M.--marned; the name
of my wife is ----------------------------------------------------; she was born at_ ----------------------------------------------------------
and no \V resides at ------------------------------------------------------------------------------------------------------------------------------------
It is my bona fide intention to renounce forever all allegiance and fidelity to any foreign
~~~~;~~~~-~-~~i~et;~~
State of _______ _:_____ ~----------------------~---------------------------------------------• on or about the _______________ ';!!_ _______ day
of ____________________ ------------------------------------• anna Domini r_J-t __ P.__; I am not an anarchist; I am not a
polygamis or a believer in the practice of p o lygamy; and it is my intention in good faith
to become a citizen of the United States of America and to permanently reside therein:
$0 HELP ME GOD. --------~~----13.~_: _____________ _
{) (Origine.lslgnat.;:;;-fl~~t) _____ _
Subscribed and sworn to before me in the office of the Clerk of
said Court this ___ -4day of--~-~-------· anna Domini 19~ 0
-~~--r£S2-------------------
~ ~ L Clerk of lhe -----_ _ _ _ _ ____ ~ Court.
BJ' -~L(-(_(/._\.;)2_~ _ _ _------------, _a{f~_ Clerk. ~-·-I - -.. q
[SEAL]
ORIGINAL ~ 5 5
U.S. DEPARTMENT OF LABOR
NATURALIZATION SERVICE
'SbbfJt>iJ~v
No____________________ ~.,~Til or~-
4.~'f)<J ~.,0
.~ ~
DECLARATION OF INTENTION ~
W' Invalid for all purposes seven years after tile date llereof
q,{~----------'"<~----) ss: In the--~..;:?~ Court --~---____ ~~~ of _'2t_~~~----~
~r ·--------~~-r;;;d,_~~:f-:: ____________________________ , aged ·--------~_lj ___ years,
occup ation -------~--~---------------------• do declare on oath that my personal
cescription is: Color --~--• compl]lion -------~---·• height .2 .. fee _f: ___ inches,
wei ght': ____ / __ ~ ___ '!_ __ pounds, color of hair --~olor of eyes-~-----------..
c th er vis ible d i stin c ti ve marks --~~----------------------------------------------------------------------------------~nw:e bo_: __ )_:::~~-~:=~~~-:-~~;~--o~;;;;;;·;:s :=z;·--i--~~~-~~~;~~
at ---~ 2= ~----------------_____ _ _ ____ __ +---~-----------------------------------------------------------------ca · number, street, cit(/;wn~ _state)
I emigrated to the United States of A erica from --~-d_Ld:L ____ ~-----------------·
on the vessel _____ ~--~------------------------------------------------------------------: my last
(I! the alien ar'M.:Z~ by ve , the character of conveyance or name or transportation company sbould b e given)
foreign r~si~ence _was --~---;,{;·~-,-------___________________ -----------~~--~e name
of my wife IS _______ _________ _ _____ ----c-4-----_________ ; she s born at -----------------------#------------------------
and now resides at -------------------------------------L---------~--------------------------------------------------------------
It is my bona fide intention to nounce forever all allegianc_e and fidelity to any fon~i_gn_ _
• • "1 ~-~,~~~ pnnce,_potent~ sovereignty, and, parttcu,arly t~---~-~-~ 1
~--------------------------~~--~----• of whom I am now a subJect;
I arrived at tl~-~~rt of _________ _'?2:-r -------------------------------------------------------------------------------------·--, in the
State of _________ ~: _________________ -------------------------------------------------• on or about the _________ 2_ __ 7 __________ day
of_____________ _ ____________________________________ , an no Domini r -~-r2i_; I am not an anarchist ( I am not a
polygamist nor believer in the practice of polygamy: and it is my intention in good faith
to become a citizen of the United States of Aml:::and to permanently reside therein:
So HELP ME Goo. __ (fl&_J___/:!f{_~.fi?£tt_f.:1_c_ ______ _
(Original signature of declnran t)
[SEAL]
256 ORIGINAL
U. S. DEPART MENT OF L A BOR
NATURALI ZATION SERVICE
No.J.fi21C?__OtJ/q J ., ~ T18 or .~~· ~-~·~ ~· -~ DECLARATION OF INTENTION ~
ORI GINAL 2 51
U.S. DEPARTMENT OF LABOR
NATU RA L IZATION SE RV ICE ,/
No _jSfil/fv/4 s1 ~ 1!1 or ~~· ~-<t~~ ~~ ~4 Q DECLARATION OF INTENTION ~
~Invalid for all purposes seven years after the date hereof
~:~~ss: I~ fu'!sL:_£%:;~::
~ :--------------~-;-~-------------------------• aged ----;;.;--_____ years,
occupatiOn ----------------~-------------------------------------• do declare on oath t a_ my personal
Gescription is: Color ---~-• com~-------• height .. rfeet .J!. inches,
weight ___ _-: ___ _/__8:_ __ ~-pounds, color of hair ______________________________ ?..; color of eyes-~----
cth e r vis i b I e d i sti n cti ve marks ~~-------------------------------------------------------------------------------
' I w~ born in ~~~"---1-~-------------:--~------i'-;FY----------------:----
on t e _____ j,}i _________ cta'Y o~~---• an~o Dom_;,m '------------: ~reside
at --·----~---__ ----------~"t;;;;;,C"~.LL~-----~:~~=::~e~o--t~e~--~~--~=e~I~~-~-r::_:~~:: __ : __ ~--~:t;·;~~;
• • (U the alien a.rri'ied~~e than by v~e&el, the cha~ter of con ~~e or name or transportation company should be g~ven)
foreign residence __ --~-;~--; I am ______________ marned; the name
of my wife is _,Z..~-----------__________ ; sh(J;s born at ~-,_~
and now resides at _ __ ___ ___ _ ____________ -+---------~--~----------~----------d_ _________________________________ _
It is my bona fide intention to renounce forever all a"~e a~1~ . fide lit to any f~n ___Jr~e~~r sovereignty, and particularly t~ ~~...a.._,
~;P~~i-~~:=~~=~=--::=-~-~.0i~et~~
State of ___________________________________ ----------------------------------------• on or about the -----~L.&k ____ day
of _______________ _ __ ----------------------------------• an no Domini I --~-L -~-· I am not an anarchist ; I am no t a
polygami 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 permanent ly reside therein :
So HELP ME G O D. ~--~--~~------------
" (OJii(.;i-signature of declarant)
Subscribed and sworn to before me in the office of the C lerk of
said Court this __ l-__ ~ __ dayoL ____ ~--~__. __________ ,anno Domini 19 2-o
------~L~ ___ t:=u~~~--
Clerk of t!fe --~-1,a~-Court.
[SEAL]
By -'2'lJ-j{;LLL&r<.cf----------' ~~ Clerk .
258 O RI GINAL
U. S. DEPA RTMENT OF LABOR
NAT U RALIZATION SERVICE
.,~Till or~· ~'fp· -·~·~
' qoA '\1 . DECLARATION OF INTENTION "?/
w-Invalid all purposes seven years after the date hereof ---~-~--------~'------]ss: In th~~-~urt
___ x_:_,a ___ ;t-'-< _ W__, ______ r:J: of ___ (2j_~e<~----------'-
~' -----------------~--_ _ ______ ' ---------------~-----·------------------------·• aged _______ !;!_..()_ ___ years,
occupation ---~~'k ______________________________________________________ , do declare on oath that my personal
description is: Color ~-----• compleJion ----~--• height .~feet C_ __ inches,
weight . __ j_ __ ::e-:_(2--:._ ___ pounds, color of hair ---~-• color of eyes--~----------
~t~:s v~~~e i~i~t~~-ct-~~~::::::_:--~_-:_:-_::::::::::::::::=:::::::::::::::::::::::::::::::::::::
~~ -t~:_:=;:ij:_:()}_~_~{z;;;;:;_~=~--::=:=:: -~D,C:tt :::===;-1-~~:r:~i~:
(Givenumber,street,ctty~ ~
~~~~!r~::~e~~--~~:--~-~~~~~~~-~~:=-~~=~-~~~~=~--~-~~-~-~~--~~:~~~~------=----------~~~----~~~~~~~~~~~;--~-;-i~~~
(li thf'l alien arriv~ae than by vessel, t~fi}~~f oo;~e~a.nce or name of trnnsp('rtation company should bo given)
foreign res idence was --;;:;~-f----~_:'j{r"L~---------------: I ~~~;-~~arried; the nam e of my wife is -------~~~----------------: sh~s born at ---~+~~-------ft'~s n~~ r~~~~e }.~~ j~~~~jj~gi~~~~--~~d---fid;;;;y-~~--;;-~y--t;;-;;;g~
~potentate, st~t)pr sovereignty, and particularly to .-::Jf~_;:;;_~_
-.Lb)-,_,d~----~-:-s::: __ -'-_________ -------------------:----------------• of whom I am now a subject;
I arrived at th port of ___ ___ _____________ ________ _ __ -----~---------------------------------------------------------·• in the
State of ----------~-;;---;_-~---;-<3:--~------------------------------------------------• on or about the ___________ L__~_-:_ _______ day
of ------------------------/-£~-----------------• an no Domini 1 1--q--~--: I am not an anarchist; I am not a
polygamist nor a beli~ver 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:
$0 HELP ME GOD. . -------~ ~--: -=--~----_-1?_q_(;{_:£~~-------------------~ngm.a~~. of declarant)
Subscribed and sworn to before me in the office of the Clerk of said Court this2'..3 _day of--------,~----· an no Domini 19 L o
[SEAL] ______________ ( __ :1{'ca______________ -----_ _ _ ------------
~ Clerk of the ____ C._____________ -~-__ Co urt.
By __ vr/~L-2~--, _dt_-/R~;---cterk.
O RIG INAL 2 59
U.S. DEPARTMENT OF LABOR
1/ NAT U RALIZ ATI ON SERV ICE
4~1), ~~-.~ '41
DECLARATION OF INTENTION ~
. ~Invalid for all purposes seven years after the date hereof
::~;i::fi~L::::}s: In the~; -~;;;;L~~~~~:~
~' ·-·-------------~~~~------------·• aged __ 1] __ ~=--years,
occupation -------~-----------------------------~----., do clare on oath that my personal
cescription is: Color %._ _________________ , complexion ______________ ~-----------·• height §.feet_={' inches.
. /-..6-~ f . ·o ---···II . f ~ R wetghL_,,c ______________ pounds, color o hair-~ color o eyes -~::u. _________ .
cth er vis i b I e d isti ~ i v; marks -~-----------------------------~----------------------------------------------------__
I was born in~--~-~---~----------------------------------------------
:; the __ -----tr~-:~~:.:::::::c:=~=::=·=:::::.:C?::i:i_~~~=---~--:::.':~i~:
(Give number, stroot, cMo7 and State) ~
I emigrated to the United States of America from~~---------------------------------------·
on the vessel ____ ~--~---------------------------------------------------------------: my last
(If the alien a~i~ otherwise than by vessel, the character of conveyance or name oi transportation company should be give n)
foreign residence as0L~.t-~ am__ _ _______ married; the name
of my wife is _____________________________________________ ; she w
and now resides at __ _ ~
It . is my bona fide intention to . renounce fore~er all ~_9/~ .to a~ foreign
pnnce, potentate, state, or sovereignty, and part1~ularly to~-.AdL.~---~~
1~~-~-=-~~--~'-• of whom lam now a subject ;
I arrived t the port of -----27)/j~~-----------------------------------------------------------··-·• in the
State of-----------------~-___________ 1!!~-~Ji--:-------------------~--~---------------• on or about the --------._.d---~-----day
of ----------------------------------___________________ , an no Domtm I f..c:L 1-__ ; I am not an anarchist; I am not a
polygamist nor a bel ver 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 Goo. -----------~--..J;~4._ _________________ .
(Original signature of declarant)
[SEAL]
Subscribed and sworn». before me in the office of the Clerk of
said Court thise? ______ day of-----~: ____ , anno Domini 19--.J-.---0
---~~ad ___ _ ___________ _
Clerk of the ___ __ _ _ _ _ ___ -~--Court.
By~~~--,.-~Ckrk.
260
t/ ' U. S. DEPARTME NT O F LABOR
ORIGINAL
No j6JR__q ___ Q d t{
NATURALIZATION SERVICE
.,,~111 or~· !\~· -·~·~ .~ ~A
DECLARATI O N OF INTENTION ~
[SE AL]
U.S. DEPARTMENT OF LABOR
ORIGINAL 2 61
't/1, """'"""'0" "~'"
~ DECLARATION OF INTENTION ~
~Invalid for all purposes seven years after the date ereof
·----S~~----ffiQLL _________ ] . In the____ _ ____ ___________ _ _____ -~-court
£!L1fi~-~ ss. ~-~j'~{].dL _______ _
;;), ~----:·--C,.d'~ __ &_____ _ ----------------------;·------• aged --~-L ____ years;
occupatiOn ---~---o--------------------------------------------• do dec are on oath t at my persona
description is: Color --~---• compl~i~ ----~height S:'4;t -~es,
weight __ jv__ ___ r)_ ____ pounds, color of hair--~--~£., color of eyes--~----
(Give number, street, city or town, and State)
I emigrated to the _ United States of .America from_____ _ ----~------------------
on the vessel ----<-ii-ii;:; .;ii.~ ~;ri----h•~i;,.-ii;~;;~;.-~-;;;;1~-ii.;~i,-;.~~t;,~-~r"".:A~~-.,--.--~-~;~;-~;i~~;;~;~ii~~-~~;;~~;.-;i.~~~d-b;-i;;;,;) ___ ; my last
foreign residence was---~--~~ _________ , I am -----~married; the name ... · -of my wife is ____________________________________________________ ; she was born at ---------------------------------------------------------
and now resides at --------------------------------------------------------------------------------------------------------------------------------
It is my bona fide intention to renounce forever all allegiance and fidelity to any foreign
prince, potentate, state, or soyereignty, and. particularly to ~-~L
$~~----¥-r:Y~----------------------------------------• of whom I am now a subject;
I arrived at the ~rt of -------------------~--¥----------------------------------------------------------------)7 ____ , in the
State of ---------------~~---------------~--21-'-----------:Jf:-------------------• on or about the ----------~/--------------day
of _____________________________ /~---• anno Domini r ___ ,_ ~[_; 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
~o0 b:~~;:: ~~~n of the United States of Am:~~::~:z_
(Original signature of declarant)
Subs<>ribed and sworn to before me in the office of the Clerk of
said Court :~&1:2l~'--:· ~n-:o-~~~':'_'9 l-o
~A S}fryof the ___ (l___________ __ _ _ __ _ Court.
By -4-----//{_'l ~-· --~.:;-Clerk.
[SEAL]
--------------------------~----------------
262 ORIGINAL
U. S. DEPARTMENT OF LABOR
-I NATURALIZATION SERVICE
.,
\1 DECLARATION OF INTENTION ,.
.-~~fr1!.-~ll··~jurposes seve:n ::~J:J. Court
6_,.~ .. ~-·· ss: of-~~~-~
~' -------~--&L_~----------------------------------------------• aged ____ 3 __ !:1_ _____ years,
occupation ------------r:LZ:-~~---------------------------• do declare on oath that my personal
description is: Co or -«~-----• complexion ---~-------·• height __ ( __ feet L ___ inches,
weight !__z _Q _________ pounds, color of hair------~ color of eyes---~----·
other visible distinctiv~ marks ----~--------------------------------------------------------------------------------------
~nw:e b~-~ __ )_f!:_:~ ·::;;;;;z~:=-~~~::~. -~~~~··o~;;;;~;··;·:~i~~···i·-~~~-~~~id~
at ··~·······2%. ... ~~/},1t'~~d~rrr?rktiJJJ.M~ .....
I emigrated to ~mted States of Amenca from .. :!!J~~ .. !.ffi~··"='7j······-······-····
on the vessel ___________ A~-~--------·-----------------------------------------------------------------------·; my last
• • (lf tbf'l alien arlived_;t~ex:wise than by vessel, tne cha.racter oo :.eyaaoe or uazne of tronspC~rtation company should be g~Yen)
foreign r:si~ence ~--#-V::.~~~-___ _ _ _ ______ ; ~~ _____________ marned; the name
of my wife Is ·····-··· .. e~ ....................... ; she ~ om t )d'~:_!:!~~?J.~ ~;~s n~~ '~~~~e~~~ in~~~~~\~·~!;;~~~~~-;JJ~g;;~~~··;~-d···fidcliiY(;-~;;y·f~~~;g;;
prince, potentate, state, or sovereignty, and particularly to ~-:l:i~~-·-d..-~-~-::1/-~
~-~-tf~~~--,1.~1-~---------------------• of whom I am now a subje~t;
I arrived at the port of ·---------·---------~~-~------------------------------------------------------------------·• in the
State of ----------------------------------------~---~--=------------------------------• on or about the------~--~-------------day ~~iyg;;;;·;;~~~~~~--~~--~h~·p,~~~~e ~~~~~~~!~~ ·;n~ ";; i~0 ~~n i~~:~~~~ti~ ~~~ ~~~~
to become a citizen of the United States of America and to permanently reside therein:
So HELP ME Goo. // __ / _ ,...: A IJ~
~~;,;g;,~;,_;;-~id.-..~!;;tf?-=-------------------
[SEAL] -.,
U.S. DEPARTMENT OF LABOR
ORIGINAL 2 6 3
/ NATURALIZATION SERVICE
No __ /_,2~3__(/u/¥--.,~,~~ or
~~· ~·4-·~ ~~ ~4 ~ DECLARATION OF INTENTION """
~Invalid for all purposes seven years after the date hereof
----~--~a_~---------1 In the ___ --------------------------~--cour t
---&_, __ o/;---~~r.d ss: of Jf~r:!) ___ :~~--'-------
occu!t;~~-~~~::~-~~~~~~-~~~-~na~:~h-;:.~-~;-~~~:::;
description is: Color ~------• (omplexion ------~--·• height .£ .. feet1.-~nches,
weight --~--7----~~--p~unds, color~--------------• color of eyes---~------------------·
other visible dt~ctt~e ~arks ___ -------------,--------;p---------------------------=--;;f·p·-~------~------------------------~nw;e :;~~;--_ -: -:-:-:------~~~i;~~
at~9 "----_ _ __ iill~.~.,;;;,;;,,;;;.~~-
~:7~=r~::~e~:Z~~t~~~::_:_:~:_::_:-::::::::: ___ :_~_:::~_::: __ :ft
(If the alien arri~h~r,yse3"an by ''essel, t charac of conve ance or name ot' transportation company should be given)
foreign r~si~enc~ was --1-~.,L, _ __ _ _ ___ _ _ _" __ _f_H; I a:n ______________ marri~ the name of my wife Is ----~:~------------0, she was born a 2f~--~
and now res tdes at ~--------~-=-----------------------------------------------------------------------------
It is my bona fide intention to renounce forever all allegtce and fidelity to any foreign
prince, p~tent~te, state, or sovereignty, and particularly to -------~--V_---~--t-!1~ --~--~----dJ..a:&f~-~JL _________________________________ , o.f {,?hom I am not{, a suoJect;
I arrived at the port of _____________ c::2J/:_;?ff---------------------------------------------------------------------------------····• in the
State of -----~---___ _ __________________ ?}_~-;:----~--------------------------------·• on or about the -----~_!_ ______________ day
of ________________ ---------·-----------------------------• an no Domini r .. 8..'j.~; 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 perzmne tly reside therein:
So HELP ME Goo. ------~ ,
Subsoribed and sworn td:f:::~~~;;~~~~~~~~:;~:; said Court~ --:f~alL,9r~LCL---· anno Domini 19 ).. 0 '
[sEAL] ~--(£ ~-LAL ,
ByLJ!L ~~~-----------~ ~::!._.("_-:!_ _________ Clerk. oc ••••• -.:.:---=----'-----o··-· / U-b ~
264 ORIGINAL
U. S. DEPARTMENT OF LABOR
NATURALIZATIO N SERVICE J!tfv
No. __ ftikt/P -~ ~ 1fll. or ft~· ~-~·~ ~~ ~4 ~ DECLARATION OF INTENTION ~
trlnvalid for all purposes seven years after the d~ereof
;---c.~.~Cli-'-:----·------j ss: In the<l~~-----~.1> court ~--i--~~~ of fJ/-~~----·-----_____ _
:!!, ~.!.d~--"'"'--~-~!';-aged ______ 2:_~---years,
occupation -----------------------~-------------------------:--ll~lare on oath that my personal
description is: Color ~--------• complexion -'::::""-g----=---:-=-:-=------·• height .EL feetb ____ inches,
weight ____ /..;;;_ __ Q_ _____ pounds, color of hair --~----h-~ color of eyes---~--~----------·
other visible distinctive marks--~---~-----~-'-------------------------------------------
1 was born in _d~-,----~--L~~) __________________________ _
on the ______ _"fj _ _Q _____________ ~/of ::r:·-----~~--~·• an(\3~~:i~{SQ-a_·; l now reside
at -~_}j_g __ c:;~~-#'!.~;;.;;;.;-=:;;., _ . ----~;;;;·;;;~----{fb_-~
I emigrated to tlie Umted States of Amenca from--~,------:=---~--·-----
on the vessel_~~~-------------------------------------------------------------------------·; my last
(l! tho alien a.nived ;Jherwi than by vessel, tne character of OOI>.Vt>)"a<lOO or name of transp<'rtation company should be given)
foreign r~si~en~as -~L _ _ _ _ . '1-~-----------; I am ______________ married; the ~arne
of my wtfe IS___ -------~------------------------------; she was born atcl _ _ _ __ ,--~------
and now resid at 'it..Q~~.a.kL-;l_k---2). : -~----------_Cj~~
It .is my bona fide intentio{{ to .renounce fore~er all al ianc~ and J~l y to ~~---
~e~,~v..ej~~~~~~--. ___ --==~~-c£~~-v -------~----;;;:;,;;;,G·--···----·-----------------·--~~------J---~ I am now a subJect;
l arrived at the port o ·-----~~'ft--~----------------------------------------------------------------------------·• in the
State of ----------------------------------~!--,-~-----------------------------------• on or about the ------==----------==------day
of -------------------~-----------• anno Domini 1 _f-¢.. __ ~_; 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
~~ b:~~;:: g~~ ~nited States of Am:rz~~::~:::r:i~-:
I !1--' ~~-~f~· ~ ~~ubscribed and sworn to before me ·n the office of the Clerk of
said Court this _._d:_ day of,-r -·----'··---· an no Domini I 9 2 <']
[SEAL] --~-2!2----~------k-"Ld.....~~
Clerk of the_ ___ _ ______ Court.
By .... cm::yd~'·---· _de_j<_u7j;:--Clerk.
U.S. DEP A RT MENT OF LABOR
ORIG I N AL ~ 6 5
NATURAL IZATION SE RVICE
' I
OF INTENTION
W"' Invalid for all purposes seven years after the date hereof
---~--~-,----------------1 In the -~~ Court ___ {3_,1-_7/J-~ ss: of c:i~d~---~~--'-------
~~ ·-··----------:!/~-----~-'-----------------------------------·• aged _____ ?:_£_ ____ years,
occupation --------~~------------------------------------·• do declare on oath that my. personal ·
d . t' . C I 11 . .£ . I . A' --· h-. h . ht ~ + ~ • h escnp IOn ts: o o~-----• comp exwn ----~~-L ... , etg ·~ p----· .eel=----me es,
weight ----1---t..L. ...... Y .. pounds, color of hair -----~color of eyes~-------·
other visible -~~~rks -----~"-----------------~-----------;;-;]i;----------------------------------------
1 was born 1 ------~-..&d::tL---~-~----------~---------------------------------------
on the ___ _} __ J-_______________ day of -----:W~-------------·• anno Pomini J~-~~.j-~ I now reside
at --------4---fL4~;;:fft,-;;;;.;~-(J~~Q~~,
I emigrated to the United States ~f America from___ __ _ ______ --,---cf2 ____________ (f ________________________ _
on the vessel ____ crr tl~; .. ·ii;-;ilied-Jth~~-~,;;~;~~-th';~t.-;;;;~t;;r-~r-c-;;~;;;~c-e-~;-~;;,;;-.;-t-i~~;j;~rt;ii~-;,-~~;;;-j;;~;,-;b.~-;.J~Ii;~-ii-;;,;)--·; my last
foreign residence wa __ f.22.._LS-._/~--~~--a"'w~~ I a ~t.:' .... married; the name
of my wife is ----------------------------------------------------; she was born at --------------------------------------------------------
and now resides at ---------------------------------------------------------· -----------------------------------------------------------_____ _
It is my bona fide intention to renounce forever all alle~ce afd fidelity to any foreign
prince, potentate, st~e, or sovereignty, and particularly to ----~------22:"!..~f. __________ _
-~~tj(__£_~-----------------------------------------------------------• of whom I am now a subject ;
I arnved a th port ot ·-----------~! .... r:..!... ...... ___________________________________________________________________________ ,_, m the
State of--~--------------.----------------~:-71-~-----------------------------------·• on or about the ____ /_?:_ ________________ day
of __________________ -------------------------------------• an no Domini L~/1/__; I am not an anarchist; I am not a
polygamist or 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 permanen tly reside therein:
So HELP ME Goo.
[SEAL]
-~---~---------------------------------(Original signature of declarant)
SubsGribed and sworn to before m~ in tlie office of the Clerk of
said Court this __ q __ day of--~~-----nno Domini 19/cJ
~-----~
By ____ ?/! ___ -----~fer~, :~~
266 I O RI GINAL
U. S. DEPARTMENT OF LABOR
NATURALIZATION SERVICE
;Slo(p lfo/ 1
No...................... ~ .,~,~-or ~~~~ ~-~4>1o
-.~ DECLARATION OF INTENTION "4
c&R~ ~:_lf~----L~------------------0~ ..... --·-· (Original signature of declarant)
Subscribed and sworn to before me in the office of the Clerk of
[SEAL] said Court t:is -~~:: an no ~::•.:i.•9 ~ 6
~ Clerk of tlze ___ _____ _ __
By ............ :.~~---, . .d. f-dd'_.~ Clerk.
U.S. DEP A RTMEN T OF LABOR
ORiGI NAL 2 61
~Invalid for all purposes seven years after the d· hereof
--~i-9f--················j 55 : In th ····Cj;h.············-~---· Court ----~-!P/tl. .. /ra4.... . of ..... --~•------·······-··············
~~ ·-----U~-----b~---~~--------------------·• aged -----~--'-----years,
occupation ----~----------------------------------------------------• do declare on oath that my personal
description is: Color .. -:21:~---• com~---··• height {·feet-~-inches,
weight ___ _/_ __ 7_0.. ____ pounds, color of hair --------------------------------• color of eyes-~------·
other visible disti~ ~'"(:.--o·:·:---------------------------------------------------------------------------
1 was born i n ________________________________________________ -~-_____________________________ ---:--------________________________________ _
on the ______ ./2:-_ __ ;:::5 ___ ~-day of ---~"'-----------::.-----------·• ann omini 1 (1Y-. I now reside
at ~£~_{z{~d--~-()t-~-f£f-E-f<;~------------+-----~~
(Give number, street, city~ U
I emigrated to the United States of America from ----------------------------r-----~--~-.------------------
on the vessel ____ S¥i~Z;~t,;:~;;;;1~-ih";~h-;.-;:,;----;~!-.,-;,;-;;;~-;;c-;,-~~-~;~;-;r-t;~~;j;~;t;ii~~-~~~j;~~;;;I,~-;,-1;-ii;;-i;-;;,;)--·; my last
foreign r~si~ence was :-=----flZ-~-------------: I ~m :-------------married; the name
of my wife Is--~~---------: e was born at~+~~-------
and now resides at G-?~-----------~-----"'---·-----------------------------------------------------------------
It is my bona fide intention to renounce foreve r all alleg ian ce and fidelity to any foreig n
State of _____________________________________ 2Z____ _ __ ._ _________________________________ , on or about t he ______ 2::-_:6= ____________ day
~~iyg~;;;·;~~~~--i~·;;;;;··pr!~~~e ~~~~~~~~~-;n~ ~~ i~0~~n i ~~:~~~~\~ ~~: ~~~~
to become a citizen of the United States of Ame rica an d t o permanently reside therein:
So HELP ME Goo. ~-----g-~--~-------------
[SEAL]
<Original signature of declarant)
Subsc,ribed and sworn to before me in the office of the Clerk of
said Court :~.c!LL--~ann: D:i:t.'9 2-0
~ Clerk of the .. @. ·-·············· .. ~--···Court.
By ···-····-#-sx{_~---··-· --~---;-· ,-· Clerk.
268 U. S. DEPARTMENT OF LABOR
O RI GI NAL
I NATURALIZATION SERVICE No._j5kll!tl~ ~,~,~~ or ~"' ~ ~-~-~~~ . tt10 ~ DECLARATION OF INTENTION '{{f
~1 -------~~--~ ______ -----------~--::L. __________________________________ , aged ______ g_ __________ years,
occupation __________ --~~----_ _ _ _ _____ ------------------------·• do declare on oath that my personal
description is: Color ~-~-------• complex:io~---------·• height ~es,
weight __ J-_fl._f!.. ______ pounds, color of hair ____ h~----·• color of eyes--------------·-----------------------·
other visible di~npive marks~/. ____________________________________________________________________________ _
l was borrn yf~--~---{_~~---------------------------------
on the ----~~----------------day of __________________________ ------------·• anna Domini ~_6~ I now reside
at !!_a ___ fn_~_LJ..fL_tiL M: ________ a___ ~ __ --------_ ----------_ .,_ ___ _jj _____________ -----------~ ~---_--o_-~~ (Give number, stceet, ctty o , a State) .
I emigrated to the United States of America from_ __ _·_ __ _ ___ r---------_ _ ~-------------
on the vesse l ____ (ir-i'h~~i~*-~~~-ih~;,-~,;.-;-;;1~-t-;;---------~~-~(-.;;~;~y;;;.-~~-~~;-~i~~;_p~rt;ii~;:,-~~;_p~~;.-~;~;:,J.d.-b;-gl-;;,;-)--·; my 1 as t
foreign residence V:'l!:J;rf~.,---~------: I am ~---married; the name
of my wife is ----------------------------------------------------; she was born at ----------------------------------------------------
and no \V resides at ------------------------------------------------------------------------------------------------------------_____________ _
It _is my bona fide intention to _renounce fore~er all allw-} .. !~J.f._Q~~lity ~~~
pnnce, pote~tate, state, or sovereignty, and particularly to:~=~-~----------__________ _
~-~~-~~-j~-~y,t whom I am now a subjec t;
I arn ved at the port of __________ ---------'¥-~----------------------------------------------------------------------------------------·• m the S~ate of ______ Po:____ _:::;; ______ ""?2.:,->: __________________________ :--:·-------,-;i' ~n or about the --------:1-:-----------day
o_ ___________________ -------------~---------------------• an no Domini r __ CJ..---t/---· I am not an anarchist, I am not a
polygamist or 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:
$0 HELP ME GOD. a!fgn:_fi.__,_ _____ ! !: __ ~_: ___ ~d!._-~----·/for~~~~fdeciarant> -7·
Subscribed and sworn to before me in the office of the Clerk of said Court tS!lit&:~-zfl~--;;~~::_':i_I9 2
0
c?f/IA.r-~Clerk of the--~--Cou rt.
By __ _//lt;).~z¥-~-------, d-~~u--~----Clerk.
[SEAL]
U.S. DEPARTMENT OF LABOR
ORIGINAL 2 6 9
/ NATURALI ZATION SERVICE
No ...... J~k_f#' ~ s1 ~Til or ~-
.~~~ ~~~ ~· .4 DECLARATION OF INTENTION '(!
~Invalid for all purposes seven years after the da ereof
---~~g/~-~---···:·····j 55 : In the .. ~--. . _ .... ~-Court ---~----1··········--~~---------of . -~-'--------------···············
~ ············-~---/ .. -·································: ............................• aged .... 2Lc; ____ years,
occupation -------------------------------=----------------__________________________________ , do declare on oath that my personal
description is: Color ~-----• co~ ., height .£.feet -~~nches,
weight .--~--1---"k-(---~--p~unds, color of hair ________________________________ , color of eyes-~------·----------·
other visible distmc tve marks ---~-------------------------------------------------------------------------
1 was born in ___________ _ _ ____ _ --,--Lr~---------------------------------------------------------------------------------------
on the _______ J_,S: _____________ day of ------~------~----------• an no Domini r fjtf _(/; I now reside
;te~ig:~~~~;;~~~·"~~(j£7~:::
on the v ,__sse~----------~-------------------------------------------------------------------------------------, my I ast
• • (If the alien arri'V ed otherwise than by vessel, the ~ter ot;,onvcya.nce or ryyne ot' transportation company should b e g~Ye!l)
foreign residence was~-~--LY-~-----: I am ~-marned; the name
of my wife is ---------------------------------------------------;, she was born at --------------------------------------------------------
and now resides at -----------------------------------------------------------___________________________________ --------------------------------
It is my bona fide intention to renounce forever all allegiance and fidelity to any foreign
prince, potentate, state, or sovereignty, and particularly t~--~-£f~
·--~----~-~=-----------------------------------------• of w om I am no I a ;Jbject;
I arrived at the port of -------~--~:q?f---------------------------------------~------------------------------------------------, in the
State of ....... ______________________ 21~--~-~----------------·:--:----·-,;;·i.·~· ~nor about the _____ -'-:}.: ............. day
of --------------------------__________________________ , an no Dommi L __________ , I am not an anarchist, I am not a
polygamist nor believer in the practice of polygamy: and it is my intention in good faith
to become a citizen of the United States _of_ Arnerica and to permanently reside therein:
So HELP ME Goo.
[SEAL]
270 ORIGINAL
U. S. DEPARTMENT OF LABOR w. !/ omm,•no• ""'" No./12-:/-~flo ~ ., l. Til or .~~ ~-4"·~ •• .A
DECLARATION OF INTENTION ~
~Invalid for all purposes seven years after tlte da.T.P.---HR.,
----~9.£·:·:··-j ss: In the --;xr··-;·--(i~-----_:_~--~::=-~:~: -----~---------------c---______ .~._________________ of~a£~---------------------
:!!, ______ S/~ ____ '2zz__'f?fk/ _________________________________________ , aged _ 2::_.-f ____ years,
occu~at!on ·:---~~----------------:-------------• do declare o~ oath that my personal
descnptton ts: Color ___________________________ , complexion ~--·• hetght .. c.5.. feet¥__ mches,
weight ______ L~L;£_ pounds, color of hair----~:-~ color of eyes---~--------
other visible. di~'ve marks ·--~--<c:ru~-~---i-~---,-------·-------~nw:e b-o~:_2t::::=::. d~-;--__ :~-J~;::~:::===-:u$~:1~~?~-~~~-~~~jd~
at j_!_'f-__ fi{~4:t,_£f,;;,;;.;;;,;,-.oo,,-,;,,-~~;~-~-------------------
( emigrated to the Umted Stat~s .of Amenca from.-____ _ __________ T_rfl~---------------·
on the vesseL~~;;;;.,~~;;;;·;;;,;;·;;;;:;;;,;;;;;o;~~;;~,;;-;;·;~-;;;;···; my last
foreign r~si~ence was _r:l~-,-~-------: I am ______________ marned; the name
of my wtfe Is ____________________________________________________ ; she was born at ---------------------------------------------------------
and now resides at -------------------------------------------------------------------------------------------------------------------------
It is my bona fide intention to renounce forever all allegiance ~nd f~~ ~f~n
prince, ~ote~tate, state, or sovereignty, and particularly t~~~~---~-~--~-~ c;-
~--·-~ctJ--~t~-~-L~ of whom I am now a subJect ;
1 arrived at the port of ·---------·----'2-~-~~------------------------------------------------------------------i?-=------·• in the
State of --r;Jt·-------------------------:?J.: .. y _________________________________ , on or about the --------.1:~------------day
~~iyg~~-i-~-t--~1~~~~~--~~--th~--;r~~~~e ~~~~~~~~~f~n~ ai~ i~0~~n i~~~~~i~\~ ~~~ ~~i~~
to become a citizen of the United States of America and to permanently reside therem :
So HELP ME Goo. ~ '::_-(~----2:?:J_:y_,r;_~~----------.e:!":"-':?forigi~l~~~-~~>
Subscribed and sworn to before me in the office of the Clerk of
said Court thisla ... da~-f---~..td=., anno Domini '9 2-o
[SEAL] -~(_Q _________ /L.f.~#-----------
Clerk of the _(!~:t..~LLL._a.-::fl ____ Court.
By.?!z:~d~--, flM--Clerk.
U. S. DEPART ME NT OF LABOR
O RI G IN AL 2 ~ 1
/ NAT U RALIZA TION S ERV ICE
No. ___ f-£2%!1~: s1 ~Til or ~-
~~~ ~.~ ~ DECLARATION OF INTENTION D4
~Invalid for all purposes seven years after the date ereof
----~J_(]};_ _________ l · In the -~---------------------~Court
___ u_ __ ¥--!JL~--~----ss: of _ ----~~.,-~~----------
~' -------------~----~-----------------------------------·• aged _______ L __ f ____ years,
occupation ------~----------------------------------------y·· d~ declare on oath that my personal
description is: Color -Ll~-----• co~------·• height £.feet _2'__ inches,
weight _J __ t...,L._!;;C ____ pounds, color of hair -------------------------------·• color of eyes-~----------------·
h ""bl d ".. k ~ ~~.:~'~=====~=~=========
e:;-_the~-~~~,~~~~~;~=--~;~~::,-~~~i;~:~:=~; ___ I:::·~~i~:
I emigrated to th~ited States of America from _ _ __ ----~------------------------------· -. --' on the vesseL___ __________________________ _____________ __ _ _____ -----------------------------------------------------------____ ; my last
· (If the alien ar;!»}d,;therwiae than by ve t~a~te~of conveyance or name ot transportation company should be given)
foreign r~si~ence was ___ ./L._~-4------~-y--------------------------: I am :P! -~~--married; the name
of my w 1 f e 1 s ----------------------------------------------------; she was born at ---------------------------------------------------------
an d now resides at ____________ ------------------------------------------------· _______________ --------------------__________ --------------______ _
It is my bona fide intention to renounce forever all allegiance and fidelity to any foreign
prince, potentate, state, or sovereignty, and particularly totf~_?_~ __ J:Zi'_ ___ ~ __
~--~---~---------------------------------------------------------------• of whom I am now a subject;
I arri~ at4he port of _______ '-2Z__~_1{_ __________________________________________________________________________________________ , in the
State o~f __________________ '11_,!{_ _________________________________________ , on or about the -------~------------day
of __________ _____ _ _______________________________ , anno Domini rJ-_-~.d.; I am not an anarchist; I am no t a
polyga ist nor believer in the practice of polygamy; and it is my intention in good faith
to become a citizen of the United States of Ame rica and to permanently reside therein:
So HELP ME Goo. e/6_/t.!{/J;~,----~.Jt~----------··--------------·
(Original signature l)f declarant)
[SEAL]
Subsoribed and sworn to before me in the office of the Clerk of
said Court this/ __ ~day of ----------~---<d:L ... anno Domini 19 7-0 ~£ __ (7~~ -:rr-------
.t::~ M Clerk of the{!,____________ -~--Court.
By(Q_: ________ t __ ~~--------------~ • _! __ ~$---Clerk.
ORIGINAL 272 U. S. DEPARTMENT OF LABOR
NATURALIZATION SERVICE / til/ No. (?!__J _t:~-----L(
~~· ~ ~ DECLARATION OF INTENTION
19rlnva(tfor all purposes seven years after the date hereof
__ , C.f/;; -/e__ ~~r!!:!__, __ -----------~ ss: In the -~-,_A court _(!__~_A:f---_:)j_~j{~ of __ c:Jj_~ ------------~--------
~ __________ -~-~X-----L__ -----------------------------------------, aged ·------~--~-years,
occupation --~-----~-------------------------• do declare on oath that my personal
description is: Color ----:21-~--• complexion -----~------·• height 5" ___ feet -~---inches,
weight _____ J__(__Q ____ pounds, color of hair --~---• color of eyes---~--------------
~t~:s v~~:~e 1 ~i::t~:~~~~:::::::::::_:_~-~:_::~~:::::::::::::::::::::::::::::::=:::::::=:::::::::
on the _________ ,!~--------,-day of -----d!#'----~--;;~z-;,~~nno Dom~~-~; I now reside
at .J!L'f--.c!!~---~;;;.:J!~~7cl~-,.__J;Jf __________________________ _
~~~~=r~::~e~~-=:~~~-~r:~:::_:::_~~~~~~~
(ll the alien a.r!"'~h~rwise thnn 2_ vessel, tn~ter of _co~ance ?r ua.me of transp<'r'"..ation company should be given)
foreign residence ~~'}----~----: I a)Jl-:y-·::.·-------marrhed; the name
~~~~~:i~~i~~~~~~-:;!~~:~,b:;~;~~~~~~~~
. t . t t t · . t d rt· I I t~-t:;--/~ •. ~-~ ~-v. ~ pnnce, po enta e, s a e, ot sovereign y, an a tcu ar y o -~-~--~-?r:ZJ .. J! ... t..L.. ~::.1~·--~-.__'0 _ _ _ · __ _ __ --~-~--:~-------• of whom I am now a subject;
~ :;~ v:fd--~-~-~-~~ ~:~t --------~~~-----~----~-----~-~-~ ---~~~~~~--------~~-~~~--~~~~~~~~~~~~.--~-~-~~-~~~~~--~~~-~~~~~~~~~~~~~~: .. ~: ~:;
of ------------------------____ _ ___________________ , an no Domini I--/ _ _ __ ; I am not an anarchist; I am not a
polygamist no a believer in the practice of polygamy; and it is my intention in good faith
t o become a citizen of the United States of America and to permanently reside therein:
$0 HELP ME GOD.
[SEAL]
~---~t) _____________________ _
Subscribed and sworn to before me in the office of the Clerk of
said Court this__):~~ of r~--· an no Domini I 9 ;;t-O ~La _____ c_ _________ A __ {_L~---------------
cterk of the --~2t:ll::l.~~-----Court. Byfi2_~~-~-__________ , d.£~~~7f:;_----Clerk.
ORIGINAL 2 7 3
. / U.S. DEPARTMENT OF LABOR
b ~?.;) t:l ~ J """""'""" '"""
.~ ~4
DECLARATION OF INTENTION ~
~Invalid for all purposes seven years after the d· ereof
¥----~(L"':'__________
55
: In the ----;:x;r··-------------~----~ Court _____ ci::lfa.._ -----------------of _;;!~--~---------'-------~' ·---~---Q~--~--~a~ aged ______ ?::_ __ ] _____ years.
occu~ati_on -:-------~-.----------------------------~------------~-do _declare o~ oath that my p~rsonal
cescnptwn Is: Color __ '2/-~------• complexiOn ---;g:=~------·• hetght .2 ____ feet~---mches,
weight -/-5.----~-----pounds, color of hair __ g'_"--~color of eyes----~---
~~~:~~~
:; th~-~~~~:-~:i:i __ :t:::~~---n~=-':~i~~
? (~~:-streat, city~' and State) (}
I emigrated to the United States of America from ---~~r-_ __ __ _ _ _ _ _ _ _ _________________ _
on t~e ves~el ____ <~~~;;;;~~-t"h;~i.~ie-r-~i~iS.~-c;-~;-,;;~;-;;i;~,;~p.;rt;ii~;-~~~j;~-y-;i;~-;,id-t;-8~-:;;,;)--·; my last
foreign residence was __ q~tt.c.,_~-------: I am --~arned; the name
of my wife is ___________________________________________________ ; she was born at ------------------------------------------------------
and no v.,r resides at ----------------------------------------------------------------------------------------------------------------------
It _is my bon~ fide intention to _renounce fore~~r 1 all a~c_:e _-and .f~e~~~~
pnnce, potentate, state, or sovereignty, and partiL-u,arly to ~~--1--~
~---d~.~~£!:-_ ___ _ ___ =:_ __ :_ __..!._.=-~~·of whom I am now a subject;
I arrived at thl/ port of _____ _ _ _ _ ' ~~--.,CJ?~--~----------------------------------------··--• in the
State o~---_mm____________ --~·------------------------m--mm _________________ , on or about the ___ m __ l__~m---m--day
of __________ _________ ___ _ __________________________ , an no Domini I _1___! __ 2 ; I am not an anarchist; I am not a
polyga 1st 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 Goo. . --~~~~--------------------· (~ (Original signature of declarant)
Subscribed and sworn to before me in the office of the Clerk of
[SEAL]
said Court this __ L _S day of--~~------· anno Domini 19
Sd:YLctiQ!;; ----------------------
9 Clerk of the {]__ _ _ _ _ _______ _ ~-------~ __ Court.
By _____ ,_d~--------------, ~-Clerk.
I 27/1 ~-ORIGINAL
U. S. D EPARTMENT OF LABOR
NATURALIZATION SERVICE
No.f~!:{l/~~ .,~,~~
~"t~
~ DECLARATION OF
., ~ ··~·~
. ~
INTENTION ""?/
occupation ---------------~----------------------------------------• do declare on oath that my personal
description is: Color _'2.1-~-----• complexion --------~---• height ~feet LtL inches,
weight _____ /(_( _____ pounds, color of hair----~ color of eyes--~----
other visible distinctive marks -~-----------------------------------------------------------------------------------------
1 was born in ~-•----~------·--·-------·-·--------------------·--·-f.·----·---------------. __ _
l ~~ -t~e ::: ____ ,r:;_~:··::···::·: d~y o~ __ :::&"~-::;::_iL __ ~~-:~:i ___ ~::::~::: ___ l __ ~~= _r:~i~:
(Give number, street, etty oc ~w~~tate) _ _ ~
I emigrated to the United States of America from~,...--.C:Z-~--~------------
on the vessel ____ <~~.;~t;,-;~-;;;~;;;~:;;~~~-~;;;:;;-~ii;~~;j;~;~t.i~;;~;;:;p~~;.-;h~~id-b;-gi-;.;-,;-)---; my last
~ foreign residencnas ___ c:zrl~---~~-----; I am --------------m~rried; the name
~of my wife is __ t;;~ _________________ ; she was born at ___ :_~-----------------------
and now resides at ____________________________________________ Q?!<a...: ____ :_~----2---11----~--~----------------------
~It is my bona fide intention to renounce forever all..oa11_~~0o-ian e and fidelity to any for:i~
~ . . . ~-J .trY~~.~ ~pn~~Eotentate, state, or sovereignty, and_narttcularly to ___________ _ ---~-..6-L-~
--~"-~ ~ \f~ r~ tJ/~ 1 -~-------~----·
1 ___ ------,--~*""---.RS!~----------------------------------d---p_• of whom I am now a subJect;
I arrived at the port of -------------=L~1f.tt:td:.: ____________ --------------------------------------------------------, in the
State of ----F}----------~&~--1f-: _______________________________________________ , on or about the ---------/---~--:__ _________ day
f ---------------~-/--~~---------------------• an no Domini r __ ,_f._]_ ___ ; 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:
0 HELP ME Goo.
[SEAL]
d7t'IAA ~ -------------------4:.-~I~~-----------------------------------------(Origmal signature of declarant)
Subscribed and sworn to before me in the office of the Clerk of
said C ourt this .. 2). day o~ ·:·~-"---------·an no Domini I9.:L-d
___ Kdi~-~-------·----E?. . Clerk of the -·-----------·--·-----···---·---:M.4~. Caurt.
By ~-~-~---~--· ·--~---, __ cb~_L_rF -cterk.
142
(O ld 265B) U. 5. DEPARTMENT OF LABOR
lH REPL Y1NG PLWE REFER TO Tl
BUREAU OF NATURALIZATION
WASHINGTON
rot'1nnotar:', Common Ple w ~"'' rt ,
':::1chineto n , P... .•
Dear Sir:
FILE NUMBER
June 28 , 92~.
The Bureau is in receipt of the application of the person named below
for certified copy of declaration of intention made in your court.
The application has been approved and the Bureau is inclosing herewith
Form 115 for issuance of the copy requested. It should be an exact copy of
the original in your bound volume and be signed by the declarant if practi-
cable; otherwise, his name may be entered by you in the place intended for
his signature. The blanks in the red ink certificate should be filled in
and signed by you.
You should enter on the original declaration in your bound volume a
notation showing the issuance of a certified copy thereof. It is not neces-
sary to issue. and send to the Bureau a duplicate of the certified copy.
The applicant has been notified by the Bureau that as soon as he pays
your fee he may receive the certified copy. Of course, if you have already
received your fee, you may proceed in accordance with the foregoing without
further delay. The completed copy may be given or sent direct to the
applicant.
Incl.
Name: John :livich ,
Address: >r~ rl , .. eado lanns , Pa .
Declaration number: 1574
Very truly yours,
Commissioner of Nat
U.S. DEPARTMENT OF LABOR
ORIGINAL 2 7 5
~Invalid for all purposes seven years after the da
--~-=-~C?tY_, __________ _
e,_~_f!:?/~---ss:
:!!.. ~-----'~~---~---------------------------------------------• aged -~/J _____ years,
occupatiOn -------------~----------------------------------~~~eclare on oath tha _ my personal
cescription is: Color ~----• comp~x~n -----t~------:-~:--------• height ·*-·feet __ y_ inches.
weight __ j_lz__Q _______ pounds, color of hair --~-----• color of eyes-~-~-----·----------·
ether visible. distincti~ ~------------_----------------------------------------------------------------------------
1 was born In ---------------------------------f----~-------------------------------------------------------------------
:; ~he =--~L'~-~~~--~~_:::::-;:~:l::_&::::;:_::~~::i_•=--:-~=---1---:~: r~:~~:
• • (Give r.~ber, street, city o~ ~
~;~~:r~::~e~~--~:~~~at~-::::~~-~-~:=-~~~~--~~~~~~~~~~~~-~--~----~---~~~~~~-~:~~~~:~~~~~~~~~~~;-·;;;;-~~~~
(It the alien arrl~~;.~-than by veBBel e character of conveyance or name or transportation company should be giYen)
foreign residence was ---~~T----~--------: I am~_married; the n ame
of my wife is ___________________________________________________ ; she was born at ------------------------------------------------------
and now resides at -------------------------------------------------------------------------------------------------------------------------
It is my bona fide intention to renounce forever all allegiance and fidelity to any fore_ign
prince, potentate, state, or sovereignty, and particularly t~~::;;:;;;;;;!;j___~~
'(~-~-~-~-~~-·of whom I am now a subject;
arnved at the port ot -----------------~·--J;f~------------------------------------------------------------------------~-·--·• m the
State of ----------------~---------~~--71---·------------------------------• on or about the ________ L_~----------day
of __________________________________________ ._ ____________ ., an no Domini r __ r:J_!? __ ~; 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 ther.ein:
So HELP ME GOD. _______ li,.a:/_-1~-£(~----------
Subscribed and sworn to before me in the office of the Clerk of
said Court this ___ 1::::;tiay of _____ LLJ-.~---· anno Domini 19 2 c
~r73~0~~--------------tl7 Clerk o the ~~~--Coud
By . ________ _.._____ . -----------------~cfg~f!.d:& _______ Clerk. T-· I 1--5! .
[SEAL]
276 ORIGI NA L
U. S. DEPARTMENT OF LABOR
NATURALIZATION SERVICE
~· ~~ ~ DECLARATION OF INTENTION
-~~va~~-~:~---~urposes seven ye:n-s after the _a_,~--------~--___ ss: . of 'f:JI~~-i ----'L ___ _
occu!t;~~-------:: ___ :=::::::::::::::=~=:=;:~-~;:-~~~j~~~-~:~:~h;h~~~;-~~~~~:;
description is: Color ___ Jf~----• complexion --~-------·• height ~hes,
weight _--/t.a_----:--pounds, color of hair--~-· color of eyes ___________________________________ _
other visible dJsttncttve mark~~-----------;--------------~-~---------------------------------------
:~w~~~:-:e2~---i~~=~:::~~::~~~~:~:~:~-~:~~~:; ___ -;---~~=-~~~i~:
. . (Givenu~ber,street,etty~ -::;C
[ emigrated to the mted States of Amenca from --------------------------rr:::L~----------------------------
on the vessel___________ __ __ -------------------------·----------------------------------------------------------------------.: my last
(lt tho alien rived otherwioe than by vessel, tne character of conveyaaoe or Dame of transpvrtation company should be given)
foreign residence was__ ___ r~-{:-~----------------: I am---~-.married; the name
of my wife is ----------------------------------------------------; she was born at ----------------------------------------------------------
and no \V resides at ----------------------------------------------------------------------------------------------------··--------___________________ _
It is my bona fide intention to renounce forever all a!~ .J.,~~_,}t~llt~-~ any foreign
princJ, potentate, state, or sovereignty, and particularly to~£-~-~~
!/~--~---=-~~-~--~-------• of whom I am now a su~ject;
I arn vefd at the port o ~-~'-Jfl--------------------:----___ : _______________________________ _. ___________ Z ___________ , m the
State o ---------~--------------------------------------------------------------------------·• on or about the ----------------------------day
of ______________________ ___ _ _ £_ ______________ , an no Domini r __ CJ ____ if I am not an anarchist ; I am not a
polygamist nor 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:
I( So HELP ME Goo. -----~--~~---------------
(Original signature of declarant)
Subscribed and sworn to before me in the office of the Clerk of
[SEAL] said Court Udl:-k:: a~ no ~o~-i:i_'9 a
Clerk of the_ __ ___ _ ______ Court.
By __ f?_ __ d__:l/M _?z_/___ _ ___ , ~?f;.--Clerk.
205B U. S. DEPARTMENT OF LABOR IN REPLYIIIG PLEASE REFER TO THIS
BUREAU OF NATURALIZATION FILE NUMBER
WASHINGTON 2838-d-15'7?
April 20, 1923 •
• Prothonotary,
Co mm on Pleas Court ,
Was hington, Pennaylvania.
Dear Sir:
The Bureau is in receipt of the a pplication of the person named below
for certified copy of declaration of intention nade in your court.
The application has been approved and t ,1e Bureau is inclosing here\":ith·
Form 115 for issuance of the copy requeste d . It should be an exact copy of
the original in your bound volume and be signed by the declarant .. if practi-
cable; otherwiset his name may be entered by you in the place intended for
his signature. The blanks in the red ink certificate should be filled in
and signed by you,
In compliance with rule 17 of the regula tions, you should enter on the
original declaration in your oound volUQe notation sho~~ng the issuance of a
certified copy thereof. It is not necessary to issue and send to the Bureau
a duplicate of the certified copy.
The applicant has been notified by the Bureau that as soon as he pays
your fee he may reeeive the certified copy. Of course, if you ·have alread>•
received your fee, you may proceed in accordan ce with the foregoing without
further delay. The completed copy may be given or sent direct to the
applicant.
Name: Anthony Torelli,
Address: I~rianna,.Pa.
Declaration number: 15??.
Very truly_ yours 1
/~ , c-~~-w/Zf /1 11 ~ / ~/ · ~a.v~ n~' (.,' 'dt:.ct;l--
r Co::.m is~oner of Naturalization.
Incl.
O R I GIN AL 2 7 7 ~
U.S. DEPARTMENT OF LABOR
NATURALIZATION SERVICE v
Vo l£27tl_c/4 ., t\ 111 or ~-
4_(\~· ~~~
•• ll>4
DECLARATION OF INTENTION ~
W' Invalid for all purposes seven years after the {lat hereof
-----~d.CZ~_: _____ l ss: In the-------------------------------~---------(2 Court flA_,_1:JfJ/~---------of 51---~~<2---~-~----
~, ·-----,----------------------------------____ ---~-----------------------------·• aged ________ If __ ~---years,
occu~ati_on -~-----~_---------------------------~-----------j···· __ d~ ~clare o~ oath that my p~rsonal
cescnptwn Is: Color --~~--• complexiOn -----~-------·• height ·---~eet _] __ mches,
weight ______ }___?=_5"_ __ pounds, color of hair ------~----·• color of eyes----~
ether visible. dist~nctive markf}Es __ · ~--·n··-----------------------------------------------------------------------
1 was born m d~----mmn --- ----)-o-4t:t4-----------------------------------------------------------
on the __________ _:y_2 _____ day o ·-----~------------·• anno Domini I_?;_J_£_; I now reside
at _______ ___::_~..Ja4,---·-r --(ZQL __________ -------------------------------------------------------------------------
(Give number, street, city o~ town, and State) g
~~~~=r~::~e~~-t~:--~~~-:~~=·--~'::::~:' ____ :_::1:::::::::::;--;;;-;-;;;;;;
(If the alien arrived o erwiae than by vessel, the c;Pt~ o~:eyance or name or' transportation ~ompany should be given)
.foreign residence was __________________ -;--------->'-t:d./. ___ ~;t·----------------: I am ______________ married; the name
~my wife is----------~------------------: she was born at --~------------------------------------------------
and now resides at ----------------------------------------------------------· --------------------------------------------------------------
t is my bona fide intention to renounce forever all all~nce and fidelity to any foreign
~-ri~~~t~t~:~e, i)~~~:i:"_t~: __ ·~~--~::i~~l:rl~-t-o __ :~~j~ I ar:.--;;;-:~Jl; p'Jt o~~~[___ _ ___ '21:---Jf ------__________________ _____ -----------------------------• in the
State of --------------~---______________________ ?:k ___ "'?_~---------------------:::-··• on or about the ----1--l-----------------day
of ---------------------------______________________ , anno Domini 1;lc;2_5f __ ; I am not an anarchist; I am not a
polygamist nor a el1ever 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 permanen tly reside therein:
So HELP ME GOD. _uL.;ll~-~-------~O:!JdZ~------(Originalsignature ortlci~;...,t)
Subscribed and sworn to before me in the office of the Clerk of
[SEAL] said Court t:-~:.t:>1_::-----· an-no D::in~~9 ~
Clerk of the ----~-~-~:Q{tJ<fJJ-
By fi:_{Z_~-~~------·-------------, __ =-_L _L_-~-'-~:!::-__ Clerk.
(/
278 O RI GI NAL
U. S. DEPARTMENT OF LABOR
j NATURALIZATION SERVICE
No.LijJLJ~4.,~T18 or .. ~~ ~~~~~~
'6· •-e~ DECLARA TION OF INTENTION ~
~Invalid for all purposes seven years after the dat ereof
___ S/;.h_ --i_(_!L, __ :····j ss: In the _________________________________ ~Court ·---~~(Z~ ____ rJja&J!J_______ of ____ CJff!f»_jut __ C!d __________________________ _
:![, ~~-~--------------------------------------------, aged _____ ;J::f ___ years,
occupation --------------------~-----------------------------------------• do declare on oath that my personal
description is: Color ___ 1f~-------• comple ion ______ ------------~ ------·• height~--feet:= ___ inches,
weight ____ j_ __ t.j_Q _____ pounds, color of hair------------------------______ , color of eyes----~------
~t~:s v~~~~e i ~ i~i-~~----~~-~~~~~~~~~~~~~---------------~----~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
~~ -t~e-~~~~~::::· ::::;;;~:~-~=~-=~:=::::~::~--~~-=:i-=~~~~;--~-:~:r:~i~:
(Give number, street, city or ~·tJ'd State) C)
I emigrated to the United _ tates of. America from ------~-~--P~-"2£~-------------------
on the vessel____________________ _ _ __________ __ ------------------------------------------------------------------------------------; my last
. . (lf tht~t alien ar erwise than by v~ssel,~.e c~ter of conveyance or name of tranap0rta.tion com~any should be g~ ven)
foreign r~st~enc~~-. _____ __(L,£aaz.4.,.cl:::==-----~------------------: I a~ -----------~--marned; the name
of my wife Is -----------~----------------: ~ was born at -~-~--22.~-------------
and now resides at --:--~~-_2~---------------------------------------~------------___________________ _
It is my bona fide intention to renounce forever all allegiance and fidelity to any foreign
p.JWce. potentate, state, or sovereignty, and particularly to ----------------------------------------------------------------
__ (/_~ ____ G:__~ __ !:_!:-:f _____ '5:J---1-.rf2-~f whom I am now a subject;
I arrived at the port of ·------~-~-~--------------------------------------------------------------------·• in the
State of ______________ #'"'[ ________________ -:11c.¥_~------------------------------------• on or about the ----------~-_k _______ day
of __________________________ ./~~---------------• an no Domini r -1--lf--.; 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. .tf?~&~----------------------
Subscribed and sworn to before me in the office of the Clerk of
[SEAL] said Court t:i:2t~if~:::a nnoD::.i~i-r9 J-o
·~g
ORIGINAL 2 '
U.S. DEPARTMENT OF LABOR
v to-! No./Jz7-f------
NATURALIZATION SERVICE
~~· ~~ ~ DECLARATION OF INTENTION
[SEAL]
Subscr~bed and s~orn to before me~ffice cf the _c_Ierk of
said Court this:?::-j'-day: of_£ _______________ , anna Dommt 19 2...-o
-~ca~a__ _____ _ _ _ ____________ _
Clerk of th(~----_ _ _ _ __ __ ________ _ _______ Courl.
By ___ f!__d_~~~--, -,~;,_ __ Clerk.
80 O RI GIN AL
U. S. DEPARTMENT OF LABOR J f NATU R ALIZATION SERVICE
or~ ~~~ ··~·~ ~ DECLARATION OF INTENTION D.
~Invalid for all purposes seven years after the dat hereof
.. 3-f:d: .. t£---___ ('; _______________ ]
55
: In the _____ ?fl ___ .. _______ _ -~~ourt
----~·:::·:: ___ --:·--:~-:-.--~:r~---------:f __ :: __ : __ : __ ~-:~~--~::·~~::.
occupation ---------=-------/]f~-----------·· do declare on oath that mz personal
description is: Color /f~--------, comple~n ----~--• height~~ f~et ______ inches,
weight __ ) __ (_2 ~-----pounds, color of hair -----~• color of eyes---~----------
1 ""bl d·~· . k~ ot 1er vis! e. 1s nc~------------__ -----'------------------·------------------------------------------------------------------
1 was born m ____ -----------------------~~r~--c ... ~c _________________ _
on the --~---!1-r-------------day of ______ ---~-=--------------------·~ Domini L7~1. I now reside
;te~,i~~~~;=:~~~-t;;;k';:J~;~~:~4;(-::_~-~-=J!1:~·:·:·:··-------·:::·::::
on the vessel ____ ::2 ____ ::::-tA~-r-e':?. ... 2!~-----------~----------~ last
(lf th• alien a\'ip:' othe~w ise than by ve,J, ~· charJ'ter of co'feyance or name t. t~on company should be given)
foreign residence waC .. ~-~~:.-~--~~ ~~------------~arried;~na me
of my wife is -------~-------·--------------: s~s born at ------~--~~-------
and now resides at -~--:.1..~ _________ ::.'!:::_ ________________________________________________________________________ _
· It . is my bona fide intention to . renounce fore~er all all~ fi~~~~.
-pnnce, potentate, state, or sovereignty, and, varttculariy t~c..~~--~
~-1---~-~---~~-r1 of whom I am now a subject ;
i arrived at the port of ________ (;53 __________________________________ ---------------------------------------------------------------, in the
State ;R,-------------------------------~-~--: ___________________________________________ , on or about the _____ tf_~ __ q __ ~--day
~~Y~i~'-~--b~i~~~~~--~~--th~·-pr!~~~~~~~~~J,1~--~n~ ~~ i~0~~ ~~~:~~~~\~ ~~: ~~~~
to become a citizen of the United States of America and to permanently reside therein:
So HELP ME Goo. (J_/1 ~ /. L 0 11 , ~~~ginal4g~
[SEAL]
ORIGINAL 2 81
U. S. DEPARTMENT OF LABOR
!f r o~ N 0. ___ L __________________ _
NATURALIZATION SERVICE
~~· ~~ ~ DECLARATION OF INTENTION
~Invalid for all purposes seven years after the date ereof
-----~~-1/---{Z~_: ____________ j In the --~ ----------------------------__ __ _ _______ court
___ f!A~i---:Jfl~ ,_____________ ss: of _-:1/--<!d~--'--~~--'------------------
~ ~----__________ L &-4~~---------------------------------------------------• aged ------,~-:~---years,
occupatiOn ____________ :_-_-_-_-_-_-_-~:-~~---------------------------· do declare on oath tha. m) personal
cescription is: Color ___ -:21-~---• complexion _______ -------------~-------• height -~---feet ___ =inches.
weight _____ [_ ___ ~----~~pounds, color of hair _______________ -------·• color of eyes------~
e ther visible distinctive marks ~------------------------------------------------------------------------------
:;w~~e~:,;_~~~~~=:=:::::::_::~-~~=::~~=-j:j:~~~~~~:--_~~=--;~~~:
(Gin number, street, cit~~~ and State) ~ (}
I emigrated to the United States of America from ____ Lf~~',_b-4---------------------
on the vessel _____ :________________ _ --------------------------·------------------------------------____________________________________ ; my last
foreign residence was _________ ;; __ _ _ --,-J"""" _______________________________ ; I am --~married; the name
(If the ulien arrhed e~w· than by vessel, th~ara er of conveyance or n a me oi transportation company ahould be given)
of my wife is-------------------------------------____________ ; she as born at -------------------------------------------------------
and now resides at --------------------------------------------------------· --------------------------------------------------------------
It is my bona fide intention to renounce forever all allegiance and fid~ to any foreign
prince, otentate, state, or sovereignty, and particularly to --~--~]I /
· ----~~t~--------------------------------------------------------• of whom I am now a subject;
I arrive at nl p-;,rt oi --------1-??>?~jt--~---------------------------------------------z--· in the ~;at~-0 ___ ::::::::::::::::------:-:-------:--~:::f~~ -n~;;;;~;---;::;~~7-~~ :~ a~~~~~h=~~~~;;;~;-;---i~;;;--~ ~:~-
polygamist nor a ber ver 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~rmanently reside therein:
So HELP ME Goo. ~.A{!._~--------~------------------------
(ongina.lsignature of declarant)
[SEAL]
ORIGINAL
U.S. DEPARTMENT OF LABOR
NATURALIZATION SERVICE
517/()crl
~ i)4
DECLARATION OF INTENTION ""f/
:~:::::l!f:t~:;~j::_es seve:n :~::SE:~-~:~,-~
:!1, ____________ ___ ---~----~-~-]!_~------------------------------·• aged ____ 2::_~--------years,
occupation ------------~~~~------------------------·• do declare on oath that my personal
description is: Color~--------• complexion -~---·• height ':=fi_. feet~---inches,
weight __ /_;j _ _!f _______ pounds, color of hair ---'==~~~:!?=!&~::!..1,_"~---·• cofur of eyes---~----------·
other visi b Ie d i~cti ve marks -~--~--~~-----·-------------------------------------------------------------
1 was born in CJ!~_rt __ ~_7 _cf1_T~---------------------------------------------------------·-------------------
on the --------fz,----------------day of --------~-----~--~.----~--;;;n;~o» ~~-rliJ ___ ; I now reside
at _____________________ ;2 ____ ~~--v~~ber:~treet.~~:::.?:~d~~>-~-~----;:;~~~-4-------------------------------
l emigrated to the United States of America from __ '?}!;_~ ___ .cf2..r;,£-~------------------------------
on the vesse I __ c_ __ ? ___ ~-;ff---------------------------·----------------------------------------------------------------------·; my I as t
(lf th" alien an v ./): rwise than by ,·essel, tue character of oouveyauce or name of transpC'rtation company should be given)
foreign residence was ------~-~--r ___ ~---------------: I am ~----married; the name
of my wife is ____________________________________________________ ; she was born at ----------------------------------------------------------
and no\ v resides at --------------------------------------------------------------------------_________ ----------------------_____ --------------------
It is my bona fide intention to renounce forever all allegiance and fidelity to any foreign
prince, potentate state, or sovereignty, and particularly to ~-£_~_-f...T; ____ ~-----
-~---lf ____ ,a~_/:..y ___________________________________________________________________ , of whom I am now a subject ;
I arrive! afthe port of _____________________ 2~--~~-----------------·--------------------------------------------------------, in the
State of ----------r-·-~----(--------------------------------------------~-'1---------• on or about the _______ ;?: ___ r_ _____________ day
of --------------------~.,L~---------------• an no Domini r --t-'-~-; I am not an anarchist; I am not a
polygamist nor a belf~~~~-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. ~ , £,.~
· ' ·. ---------------~~i;;;~~~~:l~-~rd~~i~~i) _____________________ _
[SEAL]
ORIGINAL 2 8 3
U.S. DEPARTMENT OF LABOR
NATURALIZATION SERVICE
.~"'• ~~o .~ ~
D ECLARATI ON OF INTENTION ""''
~Invalid for all purposes seven years after the date hereof
--~---~--S::B,L_~]ss: _ In the~--~--Court --------'--1--:Jd~-!-------of __ Jt~-g----------~
:Jl, ______ _ _ ~ r-~------------------------------------• aged ______ l=IL __ years,
occupat ion ----------------------~---------------------------~clare on oath that my personal
cescription is: Color -~------• complexion -------~---~--~-~~-~-.-----• height __ -E.__ feet _!f __ inches,
weight _____ t_ __ Q _____ pounds, color of hair----~ color of eyes ____ q{_: __ ~
ether visib le dist~ctive marks ----~----------________________ -------------------------------------------------
1 was born Jt ~~/:::f,------->/2-___________________________ , __ 1 ___ (jf_?1:.~----------:----
on the --,-:;--?TTl-----=--day;t£f. ____ ----~~-----------------~ Dommi I _____ z ____ ; I now reside
at __ 4~ -----L---'2%:~ ~_\_1~---·--------------------------------------------------
-_ (Gi~'"~""·'"oo'"~ G.:. ~ ~:~~=r~:~e~o--t~:~~=e~,:~-~~::_:_=-='~:=: __ :_:_-__ ::::::_:::::~:_:-_: ____ ~~;-·;;;;·;~~~ _
~ • (If the alien ar · d othe"fiao han by vessel, the c~cter of conveyance or name oi transportation company should be g~ven )
foreign residence was_ ____ _ _____ r-----C:.-~71-~; I am ______________ marneft; the name
of my wife is _________ "-_'2l1_ ______ -----________________ ; sh'!! w~born at ---~'---1;;-r~
f;~s n~~ r~~~~e~~~ ·;;;;2t~~~jj1j~:--~~~-~~d---fi-d~iilYi~--;;;:;y-foreign
princ'l' yotentate, s e, Qr sovereignty, nd particularly to~_}"__/__~---'!:{-------------
·-----~-___ __ __ _ ---~ ---~---------• of whom I am Mw a subject;
I arrived at the port of __________ 2L ___ ~------------------------------------------------------------------------c;·---------• in the
S ;ate of ----------------~--------------------------------::22',_7 __ 7 __ , ~n or about the ---------:----:------------day
o _____________________________ L/._&J.~----------• an no Domm1 1 -1-------:k, 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 perma~e~ly reside therein:
So HELP ME GOD. ~ ~ e __ .
[SEAL]
------------------~g~~)-----------------------
Subscribed and sworn to before me in the office of the Clerk of
said Court this ___ 4:_ day o ;p ----~~------· an no Domini 19 ""2-J
~-£·----~----------
clerk of the -----------------------------------~Court. /".?/, (
By ---J/1-y~eA_~~--· ----¥~"''~-Ckrk.
284 ORIGINAL
U. S. DEPARTMENT OF LABOR
NATURALIZATION SERVICE /
;5240o-/t! No. -------------------------
~~· ~~ ~ DECLARATION OF INTENTION
~Invalid for all purposes seven years after the d ereof
--~--~:J/.~'-------1 . £-' In the____ _ _ _______ !ZJ_ __ Court
______ e, -<1!)14-&t_-J s~J ~ of ----------~-7'~;;{k_ ____ _
~' ______________ (_~_{_~--~~-----------------------------------·• aged ____________________ years,
occupation -----------~~----------------------------• do declare on oath that my personal
description is: Colo~--------• complexion ---~----------·• height~77 ~et (j_ inches,
weight/0 __ Q ________ pounds, color of hair ---~--• color of eyes----~----------
h ••b"l d... k ~ ot er V!SI e Jstm 1ve mar s ----------~-------__ _ _________ -----------------------------------------------------------------------------' .
( was born in _ --~--__ _' -;;----__ _ _ ___________ ----~--------------------------------------------·-------------------
~; _tt~e_cj/;;,~:~~;_:::~~;;z.:_~::~--~o-=~i---~:~?!:: ___ ~ __ :~:re~i~:
--~-1'-r-' (Give number, street, cttt'or/~, an~ Stat03) _ () /
l emigrated to the United Stat~s of America from ---/---~---r;;£1~-c-------------·
on the vessel __ ----------~---------------------------------------------------------------------------------------------, my last
(lf th~ alien a.r~~erwiae than by veBBel, tne character of oonve;rance or name of transpPrtation company should be given)
foreign residence ~~---/L~r--~---------------: I am ______________ married; the name
of my wife i~ ----~----~-------~------------: she was born at--~----------------------------
and n ow resides at -------------~D.~-~-----------------------------------------------------------------------
It is my bona fide intention to renounce forever all al~nce and fidelity to any foreign
prince, ,Potentate-4-?tate, -% ~over~ignty, and p~ictJlarly t6~ '-:1~_:"!: ~-:.. ___ ,.JJ__ifrd:~L-~-~~-~-<«' <:0<-~~ ~~~~--·r· -----~~~.-~-----<£"~----------------------------------------------------• of whom I am now a subJeyt,
I arrived at the port of -----------------------~~--~~--------------------------------------------------------------------------·• in the
State of _________________ T _____________________________________________ :2Z: __ !f-__ : ____ , on or about the --------~ ___ Q _______ day
of ____________________________ .;_lf-.AA-f---------------• anno Domini r.f-t!.-j ___ ; I am not an anarchist; I am not a
polygamist nor a believey 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 Goo. _________________ !_~-~~~-----------------------
[SEAL]
(Original signature of declarant)
Subscribed and sworn to before;} in the office of the Clerk of
said Court this _~_day Qf __ := _ --~----------· anno Domini 19 t--1
/1./ (, ~ ( .. )
_ _s;;df_ __ .__(Q __ , _____ /_ ___ ~__k,_ ____________________ _
Clerk of tlz e ~~-Court.
ay ___ -tff._r;z'--'?lk_'/~;t'-----------, ---~---clerk.
U .S. DEPARTMENT OF LABOR
ORIGINAL 2 8 5
NATURALIZATION SERVICE
~Invalid for all purposes seven years after the d· hereof
--~-tJ')ql~'----~ · In the_____________ _________________ ~--Co urt
-----~-' 15:,~~'-------.-ss: ', ~ --' -----~--'--~--'--------------
~~/J~-~-~-.1:-~,-~----------· aged ------~-d----years,
occupation -----------~-:::._--~--------------------------• do _declare on oath that my personal
description is: Colo~--------• complexion -----~------·• height -5_ __ feet _$inches;
weight _/_~_Q _______ pounds, color of hair ~--• color of eyes ___ '1:_~-----------------·
h ''bl d '. . k ~ 0 0 ot er vis! e Istmcttve mar s --------------------r=-iJ·-------------.------------------------------------------------------------------
1 was born in N~~J.U~"'='-----------------------------------------------------------
on the ______ ?:=_~! ---------------"27--a=L, ____________ , anno Domin i ,_Fif-1-.: 1 now reside
~~~~~~~
on the vess ___ -~L _________________________________________________________________________________ ; my last
• • (I he alien arrhed o therwise than by easel, t a arac~onveyance or pa~e or transportation company should be g~ven)
foreig n res idence as___ ____ _ _______ ~ I a~ __________ marned; the name
of my wife is________ __ ___ _ _ _ -~-~-;-~ ~~e was ?~t ---~_g_ _____________________ _
~~~s n~; r~~~~e~~~ -i~i~;-;;~~--;-;~;;-~~;~;-Jit;~~~~~--~';;d fid~iilY-1~--~;;-y-;~reig~
prin.ce, potentate, state, or soverei~ and particular! to~-=--''--'-""'·1"~~ . ~~-~1----------________________ __ ___ _ _ ~am now a su_b Ject;
I arn ved at the port ot -------"-----------~~----Jjf-;-----------------------------------------------------------------------·-, m the
State of ----------------~------------------------------------------01-:-~---____ , on or about the ________ 2-__.[(_ _________ day
of ----·--------------------------_______ _ ______________ , an no Domini I __ LQ ___ ; I am not an anarchist; I am not a
polygamist nor a belie r in the practice of polyg my; 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. ,.---~ ~rv~
(Original signature of declarant)
[SEAL]
•
28 6 ORIGINAL
U. S. DEPARTMENT OF LABOR
v NATURALIZATION SERVICE
~ . ~-~·~
.. ~ DECLARATION OF INTENTION I>~
~Invalid for all purposes seven years after the date hereof ---~---if~~------------~ In the-~~ Court --&--4 -.:..JIJ/.A.Ji _______________ ss: of Q/~~------: _______ _
:!!, __________ LZ_~----~--------------------------------• aged ___ ?_ __ £ years,
occupation --------------~------/·-----J-~~--------•_ do declare on oath that my personal
description is: Color --~-~---• complexion --t~-----------• height ..:2_ __ feet 7_ ___ inches,
weight ---1-~1------pounds, color of hair ---~-------• color of eyes-~-------------------
~~~:~ =
on thz---.---------------~------day of ____ ;L~~j:-----?i/1 _________ , ar:no _Domini 1 g __ 5; I now reside
at ---b?'~--_ _dd __ LQL_~~r::f~~~-tr-;£-f:t-/~:1d:it-t-~-~------~--"'------------------------
~~~~=r~:~e~o ____ e ___ nited Sta~~=~:~~~~::::~::~~: ______ ~--:-__ :: ___ : ____ ; ;;~-j~~;
• • (11 tho a.llen anivedk ~rwiBe ~an ~Y v e s~~aracterr~"""Y''-'~.ce or nam8(61 traiisp<'rtetion_ company should be g:ven)
foretgn residence was -~~-U-~m ~---marned; the name
of my wife is ---------------------------------------------------; she was born at ----------------------------------------------------------
and now resides at ------------------------_ --------------------------------------------------------------------------------------------------
It is my bona fide intention to renounce forever all allegiance and fidelity to any foreign
princ otentate, state, or sovereign!?• and particularly to ----------------------------------------------------------------
____ \-__________ ----------------->--1__----_ _/~------------------• of whom I am now a subject;
i arrived t the port of _________ --------------2/-c---if-_------------------------------------------------------------------------·• in the
State of ------------------------------------------------------------------2 (_ __ ~_ __, on or about the ----------2--~------day
of ____________________________ ../__~--------------• an no Domini r __ --~j __ ; I am not an anarchist; I am not a
polygamist nor (Jf believe/ in the practice of polyga y; and it is my intention in good faith
to become a citizen of the United States of America and to permanently reside therein:
~0 HELP ME GOD.
[SEAL]
U.S. DEPARTMENT OF LABOR
ORIGINAL28 71
/ NATURALI ZATIO N SERVICE
No.lilZ JI~: .,~Til or
~~~
~ DECLARATION OF ..
[SEAL ]
285 ORIGINAL
U. S. DEPARTMENT OF LABOR
'( NATURALIZATION SERVICE
No.Lm_~~~ .,~,~~~ or .~~ ~-~·~ ... I>,A
'V DECLARATION OF INTENTION ,
[SEAL]
U.S. DEPARTMENT OF LABOR
O R IGINAL 2 8 9
NATU RA LIZAT ION SERVICE
No._/s5ff #~1 ~ T!l or ~-
~~~ ~.~ ~ DECLARATION OF INTENTION ~.
[SEAL]
~( 'flerk of th~-------!fl~---Court
By --_ • __ _ -~(}(:_ __________ , de --~-----Clerk. . . -·------CI-.6: .
2 9 () ORIGINAL
U.. S. DEPARTM ENT OF lABOR
~2 __ 4:!__L~--------1irl~al signature or deolara.nt)
[SEAL]
U.S. DEPARTMENT OF LABOR
ORIGINAL 2 91
~Invalid for all purposes seven years after the date hereof
----~--~C?CL"-----------------~ ss: In the ~-{~~4(/;. Court
___ f!!A __ , __ f{ _ _Lr_~,--·----of .!Ji~~-----------------~' ·-----------~~------~-£? AA-f_~ Lk _______________________________ ., aged -----4--1------years,
occupation --------------------~~~~'"1_--=~~~~----___ , do declare on oath that my personal
description is: Color~-----• compl xion ____ ____ _---------·• height ~feet :J--inches,
weight __ -_ __ j _J__[) ____ pounds, color of hair_____ _ _____________________ , color of eyes~---------
other visibll distinctive marks ------~--------------------------------------------------------------------------
1 was born in ___ : ____ fr~-/------------------------~----~-------------------------------------------------------~----------
:~ ~he~=J~-;;;!!1~_:---: _:~~~:!/l __ ~~ __ :i_~:~-~:---~_v::i~~
7-(---(Give number, s eet, city o , and State)
~~7~!r~::~e~~-~ed (~~:~:-~--~-~--~=-~-~~~~-~-~~=--~~~----~~-~~~~-----~----------~---~----------------~~~~~~~~~~~~~~~~~~;----;-i~~~
(If the alien rh o erwise than by ve¥01, the ch"'~ter of conv~ or 9ame ot' transportation company should be giYen)
foreign residence wa __ _ _____________ ---,'---~--: I am ______________ married; the name
of my wife is~------~-: she was born at -------------------------------------------------------
and now res i d ~ s at _!_ _______________________________________________________ -----------~--------·--------------------------------------________ _
It is my bona fide intention to renounce forever all allebance and fidelity to any foreign
prlRC£ ~~at";.1r.s~d p ~r~y ioa.uab.:~~-~ rJ..~.kLL~-~~~~~--------------·---------· 0~ wh~n I am now su_bJect;
I arnved at the port ot --~~~---__ _ _ __ d!__CL~-~-f1"'-+ m the
State of--~~-::::_ +---3'--------·---v-------------------~--~---------------• on or about the--------~--~-----------day
of -------------~--"-__ -~ _ _,. _____________________ , an no Dom1m r__t]_f-@ I am not an anarchist, I am not a
polygamist nor believer in the practice of polygahly; 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 Goo. 02J t.P -----------~~----2l.~-4/i1-£L__. ________ _
(Original signature ol decla~)
[SEAL]
292 ORIGINAL
U. S. DEPARTMENT OF LABOR
NATURALIZATIO N SERVICE
No._is{2f!Jt/ .,~TIIJ or~·
~'fp· ··~·~ ~~ .4
DECLARATIO N OF INTENTION Yif
U.S. DEPARTMENT OF LABOR
O RI GJNAL 2 93
No ./df2_jJif~ ., ~;;;""~,
~~· ~ ~ DECLARATION OF INTENTION
[SEAL]
2 94
No.1/ttdultf
ORIGINAL
U.S. DEPARTMENT OF LABOR
NATURALIZATION SERVICE
~· ~~
.. ~ DECLARATION OF INTENTION
[SEAL]
U. S. DEPARTMENT OF LABOR
ORIGINAL 2 9 5
v WI .. .,"',.,, ""'"
Nol£1!!_1/t ~ ., ~Til or ~-
~~~ "~~ ~ DECL ARATION OF INTENTION ~.
[SEAL]
296 ORIGINAL
U. S. DEPARTMENT OF LABOR
V NATURALIZATION SERVICE
No.i.g.4.0o-/~ .,~,~~ or
~~~
~ DECLARATION OF INTENTION
:!!, ...... . .Co{.... _ __ ________ : __ __ __________________________ , aged .. .,;&_c;.. ____ years,
occu~ati_on -~---~---_-7 ------------------------~-------::-----___ , d~ declare o~ oath that my p~rsonal descnpt10n 2:' Color ~-----• comple 1on. _________ ... _______ , he1gh~eet __ (_ mch~s,
weight ) ______ ~pounds, color of hair ____________________________ , color of eyes--~---
~t~:s v~s~:!e i:i/~:::::::.~-~-::.:.:::::::::::::::::::::::::::==:::::::::::::::::
~~ ~~:--~_'/Li_'_'2f_of ~---:~:~::·:·~-~-~~---------~~-~ ~-n~: __ :~~i--~~~~=~:---~---~:=--~:~~~:
(Give number, street, city n, and State)
I emigrated to th~f America from. __ _ --~~-------------------
on the v esse I --------------------------------------------------------------------------------------------------------------------------------; my I ast
. . (lf th"' alien ani otherw:·ae than by ves~l;J.--~hara.c~ CO~\'eya.nce or name of tmnsp0rtation company should be g~ven)
foreign residence was_ _ __ __ _ _ _ -~----------------: I am ____________ marned; the name
of my wife i: __________ ~----_ -· ________________ ; she ~__k ~t --------------------------------------------------------
:~~5 n~; r:~~~e~~~ -;~~~~~~~--~jj·-;il~~~;;d--fid~iiiY!~--;,;-y-f,;J~ig;; -
' ~~~M£~ ~
prirteE;, ?ot:ntete, s te, or sovereignty, and particularly to -r~~--..;..~ .t::Jf;i;;~ __ ~/~~;!~-------• of whom I am now a subJect;
l arrived aftl e port of ;7-T;,-:--~./J~----------------------------------------------------------------·• in the
State of ________________________ ::_/i:'UZJ_! __________________________________________________ , on or about the _________ j./j ___________ day
~~iyg~;;;-;;(--~~~-~--~~--~;;~--;r~~~~e~~~~~t~~-;;n~ ai~ i~0~~ni~~:~~~~\n ~~~ ~~~~
to become a citizen of the United States of America and to permanently reside therein:
So HELP ME Goo. ·--~------~-~
(Orlgine.l signature of declarant)
Subscribed and sworn to before me in the office of the Clerk of
[SEAL] said Court ~~~--~----· _"n~o D::.i:i.19 7-I
Clerk of the __ ----· --------------------__ _ __ Court.
~-L-.~~~.L..'="=-::r....# Clerk.
ORIGINAL 2 9 7
U.S. DE PARTMENT OF LABOR I NATURALIZATION SERVICE
No. ___ l_£llf" ~:.,~Til or ~-
.(\1) ~.~ ~~ .4
DECLARATION OF INTENTION ~
~Invalid for all purposes seven years after the date hereof
---~---~------J ss: In the -------------------------=~Cour t
________ rlo_:~---~ __ --~-'-------. of :Jh~-----~01.--~------~~ __________ __ __ _ -.----~~-------------------------------------------------• aged ___ .;;?}_ __________ years.
occupatio ----------~-----------------------------------------------• do declare on oath that my personal
cescription is: Colo~ _____ , complexion ------~• height $_teet b_ __ inches,
weight ___ _j£~ pounds, color of hair ---~------• color of eyes-~--------
cth er vi sib 1 e d i stin cti ve marks ---~----------------------------------------------------------------------------------
1 was born in ~;--~~-=---------------------------------------------------------------------------
on the_____ £_ _______ day of ----~;:_-----------·• anno Domini il.'l.<£.: l now reside
at ________ ____ __________ _ ____ --------------------------------------------------------------------------------------------------
(Give number, street, cit,rm"t~w1n, ~te) /J
I emigrated to t United States of America fro m-~-___ -""-'-:-:1....-l~r..Lf<'it.fot-..,___
on the vessel__________ _ __ ___ _ __ -----------------------------------------------------------------------------------------------; my last
(If t alien arr· e other ise than by ves6el~-e character o~~nveyance or name or' transportation company shouid be given)
foreign residence as __ _ _ __ _ ~--~~-~-------: I am ~-married; the name
of my wife is --------------------------------------------------; she was born at ------------------------------------------------------
and now resides at -------------------------------------------------------------------------------------------------------------------
It is my bona fide intention to renounce forever all allegiance and fidelM~~ -~';':;j'_S'~e,n_t:te, state, or so~>) and Pt'tJi't':_~~:=---~~~-----------------------------.:2 __ , of whom I am now a subJect;
I arrived at the port of ·--------::Jf!C.:;f. .................................................................. r ··-----_ , in the
State of ________ _ ___________________________ (.._~----------------------------• on or about the -------------~------------day
of _________ _ _______ _..,.. ________________________ , anno Domini L'J-/~_; I am not an anarchist; I am not a
polygamist n 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 Goo. ~--4l;~!J:~ti;---------------------
[SEAL]
I
IJ
I
298 ORIGINAL
U.S. DEPARTMENT OF LABOR
I f ()t-/ 4 "'""'""'0
" """'
or~ .. (\~ ··~·~
•• (t~
DECLARATION OF INTENTION ~
___ _ _ @"-~va~C/~~~--~urposes seve: ::am a~~~--~-e-d ---~ourt _________ ,_____ ... 111~!!17 .•.::-.:Jss: of _c:Jk~. J!c::t_: ________________ _
~ __________________ /_~---~-----------------______ _ ·-----------------------·• aged ______ 7:::_7---years,
occu~ati_on -:-------~-z-----------------------:---------------·• do declare o~ oath that my p~rsonal
descnptio~ ~: Color~----• complexiOn -----~--• height--,!; __ feet):( __ mches,
weight _j/2 __ 0 _____ pounds, color of hair ----------~olor of eyes---~---·
other visible di:£sin_ct. i niarks -~r:;-~-.--~----~-----------~:----~-----···-------------------------------------------------------------
1 was born in _____ __ ---~-~-------------------------------------------------------------
0~ th~ _____ j.£ ___ day of __________ -~-------------·• anno Domini ~_If_J_ri_; I now reside
al ________ _ _ _ ____ ___ _ _ ___ ---~qff_ ___________________________________________ -------------------------------------
CGive number, street, etty ~· an.d State) _...
I emigrated to the U · ed States of America from -L~---_ -------------·
on the vesse '------~---_ _ ----------·-----------------------------------------------------------------------·; my I ast
• • {lf th6 alien fTrjv~~eyis~ vesse~ne character of eyance or name of transp01-tation compa.!!y should be g~ven)
foreign residence wasLJ~ _ __; I am --~-marned; the name
of my wife is ---------------------------------------------------: she was born at ----------------------------------------------------------
and no \V resides at ------------------------_____ ----------------------------------------------------------------________________ ----------------·--__
It is my bona fide intention to renounce forever all allegiance and fidelity to any foreign
J..!:~~~2otentate~3~t:~~r Y..?::~_r~_ig~nd p~~~~ l~--(1-~-~~:_~~-~ f 1~~--~=---~--~-----------• of whom I am now a subject;
arrived at the port of ____________________ 2 _'Jj:-7Jf--?Z -------------------------------------------------------------, in the
~~~;:~:~~~q~;.:~~:-~~~:;·r~~~~~i~~~~~~!{f;:~ :i~~;~~;:~~=i~~:[·-~i~-~~~~
to become a citizen of the United States of America and to permanently reside therein:
So HELP ME Gon.
[SEAL)
O RIG INAL 299
U.S. D EPA RTME NT OF L ABO R
~ """""""'" ""'"
No fc?±l ~.,~Til or~-
.. ~1) ~.~ ... ~.,
DECLARATION OF INTENTION ~
W' Invalid for all purposes seven years after the date reof
~-----____ Q~------------] In the ---------------------------------~ourt --~--'------------,----~-----ss: r, -of _{:')t~~_@:_ ___ _
~' ----r--~:-: / -. ~--~---------------------------------------· aged ___ ,_a -~---years,
~c~u~atti_on -~:~---~~~7!----~-~------------------~-----~-----------~~r-~ do dec~r~o~ hota~hfat ~J p~rsoh~al
ve::>cnp IOn or --/-.*"-~---• com}Hexwn ____ T~.L/, netg ·------eeL~---me es,
weight _:/1 ... -..~---pounds, color of hair -~-------• color of eyes_~-
cther visible distin ivP m~rks -~-L~ -~~k_-~-----------------------------
1 was born in / · _. -_ · -'~.:{ __ {j~_tf__ ______________________________________________________________ _
:; 2~-~':;:!!!-:·-~-----~,~~(£~-~-o::i;::;.~--~---~~:_r:~i~:
' • . (Give nu~ber, street, r!ty rr_J.~c~' tate) ) LA. • -.
~:~~=r~::~e~~~~~~f-~:=-~~::: __ ~~---~--~---~~---~~~~~~~=~u~~-j~~~-cu the allen aa·i•,eu_p,s~!WPf jhan~&el , the "ter of ~eya~ce or name ot' transportation company should be giveu)
foreign residence was _ -~-~..{"..~~--------: I a ______________ m.arried; the name
' • I' ·//_ --;-'. of my wife-1-s ___________ ~ · _ _ ________________ ;-she was bo rn _ ~~~-~~~-
d r 'd t ~· .~ /' ' ' ' , ;. 0 an no\\ rest es a -----,---_ _ . _ . . _ . -,. _ ~,..,_ :. --------------------------------
It is my bona fide intention to renounce &orevcM' all allegi_ance ~d~~i!tgtq _ ~ign
&£.ce, potentate, state, or sovereignty, and particularfYtl~-~---~-~~7
I =~;i-:7:~~~-~~--~~:: __ ~_:: __ ~~~¥----s•ui~et~~
State of --------------rJ;/·,--:;---'12'-~ 7 ~"i'-_-. _------------• on or about the ... _f -; ________ day
of _________________________ ·, .Lf--~------------• an no Dommt I -!f-J--Q_; 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 Goo. ----~-----_______________________________ : ____ _
[SEAL]
Subscribed and sworn to be~ore in the office of the Clerk of
said Court this j fhf oL ___ ------~---· an no Do~ini 19 ?.---1
~;;;'~he-~-~~:--~ourt
By----~--(£_-~~~-----------~ -~:£_-~·-----Clerk~
/ d-,;e
30 0 ORIGINAL
U. S. DEPARTMENT OF LABOR
{Original signature of declarant)
[SEAL]
ORIGINAL 8 01
U. S. DEPARTMENT OF LABOR J NATURALIZATION SERVICE
•,
.~~ ~~-~V> '41
DECLARATION OF INTENTION ~
[SEAL]
302 O Ri GIN A L
U. S. DEPARTMENT OF LABO R
,j ,_; J "'"'"'m•o• ""'"
No. --~-~Q?:/) ~ ., t\ 111 or 4~~ ttl·~·~ •• .4
DECLARATION OF INTENTION ~
~~nva~~~:::~J::oses seve: ::::;;e---~--::~:~=
~r ------------~~:;?f;~-----------------------------------------------·• aged ·------1-f-------years,
occ u pa t!on -------~-----------------------------------------• do declare on oath that m ;!ersonal
description is: Color ~-------• complefrion ·------~--• height 5__/eet ______ inches,
weight ---Jit __ l__ pounds, color of hair ---~---• color of eyes-----~-----·
other visible distin~~arks --~-------------------------------------------------------------------------------~nw::e b-~i~_:::~~~~;:::::-·::~~~::~--~0~~-i~;--;-:¢~:-L·--i--~~~-;~~;~~
at _______ a_a__r__?f_,//tAL~---___ : __ -:J/_~_.__LfLl_: ___ -------_ -_ --------------------------------------------
coive number, street, eit~ ~y; » k
( emigrated to the United,States of America from ---r-rr7 ·-------r= ---~----------------------------
on the vessel _ _ _ ~------------·-----------------------------------------------------------------------·; my last
• • f tho alien arrived otherwise than by vessel !ne ~ey ace or name of transpNtation company should be g~ven) :~r:~n:~;:~:n~--~~~~:~;-sh: w~-b~;~~-;--l-~~=a~rJ-e~-;-t~1e-~~=~
and no \V resides at --------------------------------------------------------------------------------------------------------------___________________ _
It is my · bona fide intention to renoun ce forever all allegiance and fidelity to any foreign
.A~c;. po~ntate, state, o;7sovereig, ty, and
17
p,;.icularly to --------------------------------------------------------~------
, ~-~../ih-__ --Y~~-----------• of whom I am now a subject;
;r:;~i:i~;~~~:~-r;;;~~ii~fj~i~i~~~~~t~~~~;~~;~~i1~
to become a citizen of t h e Uni t ed Stat es of America and to permanently reside therein:
So HELP ME Goo. -~~--------~L~---------
[SEAL]
< Original signature of declarant)
Subscribed and s worn to befo~e in the office of the Clerk of
said Court t h;:_-~'-,t' ~of ___ ~-------· anno Domini 19 ?---/ ~ _ _(};{ R,-~-------
V'}avf: Clerk of the~~ Court.
By gt-;7"f-~ .. -. --------------, ~t-' Clerk.
O RI GINAL 303
U.S. DEPA RTMENT O F L ABO R
o ;) I o--14 """""'"'"" ""'"
No._fb__________ ~ ., ~Til or ~-
.(t~ ~.~ ~y> D4
DECLARATION OF INTENTION ~
~Invalid for all purposes seven years after the date hereof
-~---~Q~-~------jss: In the _____________ 2_~ -~--Court ------------~!::J/a. .. £1.~-L___ of ::1/_, _____________________________________ _
~' ·-------~---@~-------------------------------------------------• aged ----~_([_ ______ years,
occupation -~---------------!1~---------------------------------• do declare on oath that my personal
Gescriptiol! is: Color -------~d-, complexion -----~--------·• height ~£'inches,
weight __ _/S~pounds, color of hair--~ color of eyes-------------------------------------·
cth er vi sib I e d i stin cti ve marks --~----·------------------------------------------------------------------------------_
·-~/7 .-r _. _, . I w~s born in ____ 0 _~-~~:-.-~+-';1---~----------------------~---:-------------;;;------------------:----
on the --------/~tUt----------ay o~ ·------~-_: _________ 774 ____ , anno DommJ..-r$.8:: ____ , I now res1de
at --------f~ _ _ ___ __ · ----~-:_&_~_r:Jn ___ v_t;L _________________________________ _
(Givb number, street, city nwn, and State) {._;/~_.,-A .;A'//
I emigrated to the United ,states of America from -L~--p--------~-{1,------------·
on the vessel __ ~~---------_ _________ --------------------------------------------------------• my last
(If the alien a.ni"ed otherwise than by vess , t e character of conveyance or name oi transportation company ebould be given)
foreign r~si~ence was-~----~!._ ___________ ; I F ______________ married; the n~me
of my wife Is ~;------=-------------: she y.ras born ar::cJ~---~<2-2-f~~s n~; r~~~~e. ~~~ -~~~~~~t~ii~i~-;J~~:-;;ct·:-fid~"ii!i~r$g~
· e · t d rfc I I t~"~ · P~><-pn~ce,_ poLntate, state, or sovereign y, an pa I u ar y o ~--~~!_.f'J::Z __ ~~-~
~)fi~~-i~~~-~-¥·of whom I am now a subject:
I arrived at the port of -------2J-----'2j-,;?')?j-----------------------------------------------------------------------------·-·• in the
State of ---/J-:4---:d __________________________________ J_/L ~---------------------• on or about the __________ _/__/ ___________ day
of ---------------~---/':~---------------------• an no Domini I -f.-!--C2'. 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 Goo. ___ _(_~~-----cf'~-R---------------------(~alsit,£;,_-:!; of declarant)
[SEAL]
304 ORIGINAL
U. S. DEPARTMENT OF LABOR
NATURALIZATION SERVICE
..j '1 .I I~ o !) 11~..1 · 0
No .--------·---------., ~TEl or
~~· ~ ~ DECLARATION OF INTENTION
.~-----~u4&L~-----------------
(Original signature of declarant)
Subscribed and sworn to before ,rre in the office of the Clerk of
[SEAL]
II
ORIGINAL 305
U.S. DEPARTMENT OF LABOR
NATURALIZATION SERVICE
II
No. ----J0 _c__5_ ___ "; {L(!., ~ J/-
~~· ~~ ~ DECLARATION OF INTENTION
~Invalid for all purposes seven years after the d~ hereof
~-~Q~~--------~ In the --------------------------~---Court
__ @.&L __ ~;;c:Jl~--'-----ss: of :Jf_~_,& ___ , ________________ _
:1\, ___________ aaA_~------~---------------------------------------• aged ----~-2::"-----years,
occupation ---~--------------------------------------------------~on oath that my p_ersonal
Gescription is: 9>J2r ~------• com~-------• height ___ 0eet _6_ inches,
weight ~/_7.!._0 ______ pounds, color of hair -------------------------------·• color of eyes-~---
ether visible distin ti ve marks -~---------------------------------------------------------------------------------------
1 was born in -~-------------------------------------------------------------------------------------
on the _______ ::Jc_ _________ day of ____ i--J. _____________ Q _________ , anna Domini M_L_ ____ ; I now reside
at -~-7_£_,_~~-----~~-----------------------------------------------------------------------'"''" ·=""· '"00' ·~~. ®0 ,~ ... , ~ ~:~=r~:~e~o-t~~ted State~--~f--~:-~~i:~-~~::_: ___ ~~::::-:~ __ :::-_:~::::::::::::;--;;;-~-j~~;
(If the alien arrived · ethan by vessel, th :~an ce or name m transportation company should be given)
foreign r~si~ence was______ ~ _ _ _ __ _ _ -r~---==:-=-7!----------------: ~ ______________ married; the name
of my wife Is c:;;;{~---------------------: she was born at --~,-~--
and now resides at _______ _ _______________ _ ___ 0~----------------------------------------------------------
It is my bona fide intention to renounce forever all allegiance and fidelity to any foreign
prince tentate, state, or sovereignty, and particularly to --~~~--liJ:.
"" -A ____ _: __ --~,]J/--"'-t ----------------------------------------------------------• of whom I am now a subject;
I arrived t thJ;;~~~ of ----------------~-¥-----------------------------------------------------------------------------··-, in the
State o~--___ ----------------------------------------------'2/-=--Jf::-------------·• on or about the ___ ?-:::_: __ !_ _____________ day
of ____________ _ ___ t2d.LL_ _________________________ , an no Domini r --J-12-J_; I am not an anarchist; I am not a
polyga t 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. ___ _1~~-c:(S~~----------
(orlginaJ signature ~Vr;;~--
Subs;;;~e~O:~~cr~~~~:~::_~~~
JZ'f , ~-Clerk of the--~~--Court.
By ,£Q, __ ':Z_ __ //(cl_7fo---------, ---"¥~--Clerk.
[SEAL]
30 6 ORIGINAL
U. S. DEPA RTMENT OF LABOR
' No .. jtJ,.f2 L ifd h'..
NAT U RALIZATION SERVICE
~· ~~ ~ DECLARATION OF INTENTION
a-r Invalid for all purposes seven years after the dat hereof -~~·: .. :.~:::::::::1 ss: In the ~;·[jj;;;;z~it:::! __ ·~:~=
~' ·-----------~--/~----------------------------------------·• aged ___ aa0 _______ years,
occupation --------...-"'--~-------------------------------------------__ , do declare on oath that my personal
description is )' Color ~-----• complexion ____ ----------------------·• height 5__ feet 7---inches,
weight ____ jta_O ___ pounds, color of hair--~--------------------------·• color of eyes --C5£·---------·----------------------·
h .. l 1 d. . . . k A A~// A t1 tJ/ A A A ""'A ()--f.AJ ~d--.'1 17 ot er vtst o e 1stt cttve mar s ;r:UL.K1~--~r.::. _____________ .. ______ :: __ ~------------------------------------------
~nw~e ;~~J..... . ... · .. a~~~-of .... :1J!!~:~~-~~··n~;;;i~;··;·:r:ii•:;···i·~~-~~;~i~~
;te~-i~;~~·:·;·;;;;E;~;:;;~~:~~::::::::
on the vesse l----~-~-4----------------------------------------------------------------------·; my last
. • (lf th., alie 'ved.oth wiee t?an by vessel, tne chara.c~of conve:an_;l .. P r ina1pe of transp0rta.t ion company should be g~ven)
foreign residence was _ _ ___________ ---~--~-; I am ______________ marned; the name
of ~Y wife is ... Qa~ .................. ; she wa C}',: at--~·-··-·················-··· f;~s n~~ r~~~~e~~~ -~~i~~:~·te~;;,';-~jj··;jj~gi~~~~··;~d-fi·d~iiiY·l~--~~Y-f~;~;g~
prince, potentate, state, or sover~ and particularly to ~-;::~~-· ~-~~~/)~~-~-----~~ adl now a subJect;
I arrived at the port of __________ Q~=-~~-------------------------------------------------------------;---------·• in the
State of ___________________ ;;;[ __ '#--~------------------------------------------------------• on or about the --------1--C) _____________ day
f rYu D . . ~ · I t h. t · I t ~olyg~~-i~t--~~~--~--b~Ii~~~~--i~--th~--;r~~~~e o~~~~~::t-~nd ~~ i~0 m~n i~~:~~i;~ i'n g~~ ~~it~
to become a citizen of the United States of America and to permanently reside therein:
$0 HELP ME GOD. ·-------~tlk_ ____ @.a.~-------
<Onginalsignatui·e of declarant)
[SEAL]
U. S. DEP A RTMENT OF LABOR
ORIGINAL 8 01 }
NATURALIZATI O N SERVICE
OF INTENTION
W' Invalid for all purposes seven years after the date hereof
--~---ecl-~(;1;~-'---------------~ In the -~~~------Court
_ _/!.tLi'.:Ji_~ __ ::------ss: . o: __ :2/:~--~-'----;-_-:;;·-----
:!\, -----------------~4~-&r~-----------· aged -----------------years,
occupatio n ____________________ _ _ ' _ _ __ _ ________________________ , do declare on oath that my personal
cescription is: Color ~------• complexion ________ d._~ height _::2 ___ feet ____ .jlnches,
weight ---Jj:_Q _________ pounds, color of hair -~-----• color of eyes--~---------
other visi b I e distinctive marks ----~----------------------------------------------------------------------------------------
1 was born in ----=---_ _ _______ _ --~--------------------------------------------------------------------------
on the __________ Jc-.!2._ _____ ay of ·---------_ _ -------------------·• an no Domini 1 cr_'f--'1----; I now reside
at ---r-----------------(a;;;~,;;;;;c11.~-§;:;-;;(f.~,--~-----------------
1 emigrated to t e mted States of America from ~-4±-~,--JfJ-----------------------------------------
on the vesse I ____ <1~~-;;;;~;~;;~~.-;~!-;;-.;~;;;;;-;,-c·;,-~;-~~;;;;-.;-t-i~~;j;~;:t,;ti~;:;~~;;;j;;~;;;~:,~~1;-1t;;-gi-;;,;-)--·; my las t
foreign r~si~ence was _ _ ___ -__ -----fr.;Al-~---------------: I am ----~married; the name
of my Wife Is ---------------------------------------------------; she was born at ------------------------------------------·----------
and now resides at ---------------------------------------------------------------------------------------------------------
It is my bona fide intention to renounce forever all allegiance and fidelity to any foreign
prince, ROtentate, state, or sovereignty, and particularly to~li_G:._~
___ 1/ __ &,_ _____ r;;J:!~~-------------------------------------------------• of whom I am now a subject;
Iti\rri ved at the port of ------------------~-#-~----------------------------------------------·-• in the
State of -----::.._-----p---------------------------~~--~----------------------------• on or about the ____________ 7::-_£_ _____ day
of -----------.----QJ*~=-----:-------------• amlfo Domini L_.f-,k-o.; I a_m _not an. anarc~ist_; I am no~ a
polygamist nor p believer m the practice of polygamy; and It Is my mtentwn m good faith
to become a citizen of the United States of America and to permanently reside therein:
So HELP ME GOD.
[SEAL]
,308 O RIGI N AL
U. S. t>EPARTMENT OF LABOR
J rJ' """""""0" "'""
No. _ib__Q_/!f/ t/-•' ~ 111 or ft~· 4·~·~ , wo4 ~ DECLARATION OF INTENTION "??
:~~E~~j::~oses seve~0 ::~ arte;_.:~.: ....................... ...
~ ........ G~--~---·····-··-········-························• aged ... Jf!.; _______ years,
occupation ----~-~-----------------------------------• do declare on oath that my personal
description is: Color -M~-----• complexion --,1-¥,------• heigh~es,
weight -1--1~---pounds, color of hair -------~--• color of eyes-----------------------------------·-·
h . "bl d" t" f . k -ot er visi e Is mc we mar_ s __ i!i-__ j(_____ _ _ ----~-----------------------------------------------·---------------------------------------
1 was born in -r~. /At -~---····-·-·················-·····················::::-·····················
o~ the ________ t/2 ___ ~-----------day of _____ _M ------------------;---·• an-~omini ~__[{[~_; l now reside ;,e~;;~;~;:t~3;~~~r;;;;;;;;~~~;;=::::.::.:::::. :::::
on the vesse I----~~------------------------------------------------------------------------------------; my last
(lf th., e.lien a~ otJ;Ierwise than bz vessell tne~aracter of conveyance or name of transpC\rtati on company should be given)
foreign resideT!.f_,e~;va~--1.C2L2~-----------------: I J)P --------------IT};9rried} the name
of my wife i~~ll~----------=-----~~sha,as born at ~9f-~------------~;~s n~; r~~~~e~~~ -~~~~;·f~~~~t~ii~i~-;.;~;-;,:~d···fi~j"~Jiiy·;-~-~-;;-y··;~~;;g~
prince, potentate, state, or sovereignty, and particularly to-~_/{ ___ ~--~------
-~----():--~~-----~--___ ---------------------------------------------------• of whom I am now a subject;
l arrived at the port of ----~~ ________ 1
_____ -----------------------------------------------------------------------------·• in the
State of------~--,------------------------__ _ _ _ _kaL.._=---------------;;; on or about the _____ c2.__Q ____________ day
of __________________ _ ____ --=--: _________________________ , an no Domini r f_Q ______ ; I am not an anarchist; I am not a
polygamist or a believer in the practice o f polygamy; and it is my intention in good faith
to become a citizen of 1:he United States o f America and to permanently reside therein:
So HELP ME Goo. /' _ A?~ c_jJ _ _ ~
.. -------------------~~~--~---~------------------
(Original signature of declarant)
[SEAL]
Subscribed a nd s worn to befo_re ~e in the office of the Clerk of
said Court tt~arar:·::::::·:::an~o-_::.i:l.I9 £ j
-~ I
Clerk of the ___ t.:Ar~ __ _ _ __Court.
By --~·~91-~---, ~~~--Clerk.
ORIGINAL
U. S. DEPARTMENT OF LABOR /
<OJ~ -~ DECLARATION · OF INTENTION ~
~Invalid for all purposes seven years fter tile date hereof
&..JL _~Ul __ ~-----------~ ss: In the ---------------~ ~ ;;-_Court {!L -f-.::J/~----------of ___ :£, ___________ ~----,-----~------
~ :-------~~-r-----------"-£L--------~---------------------------------· aged ----~_f__ ______ years,
occupation _______ -------------------------____ -:.;:: ________ ·-----~---·• do declare on oath tha. my personal
,J • ti i · C I ~ 1plexion ---~ h · ht--._5fpf t/ 0 · h -~-.es.cnp on s. o or ___________________________ , .com~-~;~--------·• e1g ~ es.
wetght ___ L~-------pounds, color of hair _______________________________ -:;-color of eyes--------------·-----------------------·
h .. bl d ... k ~ ~t ::s v~s~rn e in 1 ~-:_:_ct-~~:--~-~~-----~~~~~~-?~~~~~~~~----~---~---~-~--~~~~~~~~~~~~~~~~~=~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
:; -~he-~~~-/-------~ay~ --!::~~L/Z: __ ~-o~_:i ___ ':~~-=;-1---~~=-r~~i~~
(Give number, street, city~wn, and State) !JA
I emigrated to the Unite St~tes o~ America from -1~~--c;f;J_-~r--------------------------·
on the v essel ~~--~~------------------------------------------------------------------·; my last ~he alien a ·led h e iae than by vessel, the character of conveyance or name ot transportation company should be given)
foreign residence was __ __ _ _ _ ----~----~---------------: I am~c ___ married; the name
of my wife is ____________________________________________________ ; she was born at ---------------------------------------------------
and now resides at -----------------------------------------------------------------------------------------------------------------
It is my bona fide intention to renounce forever all allegiance and fidelity to any foreign
prince, potentate, state, or sovereignt7, and parti~ularly to~-~--~-~~
-Tat-"--"LL4--flu.dR~-~----------------• of wllom I am now a su_bJect;
arnved at the port of _________ /'7,'-:f~-------------------------------------------------------------------------------------··-·• m the
State of __________________________________ _j'k_~-c-----------------------------------------• on or about the ______ !__q_ ________________ day
of----------------~-: __________________________ , an no Domini r _J_t;1__; 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 J?ermanently eside therein:
So HELP ME GOD. ___ {P~~:::..__-~t-d Lo~r!a_~_ _ ------------------
Subscribed and sworn to before e in the office of the Clerk of
sa.id Court t:l_sf da~ of_:~~:~t-·::· an no Do;'_'9 7-1
~~ ./ Clerk of the~-----------~urt. By b ~ ____ c{f___~~---------, ~--Clerk.
[SEAL]
31_0 O RIG INA L
U. S. DEPARTMENT OF LABOR I NATUR ALIZATION SERVICE
No. ___ J _j)G/)4-.,~TE8 or
(i~· ~-~·~ ~~ ~4 Q DECLARATION OF INTENTION ""(!
~ I~va · for all purposes seven years after the da ereof
·-----_ _ . _ _ ____ --·---~---Q------------In the ________ ____________________ -----~-----Court ---~------~'---___] ss: of _0/~-~~------------~ ----~-~-------------------------------------------------------• aged ______ q_/[ ____ years,
occupatio! ----~----------------------------------------• do declare on oa~t my personal
description is: Color ~-----• complexion .LL!d: ___________ ., height _______ feet ~inches,
weight -'fa_ ________ pounds, color of hair-~------· ~olor of eyes-~-----------------·
other vis1 b le . distinctive marks --~-----------------------·-------------------------------------------------------------~nw:e b-o~:/:i.~c~~-:-:::=-.~~~~-D~~a:s::~:;·--i--~~~-~~~id~
at ------------j-£-(i;L~-im;;;;;.:;]:{,.., ,;;y· -.;;,;·· 0 ,.,;;,-----~---?2;--~---------------
! emigrated to the Unifed States of America from ---------------------------r-)CL~----------------
on the vesse 1----------------~-------------------------------------------------------____ -------------------------------·; my 1 as t
• • (U tho alien arrlv~i~ than by r~e c~aracter of conj\'eyance or name of transp0rtatlon company should be g:ven)
foreign residence w~..L.!~r--...2-~---------------: I am ------------c::Aied; the name
of my wife is -----~P,)l;=·----------: she was born at~~-----~---, f;~s n~~ r~~~~e~~~ -fni~i~~~~~-~e~--!=f·lt~y-··------~--f~~-;;g~
prince, potentate, state, or sovereignty, a nd particularly ~---1('v~
~-~~-;~~~~--~~-~~~--~~~~-~~---~--~~~~~~~~~~-~~~~=--~~~~~~~~~~~~~~:--~-~--:::: __ ~_:: __ ::=-~-~.ui~et~~
State~£-...:_ -----------------------------~---------------------------------------• on or about the ______ ! __________________ day
of _______ _ _______ ----------------------------------• an no Domini I _f-_Q j __ ; I am not an anarchist; I am not a
poly mist or a believer in the practice o f polygamy; and it is my intention in good faith
to become a citizen of the Un ited States of America and to per manent ly reside therein:
So HELP ME Goo.
[SEAL]
O RIG INAL
j U.S. DEPARTMEN T OF L ABOR [J p-f 4 "'"'"'uno • ""'"
No --~-'-tt ~ s1 ~TEl or ~4te
.. ~~ ~'o .~ ~
DECLARATION OF INTENTION ~
~Invalid for all purposes seven years after the d.
---~--17&"-----------~ 55 : In the -----;;-------------___ If _ _ __ Court -----::~:-·t :::flt!::i~~----:f __ :::?!_ ________ , u~::~~-~~~~:~~::
occupation -~~---------------------------------------• do declare on oath that my personal
cescription is: Color -~--------• complexion--------~ height _6__ feet a:Z. inches,
weight ;..;J_£_ ____ pounds, color of hair----~ color of eyes'iif_/t __ ~
ether visible di~t · nctive marks ---~-----------------------------------------------------------------------------------------
~nw:e ~:~~:-lJ~=--:::~~~-L!~~::::::::::::::::·:-~~~~d~;-~;-·;·;r_;;r:::;·--i--~~-:;·;~~;~-~
at --~~-~-#---~~----~--:-------~----------------------------------------------
(Gin number, street, city cr:;~~-" ~ ("X -r:: / .
I emigrated to tt:e Un 't States o America from ________ f_,...,..-T_~ ______ __:7~0 -~-----------------·
on the vessel______ _ _________________________________________________________________________________________________________________ ; my last
(-1 t e alien ar · o herwi . than by ~~~'/he character of conveyance or name or' transportation company sh ould be given)
foreign residence was __________ -----~---~.L7.f~ __ f!.::: ____________________ ; I am --~--married; the name
of my wife is ____________________________________________________ ; she was born at ------------------------------------------·----------
an d no \V resides at ___________________ -----------------------------------------------------------------------------------------------
It is my bona fide intention to renounce forever all allegiance and fidelity to any foreign
p~c)/1~,;ot~ntate, state,_ or soverei nty, and P.arti5~V~r l y to --------·-----------------------------------------------~-------
________ fj(~--_.: __ _ -~---~±t • of whom I am now a subJect;
I arrived at the p -------~---------------------------------------------------------------·• in the
State of ---~J _ __ _ -'--------------------------:-·:·-------------·• on or about t he ______ j.Y_ ____________ day
of _________________ 1'_. _______ -_ ____________________________ , anno Domm1 L'J-I/f::_; I am not a n 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 permanentl y reside therein :
So HELP M~\G~D.J ~-?:~---------------------------------------
congina.l signature of declarant)
[SEAL]
312 ORIGINAL
U. S. DEPARTMENT OF LABOR
~~:va~ ---~~~--~:~ses sev~: ::~£~:~~t
-------------¥---~-~----___) _ ofC2/~
:ll, -~~--~~-----------------• aged _____ ,;[! __ +_ _____ years,
occupation --~----------------------------;;~~;~~---:~0 declare on oath_ that my personal
description is: Color~-----------• comp~-:-------------·• height ':!?._ ___ feet_=:-::-__ inches,
weight ___ /~{) ______ pounds, color of hair --===---------------------------·• color of eyes-------~--
other vis i b I e dis tin cti ve marks ~----------____________________ ·-------------------------------------------------------------
~nw;:e bo_r: .. ;.4~:::~1:::::=·::::::-~~Dii;~;-~i.L:::;;--~~;:;-;~~;~~
at ____________ 7:::: _______ 2~----~C -2________________ -----------------~"-------------------------------------------
(Give number, street, city or~~
~:~!'~::~e~o--tU~=-e~i:~-~r~::=:::=-~--:: __ :_: _______________ =:: :::::·::::::;--;;;-~-~~~~
(U th~ alie ·ive<l otherwise than by ~-e .,4aracter of conveyance or name of transpC'rtation company should be given)
fo reign residence w.. ------------r-~6~-----------------------------: I ~/!----··-----married; the name
of my wife is________ __ --;;~----: sh ~ ?om at-~-----------------------------------------ff~s n~~ r~~~~e ~~~ -;~(;;;;-(;~~C-~~--~~~;;{fn~~~~~j;g;~-;;~~-~~d---fid-~-iiiY-!~--~~y--;~~~~g~
prince~otentate, state, or sovereignty, and particularly to -~-lf:~./11: __________ _
~---. --t:--,JJ ___ --;ta_-'j:t-------;,;?,r ·y -------------------------------• of whom I am now a subject;
I arrived t t e port of ·---------·-------;;rJ;;-~----~---------------------------------------~---------------------------------------• in the
State of w.-,-----~------~-------------------------~4'-;t--------------------------------• on or about the ____ _if_ __________________ day
of ____________ __ _ _ _ --.------------------------·• nno Domini r __ ?Q._J __ ; I am not an anarchist; I am not a
polygamist n a believer in the practice of polygamy; and it is my intention in good faith
to become a citizen of t · States of America and to perm an ly reside therein :
SO HELP M~OD(' ~~2?~~-_ -~-L ' _.... (Original si~,.?'~ t)
Subscr" ed and sworn to before in the office of the Clerk of
said Court this _2:_8:__ a of ___ /___...x--<-'\_
~EA~ (
cf:c ~ __ clerk of the-··------------------------------
By ___ c!:r_:,/(-CL/1~----------, ----. _ Clerk .
----~--~----~--------------------------~3·· ~ O RI GINAL 1 :_,
U.S. DEPARTMENT OF L ABO R
NATURA LIZATI ON SERVIC E
No.l~~-J _f26/J1-.,~Til or~-.
~~~· ~~~o
~ DECLARATION OF INTENTION ~
~ _______________ ji~ ____ Q~----~----------------------~---~--~-----------~• aged _____ a_~{_ ______ years,
occupation ----------~--------------------------------------------·• do declare on oath that my personal
cescription is: Colo~---------• comP, ex· n _______ ----------~---------·• height~-feetcf: ___ inches,
weight -----1---~-Q ___ pounds, color of hair _____________________ ---------·• color of eyes-~
ether visible disprr~ve marks -~---------------------------------------------------------------------------------
! was born in_L~~ff-~---------------------------_---_-----·z:?:;:::-----------------·::·---
on the --------~Q __________ day of ·--------------~-;;;=,------~------·• amp--Qomml 1 ____________ , I now reside
at ____ r5t ·i: t u;-~1~~--f!=h:--~L~------------------------------------------------
caJvb number, street, city or town, and State) . U _ _ C1
I emigrated to_ the United States of America from ---~..L----~-----
on the vessel _____ L___ _ _ _ _ _ _________________________________________________________________________________ ; my last
.. • (If the alien rrh ed o ~ise than by vessel, the cha~er f conveyance or name ot transportation company should be g~Yen)
foreign residence wa _______ _ _______ __ -J----';L'2~ __ --~-; I am ______________ marned; the name
of my wife is ~--------_____ ~~7/-~--:·-;,~;;·-~-n she w born7at --~-~--------
and now resides at ___ ----~---------___ -.G ~---------------------------------------------------------------------------
1 t is my bona fide intention to renounce forever all allegiance and fidelity to any foreign ~
prince, potentate, state, or soverei~nty, and particularly to -o:~v~-~~
t~~~~~-R......---------------------• of whom I am now a su.bJect;
I arrived at the port ot ---------------~--~--------------------------------------------------------• m the
State of ~-~---------;;o-v---------~:"1'-.--t;;---------~------------------. on or about the ~~-------------------~ day
of ______________________________ u_U ____________ , nno Domini ~_f/_f ___ ; 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.
[SEAL]
-----------~~g;~~;~~~~-------------------
Subscribed and sworn to before ~ in the office of the Clerk of
said Court thi~AI~ofro-~~--.anno Domini Iq:V/ ~~--~1/~x;_--~ourt
By --~4~----------· -~~:;·-Clerk.
314 ORIGINAL
U. S. DEPARTMENT OF LABOR
NATURALIZATION SERVICE
~~· ~~ ~ DECLARATION OF INTENTION
[SEAL]
ORIGINAL 815
U.S. DEPARTMENT OF LABOR 4-'""'""'"'" ""'"
No __ _L6l 3&! ~ s1t\TI:I or ~I!
~~t) ~.~ ~ DECLARATION OF INTENTION 8>4
Subscribed and sworn to before me in the office Gf the Clerk of
[SEAL]
said Court this--.k-,1--day of-------~-~: ___ , anno Domini 19 .2--r ~;LtdJQ~r=;~-~---------
Clerk of the--~~ Court.
By _CE_~---------, --~ Clerk.
316 ORIGINAL
U. S. DEPARTMENT OF LABOR
'(/; """"umoo• ""'"
~~~
~ DECLARATION OF INTENTION
[SEAL]
O R IGINAL 317
U. S. DEPARTMENT OF LABOR 'I "'"""""•' "~'" Na.i~J_Z(!rr! •• ,~Til or~-
4~~ ~~~ ~V> ~4
DECLARATION OF INTENTION ~
~Invalid £ • all purposes seven years after tile date reof
-~--~-_:[!,!~----] ss: In the -----------------------------------_______________ Court -----~-'-1----~ , ______ MiL __ of gj-~~--G!_, __ ~' _______________ ({!_£__~_'[__~------------------------------• aged ---~~---years.
occupation ___________________ __ _ _____________________________ , o declare on oath that my personal
c!escription is: Color ___ , com pi xi on _______ -----------~ _______ , height 0---feet --~-inches,
weight ___ )_.;)_.{] _____ pounds, color of hair_____ _ ________________ , color of eyes---~---·
(Original signature of declarant)
[SEAL]
31_8 ORIGINAL
U. S. DEPARTMENT OF LABOR ·
NATURALIZATION SERVICE
~· ~~ ~ DECLARATION OF INTENTION
arlnvalid for all purposes seven years after :r-hereof +a.6 .... 1j-C!J~---·] ss: In the ~~---·--a:~~Court c:.~-i-~-~~-------·;;·· 01 .-;;ia.JL ....... ~---------~ __________ /:~.C~-----__ f.~~--------~------------------• aged __ 5__+---years,
occupation ·:··-------~--~~-----------------··:·------------·• do d eel are on oathchat my personal
descnptwn ts: Color ~--------• complexiOn -------~--• height _______ feet-~---mches,
weight .... )JC1 ....... pounds, color of hair-----~ color of eyes---~-------·
h .. bl d.. . k ~ ot er VIS! e. Istp-~v~ m~r s ----:sz._-·t-"J~--------------------------------------------------~---------------------------------------
1 was born In --~--:1.·~-r --------'LTt.-----------------------------------------------------------------------------------------
on the ___________ 2.1---------day of __________ Q~-----------·• arwo Domini r_Q_~--~--: l now reside
at _________________ ):_k_3 _____ J_: ___ ~Ja-tt;;~J::-t~~;Jf-i~~~-rCJ~------------------------:--
~:~~:r~::~e~o--t~~--~%-Stat-es of_ A_:e_ri~~~r~~-:::=::=:~:':::.~~::::::·;-·;;;·;·;~~;
(lf thft alien arrived o ~-.o_the.n by ves I, tne chara<:~! o:•:o.nco or name of transp<'rtation company should be given)
foreign residence ~s __________ _z . ___ ' '7 dl. .. lk~----------------: I am ______________ marrit\d; the name
of my wife is--------~---____________________ ; she was born at --~~·----2-.i::~----
~~~s n~~ r~~~~e~~~ j~~~~~~~ii---~~~~g;~~~~--~~d-fid-~IiiY--1~--;~y-f~;;;g~
princ~e, pot~ntate, stat~) or sovereignty, and particularly to ~-li:_~_J;FL ___ _
_ 'h_. _______ : ---;l---f .... X.~---~---------------------------------------------• of whom I am now a subject;
i arrived t t e port of ·-----------------4 ---¥----------------------------------------------------------------------------------• in the
State of ----------------------------~--------------------------------~-y_ ____________ , on or about the -------1-------------------day
of ______________________ (_~_i_ _______________ , an no DomiJ. r .f_Ld: ___ ; I am not an anarchist; I am not a
polygamist nor ¥-believer in the practice of polyg~my; and it is my intention in good faith
~o0 b:~~~~: g;n ( ~of the!+ ;Ju ited states of Amu~~~~~------'i:;z:t_:
-\,.,.~~ v-yt~et:~~~ure of declamnt
Subs ed and sworn to before me in the office the Clerk of
[SEAL] said Court thiss§'L.dayoL:_t~-7')/--,anno D:mini ,9 > / ~_Q~_y;-r:_::::.._L"__~_£-t~(_f----
Clerk o/the~ ___ <2:J:L ___ 1Jl~ Court.
ay ____ , C2~~~J/!dJfu---------, dit~-~ cwrk.
ORIGINAL 319
U.S. DEPARTMENT OF LABOR
NATURALIZATION SERVICE
No .. l0lr-fl~4-s1 ~ 111 or .~~· ~-~~~o
.~ '4
DECLARATION OF INTENTION ~
~Invalid for all purposes seven years er the dat
-~--Q-."=;'·········j ss: In the --·········----~-. ~--Court ·----~'--1--~---~--"d-_ . of-~--··················-----------------
occu!t;~~:::::~~:::~~::::::::=:·~~-~~;j~~:-;n"!:~h -;~;-;;;;-~-e;s:::;
cescription is: Color ~----• complexion .dUed~. height G. feet ~---inches.
weight --~--~-~-----pounds, color of hair--~ color of eyes-~-------------·
~~~~~~~~~~~=======
on the __ ---k--------------da of ·------£1~-~r-/--------·• gnno Domini 1 _2_[_?; 1 now reside
at _ ' ____ !_~£t:ff/_./-h~-~-~ f'l---~-__ ------------------
(Givenumber,street,cityn:·_:nh:t~.-..h ~ / • ·
I emigrated to t nited States of A erica from ---~~~-~>-c'..L -,r~~~-~--~---------·
on the vessel_____ ________________ -------------------------------·-----------------------------------------------------------------------·; my last
_ • (If the alien ar · o rwiso than b~he c aracter of convey roe or name Ol transportation company should be g~ven)
foretgn restdence was______ _ ____ =.J_a._ _ _ _ ____ -~-...... _ _; I am __ :_ __________ marned; the name
of my wife is.d~----,-------------------:_J\';;,.-was b{r~ at "-'ff::cJt2···-'-;=.~---··V ~~~sn~; r;~~~e~~: ~~;~~fn~~--;~dfid~ii~o ·;;;;·y··;~reign .
prince, potentate, state, or sovereignty, and particularly to ~ _______ _f __ c::r_~-~-u..-1-
~-~-~-~~~ ___________ ,of wh m I am now a subject;
I arrived at the port of -------------~--~-~-------------------------------------------------------·-·• in the
State of ------------T~--------------------------21-·---~=--------------·• on or about the ______ !_ ___________________ day
of --------------------------~-~------------• anno Domini I __ cz_{[ ___ ; 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 Goo. -------~--~---~ ~------------------
(Original signature o! decl!f;.ft)---·
[SEAL]
Subscribed and sworn to before me in the office vf the Clerk of
said Court this ___ j ___ day of __________ 2~~---· anno Domini 19 2-/
a :r. ~;~,.~;,the __ .... £q~ourt
By __________ ..-:.... __ lfl_'?!JJ~., --~Clerk.
320 ORIGINAL
U. S. DEPARTMENT OF LABOR
NATURALIZATION SERVICE
No. Jd}t}/)1 t{-
~9J ~~ ~~ DECLARATION OF INTENTION
~Invalid for all purposes seven years after tlle date'"'_..... .......
_ Jh*: ___ -r··.£Lo-------·lss: In the---·;;;;:?·----------~--------------g (JUrt _'I!:::;}_____ _ -~-----of ~/2J. _ _ ___ _ _ --~---------------------
~/ -~f~· I ~~ ~' ____ ___ _ _ _ ____ ---~-----__ -~~-------------------------·• aged ____________________ years,
occupation ___________________ _ _ _ _____________________________________________ , do declare on oath that my personal
description is: Color ~---------, complexion~-·--·, height ·-'-· feet.L. inches,
weight l~t. .. ,. ________ pounds, color of hair------~ co or of eyes---~~--------·
other visible distinctive marks ----~----~-----------------------------------------------------------------------
1 was born in ___ _ _ __ _ __ __ __ _ _ _ _ _ __ :1!: ________ &~--------------------------------------------------------------
~~ ~~iJ:ti·:Jf)k~£;~~;li ~=i:i.~~~~-~l·:;:;r :~i~:
I emigrated to the United
1
States of America from -~-r -~J_~~-~~y--------------
on the vesse l ___ w_~d: '----'----------------------------------------------------------------------------------------------------·; my I ast
(lf th., allen aMd otherwise~an by .. ~1, t}L! character of oonveya.nce or o.ame of transpC'rtation company Hhould be given)
foreign residence was---~--~ ---~-"'"'-__ -~~.,_.. _______ ; I am ::-_~ __ married; the name
of my wife is ---------------------------------------------------; she was born at ----------------------------------------------------------
and now resides at __________________ -----------------------------------------------------------------------________________ --------------------
It is my bona ftde intention to renounce forever all allegiance and fidelity to any foreign
~nee, po~o~t~c~to~-~i!Jfl3~~~
~..a;:---~--~-~------------• of whom I am now a subject;
I arrived at the port of ---------------~--?/.-~-----------------------------------------------------------------• in the
State of ----------------------------------------------------~-1-~----------------------• on or about the __________ .l __ b_ _________ day
:Iyg;;;;;·J~;-~;~ ~;l'"';~--~h~·-pr~~~~e ~~~~~;~!~-f~n~ ai~ i~0~~n i~~:~~~~tin ~~: ~~~~
~o0 b:~~~~: ~~~n of the United States of Am=i~~ez:.~:s~--: _____ :r.~in:
FY---~J... (Original signature of dacl&';llol'1 )
Subscr~bed and s~orn to before ~ the office of the _c_Ierk of
said Court this _ _L ___ day oL----------~--------· an no Domini 19~ _)
~x-~-~ourl.
By ___ &_ __ .;z_~-~--· --·~Clerk.
[SEAL]
U.S. DEPARTMENT OF LABOR
ORIGIN A L 3 21
NATURALIZATION SERVICE
No l i:!i ___ {l,/~ 4\1~TII or 311~ ~-~ ~~~ ~-~ ~ DECLARATION OF INTENTION • .,
~Invalid for all purposes seven years after the da ·eof
-~_J_)Z:~L _____ l In the--------------------------------_ ----~Court ---~--'-1--!J:l~-'------ss: of -----~---------------~~~ ---------------
~1 ·--------------~--~------------------------------------·• aged ·-----~-----years,
occupation ----------------------~-----------------------------------• do declare on oath that my personal
description is: Color ~------• compl ion .A -____ -----·• height £.feet -~inches,
weight ----1--*--:2:!..-pounds, color of hair---~-______________________ , color of eyes~-~-------------·
other v is i b I e distinctive yar ks ~--------------------------------.------------------------------------------------_______ _
I was born in _________________ _ _ -------------------'J--~-------------------------------------------------
on the -------;_--'l::_;,-7};_--d~f __ 7J _______ Q~r-------, an no Domini 1 _?'__'J-f:_ now ,reside
at _!£<0~~-~-;;;.~~~~@c --~---
1 emigrated to~ the United States of America fro m _____ _ ___ -------------------------r---.. 4-,-(..Ld_J!_ ____ -A., -"'"
on the v essel __ ~~--A-·---~--!.---~-~-------------------------------------------------·; my last ~ • (If the alien arrha otherwise tha by essel , the character o~ance or name or transportation company should be g:ven)
foreign residence was___ ___ ---~,...; I am ---~arned; the name
of my wife is ----------------------------------------------------; she was born at ---------------------------------------------------------
and now resides at -----------------------------------------------------------------------------------------------------------------------------
It is my bona fide intention to renounce forever all allegiance and fidelity to any foreign
pri n.ce, pote~tat~, state, or sovereignty, and particularly to~_q:y_~-~-~--_
~-~~'(~~-9-~---------• of whom I am now a subJect;
I arrived at the port of -------------------------------~~----------------------------------------------·-·• in the
State of ________________ -----------------------------------------------------------~--,.. _, on or about the---=---::=:.. _____ .:::::-_-:-___ -:':, day
of ______________________ ______ _ _______________________ , anno Domini r__f-~-9 __ ; I am not an anarchist; I am not a
polygamist nor a Iiever 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 Goo. ·---~---~L-----------------
< Original signature of declarant)
[SEAL] •
322 ORIGINAL
U. S. DEPARTMENT OF LABOR
NATURALIZATION SERVICE
No. _}__(o~yyV J k ., ~Till or
~~· ~-~·~ ~~ .4 ~ DECLARATION OF INTENTION ""'"
~Invalid for all purposes seven years after tile date 1
·---~-~tJ:JL-~--=-j 55 : In the -------------------------------:;;_; -~Court -~-:__1-~----of r:;)itJAkL -------------------------------~t ·------------------~---~L~.dd:_~-----------------------• aged ·---3---~-----years,
occupation ~1zi--------~-_{2~_'22.. ~-'do declare on oath that my personal
d . . . C 1 -I . -4 -L-, h . ht 0 f t ,. . h escnptwn Is: o or ___________ __ __ ----·-• comp exton ----~----·• e1g _______ ee ____ mc es,
weight ---./--¥.£pounds, color of hair---~~--· color of eyes--~-----=! ______ _
other vi sib I e . dis tin ~e m;,rks __ -:::2.~------------------------------------------------------------------------------------------~nw:e b-o,:J;~:::':'-~~~~ ;--~~~~-;;~;;;;-~;--;-:;rx~;--;-~~:;-~~~id~
at ---------r --~&~~--~;.~~~~ 1 ;·-----------------
~-~~~=,~::~e~o--t~~--~&~f :';_e_rC;?~~::~~~~==-~: ______ :':=_:_-___~z::::::::::;--;;;~-;~~~ .
(lf th" alien arriv ot erwise han ;#e;;el, tne character of eonve or ue.me of tra.n spC\rta.tion company should be given)
foreign residence s ___ ____ ~~~----~<a.......L~~-----------;1 am ______________ married; the name
of my wife is---------p~----:·----------: sh ~ born at ~----_ ' _ /, f;~s n~; r~~~~e~~: -;~"';;~~~ver -:u ~ii;;~--fid-cli!yt;;--;;~y-f~~-;;g-;;
~rinc~~e:_:/::JJ;t~t~,-·_~~-~:~;~t-~:~~:. of ~~~~-ec;;
I :;;~::~;Zpdtf of ___________ ! __ ~~-(7 -~---------------------------------·-;;-;• in the
State of ---------z;r-pj:;·-------------------------------------~---~------------------·• on or about the ---------------------------day
of _____________________ ./Lf-~------------------• an no Domini I __ C[_lL.; I am not an anarchist; I am not a
polygamist nor a bel" ver 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 perm~ently reside therein:
~0 HELP ME Goo. I}Jt, /'u U tJ /J ~ / , .~
------------0 ------(-0rl~~!;;g;,~t;.(;ff.f:J-a!n{-V!--~-------------
[SEAL]
Subscribed and sworn to before me in the office of the Clerk of
said Court this--4-day of ______ $~-----· an no Domini r9 ?-I
\ ----------------_____ $~~
~ 9-fr} of I e ~~ Courl.
By ___ a_ _______ :.L£-~----, -~-Clerk.
U. S. DEPARTMENT OF LABOR
ORIGINAL 3 2 3
/ NATURALIZATION SERVIC E
No. _)b_-yj/)J/ ~ ., ~ 1 I or ~-
.~ff) ~ .. ~
•• ~4
DECLARATION OF INTENTION ~
::~~~~~j::~oses seve;0 :::;;s-::;;~:~::_:E=-~:~1~
~' __________________ 9~---~---------------------·• aged ·---~_.?:::_-____ years,
occupation --------------------~-----------------------·• do decl~re on oath that my personal
d .J. •• CI /)·--L I' ~ h'h 5 t 7 ·h escnpLion ts: o or~-----• camp exton ----c"fi--------::~:-----·• etg t _______ eet ______ me es,
weight __ /_{J._ __ Q ____ pounds, color of hair -------~--------• color of eyes-~------·
other visible . dis~i~~ n:arks ---~-;;=--~~---------------R--------------------------------------------------------------------~nw;:e b-~~~:~~-: __ :::::·:-~~~~--0~;;;;-~;--g~::;·--i--~~;;;;~~;~~
;te~~~~~d~~~;;;;,··~~----;, ___ ,~-Q,~~::::::
on the vesse !_________________ ---------------------------------·------------------------------------------------------------------------; my I as t
. • . (If tho alien arri' ise t~an by vessel, the chara~~ name ·transportation company should be g~ven)
foretgn r~st~ence was ---~--~-r.:. ________________ ; I am ______________ marned; the name
of my wtfe ts __________ __ ~-)7{-7 ___________ : ______ ; she was born at ~~~
and now resides at ____ · _____ ::::££::~-_:;a_ __ ~~------_::i_ --------------------------------------------------
It is my bona fide intention to renounce orever all allegiance and fi~~~~ -~ny foreign
~sta_e. or so:er~i __ :;:,:t~:r~i~~I:rl~-~-o~~~~:;2--r~~~;; ~
I arrived at the port of -----------------------~~-~----------------------------------------------·-, in the
State of ______________________________________________________ Q_ __ ._1_-:-__________________ , on or about the __________ L _______________ day
of -----------------------------fr~--------• an no Domini r -7L1-lL; 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. t£-• 4::7
----~~---------~L~-----------------
[SEAL]
(Origina.l signature ~f declamnt)
Subsoribed and sworn to before ~n the office of the Clerk of
said Court this--'SI}!IY of ------~Oanno Domini 19-:z--1
c:7 ~:;£a··--:~.:~urt BY ----'4#~--, ---~Clerk ..
324 ORIGINAL
U. S. DEPARTMENT OF LABOR
NATURALIZATION SERVICE
No.J_~_£!t_O~; s-t~TII or ~~~ ~·~~'o
-.~ DECLARATION OF INTENTION ~
~Invalid for all pm~poses seven years after the date
¥---"--(1~-~-----------] ss: In the-----------------------~--.----~---------------Court
..... A..: ... ¥_2/~------------------o{)f~_l., ________________________________________ __
~' -----~~---#~----------------------------------------• aged ----~~----years,
occupation ----------~-~~-------------------------------• do declare on oath that my personal
description is: Color ~:._A_ _____ , complexion ------~---• height .6Teet _____ inches,
weight' /--.:f-1------· pounds, c~ ha~-----• color of eyes--~-------~t~~ v~~~ei~i~t~! ___ a_;;~::::-~~~:::'1_~:::::
~~ -tt~:-:: --~ -~~~-~-f-~~~~~~-~-~-~:-~~70=~~~::o-~o_:_~ni--~=~'?:~:_I_:~:r:~i~:
(Oi:ve number, street, city :J-!7wn, and State)
I emigrated to t~e United State~ America from -1~ _ _ .u..~~~--~-------------
on the vessel---::-~~---~-----~-----------------------------------------------------------• my last ~~ien_:_~he~selho.n b vessel, t~haracte r o~cyance ar wo.me ol trausP"rtation company should be given)
foreign residence?~~-~-----~~---~----; I am --------------n;,ried; the name
of my wife i: ------~;'--~-~--------------___ ; she was born at-~~{---------
and now resides at ~~-_ ---------------·----_ _ _ --..:.----------------------------------------------
It is my bona fide intention to renounce forever all allegiance and fidelity to any foreign
pri teD1;jite, state, or sovereignty, an~parti~l~rly~. --~~-~ ~ ~ r ~-__;,;;.--~--7 ~~./.>(_ • =-----~-:~~---.. .:,-~~~-=--------------------__ , of whom I am now a subJe~t;
I arrived at the port of ·-----------/&.~----------------------------------------------------------• in the
State of -----------------------/=w-------------------~!:!__,j!_ __________________ _. on or about the ____________ /___-!~---------day
of ____________________________________ LLf~---• an no Domini r __ a:,Q3, I am not an anarchist; I am not a
polygamist nor a believer in the practice of polygafuy; and it is my intention in good faith
to become a citizen ~ States of America and to p~nentl reside therein:
So HELP ME GOD2:J;.. / /") }j /h~ ----~(L--. __ -------------Lr ///.///A (Ori si atu ecla.rant)
-== SUbscr-ib d sworn to before me in t o Ice of the Clerk of
said Court this ____ d day of _____ f:' __ _ ____ an no Domini r 9 -:2--I
<~~~0.:!x::r~~ C ,? (//~k of)l"-;;/f::.A::~~Courl.
By _____ c_ _: ___ ~ __ /Lf-__ t!k!_ ___ L/_!!::~l:::!:£_, ~~-~Clerk. (J ~---~~--=---~t~·--
[SEAL]
U.S. DEPARTMENT OF LABOR
"2-0RIGINA L 3 •J
NATURALIZATION SERVICE
t c}oj}if
No./c ____ ~ ., t\ Til or ~~· ~-~~~ ~~ DECLARATION OF INTENTION ••
W' Invalid for all purposes seven years after the date ----~----if-2~----------~
55
: In the --~---------_ ___ _____ ~ Court ----~---~---1--J/L~ _____ o 1 _ __ ------~-·----------_______________ _
~ ___________ . ____ ---9-o..,y_ ___ ')j'_<!/-j--j--------------------------------------------------• aged ---~ __ {___ ____ years,
occupation ---------------------------~---~---------• do declare on oath that my yersonal
description is: Color~-------• complexion -----~----·• height .5. feet~---inches,
weight __ [_t_o ______ pounds, color of hair ----~--• color of eyes--~-----------------·
other visible distirt5tive marks ~~----------~----------------------------------------------------------------------------
1 was born irr;;d'~~,---~-------------------------.---:---~--;,-----------------------------~----
:; _th~~------~--~~~-:~ __ :~=~::::~~-~(j __ ";;~::.;;;;Jii_:::~:--I---~:=-r~~~~~
(Give number, street, city or town, and State) -
I emigrated to the United States of America from---~---~-------------------·
on the vessel _______________________ & ___ --~----------------------------------------------------------------; my last
(If tho alien arriv herwise th by ve el, the chaaof conveyance or name oi transportation company should be given)
foreign r~si~ence ~s ~, ______ _ ______ ~ .... -------~--: ~ied; the name
of my wife Is _____ W--e __________ :;;;;..,_7 ______________ ; she was born at. -----------~-------------------------------------
and now resides at ______________ f£_~ __ ..£::1_ -------------------------~,------------------------------
It is my bona fide intention to renounce forever all allegiance and fidelity to any foreign
~eWl_e.~t~,~~'z,O¥_ ~~~~o~--~~~ ·---------~---~--~------------:.__~whom I am now a subject;
I arriv d at the port oi --------~~-~---------------------------------------------------------------··-·• in the
State of _________ 77_-;_,--~---~--.(J-------------------------------------'?J.-:--4----• on or about the ---------.-~_if::_ ________ day
of -------------------'-;:.~----------------• an no Domm1 r --f--o__3_; 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 U it. ed States of Am~rica nd to permanently reside therein :
SO HELP&EJ9Q_~/J?!~ -------~--;jt--~---------_ ---------------------------~ / /(' /r/ o·~t\· s1gnature. arant)
Su ibed and sworn t efore me in the o Ice of the Clerk of
[SEAL] said Court ;his ___ ,i __ day oL.~~· an no Domini 1 9 ">----/ !L~----!:L~~--
£d Clerk of 'fhe -~-~-Court.
By _____ (D_ ___ ~2Jfv__Q;_~----~ --P~clerk.
(j I l._if
326 ORIGINAL
U. S. DEPA RTMENT OF LABOR
NAT U RALIZATION SERVICE
No.-)k:L~:b .. £1~~ .,~,~· or .<t~ ~·~·~ .... ~~
DECLARATION OF INTENTION ~
~~;~~~j:oses seve~n ::~;s~;;:~~:~-~:~=
:!\, ........ 9~.-"Xf.C?.kLd: ..................................... aged .. J/._{,_ ___ years,
occupation ______________ ____ _ __ ____ _ ________________________________________ , do declare on oath that my personal
description is: Color -~------• complexion --~--------• height ~feet _2{_ inches,
weight -/-cf}_Q ____ pounds, color of hair-----~ color of eyes------~---
other visible distinctive marks -----~----------------------------_ ----------------------------------------------------
1 was born i"c;············---cr~;'-·a···:···········-~---. ~--·········t~:·······-·-··········:····
on the # .. .1. .......... , ...... day of ........ [~---·······• a@: ~m 1 rli'j"'f.; l now reside ;:~-i~~~;:~-~~~ ;: :·· .,,~~~:.£.~~:==:::::::
~ ~~~~
of my wife is __ _{lf.;y_~---··············--; she was bo'fn ~~ --~-'-~. ~~~s n~; r~~~~e~~~ ·;~~~ti'::~:;;;;?e';~~~;;;~~~~---fid;j;(y·;-~--~;;y--f~;~tg~
prince, potentate, state, or sovereignty, and particularly to~~~;-~--7-~\
~~~--1-~~~_:~f w110m Ia:rrf'now a SUDJect; ,
I arrived at the port of -----------------------~-1---~----------------------------------------------------------• in the ·
State of ----;:_-----v-------------------------------2l.: __ y_! ___________________________ , on or about the ------==--=--::--=---=------day
of -----------~__.£_il_ ______________________ , an no Domini I 7-L-~--; I am not an anarchist; I am not a
polygamist nor I believer in the practice of polyi}Gmy; 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 Goo. _____ :z_~----~--------------
[SEAL]
(Orlginat signature of declarant)
Subscribed an d sworn to before me in the office of the Clerk of
said Court this ... -f.dayof ---~7-;;..--· anno Domini 19::U/
~7-···0, .. !d!~~---··
Clerk of lfze ~~~--Court.
sy ...... a~_]i7_.,_L_ ___ , -~ cterk.
U.S. DEPARTMENT OF LABOR
ORIGIN AL 3 21
J NATURALIZATION SERVICE t
No t£ .. /"2tf ~~ ., A. Til or tt4J
~~~ ~.~ ~ DECLARATION OF INTENTION ~.
~Invalid for all purposes seven years ter the date hereof
-if1z -ff-.~'--] ss: In the ----------------------------------~Court
-----------·(55;;· __ f!jJ_f!AVJy ___ of __ fY,__~-~--------------------_____ -
· --~~-7/f~-~_(l_e_/ii __ ~-----R_ __ , aged _______ 2-::_~--years.
occupation -------~------------------------------------------------• do declare on oath that my personal
description is: <;olor --~-• _co;;Je~~-·---• heigh7:t ~es,
weight ___ j£ _____ pounds, color of hair ------~-------------------------• color of eyes--------------------------------------·
other visible Istincti ve ma ~----~-----------------------------------------------
I was born in __________________________________________________________________________________________________________________________________________ _
~; _the~::-________________ da~tJ;~~-=:-a7: ~:-~-~:i_:~~~-==-~ ___ :::_r~si~e
(Give number, street, city o o , and State) 0 __,-
I emigrated to the Unite States of America from__ ___ __ _ ___ --~-------------·
on the vesse ~--------------------~---------------------------------------------------------------------------; my I as t
• • (If the alien a.r · other ise than by vessel,, the cha~nve ance or name ox transportation company should be g~ven)
foreign residence was_ _ ___________ ---1------------_ -----~--~----: I a~ __ marned; the name
of my wife is ----------------------------------------------------; she was born at ------------------------------------------------------
and now resides at --------------------------------------------------------------------------------------------------------------------------
It is my bona fide intention to renounce forever all allegiance and fidelity to any foreign
· P · t rt·-I 1 t ~ J/ 6--7 ' ~e~~t~ei n y, an pa L.U ar~~-~ -----~~· -~-----~-~---~
v~;d~~-i~~~ ---__ ,____ ------_:f~~""'';' of whom a now a SUDJe t;
I arrived at the/Port oi --~-'f(--H=h_"7f-7Zi _____________________________ ._, in the
State of -s--________ ----------------------------------------------------------_________ , on or about the ______ --~--------day
of _____________ _ --~ _ _ _______________________ , an no Domini __ --~-; I am not an anarchist; I am not a
polygam nor a eliever in the practice of polyg my; 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 Goo. L~-------~~.c£c-------------(Originalsignature of declarant)
[SEAL]
32 8 O R IGINA L
U. S. DEPARTMENT OF LABOR
:::~it~~:;,:~~~::~):oses seve: :::~s~:;:;;_---~~~::_~~:
~' __________________ ~ ~//~' ~-:~-------------------------------------------·• aged ______ ?}_X_ ___ years, occupation-----------~~:~ _ ____ __ _ _ _____________________ , do declare on oath that my personal
description is: Color ~----• compl?i"ion -~--· height~ feet,i'Q inches,
weight_--~£~~--p~unds, color of hair --~col r of eyes-----~------------·
-~t~:s v~s~~~e i ~ !~~~~~~~~~~~~------~-------~~~--~--~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~~
=~ :~~:~~
~~ ~~:r~::~e ~~--~~::d} ~:_s ~ f _ er~ca fro~~----~--~----~-~-~-----~---------~--~---~~~~---------~~~~~
(U th~ ;;:;-:;,-~"ii!Jr t h an by V}\8801, t harac of r:eyo.noo or came of transp<'rtation company should be given)
foreign residence was---------~!'---______ .... .LLL.d~~ I ~1 --------:·---married; the name
of my wife is .. £~~---7;·-----------: she was born at ---~----~----
and now resides aJY!.~ ___ ~:1:::Y-L J ____________________________________________________ -------------------
It is my bona fide intention to renoun forever all allegiance and fidelity to any foreign
prince, pote~tate, state, or sovereignty, and particularly to~~M-J(--!!::l':.·~--~~...-....:;41 ,
~-~-t~~~~of whom I am !{ow a sullject;
I arrived at the port of ----------------------~c!'f.L:::x -~-----------------------------------------------------------·• in the
State of _________________________________________________ 27__J-------------------------• on or about the--------/-£_ ______ day
~~iyg~~-i-~-t--~~~----·;lie~~~--j~--t·h~·-;r~~~~e~~~~~~~l~; -~n~ ~~ i~o~~n i~~:~~i~\~ ~~: ~~~~
to become a c izen of the United States of America and to permanently reside therein:
$0 HELP ME GOD. ·---------------------_ --------------------~
(0 gina! signature of declarant)
[SEAL]
U.S. DEPARTMENT OF LABOR
ORIGINAL 3 2 9
or
~~~
~ DECLARATION OF INTENTION
~Invalid for all purposes seven years after the date hereof
--~-~---~----------~ ss: · In the _____ _ _____________________ 0 _____ Court
---~-'-~--~---____ _ ·---------------of ____ :JlLWl~-----------------------------
~~ ______________ tz{J'~~-f!dJ ____ &,.,L_J~---------------------------·• aged _____ __ -~----years,
occupation -----~----------------------------------------------• do declare on oath that my personal
description is: Color ~----• complexion ___ d._~--------·• height .~feet~-inches,
weight 1 --~-~ pounds, color of hair ---~----------• color of eye~-----·
other visible distinct~~~----!!::'Y---~--------------------------------
~nw;~e ~-~~: __ ~ir~~~~~~~~-~~;--~i--~~~~~~-~-------_-~-~~~~~~~~~---~~~~~~~~~-~-~~~-~--;~~~-~;--~-~xiz---~--~~-;;-~-~~~~-~
at --~g_::k_~---_____________ ?i{_~!J--~---~-;_(?_~--------------------·-1 (Give number, street, city or t~~ ~t~ • _... ~ ~ .L_.,
I emigrated to the Uni:ed States of Am eric~ from -------:-:--~~-~--~-~~~---{1-------------------------------
on the v essel __ ~ _ ___ _ ----~~-~---~-----------------------; my last
(If the alien arriye ot rwise than by vessel, the character of conveyance or nama oi transportation company should be given)
foreign r~si ~ence was______ _ · _____ ---~~-------------: I am ---~----------married; the name
of my wife Is ------------~----.-------------: she was born at~----~------
an d now resides at _______ : _________ ~~---~:_b { ___________________________________________________________ _
It is my bona fide intention to renounce forever all al egiance and fidelity to any foreign
~~~~~~~
State of ____ ;7');?/J------------------------------------------~~-:_:~-------------------• on or about the _____ .2._ __ 4 ___________ day
f //'~ D ' . . o ..J I h' I o ______________________________ : __________________________ , an no omm1 L _________ ; am not an anarc 1st; am not a
polygamist nor a believer in the practice of polyg my: 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. --------~~f:/~_1!_4_~--------------------
(origina tsignature of declamnt)
[SEAL]
330 ORIGINAL
U. S. DEPARTMENT OF LABOR
NATURALIZATION SERVICE
No./-l?:_/) ___ 0 o-/4 ., .. Til or
f\~· ~ ~ DECLARATION OF INTENTION
-~-;~u~~~~j:oses seve:n :::~:;:e:--~~-~--~~t:~~ court
____ (}__d_ __ , __ !J L/tff-'L ~L ______ _-of 1~----------------------
~, -----------=~~------q~--------------------------------------·• aged _____ g ___ Q ___ years,
occupation ____________ __(!.~-~~------------------------------• do declare on oath that my personal
description is: Color~--------• com~------------• height '!'I__ feet !__ ___ inches,
weight ___ L_t:._S_ ________ pounds, color of hair --------------------------------• color of eyes-----~------------·
Dther visible distinsJ:ive marks ~-------------------------------------------------------------------------------------------
1 was born in ~~-~~~-?---------------------------------------------------------------------
=~ ~~~::~~
~~7~:r~::~e~o--~~s.d.J~~i:_f_r::_::::~~:::~>;::~::·:::-~--:~~~
• • (lf fhf'l alien arr)~rwU:e than by vessel, tne cha.rac.ter of convey ce or uame of tl'&DSp<'rtation company should be g~ven)
foreign residence was ----:r--~L:::=-~=-________ ; I am _____________ marned; the name
of my wife is-------------~"?; _____ ; she was bo ~t -~---------------
and no\v res1des at ------------------------------_ _ _ ___________ -----~-------------------------------------------------
It is my bona fide intention to renounce forever allegiance and fidelity to any foreign
~~~~~~~~:~~~~;
State of _________ C}(_ _________________________________ :~)J.!_~-------------------------• on or about the -------~-------------day
of _________________________ U-_ __________________________ , an no Domini r -1-Q!f_; 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 Goo. '•' ~ ----~~t_-~~-Q_~~------~rig;;; .. J B~ature of declarant)
[SEAL]
,.
U.S. DEPARTMENT OF LABOR
ORIGINAL 3 31
j NATURALIZATJON SERVlCE
16 3 J orr/4
No ---------:--------., ~ ,~. or
~~· ~ ~ DECLARATION OF INTENTION
~~~-:j:oses seve;n ::::_-:~;;;;_:zd~~~:
~' ---------------~~------~~---------------------------------·• aged ·---~7------years,
occupation -------·------------------~-----------------------------·• do declare on oath that my personal
description is: Color~------• complexion -~---·• height~=--feet-f--inches,
weight ___ /s_{a ____ pounds, color of hair ------~color of eyes---~----------------·
other visible distinctive marks ---~---ted_~--------------------------------------------------
I was born in Q~_, __ .i/:Jd_~--------------------------------------------------------------------------
on the ____________ K_ ___________ day of ·-----------~~-: _________________ , an no Domini i _2"&/-.: I now reside
at ___ 21-.~-_____ _ _ __ _ --~-----------..1----G~f!ilf:_~Jt:.._J ____________ ~--------------------------------------------------
caivenumber,street,city~ ~.f
I emigrated to the United ~es of America from --------------------------------~------------------=-c ___ c __ 0 _____________ _
on t~e ves~el ____ <ilib.~~~t;~-.. -;;~;-.;;:~~-.;;,-.;:;;1~-;;;,-.-~~-~;;,:;·--t~~;~;~ti~~-~~;;:;j;~~y-;i;~~;-ib;·g:·;;,;)·-·; my last
foreign r~si~ence wa; 7 ----~--~~--------: I am ______________ marned; the name
of my wife Is ___ _d~-------------------: she was ~o~t -~-~------------------------
and now resides at _______ L ___ ~-c..-~~:!&:::rl~L~-~--r;;;;p_f!t./-:J:_"--?E--J __ • ___________ _
It is my bona fide intention to renounce forever all allegiance and fidelity to any foreign
e·~a~s~ig~t~~-~-~J--ad-9-~-~-
·------------~--=-~..,-~aA:J--:~-------------· of whom I am now a suoJect,
I arrived at the port of -----------------~----------------------------------------------------------·-·• in the
State of --;:;::::_""]r-------------------------------------~3_ on or about the _________ :?: ___ ?::: _________ day
of ------------~~---------------------·• an no Domm1 r J-------·: I am not an anarchist ; I am not a
polygamist nor {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. ..7~--~------------
(0riginal signature of declarant)
[SEAL]
ORIGINAL
U. S. DEPARTMENT OF LABOR
NATURALIZ ATI O N SERVICE
No .. L~~lPJ tf e1 ~Till or ft~· ~-~.· ~~ ~lo
-0) DECLARATI O N OF INTENTION "4
[SEAL]
U.S. D EPARTMENT OF LABOR
ORIG I NA L 3 3 3
::::~;a~~~::~l:oses seve;n ::~:_;;;~:_:-~-~:~'-t
~ ---------------~--~-------------------------------------• aged ___ _,a_~------years,
occupation --------~_-71 __________________________________________ , do declare on oath that my personal description i~ Color ~----• complexion -~-------·• height ~eeV,£ __ inches,
weight ___ L ______ ~ pounds, color of hair ~---• color of eyes~-------------·
h . "bl d " . t• k ~ --../ oi---Q-1~<-A:_~~::.>'---ot er vtst e 1st~~~ ,marKs;·---------____________________ -----------------------------------------------------------------------
I was born in ~-~ __ __ _ ___ · ___ -----------------------------------------------------------------------
on the ________ _ -~---------day of ·-------__ _ _ __ --------------------·• an no Domini L~~-(S-I now reside
at _ ___ __ _____ --:3-----__ _ . _ --· _ -------------------~a_.,=-------------------------------------caivenumber,street,ci~ndstate) ~
~~~~:r~:::e~~--~:~~z==-~~~~------~~~~-~--~-----------~~---~----------~~;--~;-i~~~-~ • (If the alien arrh~ e~is e than by veS&~character o f conve.rance or name or transportation company s hou ld be g~ven)
foretgn res tden~e was ~-,_<0.~---------; I am --------------n:arrted; the name
~::~o:i:::~d~~-~~--::·:::·-==::·---=~:-··:::::·----::::·~-s~_:_::~~:=:::::==::===:::
It is my bona fide intention to renounce forever all allegiance and fidelity to any foreign prince, potentate, state, or sovereignty, and particularly to~~~~
~~~~-;/?~--~ om I am now a su_bJect;
I arrived at the port ot -----------------~--'¥1-~---------------------------------------------------------··-• m the
State of ---------------------------------------------------~--------]1--·--------------• on or about the ______ 2,. __ {,_ ___________ day
of -----------------------------P~------------• an no Dommi I !J-o...h..; 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.
Subsuribed and sworn to before me in the office of the Clerk of
[SEAL]
said Court this .. L O.day of ____ :7-~-------· anno Domini 19 ~/
b -,~~~ourt ( r o z:ru~ 1,.-w By ______ 0 ___ ~2 ____ ./Lu.l ... ..L/-!&a-.. ¥------, --~--Clerk.
r1 (I !~
334 ORIGINAL
U.S. DEPARTMENT OF LABOR J h ~ Jl tJ rr/4 """"''""0
" ""'"
No.. . ............. !. ., ~ 118 or ~~~· ~"t'•'o .~ DECLARATION OF INTENTION rtf
·--~~4~!::~ .. ~~:~oses seve;n :::r~-~:;~;_~:::.~:~:
JZL.f._f}7 rz;'.J......... o.t .::Ji ... ~ .... J,!Sj'~~~---········• aged ... ..:{.~---···years,
occupation----------~_!~-----------------------------------do declare on oath that my personal
description is: Color ~----• complexion________ __ -_______ , height ·--~t -~inChes,
weight ff!£2---------pounds, color of hair_ ___ ___ _ ________ , color of eyes-~~----
other visible. d~tincpe c9arks ~------------------------------------------------------------------------------------
1 w:s born)/ \.;d(l .•. Clf~r;Ft . .. .... 2d:rLi£.L ............ :···:··············:·········:-···~··; .. ~
on ~he ,-7 ·-----~------_______ d f ___ _ ~=--~--• fnpo Dommi I ___ 'ff-~1-' I nuw r s d
at ___ J~p_£___ _ -_ _ __ f'_ --~----~~iLL ----------~~--~---c')7;;.;~-~-----------------<Givenumber,stcoot,c!~~ ~~-~~7~!r~:::e ~o-t~: u_::,;~~~r~:.: ... : .. :::: .... :.:::.:::::. ::::::: .. : ... ":.~::.:~.:=::::: .. ::;··;;;~·j;;;;;
foreign residen~~·~~:zr~;.:ngz~;"i'';;;,""~::;L:;~;".~;J~d: the name
of my wife is ----------------------------------------------------; she was bo r ~ -------------------------------------------------------
and no\V resides at -----------------------------------------------------------------------------------------------------------------------------
It is my bona fide intention. to renounce forever all alle~e Jnd fidelity to any foreign
, ~~~~~:~;:n.ty: .. :~ .. I>"rti:~·~~ t~~~e~;·; ~ ;·;;;;~-~~e pd;~~ ............ --~P--············-····-···-····· ......... in the
State of ____ -;/l7;;! ______________ ---------------------~-----!.:~-------------~ ~n or about the ---------_-----_--------------day
of --------------~--..L£j&.L ___ ~.1 __________________ , anno Do rt1t"ni I !1/ _, I am not an anarchist , I am not a
polygamist nor a believer in the practice of polyg{my; and it is my intention in good faith
to become a citizen of the United States of ~me. rica nd to perma;gentl reside therein:
So HELP ME Goo. L/ _-/-
·---~~atur~-~
Subscribed and swo n to before me in the office of the Clerk of
[SEAL] said Court ~==-=~~7-1
a
:!.¢P/i/ No J_b__________________ I!
~~·
U.S. DEPARTMENT OF LABOR
NATURALIZATION SERVIC E
~~ ~ DEC LARATION OF INTENTION
[SEAL]
ORIGINAL 3 3 5
i: 336
No. ___ j_f2_~ ___ (J t/ J/
~~·
U. S. DEPARTMENT OF LABOR
NATURALIZATION SERVICE
~~ ~ DECLARATION OF INTENTION
ORIGINAL
U.S. DEPARTMENT OF LABOR
ORIGINAL 3 3 7
NATURALIZATION SERVICE
~~· ~"' ~ DECLARATION OF INTENTION
___ 511:1~~~~~-;~:oses seve;n :~~-aft_e~--~-~--~: _____ :::r_ Court
-~'---4--~d:&i:i.!.: ___ k of ___ :2/~o--~--(4 __ _
ill, ------------~--------------~-------~----------------------------------------• aged __ y-1---------years,
occupation ---------------------------------_~2-~-------• do declare on oath that my personal
d -t' . C I ~ I . -1 -· (}_ h . . ht c-f t . h escnp IOn ts: o or ___________________________ , comp exwn ------~---·• etg _:,l __ ee ______ me es,
weight -------/-.:30 __ pounds, color of hair-------~ color of eyes---~------------·
other visible distin ive marks _ ~---------------------------------------------------------------------------------------
1 was born in __ _____ ____ _ _________ -·---~------------------------------------------------------------------------
on the ---------¥--------------· day of ·---------~: _______________ , an no Domini I __ 3:._2 ____ .' I now reside
at -~-------~-~~-+~-~.~---------------(Give number, street, city ~wn, and State) 7-~-~~
I emigrated to the United States of America from __ (_~~---=--_ _ ____ _ _ ------·
on the vessel _____ ~---------------------------------------------------------------------------------·;
. . (It the alien arrivod otherwise tha.flY ves,l, the cha~~er of conv~ce o:: name oi transportation company should be g~ven)
foretgn residence ~as _______ --~-----~----: I am ______________ marned; the name
-• I ,
of my wife is----=---~----------: she was born at ----~--------------------------
:;~5 n~~ r~~~~e~~~ -i~i~~~f~~~~~;~~Q~-£'!6reig~
pri.nce, potent~te, sta~o~~.2~:;m~ly~o~::~f~-~-----~~-----~---------------------------~----------:-of whom I am now ~subJect;
I arrived at the poM: of -------------------~------~-!/---~---·-----------------------------------------------• in the
~~~;;;;;:~;::~~;:;~::·;~~:;-:!~~~~;~~~~~~:~:1 ;~~;:~~~:;~:~i~~~~~;~~
to become a citizen of the United States of America and to permanently reside therein:
So HELP ME GOD.
Subsc;ribed and sworn to before me in the office of the Clerk of
[SEAL] said Cou~:~0~:i_I9Y/
~) rj ~ler~of the ---__ ~-------------------Court.
By ___ (-a-____ r;;;/ .. ____ //k.L-~--~ k~----Clerk. 0 (/ tf:---~~
338 O RIGINAL
U. S. DEPARTMENT OF LABOR
NATURALIZATION SERVICE J
No.Jk .. 2.~QtrPt1 ., .. Till or~·
~~· ··~·~ ~~ ~4 G DECLARATION OF INTENTION ~
W" Invalid · all purposes seven years after the dat ereof -~····· .1~-'·····] ss: In the ---·············'··············· . ··~·-~rt _{ld.L..!f5. . ..ad.T~-····-·· of _CJJ.~····-·········-·-····
:!, ...... ~ .. &~L-·---·-············ ............ aged ..... 61:!,;····· years,
occupation -------~-£--~------------------------------• do declare on oath that y personal
description is :J'olor -~--------• complexion ----~----------• height --~--feet L'! __ inches,
weight ____ (_f _________ pounds, color of hair ------~--------• color of eyes ----~---r---------
other visible distinctive marks ~------------------------------------------------------------------------------------------
1 was born in -~~--~-~,--/3~--------------------------------------------
on the _____________ _L.6_ ______ -{;; of -----------~~~------• anno Domini I.a:.7-/: I now reside
at ------------------~-r--~~-~-Cf_~~~~~-z.:-tl~;,;d-st;t;)----------------------------------~---------------------
1 emigrated to ~~U~ited States of America from ____ ~-7 ~---------
on the vessel ... ~ . .J~-~~--~~--~---k~-------------: my last
• • (lf thf'J a.lien arr~therwise tj~n by ve~ssel, tne c~:;::~y:noe or name ~f transp0rtatton company should be g~ven)
foreign residence was -if-~~--~=~~T_~r~am -~-marned; the name
of my wife is ____________________________________________________ ; she was born at ---------------------------------------------------------
and now resides at --------------------------------------------·-----------------------------------------------------------------------------
It is my bona ftde intention to renounce forever all allegiance and fidelity to any foreign
prince, potentate, state, or sovereignty, and particularly to ~~--~------~--------
---~-----/fi __ -c---e--::«~----------------------------------------------------• of whom I am now a subject ;
l arrived at the port of ·········~--~·--···-·············-···-······················?.·~::..·······• in the
~r;;~~~~~~;~r~~~::;:t~~~:~~~~~:!!~~:;:1 ;~~~~~~:~~:~~~~~i~-Ii~·~;~~
to become a citizen of the United States of America and to permanently reside therein:
So HELP ME Goo. _.oJJ2/~ ___ /})_~------------
<onginal signature of declara.nt)
Subscribed and sworn to before me in the office of the Clerk of
[SEAL]
said Court this _J-r{_day oL ______ ~___LL ______ , anno Domini 19 7-----I
JdL.~d-A1r. ____ fZ_2;_1L_~---
(7j ~ ~ ;r Clerk oft ___ _:~;4J!~Court.
By _{Q ... .0j[_~)k/)iadd--f---------, __ d]Jf-;r-_.y_~u Clerk.
j (/ irj
U.S. DEPARTMENT OF LABOR
ORIGINAL3 3 9
v NATURALIZATION SERVICE
No.__/bd';ld~~ .,~,~~ or ~41
~~~ ~.~ ~ DECLARATION OF INTENTION ~.
~' ---------------------~-----df~-------------------------------------·• aged ___ :;a __ /--------years,
occupation ----------~--~-----------------------------------• do declare on oath that my personal
description is: Color~--------• complexion ----~------·• height ... 5. feet .£inches.
weight ~j_ __ £__lJ-____ pounds, color of hair -------~--• color of eyes----~------------·
other vi sib I e c/isti n cti ve marks --~--------------------------------------------------------------------------------------
1 was born in -----~~-~~--~--~---··-··-····-··_---_-·····--·-··-;:.·-··-·-···-····-··--:----
on the ---------¥----------------day of _a ___________ &~~------------·• an no Dommt 1 _<:fd:" _____ , I now reside
at ------~~-C/~ __ :__{B~---(J...d __________________________ ~--------------------------
coive number, street, city Ol' town, and State) Y-~ ~~7~=r~::~e~o--t~:--~~~~~~~-~r~:_::::::=~~::_-__ -_-:_-_~~;-i~~;
. . (If the alien arriv~iae than by vessel, t~e character of conveyance or. name or' transportation company should be g~ven)
foreign r~st~ence was ____ £_~~--/-~-----; I am -~----marned; the name
of my wtfe Is ----------------------------------------------------; she was born at ---------------------------------------------------------
and now resides at ---------------------------------------------------------------------------------------------------------------------------
It is my bona fide intention to renounce forever all allegiance and fidelity to any foreign
prince, potentate, st te, or so ereig~~ an~~arjy to~-:~~A::I.-~J -~ ---~JY.--=--_ _ _ .L-4~--:~-:-:-~..L~lzz;::;:r, o~ now a suBject;
I arrived at the port ot ------~-----------------------------------------------------------------------------------··-·• in the
State of -----------~5--------------~: ______________________________________ , on or about the _______ y __ ~----day
of ------------------------_ _ _ _ __ : ________________ , an no Domini I -f-LLJ--; I am not an anarchist; I am not a
polygamist nor a be · ver 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. -----~~-----.8£.~22£/------------------------(0riginalsignature of declarant)
[SEAL]
340 ORIGINAL
U. S. DEPARTMENT OF LABOR
NATURALIZATION SERVICE
No .. ! .. G'_tJ.oD.o-f 1 .,~,~~or~-~-~'fp• ~ft~o
.. ~ ~4
DECLARATION OF INTENTION "'W
for all purposes seven years after the da ereof
~----------." __ &~<------------]
55
: In the ____ ------------------~---1~-~ Court ~_G_: __ _. ---~-~-------of. -----~------~-----------------------------------
:!!, _____ _ <>fL_-vf}~ __ ;L_,'f_g!!<'_L__ ________________________________ , aged ______ .!;f_2:?_ __ years,
occupati ---------~-----------------------------------------------• do declare on oath that my personal
descriptij 6: Color -~--------• _complexion ---~------·• height LL"feetL!Q. inches,
wetght .--~---------~~ p~unds, color of hair ----~--------·• color of eyes -----?7---------------·
other visible d Ist~Ive marks~--, _____ '!_ _____ ~---------------------------------------------·---------~nw:e b~~n~-~::-day ~f --(f:j;£;;-~--=~~ ann~i~;--~--~~~-;~~~d~
at ---7~-d:---~;::7>~; .• ;;;.;;;;:.~~~--{k ·--·····-----·
~;~~:r~::~e~o-t~e -~i e~--~~s ~=-~-f~:: __ :':::_: ___ ~ ___ :_: _______ ::~ ___ :_:::~:: __ :~st
(lf th~ alien rd t rwise lha by VeBBel, tn character O( ~ VT.OO or name Of traUBp<'rtation compa~ouJd be given)
foreign residence wa ___ _ __ _ _ _ _ ___ ~-~--L.,...; I am ~---married; the name
of my wife is ----------------------------------------------------; she was bor at ---------------------------------------------------------
and no\v resides at ----------------------------------------------------------------------------------------------------------------------------
It is my bona fide intention to renounce forever all al!~ce and fi~ to any foreign
~ri~:tL~~~:;y~~:-~---~~-~tj~~;-;
l arrived at the port of ··-------~-1;j-~--------------·---------------------------------·-·----------• in the
State of ----=.------j7~------------------------------------------~-----1;/---------·• on or about the ___________ / ______________ day
of -----------C--4....£.._ --------·----------------• an no Domini r ?i_~_C; I am not an anarchist; I am not a
polygamist nor eliever in the practice of polygariy; and it is my intention in good faith
to become a citizen of the United States of America and to permanently reside therein:
$0 HELP ME GOD. __ 4 p7 f9-J
Subscribed and sworn t:·?e;:~·-::~~~~-:~
said Court this . .L.b .. day of ______ r;:}~_._ ____ , anno Domini 19 7-1
~~-~~~171L~-----------
Clerk oft~~__ ___ _ _ __ _ __ ____ --~--Court.
[SEAL]
By ------· _ ·----------------------------------------------------__ , --------------------------------Clerk.
U . S. DEPA RTM ENT OF L ABOR
ORlGI NAL3 41
ur Invalid for all purposes seven years~ hereof
--~tdQf!J., _______ l In the __ e. ______________________ ~~---Court
---~--~---9 -----#J!k_6 .A .AL-___ ss : of _:Jj_~! ____ &!_: _________________________ _
~' -----------~--~.Lb.. .1-~~---------~--~-----------·• aged ·----¥-_7 ____ years,
occupat ion -------~~------------------------------·• do declare on oath that my personal
description is: Color ~----• complexion ·------~--· height .. b . feet ______ inches,
weight ____ L_J:' __ ~pounds, color of hair --------~color of eyes ___ ~----·
oth e r vi sib I e d i st~~ti ve marks 71~-------~---------.J[_·------------------------------------------------------
I was born in,:.j~~---~:M ------------------.---:-----J -g -------------------------~----
:; -~~~---:::~~~-~--~:;;(!_-. da Y __ of _ ·-~~~-~;_~!j_~i_~---~&;;;;;_~~~;:;::gm ~n: ~~~~:~~~~~~~~---~---~:: .. ~~:~~:
(Uive number, street, cit or wn, and Stat e) ~
I emigrated to the United States of America from ____ __ _ _ ____ __ __ _ __ tp_ --~!-g-. ________ _
on the ve sseL.¥~--..... ~ ~----~--r2'.d.._$_/j__ --~-~--_ __ _______ ___ _ . my last
(If the alien arrh ed ot erwise than by v essel, the character of conveyance or name oi ~;~ortation mpany should be gi've n)
foreign residence was_ _ · _ J--~LL.. ________ ; I am ______________ married; the name
of my wife is----------~-'-_______________________ ; she was born at -~ff!t"""1 ___ _
and now resides at ----~---~-________________ --------------------------------------------------------------------
It is my bona fide intention to renounce f rever all al~e~~ce ~~d fidelity to ::j. reign
~ri~~~a-t~~--~;'c-~I~ri~-t-:=;;rw;:~~;~ ~-~ubi~~; •
I arrived at the port or ------·--~r;:;;·:+---~-~~--------------------,-------------, in the
State of ~----------------------------------------~~c--:7/-o ___________________ , on or about the ______ _.~~:/ _______ _._____ day
of -----------_--./f-~---------·• anno rromini r.-fJ-_Q __ ; 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 Goo. ~--'i~-fZnl _____ _
(Original signature of declarant)
[SEAL]
By ___ G~--
342 ORIGINAL
U. S. DEPARTMENT OF LABOR
NATURALIZATION SERVICE
No ... LCtfYOtftf .. ~fEI~ tf!»jJIJ s1~~~@1 •fi' ~·
. ~~· ··~·~ ~~ ~4
DECLARATION OF INTENTION ""1/
13r Inva(-:},r all purposes seven years after the date cjreof ·-T--~~::,g,~----·-] 55 : In the-~~-Court ----~·::~~~·':::/B.. ... ~~-----:f .... :?:..· .. ::::::·~~:~·:.~:--;~::·~:~~:
occupation --------------~--------------------------------------------do declare on oath that my personal
d · . . C 1 ; ·_f_. I . -h . ht Sf t /. h escnpt10n Is: o or -~---• comp exton_____ -------------------·• e1g ·-----· ee ___ ..f=tnc es,
weight ____ f/-_(J_ _______ pounds, color of hair__________________________ color of eyes~------·
other visib{e distipjtive ma:k~~---------------------------------------------------------------------------------------
1 was born i~-~t;;--~~-............................................................... . ~~ ·-t~e_o:f,.L~~----~~~=~::: .. ~;:o __ ~_o:~:i-~~~: ... ~ ... :~=~e~i~~
(Give number Tr;t, ctty oc town, and Stat~) ~ ~~7~:r~::~e~o--~~-~=e~i~~-~:::::~:':::. _:~ ... :::]:::.:.~_:::::::=·;--~·;;~~;
(lf th11 alien arri~ed oth ise than by vessel, tne cha.racter;<\f conveyance or name of tra.nsp0rtation company should be giyen)
f . •ct / • I l-;/;:r e.<.../ I . d th ore1gn rest ence was--? -~-----------------------: am ______________ marne ; e name
of my wife is _____ '!]';_ __ ~L _____ L _________________________ ; she was born at-~~--(]!~
f~~s n:;:~ r~~~~e~~~ ·;~~'t:e~:/:~e~-:-;;Ii~g;~-;;~~-;-;;d--f~de'ii!Y(o .. ;;;y--f~~~;g;;
~~~:r;;:t~:_a n·~-~:~ic-~~:~~-t:~~-
1 arnved at the fbrt of ·--------------~-_1~-j/o=,:l~-------------------------------------------------------------·• m the
State of -------~-----; .............. "'2,z .. ~ ................................... , on or about the ..... L 0? .............. day
of ____________ .(Lll_cU __ . _______________________ , anno Domini r -~-~-___ ; 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 Goo.
[SEAL]
U.S. DEPARTMENT OF LABOR
ORIGINAL~ 4 3
~~ ------------------------~_/~------~---ff-_d ___________________________ , aged ·------~-::?:!..-~ years ,
occupation ------------------~-------0'~-::!:::::.~---------------• do declare on oath that my personal
description iy Color----L2~--------• co mplexion _____ -----------~----------• height £feet %_ ___ inches.
weight __ j_-4:J __ Q ___ pounds, color of hair _____________________ ~------• color of eyes-~---------·
oth e r visible distinctive marks -~~---------~--------------------------------------------------------
I was born in ___ df±:~-+----~----------------------------------------------------
on t he ________ kfJ-----,-'fJ-Y of--~--------~-(; anno Domini L ILJ-5": I now reside
at ______ _:2/~--~~;,;;;~o;;-.;~!,~~---------------------------
~~~~!r~::~e~~--~~~--~-~-~~~~ ~---~:: __ ~-~-~=-~~~c~--~-~:=-~~~~~~~~-~~~~~~~~~~~------------------~-----------------~~~~~ ~ . (If the alien arri otherw· ethan v e~se1, the characte~ conveya.n~~me oi transportation company should be g~v en)
foreign residence we7 _ __ ___ ___ _ ___ ----1--~; I am ______________ marned; the name
of my wife is ---.529--~-----: s~as born at--~----------------------
and now resides at --~~---~"fCJ.._c ___________________________________________________________________ _
It is my bona fide intention to renounce forever all allegiance and fidelity to any foreign
prince, potentate, stat~er::i.gyj;;z ~nd P~Q};:_ul~~n.-£.-Jc;_: ~---~-~--~f whom I fm ftw a su.OJ ct,
I arnved at the port ot ---------------~-~~-~-------------------------------------------------------• m the
~~~;::::~~~:~~~5;-~----;~~:;~~~~~1:%~:~ ~i~~;~~~~~;~==~--~~:-~~i~~
to become a citizen oif~he United States of America and to permanently reside therein:
So HELP ME Goo. ( ~ _,d) /~
SubsGribed and sworn to before m;;;;:::;;:•> the Clerk of
said cour~th: ::'--_:::::a~of ~~-:Q:;;;;:I/ :< /
_,@ _;-/ ~lerk of the ---~~ourt.
By ____ /i().r:::/, ____ ~7--' &_~:___ Clerk.
[SEAL]
'344 O RI GINAL
U.S. DEPARTMENT OF LABOR
NATURALIZATION SERVICE
No .. JG~4.40 ~! ., ~ 118 or 4~~ ~·t'·~ ... -4
DECLARATION OF INTENTION "'!
~Invalid for all purposes seven years after the dat,.-. ~--.::
~~:t:f!l:.~:::::::::~:::l ss:. (. In the~;---~~-;;;:J,:~~,-~=-~:~:
:ll, ----------------~, . .. ~---~~---····-········-········• aged ....... 2:-..2:::. years,
occupation -------------~----_ _ ______________ ---------------------------------·• do declare on oath that my personal
description is: Color ~---• complexion -------~-----·• height--..6. ... feet~--inches,
weight ------1--~--~---pounds, color of hair ----~-• color of eyes---~---------·
other visible. distinc{'l, mar s -----~------------;*--j;-~--~--------------------------------------------------------
1 was born In --------~---------------_ -------------------· 1 --~-~---------------------------------------------------------~~ ~~-:::.~~~:}L~"£=··-:··:~: __ a_:~. ~~-mif:tt~~;---'---~~=-r~~i~~
(Oivenumber,street,ei.ty~,andState) L9 ;t;.,_ .f..t
1 I emigrated to the ~ted S~a~es of America from --------~~-A'L-r-~-~~-=-~~--------------------------·
on the vesse l ____ ciiit~u~-~"d~~~~;;1~-t-;;;&i>ri;;;~~,;~-.;~~-~;;;-.;(t;;~;;~~;;ii~:;;~~;;;:;~~;;;h~-;.J~!b~-_g;;;,;-)--·; my 1 ast
foreign residence was_______ __ _ __ ------~----L~1 ~; I a~.married; the name
of my wife is ----------------------------------------------------; she was born qt --------------------------~-----------------------------
and h o \ v resides at ------------------------------------------------------------------------------------------------------------------------------
State of -----------------~----------------------------'--~--~---------------------·• on cr about the----------Y-------------day
of -------------------------bJ-U-~---------------• an no Domini r _,_L_j_; 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.
[SEAL]
ORIGINAL 3 4 5
U. S. DEPARTMENT OF LABOR
I ~ ooiJ """'"'""0" ""'"
No.i~--1_~----~ .,~,.~~ or ~~~~ e11•4"4>'o
~ DECLARATION OF INTENTION ~
. ~ Iuv~aid · all purposes seven years after the d·
____ &_~~-~----------~: ______ ] In the ______ :;Jf_;;;;:l·--------------__ Court -----~--'---¥-~ ---~'------ss: of --------------__ ...__:._~----------------------
~' ~-_ _ --~---------~?!&.1 -~J~ged _______ !::!_~---years.
occupation ____________________ _ _____________ --------------------------~-=--~------• ddectare on oath that my personal
Gescription is: Color~----• comple~---• height .. 5feet-5~ches,
weight ___ _/ ___ 1!:_.12 ____ pounds, color of hair __ d.: _________________________ , color of eyes-----~------·
cth e r visi b I e d isti n c ti ve marks ~-----------------------------------------------------------------------------------------
:nw:e b-o~:~.-4:·~~:-··:~::.:· .::·:·:·~~;~--0~~;;;·-~~::~-~~~-;~~;;;~
at -~---~~~-~--~~-------
~~~~!r~::~e~~--~:~/~e~ s~ate~ -o~-~~-e~~~~-~~:=-~-~~~--~~--~~~-~~------------~--~~~~-------------~-;-~~~~
{If the alien arri~ · than by ve e, aracter of coi\,veyance or nnme or transportation company ahould be ghen)
foreign residence was---~-----_ _ ______ -~~------------: I am ______________ rna~. the name
f;[~~~~:~i~~~~~ie~~~{f;:a~~~~
prince, pote~tate, state, or sovereignty, and particularly to ~-~-~~~
~~-~-tj2-:&~~om I am now a su_bJect;
I arnved at the port ot ----------~-------~--------------------------------------------------------··-·• m the
State of -------------------------------------------------~-----------------------• on or about the _____ _[_, _______________ day
of ----------------------------~------------• anno Domini L {-L.I-: __ ; 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 Goo.
[SEAL]
346 O RIG INA L
U. S. DEPA RT MENT OF LABOR
NATU RA LIZATION SERVICE
or~ .~~ ··~·~ ~· ....
DECLARATION OF INTENTION ~
~~_t-~=~~~~:~l::oses seve~n :::~;--~~:-~:~~~
~, ·-n ----n -• - -_____ q_d~---------~----------------------------·· aged ----~-~----years, occu~ati_on -~--------------~_L._ __________ ~-------------7)·' ~? ~eel are o~ oath ~hat my p~rsonal
descnptwn 1s: Color ---~--• complexton -----~-------·• hetght -~---feet 7----mches,
weight __ }~_() _______ pounds, color of hair ____ d_!_~color of eyes-----~----·
other visible. distinctive marks -~--------------~------~=----------------------------
( was born m --~'--w~--~-J3-------------.---:----------------:----------~--------:----:~ -~~:---~-------_----_-----_-_-_-------~-~a _;_qL:;;;;;;I.~-~:~---'--~:--~~--cz:~--~~~::: ___ '_:~:~:~~~:_
(Give number, str city ~wn, and State)
I emigrated to the J~ted States of America fro --~ _ -_,-____________ _ _ _ _ _ _____________ _
on the vesse 1 ___________ (~---------------------------------------------------------------------------------·; my last
. . (lt th" alien ar~ otherw· ethan by vessel, t~ter of convey!'nM n~e of t~~spC'rto.tion company should be g~ven}
foreign residence was Lu __ __ _ --~~..t::~ am ______________ marned; the name
of my wife is--------~~------------: she was born at ----------------------------------------------------------
and no \V resides at ------------------------------------------------------------------------------------------------________________ --------------------
It is my bona fide intention to renounce forever all allegiance and fidelity to an,Y.: foreign
a~;;~sei:~~~~::::~~:~~~~~~~~~~::~:~~!~~
State of -------------71?---------~--c_________ ------------------------------• on or about the _________ ; _______________ day
of ______________________ _!,__/{f_;iz ____________________ , anno Domini r__tJJ3 __ ; I am not an anarchist; I am not a
polygamist nor a believer in the practice of polyg$iy; and it is my intention in good faith
to become a citizen of the United States o f America and to permanently reside therein:
So HELP ME GOD. ..1~~---tf_~---------
(Original signature or declarant)
Subscribed and sworn to before me in the office of the Clerk of
said Court t~is 2~~ay oL ___ ~?:?' an no Domini 19 ::>-/
/ ~;tzEZ~~n
By _G(_ ___ L/-----~~----------J __ _ ___ __ _ ~ . _ Clerk. r1 .4-,~
------------------------------------------
[SEAL]
No.l~Jr.J..£ ?<
~~·
U.S. DEPARTMENT OF LABOR
NATURALIZATION SERVICE
~~ ~ DECLARATION OF INTENTION
ORIGINAL 8 41
~Invalid for all pm·poses seven years after the d. ereof
~-fi}:Z!flL _______ l In the---------------------------------~--Court
___ f!o _,_ ~J-1?-~-'---55
; _ of _2_~'--~--------------------------
~, -------~-~----~---------------------------------------·• aged --~-~---------years,
occupation _______________ . ____________________________ ---~-------------• do declare on oath that my personal
cescription is: Color____ ___ _ -~-___ , complexion ·-----~---·• heightQ __ fee( __ q__ inches~ weight _ _J_f!_()_ ______ pounds, color of hair~~//___ ____ , color of eyes -----~-7----------
cther visible dis~ti;se mark: -;_-~-----------------------------------------------------------------------------~nw:e ~:: __ i:ij~~:-~=::::::-~~~~~--n~;;;;~;--~~~:::;·--i--~~~-~~~id~
at -----J~_()_:_-/~~~~~1;~~~-?J---0:~-~-------------------
f emigrated to the United States of America from______ _ _____ _ -~--~~------------------------·
on the v e sseL ________ ~ _ ___ _ _______ ----------------------------------------------------------------------------; my last
(If the alien arrh ot iso than by vessel, the cha r of conveyance or name or' transportation company should Oe given)
:~r~~n \~~;~~:n:~=-~------------------~-: __ ~; sh~ was -bg;;-~; :_~:=-=-~~~:_:~;~he_::~
and no¥.' resides at ---------------------------------------------------------------------------------------------------------------------
It is my bona fide intention to renounce forever all allegiance and fidelity to any foreign
prince, o ntate, state, or soTei~nty, and particularly to --~---fl..~..R.L~Zz:--
____ _-----------: __ -~--..___~_7 _____________________________________ , of whom I am now a subject;
I arnved at e p rt of ------------;;;;;-=----0 ____ ~-::.~-~----------------------------------··-·• m the ~~~;:~::;~::~~~~~~~::th~~-,~~g~~~~~~1[3~:1 ;~~;~~~~:~~:~~~K:-Ii~-~~~~
to become a citizen of the United States of America and to permanently reside therein:
So HELP ME GOD. ~ f7 .
. ::'r;!iJA1{ _________ t:_~~--------------------------------
(Original signature of declarant)
Subscribed and sworn to before ~e office of the Clerk of
[SEAL] said Cou~~:~~o~i:t 19 2-/
~ -G 1 ~~tk of the --_ ___ __ -~ourt.
By cfl __ :;z__J&L'ry--. ___ -~ {z-:__Jfc terk.
ORIGINAL
U. S. DEPARTM ENT OF LABOR
NATURA L IZATIO N SERVICE
No.--lb~Ir:IIJ. d .,~1111 or ..tA~
(i~· ~~.~ ~~ .4 ~ DECLARATION OF INTENTION ~
[SE AL]
ORI GINAL 3 4 9
U.S. DEPARTMENT OF LABOR
NATURALIZATION SERVICE
.~~ ~~~ .~ ~
DECLARATION OF INTENTION ""'V'
w-Invalid for all purposes seven years after the da ereof
-----~---d__{Z_~--------j In th _____ ~------------____________________ court
________ &_, __ fL'!Ji~'---ss: of -------~~ __ , __ Cll__:_____ _______ _
~' ____ :_(:0~-----~~d ________ , aged _____ -!:£7-----years,
occupation --------------~-------------------------------------• do declare on oath that my personal
cescription is: Col ~~--• compleni~n -----~-~-----• height -~--fee~~--inches,
weight ----/~£ __ pounds, color of hair --~~------• color of eyes~--------
c ther visible distinctive mar~s --~-_-----~--~-----------------------------
:nw:e b:=-~;:;~~--::::·:-~~~~--n~;;;;-~;--;-K:z;;;:;·--i--~~::;;-;~~;~~
at --~3 _ _3 ___ ~'3!;;_~~-~_@,~ __ .: __ ~ ___ ------------------------------
(Givb number, street, city or n, '('j State) .
I emigrated to the United States of America from---~+--_ --1-~-----------------------·
on the vessel ___ ~ __ _A~--------------------------------------------------------------------: my last
(If the alien arril"e therwise than by v esael,~ character of conveyance or name oi transportation company ehould be given )
foreign reside~s __ _ ______ -r-~~-------------------: lam _____ ;;;!f;rried; the name
;;~~~;~:~ir~e~~~2~~-5;~;~~~~~;~~--t~,e~:
p~~e, ~otentate, sJaV /r sovereignty, and particularly to --------------------------------------------------------~------_:_JL~---------~~f;L, __ Q-'~. of whom l am now a subject;
l arrived at the port of ______ 71/i --~---~-~---'------------------------------------------------------• in the
of ___________________ ---~----------------------• an no Domtm 1 -~.£2;3..; I am not an anarchist; I am not a
State of --~~---{1-____________________ _t_f-~-----,---:-----------------~--~---------------• on or about the -------~--~----------day
polygamist or a believer in the practice of polygi'my; and it is my intention in good faith
to becom a citizen of the United States of America and to permanently reside therein:
So HELP ME Goo. --~-~~-~--------------
(Original signature of declarant)
[SEAL]
350 ORIGIN A L
U. S. DEP AR TMENT OF LABOR I NATU RA LIZATION SERVICE
No.l~_1J.4 .,~TIS or ~~· ~-~.4 ~ qoA ~ DECLARATION OF INTENTION ""f/
arlnv~r all purposes seven years after the da hereof
-·-¥i·-l/rr;t::t~---------~ ss: In the --------------~---~---·--------------court
__ @A.c.1zr=rJ-f-----------------(7f of _q)/______________________ - ------------------~1 --------------~..Ll-~d-:k:2:: __ .f..A ___
7
'_2-d_£_ _________________________________ ., aged _____ c--g __ f------years,
occupation ----------------~~--?--~-"----------------------------------------• do declare on oath that my personal
description is: Color ~~fu;&. _______ , complexion _____ £...~------·• height .~feet X_ inches,
weight ___ /..._1!..~-------pounds, color of hair ----~-----• color of eyes----~-----·
h ''b' d'. t• . k ~ ot er visi 1e. Istn;sw~ mar__s 7:-----rr·---------------------------------·-------------------------------------------------------------~nw~e b-o~:.2_[~:'?Ji!!i.--;,~-::=::-.-~~-~~--D~;;;;-~;;-:&~;--·i--~;;;;·;~~id~
at _____ _L)d_,f;_~ __ iG{i}:~;-;;;:!fn_~~-@L_'J_a,_______________ __
I emigrated to ~~nited States of ARerica from -----~-t--~-----------------------------
on the vesseL ~ _ _ ___ _.L(L ___ ~A..J-A-~~-&~--_q __ ~~-:.J'4---------------------------------------·; my last
. • (lt the a· n arl'iry;•rf•• than by .lsel, tn chamcter of conve~:Ue of tmnsp<'rtation company should be g~ven)
foreign r~s1~ence wr,-§-\~_1£ ___ ~-------------------: l ~am ______________ marn~d~e ;:~e
of my wtfe Is---------~~---=---------------------· she was born at -~_[z ___ __.~0 -----
an d no \V resides at ____ :_~ __ _ _______ ---------------------------------------------------------------------------------------------------------
It is my bona fide intention to nounce forever all all~iance anct--Jidelity to any foreign
prin~otentate, state, or sovereignty, and particularly to -~-(Q~ _ _)_f_J_
-~~~--.d_---~-1_1/ __________
7
____________
77
______________________ , of whom I am now a su~ject;
I arnved .fi: thf port of ____________________________ ll.ucc_f-~--------------------------------------------------• In the
State of ---------------~---------------.------------~_._____ _ ________________________ , on or about the ______ 2__/_ _____________ day
of -------------------------_______ ,___.,.. _________ , an no omini r --~Z..; I am not an anarchist; I am not a
polygamist nor a b iever 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 GC?D. --~-tP-~---~-----------------------------
(Original signature of declarant)
[SEAL]
3. ,_.1 O RI GINAL U
U.S. DEPARTMENT OF LABOR
NA T URALIZATION SERVI CE
No. L~L_fu/. d ., ~ 1!1 or
~~· ~ ~ DECLARATION OF INTENTION
~Invalid for all purposes seven years after the date hereof
_,}_M ___ -~~s: In the----~~ Court ~--..... -~~-__J' of·--------~----------~ ~, ___________________ {t__~ ___ Q~~--------------------• aged _____ ;?-_ __ ~: ____ years.
occupation -------------~~--------------------------------------/'l_do ~eclare on oath that ~personal
cescription is: Color -.J/L'~-----• comple ion _______ J..~-----• height~---feet a _____ inches,
weight .--~-L-¥~-~--p~unds, color of hair__ _ ______________________ , color of eyes -----Fr--------------·
ether visible. dist~~ marks -----------~--------n-------------7 -~--------------------------------------------------------------
~nwt~e bo~n-'r-d~y ~f ____ -_ -----_--~--D~~;~~--;·z:it·--i~~-;;;~;~~
at ---~~---r-z;f!;:tt;--:2?-__£,._~a&~~~-@ ________ ,.__,
. . • (cii~~~ber' street, city or tow..!l anrtate) ------~
I emigrated to th ted S_tates of Amenca from~-~~-----------------·
on the vessel___________ _ __ _ _______________________________________________________________________________________ ; my last
~ • (If the alien arrhe}P-tl~f~ise th y esse], the chr!1r of conveyan~,name oi transportation company should be g~v en)
foreign residence was------~____ ~-~~----: I am _____________ marned; the name
of my wife is ______________________ ---------------------------; she was born at -----------------------------------------------
and no v,r resides at ---------------------------------------------------------------------------------------------------------------
It is my bona fide intention to renounce forever all al~!;.Se ;md fidelity to any !or~~n
~incp potentat~tate, or ;overeignfy, and particularly t ~.!!Lidr----~~---Y~ ~~--~7 --~-~~---~---• of whom I o.rnthow a suoJect;
I arrived at the port of :: __ z::;::;;"'._~--_ _ . -=---=~~-----------·------·-------------------------··--• in the
State of ----------------------------~---_ ·-·-·--·---·---------:-·:·------,--;::n or about the _______ 2c .. 'l-------·--·--day
of ----------------------------~---_______ , anno Dommi I -7----------; I am not an anarchist; I am not a
polygamist -nor a believ~rJin 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 900. ---~--~~------
(Original signature of declarant)
Subscribed and sworn to before me in the office cf the Clerk of
[SEAL] said Court this.~~ a~of_-_--:~Y#~~9 ~/
4/A. ~lerk of tk -~~$~-Courl
B_a ___ //L __ #J_ _________ , __ ;ZJ/-+:!:;~ Clerk.
352 ORIGINAL
U. S. DE PARTMENT OF LABOR
N ATURALIZATION SERVICE J
No_Jk£):1frrl4 .,~,~· or~·
4~~· ··~·~ •• I>.A
DECLARATION OF INTENTION ~
::_~~if!j;l:;:~l:~oses seve:n :::~:_-~;~~~_,-_______ :_:_~:~~~
~ -------------~---~----~--------------------------------------------------, aged ___ _3__-7---------years,
occupation -----------------·-----------~-----------------------------·• do declare on oath that my personal
description is: Color ---2-t~--------• complexion -------~-------·• height~--feet ---1-inches,
weight -----/--}--?:: ______ pounds, color of hair ------~-----·• color of eyes~--------·
other visi b I e distinctive marks ----~---------------------------·-------------------------------------------------------------
1 was born in ~---~~-V~~~---~~-A-~-~-----------------------------
on the ------~-------------------day of --------------------~J.. __________ , anno Domini ~~---------; I now reside
at -~-~-':1--~-----_ _ __ ___ ________ ____ ~-~-----____ . --~---~--"-ff~----------------------------
CGive number, stnet, city or town, an tate) tf:)
[ emigrated to the Unj.ed States of America from________________ _ _____ ----,--1~~~------------
on the vessel~ -!_h____ _____ _ __ ____ _ __________________________________________________________________________________ ; my last ~;4alien arri~erwise than by ve , tne character of convefance or name of transp<'rtation company should be given)
foreign r~si~ence was --Go~--_________________________ ------~m ______________ married; the name
of my wife Is _______________ a___(J:_~-----: she was b a/c:_f~--.t1.&d&d.-c:-__ ~ .
and now res1des at -------------------~-~!'!..~-~--e:-t--~ __ (3_~~--------------------------------------------------------
It is my bona fide intention to renounce forever all allegiance and fidelity to any foreign
princ.e, p~tentate, state, or sovereignty, and particularly to ~-:~;1---c:::f.-~~ ~(t ~-. Il •• t.f-
~~-1---!-~-~=~1-~ of whomi am now~ su~Je,.t,
I arnved at the port of _____________________ t!JJ __ ~----------------------------------------------------------------------------·• m the
State of ____________ P!ii!h ____ -----------.------------------------------------'1:1-~Jf---------·• on or about the _________ )_!__ _____________ day
of ______________________ __ __ ____ _ _________ , an no Domini I ---7--'L_; I am not an anarchist; I am not a
polygamist nor a eliever 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. ·--------------~~;;~~-------------------
Subscribed and sworn to before me in the office of the Clerk of
[SEAL]
said C ourt this __ / _____ day of _________
7
• _ _ ____ , anno Domini rcl--I
By -· :Jt -~-'-----------, rfil:-y~:r Clerk,
ORIGINA L 353
U. S. DEPARTMENT OF LABOR
@'"ln.:;»~ all purposes seven years after the date -~--/f!j~--------~"-------~ ss: In the ------__ ------------___ --;.,-________ Court --~'---t/-_ fld:i Jv__,_______ of ___ ------?Ld_, __ L _______________ _
~' _________________________ 2~-~---------------------------------• aged _________ ?:::_~---years,
occupation r~---i--a~ __ /£./f._ _____ ~_, do declare on oath that my personal
cescription IS: Color --~------· complexion---=~---------· height .:G:. feet ---1-inches,
weight __ J_ __ g__t£_ ____ pounds, color of hair ---~--------• color of eyes----~----------
~~~:5 v~~:~· ~~ia~:-~=:::=:=:::=:::=::~::.:=:::::==:::=::::=i::~-:~::~:::::=::::::::::::_::::
on the -----------1-T-----------dah ot-----$"~~-------------;;:;r---• ann~ Dommi I______ _ I now res1de at --J-.~?L--Ji.-~~., ~o;,;;;;--~~~-_L __________ _
~:~~~~=~e~o-t~:~_:f_~=-e~i:~-~r:::=::=:_=:::===:--_~_=_]_::-_:::=::::::::;·;;;;·j~~;
(If the alien ar~frwiae tha~ b! ve{)l, the c~arac r of conveyance or name ot transportation company should be gi ven)
foreign r~si~ence w -~~_jf ______________________________ ; ~,~m ______________ married; the name
of my wife Is _________ _ _ _ ___ _ ______ ; s was born at _.JL~---------------------------------
~~~5 n~~ r~~~~e~~~ -;~~~~~=·f~;--~i[--~ile[;;;;;;~~--~~d--fid~I-iiY--!~--~;y--;~reign
prince, potentate, state, or sovereignty, and particularly to ----~-0~%-
.Q/G ____ -J__~----------------------------------------------------------------• of whom I am now a 5U b ject ;
l arriv~ at fhe port of -----------------~-~:---------------------------------------------------------------, in the
State of ________________________________________ 22_~-1/------------------------------• on or about the ____ _/_) __________________ day
~~Iyg~;;;;~~--~~~-~--b~Pe!;;-:fth~--pr~~~~e ~~~~~~£9 -~n~ ~~ i~0~~n i~~!~~~~\;n ~~~ ~~~~
to become a citizen of the United States of America and to permanently reside therein:
So HELP ME GOD. ------~--~-------cr-~t~--------------------(Ori~.;i-\ignatur• of declarant)
[SEAL]
735 4 ORIGINAL
U. S. DEPARTMENT OF LABOR
or
....,.-;rout.&_. all purposes seven years after the
of my wife is ----------------------------------------------------; she was born at ----------------------------------------------------------
and no \V resides at --------------------------------------------------------------------------------------------___________________________________ _
It is my bona fide intention to renounce forever aU allegiance and fidelity to any foreign
pri:;,c;b potent:~te~~te, or soverei nty, an particularly to ----------------------------------------------------------------~----·~-~t_---~-_ _ _ __ _f.f--"-4--.J.u.
1
_____ , of whom ! am now a subject;
I arnved at the port __________ -------------------~--¥:. ______________________________________________________________ , m the
State of ____________________ -------------;---_____________________________ '2t __ 1i__, on or about the ---------2~-------day
of --------------------------__ __ ____ _ _________ , anno Domini If-_fl__l__; I am not an anarchist; I am not a
polygamist nor a b iever 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 Goo. ~,~------------
Subscribed and sworn to before me in the office of the Clerk of
[SEAL]
said Court this ___ ?:::.___ ay of -------!:L-'~""'
ORIG I NA L
U.S. DEPARTMENT OF LABOR
3 _,.,.. .QQ
/ NATURALIZATION SERVICE
No.i~~~,t).TII or f\~· ~-~., .~ qo4
DECLARATION OF INTENTION ~
:~~;~~~oses seve:::~--:~:;~~-:~~~:~~
~' -----------------~-----------------------------------------• aged _____ /£ ______ years,
occupation -----------~------_ ___ __ ___ _ ____________________________________ , do declare on oath that my personal
cescription is: Color ~---• complexion --~--------·• height .£feet _1.:_-inches.
weight ----J-f ___ -6:_ ___ pounds, color of hair --~----• color of eyes----~----
cth er visible distinctive m rks __ -----------~--Fr---L_----JJ----------------------------------------------------------------------~nw;:e ~:~_inci.j: __ ::~~a; of ;;,""!:;J:;1:~-:~~~~;;£-;;,;-~;-·;-7'{J3 ;··-j--~~-;;;~~~~~
at --fJ) ~-tl~-----~Give nu~ber:~tr t, ~~---~~~;~f~------------------------------------------------
1 emigrated to )he United States of ~merica}ro;;n _-'ZJ!jf;~c;:l _Jfd;-------------·-------------
on the vesselld _ _ _______ _& ____ (}__~---__ 0---~------------------------------; my last
• • (If the a · u ani~y v~h/7 character of ffnv~~-n:m• oz transpo rtation company should IJe g~ven)
foreign residence S------------------------~-1 --~-~'::--~------: I am -~=-marned; the name
of my wife is --------------------------------------------------; she was born at ---------------------------------------------------
and now resides at ------------------------------------------------------------------------------------------------------------
It is my bona fide intention to renounce forever all allegiance and fidelity to any foreign
prince, potentate, state, or sovereignty, and particularly to _"1(~_£._~ _ _/__L_j __ _
----~~-----4-~---------------------------------------------------------• of whom I am now a subject;
I arrived a {the port of --------------------~JJ-: __ 7{-: ----------:-_t_ ------------------------------------------------------------·• in the
State of ---------------------------------------------------------------~-----------~-• on or about the -----~--L-------------day ~~iyg;;;;·;~i--~e~-;;~--;~--th;··;,!~g~e ~~~~~~~;;,-0 11;n~ ~~ j~0~~n j~~:~~~~\~ ~~~ ~~~~
to become a citizen of the United States of America and to permanently reside therein:
So HELP ME Goo. -----~~------~--
<onginalslgnature of declarant)
Subscribed and sworn to before me in the office of the Clerk of
[SEAL]
said Court this __ ~ ___ day of ---------~4.d..--, anno Domini 19 'Y-1
~P-24 ____ !f:_g~---------
Clerk of the -~-Q~Court.
By .7JJ . .pc4~-----·---, .. r£ir'r~~---Clerk,
:356 ORIGINAL
U. S. DEPARTMENT OF LABOR
I v§(p lf o/4 '"""""""' "'""
No , ___ b __ ~· s1A11~ or
~~~
~ DECLARATION OF INTENTION
~' ____________ :~--~~---------------------------------------------• aged ____________________ years,
occupation --------~-::::~---------------------• do declare on oath that my personal
description is: Color ~--<_tf __ ~-----• complexion---~·· height ~feet -'4 --inches,
weight ------/$ __ £ pounds, color of hair ----~• colo r! of eyes--~----------
0 th er vi sib 1 e dis tin cti ve marks --~--"='----------__________________ ·-------------------------------------------------------------
~nwt~e b~~:-~-~::'J;~:~~~~--;;~;;;;~;--;-:g4--::i:---i--~~~-;~~id~
at ___________ _ __ ____ _ _________________________ ,1_ _________________ "--------------------------------:Jj----------------------------------------.
(Give number, street, ctty or to , and St e)
[ emigrated to th Unit d States of America fro _ _ _ _ _ _ ______ __ _,____ --~----------
on the vessel __ ---------:-__ .---~ ~~--_Q'LL _____________________________ ~----~-------------------------------; fuy last
• • (lf th~ ali "J.Ved ~~~~thjl ~aael, tne ch~ter of co~yo.nce or uame of tranop<'rtatwn company should be g~ven)
foreign r~si~ence was---~-~---~---------: I am ______________ marned; the n~me
of my wife Is ------------------------------:122~_-!._A.. __ ; she was born at-~ --~
and now resides at ----~-~~-________________ fi _ ------------------------------------------------------------------------
It is my bona fide intention to renounce forever all allegiance and fidelity to any foreign
~ p~~· ~s ~ereignt~a~y ~~(}--~--~--~~ _.Y...A~-L-=---------- ------------1----c:t-~ ______ d__ ______________ , of whom I am n6w a sibJect;
I arrived at the port of --------------------------~J/--~---------------------------------------------------------·• in the
State of ____________ ----------------------------------------------2/._:_1}._ _______________ , on or about the ______ :J.:-X _______________ day
of _______________________________ ::. ____________________ , an no Domh{i I _q_J_i _; I am not an anarchist; I am not a
polygamis or a believer in the practice of polygafny; and it is my intention in good faith
to become a citizen of the United States of America and to pe;!;l;m.ently reside therein:
So HELP ME GOD. ~ /Jiu~-~;/'
., ________ --------------------------------------
(Original signature of declarant)
[SEAL]
ORIGINAL 3 51
U. S. DEPARTMENT OF LABOR
v uo-!d
No _/t;_s_z .,, ~ t!l or ~~ ~-}* .~~ ~tt,o
<OJV> ~
DECLARATION OF INTENTION """'(!
NATURALIZATION SERVICE
[SEAL]
3f58 ORIGINAL
NATURALIZATION SERVICE
/_
U. S. DEPARTMENT OF LABOR
• or~ ~~~ ··~.,.
~ DECLARATION OF INTENTION ~
~ ______ _ -ftu-'i/:_:1'___ _ ---------------------------------------·• aged .... d.dJ.. ___ years,
occupation ---------------------~~---------------------------·• do declare on oath that my personal
description_ is =~yo lor~------• complexion_____ · ________ , height ~-feet~--inches,
weight ---~X-----pounds, color of hair_______ _ _________________ , color of eyes---~---------------·
other visible distii;st~ve marks (:--~----------------·---------------------------------------------------~---------
1 was born in YJ.L~--~-~---~------------------------------------------------
on the -----------1-1-------n-· d~of ·;··-----~-;j;.-------------; anno Domini I __ r_[~; I ~ reside
at _J::_C_~---~---~~----~.:._(l~-!f----'2f-aa_i_1~LK~-----·-J'~
(Give number, street, eoty o o , and State)(} :-----u-·
l emigrated to the nited States o rica from_____ __ __ _ __ _ _ .. _______________ _
on the vessel ______ ~_ __ _ ______ ______________ __ _ _ ________________________ _ __ ; my last
• • (ll th~ alien arri~othe'7ise than by vt••e~e charader of oonvey~"; tmnsp<'rtation comp';!'/•hould be g~ ven)
foreign residence was tz).)::~ _ _c;;r~---------------c..; I am :ur~ ... marned; the name
of my wife is ----------------------------------------------------; she was born at ----------------------------------------------------------
and now resides at _______________________________________________ ----------------------------------------------------------___________________ _
It is my bona fide intention to renounce forever all allegiance and fidelity to any foreign
:~~~
State of -------------·n··-----------------------------------------------12-:t ______ , on or about the _____ yz_ _____________ day
of _________________________ _ _ --------· _____________ , an no Domini r__ _/,3_; I am not an anarchist; I am not a
polygamist nor believer in the practice of polyga y; 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 Goo. .t/3~ -----------... -----------------·-----------------------------------(Original signature of declarant)
[SEAL]
ORIGINAL 3 59
U.S. DEPARTMENT OF LABOR
,/ ~ '"""""''"' ""'"
.~~ ~lo .~ ~
DECLARATION OF INTENTION ~
[SEAL]
360 ORI G INAL
U. S. DE PARTMENT OF LABOR
occupation ----------~------------------------------------·• do declare on oath that my personal
descript~on is: Color ~------• com:glexion .£.~----------·• height \5 ___ feet~4nches,
weight ___ /$ ________ pounds, color of hair __ J__·---o=--£7-·--·• color of eyes--~-----------·
other visible distinctive marks --~-------------------------------------------------------------------------------
~nw;:e bor/2:~:~=~-::==-~~~-~~;;~;;;i~;--;-:g;_:z--i--~~-_;-~;~;~~
at ------1.3-a:f-$-f.-£ ______ -----'"'"'~~mOO<,,...._ '.;o;~~A-~AL----------------------------------~~~~=r~::~e~o--t~~f~=-e-ri:~-~r~~~----:~;--;;;-~-j~~;
(lf thl"l alien arrived otherwise than by vessr~cha.ra.cter of conveyance or name of transpC\rtation company should be given)
foreign r~si~ence was ~----U--~-----------: I acf------------_--married; the name
of my wtfe IS _______________ '-!.~:---t!1l1-~----: she was born at ~-~--------------------------
and now resides at ----~~ __ {f~---~--------------------------------------------------------------------
lt is my bona ftde intention to renounce forever aH allegiance and fidelity to any foreign
prince, potentate, state, or _sovere~· gnt a d particularly to ·-------------------------------------------------------~-------------:--------_ h _____ · _ f-----___ -----~---~-----------• of whom I am now a subje~ ;
I arnved at t port o _________________ __ ~-------------------------------------------------------• m t e
State of ------------------------------------------------~-'"----------------------·• on or about the _______ j __ y_ __________ day
of ------------------~---------------~-t:Uf-----• anno Domini r.!f-.a.J.: I am not an anarchist; I am not a
polygamist nor a believer in .r.e practice of polygamy; and it is my intention in good faith
to become a citizen of the Onited States of America and to permanently reside therein:
So HELP ME Goo. ~ _;;/'~
[SEAL]
----------------------------------------------------------------------------
(Original slgnatcre of declarant}
Subscribed and sworn to before me in the office of the Clerk of
said Court this--.K ... day of----~---· anno Domini r
-------------------______ (K __ c:;;;p~-----
~ Clerk.o tke-~~Courl.
By ____ ---'--fkr/-~-----, ·~Clerk..
O R IGINAL 3 61
U. S. DEPART MENT OF L ABOR
/ ~ ""m"u no • "~'"
.~ ~~-.~ ~
[SEAL]
DECLARATION OF INTENTION ~
Subs cribed and sworn to before me in the office of the Clerk of
said Court this.-;-1---day of------~-~-:_, anno Domini 19 --:,)/I
~~-&_2~---------
Clerk 6f the-~~--Courl.
By _____ ac~ 21~---, --&;--~-cl£rk:
ORIGINAL
U. S. DEPARTMENT OF LABOR
~Invalid for all purposes seven years after the da ·eof
.. S£L~'----······-·] ss . In the _________________________ 7 -----~Court ·--~•-···1-D/:Mt-..IL........... .fl of :.J.k&a.fi.nJ::!J.. . ....... L.... . ~ -···········-~-----~--~---·····················• aged ...... 21-'J--··· years,
occupation -------------~-~-------------------------------------• do declare on oath that my personal
description is: Color ~--···-• complexion __ ~---··• height~es,
weight ___ /6:"_5_ ____ pounds, color of hair -------~----• color of eyes --------------·-----------------------·
other visible d ist · ctive marks ------~------------------------------------------------------------------------------------~nwta~r:Li: __ ::::::··::·::·;;~~~i·:: .. :::~:~====-~~---~-[}~;;;;~·;r:;·::····;···i· ~~-~-;~~;;;~
at ___ ::;;p __ a_ __ ~---ls,:L.L__~ .!JJl.r.w..k~---····'·Ei_························ (Give number, street. etty and 8 te) , ff' ~ _, ()
I emigrated to the United States of America from___ _ _ _ ___ ----~--·
on t~e ves~el __ ~~-~-~1.-~t.;~;;;;-~,;;;-~~-~;;-,:;;·.;!i;~~;p~~~ii~;-,-~~;-,-;p;~;;;i;~-;;i;-lb~-g:;;;j---: my last
fo:-etgn residence was _________ --------------------------~~ I a~ ____ marned; the name
of my wife is ----------------------------------------------------; she was born at ----------------------------------------------------------
and now resides at -------------------------------------------------------------------------------------------------------------------------------
It is my bona fide intention to renounce forever all allegiance and fidelity to any foreign
prince, potentate, state, or sovereign!?', and particularly to Q~--./--~----f-J:L,.-------~------d~-,-----~.,-~S>f._~-~-------------• of whom I am now a subJect;
I arrived at the port of -------------------------------~_. __ 1J...::. ________________________________________________________________ , in the
State of ---------------------------------------.-------------------------------71--}/--: _____ , on or about the _______ 2: _________________ day
of -----------------------------~-----• an no Domini 1 .. 1..;.'=/: I am not an anarchist; I am not a
polygamist nor a believer in the practice of polygarby; and it is my intention in good faith
to become a citizen of the United States of America and to permanently reside t~e~e_Y:-7: -{j---
So HELP ME Goo. {7-t__;:4f.)_+/!!.~~!..tfL.1!· _ ~-~
f.!:J/~1 (J (Original~-~~~rWat: t
Subscribed and sworn to before me in the office o the Clerk of
[SEAL]
said Court this __ L~_day of------~------· an no Domini 19 U
--------------____ cS_Q~-------
t26'2
O RI GINAL L) •J
U.S. DEPARTMENT OF LABOR v NATURALIZATI ON S ER VIC E
/bb30o!¥
No. -------------------. • ., l-111 or 44f~
.~~ ~~-.V> WI
DECLARATION OF INTENTION ~
~Invalid for all purposes seven years er the d.a~ereof =~-t.~~~:::~:::lss: . . In the~;-~-=:5[:;2~:_];_~=-C~~=
~ :··--__ ~------1---~-----------------------------------· aged ~t;------years,
occupation ------------------------~~-----------------• do declare on oath t _my personal
cescription is: Color ~------• comple~io!l--~-----• height <-Q... feet _J__{_ inches,
weight _) __ (;; __ Q ______ pounds, color of hair ----~-• color of eyes--~---------
cth er visi b I e . ~~ ~Je marks ----~-------------------------------------;_;·----~--~-------------------------------------
1 was born ~~-~-~1--cY::--~---~------~-~---~------------------------------
on th~-----fZ-------------day of ---------~---------------• anno Domini r<fff-j ___ ; I now reside
at --L~-k--t+-~~~~-c_(!1_ __ ,_(f~-·-------------------------------------
he. Unit (Givenumber,ff~e~city("Z,andState) ~ ~~~~:r~::~e~-t}~~~~----~~~~-~-------------------~---~------~~~~;--~-~-i~~~
(If the alien a.rrh otherwise than by vos&el be character of conveyance or name or transportation company should be giYen)
foreign residence wa _ _ -~,----______ _ _ _ _________________ ; I am --------------~arried; the name
of my wife is~ ___ · __ -~----------------------------: she was born at~~~~-:~_
and now resides at --~ _ __ ___ __ _ __ --·--k~-~-~-:_U~'"--------------------------------------------/-
It . is my bona fide intention t o . renou e fore~er all allegiance and fidelity to any fo~
~r~~~::.~Qt~r:t~t~~·-~~--~:rtt~~l :l~-~o--~-~1~-ibJ~~;-;
I arrived at the port of --------------~~--1/:---~-------------------------------------------------------------------------• in the
State of ____________________________________________________________ _f_L~-7if--: ___________ , on or about the ---~-------------day
of ___________________________ ITf!A= _______________ , anno Domini ~_1--a_-f ; I am n ot an an archist; 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 Uni t ed S tates of America and to permanently reside therein:
So HELP ME Go o. ____ /!1_-d..i_f2_'u..JcJ-______ ~--(J-~k ________________ _ '~· ~(Original ~~e of declarant)
Subscribed and sworn to before me in the office of the Clerk of
said C ourt this_l_o ___ day of--~-~------· anno Domini 19 //(
[SEAL] ( .&:" ~ ~ -~A _ c; ( J:_ ~~~;r---Q: _________ ~~-----------
a cJ)l'k of the --~-c:z~ Court
By _______________________________ :_"21_,~-------"' ----~--Clerk.
364 ORIG IN AL
U. S. DEPARTMENT OF LABOR
trlnvali~for all purposes seven years after tile da eof ---~---1z(_j~-'----------] ss: In the _0~~-----------~Court
__ _ __ ':!'_ _____ ¢;; _____ c;:)f~----of ____________________ -'----------'------------------
:!!, ----------~~----~--------------------------------• aged __ j__';'---------years,
occupation ------------------------------------------------------------------------------• do declare on oath that my personal
description is: Color ~--------• complexjon --~---------·• height ~--feet~£inches,
weight ---/-cf:._()_ _____ pounds, color of hair------~ color of eyes--~------------------
other visible d isti n · ve marks ---~--------------------------------------------------------------------------------------
1 was born in ______ --=--------------------1---<$~~-~----------------------------------------------------------------------:~ -~~:-~,---:..:l-:J~_:j!;:_-~~-::::=-===~: __ ~nq~::::~---'=::~:=:; __ ' __ :~:_r:~i~: / (G>•on=00.,••~'""9'Z-L G.: ~~7~=r~::~~-s~:te~-~--~=-e~i:a--f~:::_~: ___ : __ =: ____ ::::: __ -::_:_:: ___ -:1__~:;-;;-;~j~~;
• • (lf th• alien l ~ ~1, tne ch::% or conveyance or Dame or transpC'rtation CO:"'pany should be g~ven)
foreign r~si~ence was_ _ __ __ _ __ --------~-------~-----------------: Icjm ______________ marned; the name
of my wife 1: --------------~Gk.a.ki:l __ ; sl;e was born at --~-~f.i.M../0 ~---f;~s n~~ r~~~~e}.~~ -;~tfE~zr;~~;-;ii-~ii~g;--;;~~--~-;;d--fid~iitY-t~--;;;;y--t~;~;g;;
prin'if, potenta~ st~te, or sovereignty, and particularly to~~-':;n_~--V:~q---1---------:------
___ c;{;(~_LJ~ __ cj_c:-_2 _a..J~---------------~·!!-~f:om I am now a subJect;
l arrived at the port of Q _ · _ __ _ _ _ _ -_ ---------------------------------------------------------------• in the
State of ------------------------------_ _ __ g___~----------~----------------------------------• on or about the _______ /_S ____________ day
of _____________________ av~--------------------• an no Domini 1 --1)__{/__; I am not an anarchist; I am not a
polygamist nor a bet'iever 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 Goo.
[SEAL]
______ l/z-~ ___ 11?:_~------------------------------
(0rig!nal signature of declarant)
Subscribed and sworn to before me in the office of the Clerk of
said Court~day of----~------· anna Domini '9::>-
AJ ---~'::::;:;1-:~---~ourt.
By ___ W~--~-~~aLA-IL __________ , d1~--------Clerk . -~--~-------~~---~ 1 ,.-o~
ORIGINAL 3 6 8
U. S. DEPA RTM ENT OF LABOR
NATURALI ZA T IO N S E RVICE
No ... .i6.~ __ s-tJ~4 s1 t\ 11:1 or
~~~'.1
~ DECLARATION OF INTENTION
w-Inva(/?r all purposes seven years after the dat eof
:~~(2t~~:::::l ss, In the 0~-~:_"?I;;;;z:,:_E~:~:
;!!, _____________ ;;{~ ___ _(_~-----------------------------------• aged -----1--J-----years,
occupation ---------------------~~------------------------------• do declare on oath that my personal
cescription is: Color ~~--------• com~le~i~n ---~-----------·, height -2 _____ feet --~Fches,
weight __ _/ __ _j __ Q _____ pounds, color of hair-------~---·' color of eyes~------------
ether visible distinctive marks --~--------------------------------------------------------------------------------------
1 was born in _________ rft, __ ~<L-~-----------------------------------------------------------------------
on the -----J.---~---7:)---day of p----~-;r·---------------·• an no Domini I j .. tz __ L_ __ ; I now reside
at ____ d.D_l_ _ _/~--~· ______ Ji~ ~-QCL ______________________________________ _
(Giva number, street, city or town, a d State) (} · k /~ ~
I emigrated to the United States of America from __________ c______ __ ---~-~----------_------------------·
on t~ e v e s~e ~--~-~;;;;;;;1~-ih;~J,:;;;;~---~!-.;~,;-;;y~-;.-c-;,-~~-~~;;;;-~;-i;;~;p~~b;"ii~;:;~~;;;-p;;;;:;t,~-;.-1;-!b;-i:-;;,;-)--·; my I as t
foreign residence was--~'--~~-___ _ ___________ ; I am ~-marned; the name
of my wife is __________________________________________________ ; she was born at -----------------------------~------------------------
and now res i des at ------------------------------------------------------------------------------------------------------------------
It _is my bona fide intention to _renounce fore~er all all~a~ce and fidelity to any foreig; $~i~~~ty:::~~~~:~~~Jc~l":rl~:t:o::::~~~~~\~..,..~-r-!-o-_--L.~=-u•
State of __________________________________________________ a _________________________ , on or about the ___ f-f ________________ day
of---------------------------~-~·-----------' an no Domini I !] __ ¢..6._ __ ; I am not an anarchist; I am not a
polygamist nor a believtf in the practice of polyg/my; 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. --~-7f~------------------( Original signature of declarant)
Subscribed and sworn to before me in the office of the Clerk of
[SEAL]
said Court this .. J~-dayoL ____ ~_,anno Domini I9 Yf
~ ~~~~ourl
By __ (o_s£ __ ?);1J __ }!.aa,_1f·· --d.f~ Clerk.
366 ORIGINAL
U. S. DEPARTMENT OF LABOR
~Invalid for all purposes seven years after tlte date hereof
--------------------------------------·---------------------] ss:
------------------------. ---------------------------------0 f ----------------------------------------------------------------
. ~ ______ ~~:;,:_:>:'!_~~~.t!j,.--------·-----------------~-------__ , aged _d _tf----_ years,
occupation -------------~-----------------_(}___ ___________________ , do declare on oath that my personal
description is : Color~------, complexion ·-------~----·• height Q. feeL!j'. inches,
we1ght ---J-~J----pounds, color of ha1r -~-kM_ ___________ , color of eyes---~----------------
other visible. distinctive marks --~_L_ ________________________________________________________________________________ _
~nwt~e b_or; __ 'n ___ f1 ::~-~::::::~·-~-:-~~~~--i)~;;;;~;;z:£::i:::;--i--~~~-;~~;~~
at -·---···---~-r+a:~;;~;,;;,@.£,-?!!;:;;;{.i,tt---·---·----------------------------·-·-----
.1 emigrated to the United States of America from ~-J -~---~---------
on the vessel.~--------------------------------------------------------------------------------------------: y last
(lf th~ alien an· ed otherwise than by vessel,~~~ ~f oonveya.ncJ/ name of transp<'rtation company should be given)
foreign residence was__ ---~-~-t---L~~-------: I am ______________ married; the name
of my wife is-----~--_ _ ~ ____________ ; she was born at _(?~------------------------------f~~s n~~ r~~~~e~~~ -;~(~;fe'-f<!~~;-~ii---~~~~g;~-;;~~--~~d---fid~ii!Y-~~~y--f~~~~g;;
~ri:_c::_~:t:~~a-t~:~~~te, :r __ ~:~:r:'::_t~: __ an~-~:~~~l:rl~-t-o_~-t--no~-;
I arr! ve
1
d at the port of . ________ "2JL'2;--'--'J1 --!j__------------------------~------------------------------------------• in the
~~~;g~;i~:;::~~~:~~:;~-~~~~:~;~~~~:~~~~~2.~~~~:~ ;~~;:~~~:~~:i~~i{~~:-~;~~
In the ____________ --------------------------------------------Court
to become a citizen of the United States of America and to permanently reside therein:
So HELP ME Goo. L
p-~-----(Orlgb:tatelgn~tur~-~iii~iar~;,i) -----------------
SUbSCribed and sworn to before me in the office of the Clerk of
[SEAL] said court :h's--::_d•~o~-:-i£~ttrno ::mi~ir9 r 1
Clerk oft -~ ____ __ _ _ _ _ _ ____ -------~---Court.
By ____ p_{i;_, __ ~q.a_-r, AM::.---Clerk.
i -
ORIGINAL 8 6 7
U.S. DEPARTMENT OF LABOR
\1 NATURALIZATION SERVICE
No.L~.0.2 ~:.,~111 or~,
~fp'VJ ~t'. ~ ~~o~ ~ DECLARATION OF INTENTION 'CW
\ \
Subscribed and sworn to before me in the office of the Clerk of
[SEAL]
said Court this ___ .)sday of~--------· anno Domini 19:2--J
-. -------------------__ t£0?~----------
Clerk of e -~-(}?~ourt.
By _______ fE.---~-~--11-~-~ __ dld..~.t--Clerk.
U / t e
368 ORIGINAL
U. S. DEPARTMENT OF LABOR
tr Invalid for all purposes seven years after tile dat~reof
--S{f---------C/,~-----------··] ss: ln the --~-l~-Court
_________________ t______ _ ____ ?j}j~------of ______ 1:}_~_r __________________________________ _
~' _____ ----~~-~-------------------------------·• aged --~!.:1--~----years,
occupation --------~--------------------------------------------·• do declare on oath that my personal
description is: Color ~-------• complexion ------~------·• height _':§_feet~----inches,
weight ___ _j&__c_ ____ pounds, color of hair ---rt----------·• color of eyes-~-------------·
other vi sib 1 e distinctive marks -~----------------------------------------775 ________________________________________ _
I was born in ~1 __ Q~------_________ __ _ ___ _ ---~~------------------------
on the ------c·------f--r··--day oj-p------(;2f.a:,)_7::J __ ~--·• anno omini ~___!__]_ft. I now reside
at --------~£f/---f--LL.t1L, ______ '7_ __ (J:_ ___ L_~ ___ ;5_()__ -------------~---------------------------------------
(/, (Givenumber,stree~clt~~a~a1 ~1 ~
I emigrated to th~ United States o~ America fro~~-'"""'-L-L-~-={--·---__ __ __ _ _________________ __
on the vessel ____________ a_ _ _ __ _ __ ______________________________________________________________________________ ; my last
(lt th~ alien ar'jry ?then;,e than by ve~onof cof!..":.~~"':,Jr name of transp0rtation company should be g1ve.n)
foreign residence w~ f_~_,_(L~ ___________ ;_~.!-~ ... ~ am ______________ married; the name
of my wife is ____ s;J~~----------; she was born at ______ (1?~-----------------------------f~~s n~; r~~~~e~~~ -~~i~~:;;~{f~~;-;i!-~}i;g;-~~~~--~~d---fid~ii!Y-l~--;;~y-f~;~;g~
-~~U:i~: __ p~a}j ~~rt~~ ~-~:~~-~-:~/!-!_._~~~-~
~~--7 ______ {?__~------------------------------------------• of whom I am now a su~Ject;
i arnled at the port of ___________________ '2l_-:._2f __ ._ ___________________________________________________________________________ , m the
State of --------------------------------------------------------------~-=--'1;/--~--------• on or about the _____________ ?_. ___________ day
of ---------------------~-a::::f. __ -__________________ , an no Domini 1 --1-t1_3__; 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 Ameri~ and to permanently reside therein:
So HELP ME Goo. dtaw:k_ ___ {!bLei_}WI/L __ A:t.: ____________ _
[SEAL]
(Original signature of declarant)
Subscribed and sworn to before me in the office of the Clerk of
said Court this--~--day of--------~ an no Domini I 9 >/
--~-6]2~~-------
h¥ Clerk of /he~------~-Court.
By --~---~-~AJ...U~------, ~Clerk. ----,-~~7 I f·~·
14ll
(Old 2l5B) '-U.S. DEPARTMENT OF LABOR
BUREAU OF NATURALIZATION
WASHINGTON
lH REPLYING PLEASE REFER TO Till
FILE NUMBER
2838-d-1669
::P"rothonot,. ry, Common Pleas Court,
Wa shingt on, Penna.
De a r Sir:
June 24,1924.
The Bureau is in receipt of the application of the person named below
for certifi e d c o py of declaration of intention made in your court .
The application has heen approved and the Bureau is inclosing herewith
F o rm 115 f o r issuance of the copy requested. It should be an exact copy of
the original in your bound volume and be signed by the declarant if practi-
cable; otherwise, his name may be entered by you in the place intended for
his signature. The blanks in the red ink certificate should be filled in
and signed by you.
You should enter on the or iginal declaration in your bound volume a
notation showing the issuance of a. certified copy there of . It is n ot neces-
sary to issue and send to the Bureau a duplicate of the certified copy.
The applicant has been notified by the Bureau that as soon as he pays
your fee he may receive the certified copy . Of course, if you have already
received your fee, you may proceed in accordance with the foregoing without
further delay. The completed c opy may be given or sent direct to the
applicant.
Incl.
Name: .Andy Kornik,
Address: Box 427,Vestaburg,Pa.
Declaration number: 1669
Very truly yours,
Commissioner of Naturaliz iou.
H-19111
t11
U.S. D EPARTMENT OF LABOR
OR IGINAL 3 6 9 ,; ¥ "'"'"""'0' "'""
No _ _LG_~_sz 0 ~ ., .. T!l or ~-
~~~ ~.~ ~ DECLARATION OF INTENTION 8>4
~Invalid for all purposes seven years after the dat reof
--~---fl-~-~ ss: In the _______ --;;l ___________ ~---Court ----~:-_::!:~-----·---:---~_:·:~ _________ :~-~~~-::::::~~::-::~*---:~~:-~~~,::
occupatio n ___________________________ __: ____________________ ~-----------------------------• do declare on oath that my personal
desc ription is: Color ~----• complexion----~-· height '::::!=i_ feet _,_ inches.
weight --/-~ __ q_ ____ pounds, color of hair ----~colo / of eyes---~----------------·
othe r visible di~tinctive marks -~------------------------------------------------------------------------------------
I was born in --a~----~-------------------------------------------------------------------------
on the ________ ..):_~-----------day of ·-----------&7Jl-:-------------·• anno Domini r~_J--:§. __ ; I now reside
at --~ __ _u__ :----___ a%,~;~;;;,.!;;:;-!J.;.-~~;;,l!.f--1---------r:JJ--------------------
1 emigrated to the U mted tales. of Amenca fro m ------~rJ-·---L)-~---------------
on t~e ve s~el ___ -Jr~~-t"h;~l77t.-;--~!-~~~-;,-c-;,-~~-~~~;-,;;-i~~;p;;rt.;-ii~;:.-~~;;j;;~-y-;j;~-;,1ct_b;-i~-;;;)---: my last
foreign residence w s __ r::ti., _ _ ------~------: I am ______________ marned; the name
of my wife is______________ _ _ _, -------------------~he was born at -~--------------·-------------:~~s n~; r~~~~e~~: -~~~~th~~~;--~n--~ii~gi~~~~--~~d--fid~li!Y-l~--~~y-·;;;;;g~
~r inc •. pot~·o_£r sovereignty, and par;Jfularly ~o~:-_,d.~;ff--ox. __ 0 ___ -~-----------------~---J_ _ _ ~ _-7)-~~--:_:~~-~of wh[{m I am now a ubject;
I arrived at the port ot ------------------~:--J--------------------------------------------------------------------------:._--0), in the
State of ---------~---------------------------'21-:--Jf--------------------------• on or about the _____________ 2:1) _________ day
~~iyg;~-i-;-t--~~~-;--~~~~--i~--th-~--;r~~n~e ~~~~~~~~~f~-~n~ ai~ i~0~~n i~~:~~~i~\;n ~~: 7~Jt~
to become a citizen of the United States of America and to permanently reside therein:
So HELP ME GOD. _ _.,~,n_<f:t:-,t:..,~~---------------r
Subsoribed and sworn to before me in the office of the Clerk of 1
said Court this .. L-k::.day of -------~-----• an no Domini~~
[SEAL] ~ _ _ _ ---------c5:.-~~-------. , f
,--r:v c/ Clerk th~.(~----Cottrf.
B;k.J _____ __._ __ /2tcj_~-------• --~ Clerk~
ORIGINAL 37 0
U. S. DEPARTMENT OF LABOR
NATURALIZATION SERVICE
,/ t/dif
No.if'o_lQ_ ~ .,~,~~ or
~~~
~ DECLARATION OF INTENTION
nrlnvali(j,r ~II purposes seven years ter the
.... Y~.. ~-:Z------] ss: In the -----------------------------~::::~-:-~~---------------:f:?!:_~-:~:::~:i~-~:;:::.
occupation ---------------~------------------------------------• do declare on oath that my personal
description is: Color -~--• compJeJSjon ----;--~---·• height --~feet -~--inches,
weight·----1--7--~--------pounds, color of hair --~--------·• color of eyes--~----------------·
,other visible distiNflcti e marks ---~----------------------------------------------------------------------------------
. ' /'I _./ '
I was born In -------~-r--~----------------------------------------------------------------------
on t~ ;---!-!f----p·----------d~ of ---~=~--------------·• an no Domini r_ff_ _ _f __ /_; I now reside
at -~~~~---(L~-~--?Jf:~l£~-f,y{-7,-;;;;;-s;;~-------/h~-=:·=-~~~~-----------------
l em1grated to the Umted States of Amenca from --~+--.!..~~~:::.~7---------------------·
on the vessel ___ {!£J=L~::L -----~~-------------------------------------------------~-----____________________________________ ; my last
• • (lf th" a.lien a.n~/~herwiae than by vessel, 1: character ~ve!a.ace or name of transp<'rtation company should be g~ven)
foreign restdence was--~------~------------: I am _____________ marned; the name ~I .
of my wife i: ---------------,-----------;;r-----=;=.·r--: she was born at ---~----------------------------f~~s n~~ r~~~~e~~~ -;~;~;;;~-~~~~--~~i~gJ.-;;~~--~-;;d---fid-~li(y-(;--;;~y--t;;;;~;
prince, potentate, state, or sovereignty, and particula:ly to ~---~-:_9:7.._~--______ _-------
~-· ___ ·------. ----. ----~~7:1~~--~f whom I am now a su Ject; ~e _ the port o -------------------~~·-o/-·----------------------------------------------------·-·t···--·• in the
State of ----------------------~---7/--------------------------------------------11~-Jt -• on or about the ______ {_!./:: ____________ day
of __________________________ "J_~...Ldj _________________ , an no Domini r -7-~ _ __l ____ ; 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. 4 5 ///' / C ,j tf?-~ {Origin~Be.;;e of declarant)
[SEAL]
Subscribed and sworn to before me in the office of the Clerk of
said Court this.-l£"day of----~--------· an no Domini 19]--j ~-.. illY?_~--'-----
• ,S::,I c::;----./1Jf:k o the -~-----~ Court.
By __ {D ,;z_ __ ':_f/f<J .. _ ___ -, ~----Clerk.
U.S. DEPARTMENT OF LABOR
ORIGIN AL 3 71
~~~
~ DECLARATION OF
~Invalid for all purposes seven years fter the date ereof
___ _gid!_; ___ rl--CBL·--~-j ss: In the -----------------------------------__ ___ ____ _
_______ {la ___ aJ _______ ~ of ___ <;)/~-:~---------
~' ~u-----~-~--------------------------------------------------------·· aged __ £__3 ______ years,
occupation ----'!'~-=-~-----------------------·• do declare on oath that my personal
description is. Color ~-------• complexion ____ :}!__~-------• height ~17feety:-inches,
weight_--(--~--~~--p~unds, color of hair ~,~-------• color of eyes __ J.;d/~-----------·
other vtstble dis c~t':'e marks[--~--------------------------------------------------------------------------------
1 was born in _ _ _ _ ____ _.zid __ .,.. _____ ~~------------------------------------------------------------------------
~~ d/}fz:::l_~:-_:-~·-::::a_~~-:i:i_~:~::~::~-~-:::r:~i~:
~:~-;:~~ (Give number, street, city~ 1 ~~~~:r~::se~~--~:: __ dJL:~:--~-~--~=-~-~~:~-~~:=-~~~-~~~---~-~~~-~-------------------~~~~-~-~~----_~{;·-~;-~~~~-
~ • (If the alien arri~tJ than by ~el , the character of conveyance or name or transportation company should be g~ven)
foreign residence wa~~---_,----~------: I am ______________ marned; the name
of my wife is --~---77f;p·-------~--; s~e {is born at~'~-----------
and now resides at ------~.tJ.J, ... !i«.-«t~--------~"------------------------------------------------------------------
lt is my bona fide intention to renounce forever all allegiance and fidelity to any foreign
prince, potentalf. state, or sovereignty, and particularly to~6;~4-~ ~~~--r~~~-~4~_,_¥-.__, of who I am now a su.bject;
I arn ved at the port ot ____________________ 12__~--!f-------------------------------------------------------------------------------··-·• m the
State of ____________ J=VJ __________________________________________ ?1~JI------------------• on or about the ____ ;b.':§. ______________ day
of ________________________ _/.f&:Y.._: ______________________ , an no Domini I X. __ J-_1:_; 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 perm~ly reside therein:
So HELP ME GOD. {;6J ""c.L---~-----------------------------------··--------------
(Original signature of declarant)
Subsoribed and sworn to before me in the office of the Clerk of
said Court this __ _jf-_day of-------~-------· anno Domini 19 7--1
~7 lfLQ~-------
.flerk of the~~---Court.
By ----~---(?_~_e_k~-------~ ---~-----Clerk. y--· rJ I if,<--b~
[SEAL]
372 ORIGI NAL
U. S. DEPARTMENT OF LABOR
... '\J1~n~:~ ---~'a:-~jurposes seve: ::~:-~---------------------·-----_____ ourt [}_;_J_1 _ _ ______ &rL~.L __ ss: . oL ----~-~5~------
occu!t;~~-:::::_ tl~-!l::t:::J::=::::=:~:::.=::=:::::::--;;~-d~~~~~~-~na~:~h-;h~~-~;-~~~:::; description is: Color ~------• comp~U ______ , height ~nches,
weight ______ _!_61) ___ pounds, color of hatr ________________________________ , color of eyes ______ ___ __ _____ ____ -----------
other visible distinctive marks ----~---~-~r.M__ ___ ~------------------------------------------
1 was born in --~---L~-)/£;1__~-------------------------------------------------------on the __ T),J_j,J ____ -r:Jlay of __________ T _ _ _ --~-------------· anno Domini Ii/;'f};.__ l now reside at ----~~a.-L 4A--~~~;,;. ....... ,.,..; M ~,..pi.a..&k~-:_(_fl& __ . _______ --
( emigrated to the United Stat s of America from ------~~Jl..AlL-r~c-----------------------------
on the vessel __ ~ ___ _ _ _ _______ _ _ _ _ _________________________________________________________________________________ ; my last
(H th,., a.licn ani otherwise than by essel , tne characte o con a.n or name of transpC'rtation company should be given)
foreign residence was_ · -______ ; I am -~-married; the name
of my wife is ____________________________________________________ ; she was orn at ---------------------------------------------------------
and now resides at -------------------------------------------------------------------------------------------________________ ------------------
It is my bona fide intention to renounce forever all alle~tt:ce, andctidelity to any foreign
prince, o_tentate, state, or sovereignty, and particularly to ~~--0~:-12 /_
------t--~--P~------------7};;----------------------~--7 -----------• of whom I am now a subject;
i arrive at t e port of ______ {! ________________ (_/_~-¥-~f3:L ___________________________________________________ , in the
State of --------------------~------------------------------------------'2Jz~-YI_ ___ , on or about the ________ _L_t2_ _________ day
of ------------------------------------, __r)::z/_ ___________ , an no Domini r __ -_.r:__ _; I am not an anarchist; I am not a
polygamist nor a believer in the practice of polygcr y; 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. _ _ _____ ct:_~:----~-!1-~------------
<0nginal signature of declarant)
Subscribed and sworn to before me in the office of the Clerk of
said Court this--/~--y of ______ -Y--' ~-L-
[SEAL]
U.S. DEPARTMENT OF LABOR
OR IGINAL 3 7 3
y' NAT U RALIZATI ON S E RV ICE
No ... L~ ... Z?:;~.,~TII or 4-
~~~ ~.~ ~ DECLARATION OF INTENTION ~4
374 ORIGI NA L
U. S. DEPARTMENT OF LABOR
:~~-?/1~~Il_j::ose~ s:ve: :::~ ;~::;:~-~::~
~ --------------~---Z-~-~(d_~-----------• aged _$ __ =-/_ ______ years,
occupation -----------------~-------------------------{_ __ J)~--~ ~declare on oath that my personal
description i..;: Color ~-------• complexion ---g=~y ____________ , height __ (£_feet-~ inches,
weight __ f ___ ~ __ Q __ pounds, color of hair --~-• color of eyes ---F7-~-----------------
other visible. dis~cy;we mark~~------------:------------------------------------------------------------------------
1 was born tn ~~-LL-~---------------------------------------------------------------------~~-~~~~:~P~;~~~i~~
~~~~=r~::~e~o-t~,itt;?J~-~e~ic~::~:----=~:=:::=_:::_·:::::::_::_:_7:=::_~~:_-_:::_: __ :_:~; ~-~ j~~~
• • (ll th~ alien arrived ;rt>erwiae than by ;••~, tne_ch~& (1-"<fnveyuwe or ua~e of tranapl'rtation company should bo g~ven)
foreign r:s!dence was ~---~--~ed; the name f~F~~~~~ir~~~~~~b-;;~~;~~~-~~ct--fi;~l:iiY~t~:~
prince potentate, state, or so ereignty, and particularly to ~--d.~~--~~~ ~-,L~-1 -~-··-----~-~T----~----• of whom llrtm now'a su~ject;
l arn v ed at the port of . _. _______ . ______________ "Jlf!'-, _____________________ ---,.--__________________________________________ , In the
State of -------------------~/j-_;·-----;·-----------:?!_ ______________________________ ~-· on cr about the _______ 2::.__~---------day
of ________________________________ Jf!f.d&d_: __________ , ann& Domini rr:J-.cL_; 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 ~ to ently reside therein:
$0 HELP ME GOD.~~ ·-----~---,,.._.._,~.,~-~k.._
Subscribed and sworn to before me in the office of the Clerk of
[SEAL] siid Court this--..Ll ayof ___ : __ _nnnoD:mini ,9 -;2---/
;flerk of e -------____________________ -· _ Court.
By ---"21!-f-:xieL:--szt-=--------,-;zJ-~ Clerk .
U. S. DEPARTMENT OF LABOR
1N REPLYING PLEASE REFER TO THIS
Form 142 BUREAU OF NATURALIZATION FILE NUMBER
WASHINGTON 2838 -d-1675
:?ro tho nota~', Cos'111on Pleas Gourt,
• da shington, PennR.
Dear Sir:
April 5, 19<::6
The Bureau is in receipt of the application of the person named be-
low for certified copy of declaration of intention made in your court:
N John Pet~1~f,
arne: ill ·u t V
Add uH s s v _ e , e s a •
ress: 1675
Declaration number:
The application has been approved and the Bureau is inclosing here-
with Form 115 for the issuance of the copy requested . It should be an
exact copy of the original in your bound volume. You should enter on
the o r ig ina l declaration in your bound volume a notation showing the is-
suance of a certified copy thereof. The blanks in the red ink certificate
should be filled in and signed by you. It is not necessary to issue and
send to the Bureau a duplicate of the certified copy.
The applicant has been advised that the certified copy will not be
issued until your fee has been paid. If he resides in your vicinity he
should call at your office to sign and receive the copy, after identifying
himself as the person entitled thereto.
If the applicant resides at a distance from your office, please
forward the certified copy, with a~vice as to post office address of the
applicant, to the officer named below. He will then undertake to deliver
the certified copy.
Li3t!'ict Director of I~aturaliza.tion,Fost Office Bldg., Fi ttsburgh, Pa.
Very truly yours,
Commissioner of Naturalization.
Inclosure.
11-6-25 a-1991
ORIGINAL 3 7 5
U.S. DEPARTMENT OF LABOR
/ NATURALIZATION SERVICE
No '--~--~-z ~~~ ~Til or
~~~
~ DECLARATION
[SEAL]
376
No. _ _j_dz~()jf 0-
~~9
U. S. DEPARTMENT OF LABOR
NATURAL IZATION SERVICE
~~ ~ DECLARATION OF INTENTION
[SEAL]
O R IGI NAL
U. S. DEP A RTMENT OF LABOR
/ NATURALIZAT IO N SE RV ICE
No.l~ __ ] _ _Z{/ ~~ s1 ~Til or ~-
~~~ "tt~ ~ DECLARATION OF INTENTION ••
ORI GINAL 3 7 7
S ubse>ribed and sworn to before me in the office of the Clerk of
[SEAL]
By{i_,cZ____ -
the ___ _ _ _ __ __ Court.
---------, -~z'ji~ _ Clerk .
.87b O RI G I NA L
? I u. s. DEP A RTMENT OF LABOR " f 6 ~ Lf """'"""'O" "~'"
No .LG-7-.. ~ s1 ~TEa or ~~~ ~-~·~
.. ~ DECLARATION OF INTENTION ~>4
~:~~::J:oses seve~n ::::s.;;d:~~~~~:~:
:!\, -~---$~ __ a__ _______________________ , aged ______ f_ ______ years,
occupation ~-----------------------------------------------------• do declare on oath that my personal
description i}' Color --~----• compl'il'ion -~--------·• height'S .. feet £, __ inches,
weight ____ / _____ ()_ ____ pounds, color of hair ---~olor of eyes---~-----------------·
other visible dis~ir;55tive marks ~--------:-------------r;-+;·-;J~--~---------------------------------------------
1 was born in~~--A~--- ----------ro/~----------------------------------------------
~~ ~:y!Jf;;ff_ ___ (-~(E~::.~:~~-~-o-:~---·~~~~---'-:~:r:~i~:
(Givenumber,street,city~ ~
~~~~:r~::~e~~--~~:--~~-~-~~i-~ S~~te~-~~--Am~~r~~~ from ~~-------~~----~~-~~----~-~--:~~--~~~;~-i~~~
• • (ll th~ alien e.mv O}i;jrwy. t)?n by •"Ji1] tne character ot <;onveyance or name of tranapNtation comp11.ny should be g~ven) foreign resrden~-__ ~LLI"~~-marned; the name ~~:~o:i::;;d~;~:~..:£~~(£~:=::==:--~-~=C::::=
It is my bona fide intention to renounce forever all allegi~nce an~delity to any foreign
~~e~e ~
~~;:~;;:~~::~~;:~::~~-~~e=:;,~~~~:~~~~t;·:~:1 ;~~~~:;~=~~~~~-~~i~
to become a citizen of the United States of America and to permanently reside therein:
So HELP ME Goo. i _kJ --~ ~ _ • -~-£~---------------------(Original signature ot declarant)
[SEAL]
U.S. DEPARTMENT OF LABOR v 4 """'"'""0
' "'""
No.i_G_/_fj/t •• , ~Til or ~.
~~\y} ·~A ~~ •lo ~ DECLARATION OF INTENTION ~
ORIGINAL 3 7 9
~Invalid for all purposes seven years after the date hereof
---~4'¥C/fL!_, __ ]ss: In the ---~~ourt
______________ ,_ -1-__Lr:-__WJ_ __ :-:;----_ of ___ ?Jf~--------------------? __
_ ~ ___ ----~-G:;_~~-~aged -----~-'----years,
occupation ____________ _ __ _ __ _ ____________________________________________ , do declare on oath that my personal
description is: Color~_, complexion------~ height __ 2§1eet ___ d1nches,
weight ___ J-ff_ __ Q__ pounds, color of hair ----~olor of eyes ___ ~---
other visib Ie distinctive marks_--~----~-------_-------------------------------------------------:;w~eb/-~rt~2i~::(};£~:~~~~--_:::·.~~:i~:
I (Gi~'-~!treet,cityo~...::;~)~; .. (J
I emigrated to the United States of America from _c-~..4---1 -----;~~--L ______________ _
on the vessel ___ ~--~------------------------------------------------------------------------·; my last
~ • (If the ali~' en a ived otherwise than by r~l, j ~hrc~r of copeyance or name oi transportation company should be g~ven)
foreign residence was_ ~-----r:;4l-~--¥r-~---: I am -------------;Warned; therme
of my wife i~-______ L __ ~--_______________ ; she was born at ~~~~
~;~s n~; r~~~~e~~~ -t?tt~£~~~~~;";;; -~~~~g~~~~~--~~d---fid~iiiY--t~--;~y--;~,~~
prlf\ce, potentate, state, or sovereignty, and particularly to ~-i!"T__________________ •
__ (Q~------t...H.e, ___ Cf:'~;_ _________________ , of whom I am now a subject;
I arriv d at the port i ---------------·-~-!.t----------------------------------------------------------------------------··-·• in the
State of ------------t?Z--------------------------------------------------~)1~--~-~----• on or about the _______ & _________________ day
~~iyg;;;;·i-~~~~--~~--~h~-;,~~~~e ~~~~~~~%:/';n~ ~~ i~0~~\~~!~~~~\;n ~~: ~~~~
to become a citizen of the United States of Am~ica an.d to permanently reside therein:
So HELP ME Goo. ~ _ £? 4 ...; AI-.¢
~ -~~cc:;::_:::.-~--:-~--------------------------------------(Original oignature of declarant)
[SEAL]
3 8 0 J U. S. DEPARTMENT OF LABOR I & 8 o u tf ~ "''"'"""'" '"''"
No................... ~· s1 ~Till or
~~ ~ DECLARATION OF INTENTION
ORIGINAL
~ Inva · or all purposes seven years after the d
n~L ~ . ·---~-----------·---~--~--) ss: In the -~-7 ________ 7)_'_ -~-·--------------Court
____ -~L-----~------_________ of --~~~-.. ------------~------------------------
~t ___ _ _______ {LU._l________ _ ____ ____ _______ __ _ _ --·-------------------------------------·• aged ______ y_fc ____ years7
occupation -----------~--------"------------------------·• do declare on oath that my perso nal
description is: Color ~~--• complexion ---~-----·• height~u-· feet !t .. imches,
weight ______ LLf=_'/.. ___ pounds, color of hair -~olor of eyes---~---
"' other visi b 1 e dis tin cti ve marks __ .::P, ____ ft21-'7f'·---____ i __ ---------------------------------------------------------------------------
I was born l~~ ---~----------------------------------------------------------------
:; ~U.Zi~Lf;;;_:~ .. :-...... -__ ~-:::~--:~:n!Jl:;t~&.::.:fi~~:_r~~i~~
(Givenumber,stree 1~ ~
~~~~:r~:::e~~--~:: __ ~_~{2_[;_:: __ ~~-~-~~~~:-~:=--~~---~~-------------------:---~~:~ ___ :_-_-~--------~-----~~~~~~~~~~~;--~;-i~~~
(lf thl"' alien aniv o rwiae than by vessel, tne chauacter of conveyance or name of transpC'rta.tion company should be given)
foreign residence wa . __ _ -~----------: ..1Jrr:.-~------------married; the name
of my wife is ------------~-----------------: sre was boet! -~-,. -~---"
and now resides at ----------------------~----------~---------------------------------------------------
It is my bona fide intention to renounce forever all allegiance and fidelity to any foreign
princ~, poten~a~, sta e, or sovereignty, and particularly to ~~-dJ:::L~--~-·~
~~-_ __ _ -i~~.~~---~~rf{ I am now a subJ~Ct;
i arrived at the port of ·---------·-------------~--1{------------____________________ fl---------------------------:::_--------·• in the
State of ................................ ;;; ............................. 1/: .. ?f-;-'--• on or about the ...... .,£, .................. day
of ---------------------------------2'1-----------------• anno Domm1 I__ _ ____ ; 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:
$0 HELP ME GOD. -----~-l _____ l!._~d,_ //" ~..& ______________________ _ (l"~i~~t. or declarant)
Subscribed and sworn to before me in the office of the Clerk of
[sEAL] said court t:is.~~:~-a~ of ~--=!tra~ I
V"m ()_r"'~rk Jf the-______ . _____ --~Court.
By __ j[(!_ __ fVA-~~-· "firM-Clerk.
) I u.s. DEPARTMENT OF LABOR
I c t I /) 'tr "''"""''"O" ""'"
ORIG INAL 38
No. ·--------'--------., ~ 1il:l or ~-~
~~~· ~'o ~ DECLARATION OF INTENTION "4
to become a citizen of
So HELP ME GOD.
[SEAL]
the United States of America and to permanently reside therein:
_____ /_1!!8~ __ _;!1_~?::~~-'---------------(1'--(Original .~;~f~~~~~t)
Subscribed and sworn to before me in the office of the Clerk of
said Court ~his0~·::~_· ____ o_f_::·--=~~9 r/
. G r A~k %Y, ---------v~ Court.
By ________ q __ /7/c!_}jd_' --~~Clerk.
382 O RI GINAL
U. S. DEPARTMENT OF LABOR I NATURALIZATION SERVICE
lfo g~ (Jr/t-{
No. -------------------------
~~· ~~
'\1 DECLARATION OF INTENTION
1
ar Invali(:A all purposes seven years after tha. da u
-~--%----.JL ....... l ss: In the --------------------------------____ . ___ ·--------------Court fl1L .. 1; .. ..L'--4-.i!.,_. of ---~~_, ___ @A _______________ _
~1 ___________ _ --~-----~---------------------------------------------• aged --------~-----years,
occupation -----------------~..L2':kt..~&::;.. _______________________ , do declare on oath that my personal
description is: Color ~----------• comp~xion -----~-------• height .£feet_::-:_ __ inches,
weight ____ /!Z_Q ___ pounds, color of hair ---~• color of eyes---~----------
other visible. dis~ct~ mats~-_________________ ;J _________________
0
________________________________________________ _
I was born m -~----__ _ __ _ ____ ~ _ _ __ , __________________________________________________ _
on the~c?-~,-------da~ =;a -----___ ------------~-------------• an no D~mini 1 _K_'J_~_; I now reside
at _____ ':../~--'-----·-=-'--!::-----------------------------------------------------------------------------------------------------------
<Give number, street, city or \wn~d State) ~
l emigrated to t~ States of America from ---~~--(Q--7-~-------
on the vessef -------------------~-~--_ --~----~----------------------------------------------------------------------------------; my 1 ast
. . (lf th" alien arr;v . othe i th~n by v I, tne ~of convey ce or name of transp<'rtation company should be g~ven)
foreign residence was_ _ ___________ {Gz_~---_ _ _____ ; I am ~--marned; the name
of my wife is ·---------------------------------------------------; slie was born at ----------------------------------------------------------
and no \V resides at ---------------------------------------------------------------------------------------------________________ ·-------------------
It is my bona fide intention to renounce forever all allegwnce an~fi e · y to an~ foreign princ~tent~~· ~tat ~eor so :ereign}p', and ,rarticularly to --~-____ __ -------~ _: __ ~_;g_-4:!:_ A __
-------~~---~~~~----7 --:----------------------• of whom I m4o~ a subject;
I arrived at the port of ~ __ _ ' -~-----------------------------------------------------------___ , in the
State of -----------~----------------_ . -------------------------------------• on or about the __________ /__ _ ________ day
of -------------------------/-Lf-~--=--------------• anno Domini r ___ 'fl. ~-; 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 Goo. ---------1:::!-_ _ _______ -g:l,_'! _ _!_! -------------------------
(Original eigla~~~~t)
Subscr~bed and s~o~ be re me ·n the -office of the _c_lerk of _
Said Co~u~-==~::-~_::::':'_'_~
,(;J. c;;z--7:/erk of the---~~-----Court.
By ____ l.Q~ ___ q___~~~' -~--------Clerk .
7 \1 ~·~~
[SEAL]
U.S. DEPARTMENT OF LABOR
ORIGINAL 3 8 3
\1 f 3 II;/ 4 """'"'m"" ""'"
No_f(o____________ ., t\ 111 or
!\~· ~-~·~ ~~ D4 ~ DECLARATION OF INTENTION ~
--~~~:~~-~:~oses seve;n ::~s; ___ ::~:~--r~_:: __ Court
---~~::~~::/:!:::; __ ~: _____ :f _____ ~:~~:~:~-:::~0~:(;_~~~:~;::
occu~ati_on -:--------------~-----------------~-----------------• do declare o~ oat~at my p~rsonal
ces_cnptton IS: Color -~-----· _complexiOn J;-~----· height ------·feet _____ :::-rnches.
weight --~-----pounds, color of hair -~---~olor of eyes---~--------------
ether visible dist1n<(_t~e-marks -~-------------·------------------------------------------------------------------------
1 was born in .d~--~~-----------------------------------------------------------------
on the ____________ 2-9-J---day of ---~~-----------------------• anno Domini ~__?__1__1 ; I now reside
at .. -/-.ad..k_~--~---~~~~---~--(2_~-,----------------------------------------
<Give number, street, city or t , Stato) •
I emigrated to the yl).i.ted S!ates of America from~---_ ____ _ ___ --------------------------------------------·
on the ve ssel-~~--~----__ _____ _ _ __ __ _ __________________________________ ; my last
(If the nlien arrh1 ~iBe;ry vessel, the chn~conveyo.nce 01' name ol' transporta on company should b e given)
foreign residence was--~~---~-~-:~ ______________ married; the name
of my wife i~ ---------------~------:. s~n at v~-------------------------~;_~s n~; ~~~~e~~: 1;;(~~;~~~~~~~~-~~-;;~~--;~d--fid~-IiiY--t;-~y--f~reign
pnnce, potent~eb s~ate, or sovereignty, and pa~~a;_ll' ~t~---h:.-~~
~-~-~--~~~":.~;JiWJlom ram b~ect; 0
•
I arrived at the port of ---------------------~-~-~---"------------------------------------------------------------------------• in the
State of -----------------~-------------------------------:1J.-2j-------------• on or about the _;?__J-________________ day
of ______________________________ tJ.d __________ , an no Domini r fif~; I am not an anarchist; I am not a
polygamist nor a believer in the practice of polyga~y; 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 Goo. _ ~ ~--1 /; J? _ / ·------/-2-~ _-»1_ ____ , ---I_L__rd_~!_:!_ __ ~::-::_ ___ _
(Original s ature of declaren t)
[SEAL]
Subscribed and sworn to before :~office Gf the Clerk of
said Cou~!?Sd2~Jn:o-Do_:':~~9 ~
384 ORIGINAL
U. S. DEPARTMENT OF LABOR ,/ v """"umoo• ""'"
or
~~ ~ DECLARATION OF INTENTION
W" Invalid for all purposes seven years after the uilrt:Jr,-..__u
---~ lli£.fl;-~---:··] ss: In the ----------------------------~ ____ ---------Court
____ {[;~jJf_~_,____ _ of __ qf ......... < •••••••• -----················-· ~' ~~v~------------------------------------·· aged --d--~= years,
occupation ---------------~---------------------------··----• do declare on oath that my personal
description is /Color ~---• copnplexion -~-----·• height __ Sfeet 7-inches,
weight _____ f __ (Q(] pounds, color of .b~---• color of eyes----~-~--------------
other visible dis~ marks~-----_:--------------··-------------------------------------------------------------
:nw;:e b~~: __ inj~-~~;--~~---::·--~~~~--;;~;;;;~;;K.::z-;;~---;··~~~-~~~id~
at ....... a~~.llt.;£:-"ilr::.i.f.;·····------~----------·······-·············
l emigrated to the Umted States of America from --L~---~------------
on the vessel __ C3f~-Y.~-------------------------------------------------------------------·• my last
• . (1! thf'J a li en a~ie e than by ves~ cha~ conveyance or name ot transp0rtation company should be g~ven)
foreign residence was~~)--~------------: I am ______________ marned; the name
of my wife is ----~z=~___:_, s~rn at ~---·······-····-····--·-~;~s n~; r~~~~e~~~ ~~t-;;--;;z~~~;f;r~-;-~~~~f~~y--f~~~;g~
princJotentate, state, or sovereignty, and particularly to · -~-6~~--~---~---~-P--<---'--<...> ~7-/==a-~~~~r"'-· 0 w om m nov:r a su~ject;
I arnved at the port of -----------------------J{-·--¥------------------------------------------------------------------------·• m the
State of -------------------------TY;·------~-!---1./-------------------------------• on or about the --------/-~---------day
of ------------------------------------~1-~--------• fnno Domini '-L(2_/; 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 Goo. ,1 ~ r'~ 1:::;---?~~ d~----~.;i-;ig-~;tt;;;-~id.-;,~j~;;;,t) _____________________ _
[SEAL]
11 I u.s. DEPA RTMEN T OF LABOR ul H-"'"""""" ""'"
O RI GINAL 3 8 5
No.L{J£tJ •• ,~111 or .~1}<,1 ~.t'4>1o
.~ '4
DECLARATION OF INTENTION ~
nr In vall · all purposes seven years ~e hereof ~~:::: . .-::~:~~:::::::lss: In the:h!~~-~:~~:
~' _________ fh !L"-. ______ q~-------------------------------·• aged ·----~ __ t?._ _____ years,
occupation --~:::~:--=~---~~---:~--1~---~--------------------·• do declare on oath that my personal
cescription is: Color ~---• comp}rxion ------~---• height ~feeq. ____ inches,
weight ______ fh_r;_ ____ pounds, color of hair----~ color of eyes~--------·
ether visible distinctive mark~-7~-~-----------------------------------'------------------------------------~nw;:e ~~ .i: .. ~::;/3':/:;~;;~=.t .. ::·:·;;~~--D~;;;·i~;-;·;.:;_~::;···;·-~~:·;~~;~~
at __ _o_M~:;Q~ZeiL~~-a~: ______________________________________________________ _
(Give number, street, city ot town, and S te) ~ ~~~::r~:~e~ot£.nit:d ~t~:~.of ~=-:~i:~~~~:.::~ ... ~::::::.·.·:: ......... ::±~.:~:::::::::::·;·;;;~~~;
• • (II the alien arri' erwise tb~n by vessel, ;;y_ra~l conveyance or name or transportation company should be g~ven)
foreign residence was__ _ __________ -----------/~----------------: I am --~-marned; the name
of my wife is --------------------------------------------------; she was born at ---------------------------------------------------
and now resides at ----------------------------------------------------------------------------------------------------------------
It is my bona fide intention to renounce forever all allegiance and fidelity to any foreign
~-ri:.c:: .. ~91~t::~~~~~--~:r~:~l :rl~-t-o.~~:=~~;'
I arrived at the port of ------------------------2?--'---1/----------------------------------------------------------------------··-·• in the
State of ------------------------------------------------~----U----------------------• on or about the ____ ;2 __ ?-------------day
of --------------------------------------:2:?/---#JCX. __ , an no Domini I .. 2L~_; I am n ot 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 ci t iz en of the United States of America and to pe rmanently reside therein :
So HELP ME GOD. -~;;;;,;;;,;;~·········
[SEAL] S ubs~;;~e~o:~~ t~~~r~~~e~;e .. ~:~~~~~:i~~ /
~ Clerk of th ----------------_ __ _ ____ _ -----------Court.
By -... W..~'JJid~., --~ ' ~-Clerk.
386
U. S. DEPARTME NT O F L ABOR
ORIGINAL
J
No . ./~ __ 8_~----~-r/ t/
NATURALIZATION SERVICE
~~· ~~
'G DECLARATI ON OF INTENTION
U. S. DEPARTMENT OF LABOR
ORIGINAL 8 8 7
NATURALIZATION SERVICE
.tt~ ~~-.V> WI
[SEAL]
DECLARATION OF INTENTION ~
Subscribed and sworn }o before rno.->l·,.., the office of the Clerk of
said Court this -.111::-d ~1(}}::.-:==--~--~~~:1....4-.a
. --------~--Clerk.
388 U. S. DEPARTME NT OF L ABOR
NATURALIZATI O N SE RV ICE
v / ~83 vo-f J-No. ·-----------------------·
~~· ~~
" DECLARATION OF INTENTION
[SEAL]
ORIGINAL
U.S. DEPARTMENT OF LABOR
ORIGINAL 3 8 9
NATUR ALIZATION S E RVICE
No ... j.~:r;z~ifrt ., ~ 1!1 or .. ~~· ~.4'.,0 .V> ~
DECLARATION OF INTENTION """''
~ 1 m= Jn~alid fi r all purposes seven years after the da ereof
---~-----______ _ __ '3:!.._~---------In the -----------------------------------~--Court .-~·1-···· ..... ~ ... J ss: of .. 2f~ ._.0/. ..... :.:_.'>. ___ _ ~ ... .. . !:)/~_ .. _ ..... . .. ··~~~-· aged .... S3. . .,L years,
occupation----------~-------------------------_____________ , do declare on oath that my personal
cescription is: Color~---• complexion -----~-• height ~ fee tl-~n ches.
weight ___ jt_ __ Q _____ pounds, color of hair ---~----·• color of eyes-~-----~-------·
ORIGINAL
U.S. DEPARTMENT OF LABOR
and no\ v resides at ------------------------------------------------------------------------------------------------________________ --------------------
It is my bona fide intention to renounce forever all ~~~nee;~~ fidelity to any foreign
_ prince, potent te, state, or sovereig~ty, and particularly ~-if~~~-:·:~---
'~ --~~~~~I am now:f§ubjeC[;
I arrived at the ort f --------------------------------2-!_::;,1/r-------------------------------------------------------------• in the
State of ------------------------------------------------------------~--¥~---------------• on or about the ________ /jj ____________ day
of ---------------------------~~--------• anno Dommi fl-~2.-; I am not an anarchist; I am not a
polygamist nor a -b-~le~er I n 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 Goo. ~ A -·-A.-~______ ·----------------------------------------·--·-~-~:~::_f::~!'_Z~ (Or' a! signature of declarant)
[SEAL]
Subscr~bed and s~or~ before ~e in the office of the _c_lerk of
said Court thls . .,L ______ da o _ _ _________ : ___ , anno Domini 19 .2/
U.S. DEPARTM ENT OF LABOR
O RI GINAL 8 91
NATU RALIZATIO N SERVI CE
OF INTENTION
a nd now resides at
It is my bona fide intention to renounce forever all
prince, potentate, sta e, or sove~!:~~n~~t~cularly _to . ~--d _ _ _ --~~ of whom I am now a subJect ;
I arrived at the~{,&! oi -------?/7--'--?j--~----/M·-··w ··············----------------------------------------------· in the
State of ------r;;-----~-------------------------------------------~L -~----1----·---------• on or about the------~~---'---------day
of _____________________ _ _ _ _______________ , an no Domini r<j__/ __ , am not an anarchist; I am not a
polygamist a belie er in the practice of polyglmy; 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. __________ :_ fk_~-J/f_~-;;_~0:_. __________________ _ ~1 (Origmal signature oid."/d;ra?f '
Subscribed and sworn to before me in the office of the Clerk of
[SEAL]
said Court this _f-.S..-:: day f _____ _ __ _ _______ , an no Domini 1 9:;J--
___ ---------~ -------·~---~
392 ORIGINAL
U. S. DEPARTMENT OF LABOR
I W "''"'"""'0' ""'"
No _ _L0_1{7t1 ~~ ., ~ 111 or .~~ ~-~tt~
•• ~4
DECLARATION OF INTENTION ~
\
Subscribed and sworn to before me in the office of the Clerk of
said Court this_Leda f _____ _ -~-------· anno Domini r9 < ..-[SEAL]
U.S. DEPARTMENT OF LABOR
OR IGINAL3 9 3
pc o~/
No. _/0_;-_',1___ ., ~ Tl:l or
NA T URAL IZATIO N SERV IC E
"1:.~· ~-~·~ ~·~ D4
DECLARATION OF INTENTION ~
~Invalid for all purposes seven years after the {la ereof
::~:~~:?:::·:_::! ss: · In the ~;-·::_-_?)l~;:_ct_~~-~:~~t ~ ____ -~~-~~-~-~----------------------------------------• aged __ <}!_/___ _______ years,
occupation -~~-~---------------------------------• do declare on oath that my personal
description is: Color ~---------• comP},exion~------------• heigh~,
weight l~Q _________ pounds, color of hai r--~ color of eyes--------------------------------------
other vi sib I e d ist · tive mark ~------------------------------------------------------------------------------------~nw::e ~~~: __ in_ -__ :::::::::·d~; ~~--~::::-·::::::::::::·:-~~~~--D~;;;;~;--;-:g_r~;---~--~~~-~~~id~
at -i'il~-~~~----------------_ --~_Q _______________________ --------------
(Give number, street, city~· :::d;~at~) _ n -~
I emigrated to the United State.s of America from ___ L_~~r-~~--------------------------------
on the vesse ~---------~-----------------------------------------------____________________________________ ; my las t
(If the alien o.M otherwise than by vessel, tr-Jh5.-ter of conveyance or name o1' transportation company should be given)
foreign residence was-~/---~~-----------------: I am ______________ married; the name
of my wife is---------~~---------; she ~a s born at c2;fg~-----------------------------------f;_~s n~~ r~~~~e~~: -~~~q'~;;-;;;~~~--;~d---fid~iiiY--l~--~~y-;~
~'d~:~:r_ei:nt~:_•_:~-~:r~I~~l:rl~-t-o:_:~ho~ I ~m now a su~)~~;-;
~;;~~~dTt tf{e port 5!.h-----------~Lr-·----------------------------------------------------_ ---------------··-·• in th e
State of -----~------------:_/}! __ ¥: ___________________________________________________ , on or about the ______ / ___________________ day
of ____________________________________________________ , an no Domini I __ 'L_ ____ ; I am not an anarchist; I am not a
polygamist nor 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 Goo.
[SEAL]
394 ORIGINAL
U. S. DEPARTMENT OF LABOR
t:/·1{1.4 No. __ jL_ ___ r_/f __ ( !/f /1
NATURALIZATION SERVICE
-~~,~~or~-.~~· '""•~ ,.. ~4
DECLARATION OF INTENTION ~
[SEAL]
U.S. DEPARTMENT OF LABOR
ORIGINAL895
NATURALIZATION SERVICE
~Invalid for all purposes seven years after the date hereof
____ Sh_k_ _____ d__Q_q!__~-----] In th/2 __________ -~----~Court
------~-: ____ lljj?_ ___ ~/Y!k_~-------ss: . of ---------~-: ___ :~~----------------------------
~' ·--~---~-~-~::_-~~---------------------------------------------·· aged ___ Jj_ ___ ; ______ years,
occupation ________ _ __ _ _ __ _ _ _ _ _______________________________ , do declare on oath that my personal
description is: Colo~-------• complexion -----~-------·• height __ £f eet~ ____ inches,
weight _____ j_-5__2::_ pounds, color of hair --~----·• color of eyes---~~--------·
~~~:~====~~===== :~ ~he;-;_t-----____ day of -~~~o -~~:~~~~~---~ ___ :::resi~~
T (Gim=~>•,••~t,oi<y -,MdS •> ~ ~~7~:r~::~e~o-~ n~~t~-~-=~--~:_e~~~~-~-r::_= :::::::=:-:::::---~~---~_:;-~~ 1 ~t (~than by vessel character of ~veyance or n eo r ~.ion compaoy should be given)
foreign residence was L~ __ _ ______ .t:...I:ZJ __ _ ____ e~ ______________ married; the name
of my wife is ------~--------------: she as born af-..L~--~~---------
a n d now resides at -----------------------------------------------------· ___________________________________ ---------------------------·----
It is my bona fide intention to renounce forever all a~d elity to any foreign
prince, ~ote~t ~te state, -o;t~;::~~~~l:rl~-t------------• of ~ho~-; ~m no,;; ~ -~~bj~~t;
I arnved at the port _____________________ .22!--¥-~-------------------------------------------------------------------------· _, m the
State of-------~-_____________________________________________ ?!_:__{-_: ____________ , on or about the _____ /;2 _______________ day
of _____________________ _ _ ________________________ , an no Domini r ___ f-. ___ ; I am not an anarchist; I am not a
polygamist nor a eliever 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. /o~tu kA ' -~----'Df!.. _________ ~~-----------------------------
(Original signature of declarant)
Subsoribed and sworn to before me in the office of the Clerk of
[SEAL]
~~~~~--~~~~-----=~======---------------------------------396 ORIGINAL
U. S. DEPARTMENT OF LABOR
or
~~f)~
~ DECLARATION INTENTION
/
[SEAL]
ORIGIN A L 39
U.S. DEPARTMENT OF LABOR
NATURALIZATION SERVICE
No.Lbtz?l~: ., ~Til or til-
.~~ ~.~ .. ~ .4
DECLARATION OF INTENTION ~
er Invalid for all purposes seven years after the date hereof
~--~11~----~ ss: In the ___________________ ____________ _ ____ Court
--~--!---1-------------------------·---------------of 2/~_! ___ ~ __ : _________________________ _
~' --~-~~-=:J!'_ ________________________________________ , aged ---~-9 ________ years,
occupation --------~---------·------------------------------------• do declare on oath that my personal
descriptio/~
1
coior ~--------• _comple~------·• height __ 5__ feet ( ____ inches,
weight ____________________ pounds, color of hair _g_: _________________________ , color of eyes----~--------------------·
other visi b I e d i sti n c ti ve marks ---~d_-! ________________________________________________________________________________________ _
/1 ~ f) . 11 ~~ J)__
I was born in ~--•--U-:-----~----------------------------------------------------------------------------------
on the ____________ _2j__TJ ____ day of ·----&-'~! _____________ /? ______ , an no D_9mlni I __ J__t;!_l_; I now reside
at ---7--L-14-,._!4]_~--~~~~~~~t~---1 --------------------------------------------
I emigrated to the United States of America from ---~--t ~----------------------------
0 n the vesse ~---~----------------------------------------------------------____________________ / _____________ ; my I as t
• • (If the alien arrive;r_;:.erwise !ba~ by~essel,~racter of convey ce or name ot' transportation company should be g~Yen)
foreign residence was--~---~~ _______________ ; I am ______________ marned; the name
of my wife is ----------------------------------------------------; she was born at ---------------------------------------------------------
and now resides at ----------------------------------------------------------___ --------------------------------_______________________________ _
It_ is my bona fide intention to . renounce fore~er all all~ce/ an~ ~~elity ~any foreign
pnnce, potentate, state, or sovereignty, and particularly to ~---~~------
·---------------------------·------------------------------------------------------------------------------------• of whom I am now a subject ;
I arrived · at the port of __ '!Jl~-1/----------------------------------------------------------------------------------------------.. -·, in the
State o~---------------------------------------------~_,__V_ _________________________ , on or about the _______ l_J______________ day
of _________ ---~-1--------------------------------• an no Domini I--~}; I am not an anarchist; I am not a
polyga ist 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 _s:m. --~----/);_-~-----____ :&2_ ___________________ _
(Origina signature or declarant)
Subsoribed and sworn to before me in the office of the Clerk of
[SEAL]
O R IG INAL
U.S. DEPARTMENT OF LABOR
131" lnv~ for all purposes seven years after the d hereof
~~~-i~~-~~ttl,~~~~~~~~~~~~~~~~~ ss: In the ~~~-~-~-~~~~~~~~~~~~ ~~~~~~~~ ~~~~~~~~~ Court -~-~;~:~~:~~:~~~~~~~~::~~:::~:rr~-~~~~~~~~~~~~~~:~~~~::~::;~:~~z:~~::~~.
occupation -~---~~-~--• do declare on oath that mpersonal
description ~: CoHfr ~-------• comylexion ------~• heigh~---feetb ____ inches,
weight --/-f2Q ____ pounds, color of hair d! ___ ~ color of eyes -----~~~-"c:_ __
,other visible. d~ctive marks ~-D=JL.Le4---7---~---------------------------------------------------------
l w:s born tn ~~\~--!2!1~-.f---------------------~---~------y-?·z--------------------~----
:~ _:~~:-~E_-_-_-M---~~~-~~--~~~~~~~i!f::~~=-1~~~~~~7t::J~G:~~~~~~~~:---~---~:: __ ~:~~~: . . ~;;~~~~:f;'itown, and State) ~
( emtgrated to the )Jnit,ed Sta,tes of Amenca from ---:JJ~-----------~----------------------------------
on the v esse I _____ :JQ_l&__A_ _ _f_ta.f..A-.. _____________________________________________ ------------------------------------; my I ast
• • (U thl'l alie~therwise than by: ve~el~ter of co~a.nce or name of transpC'rtation company should be g~Yen)
foretgn residence wa9-d-'~-,W~-·-___________ ; I am ~t.: .. marned; the name
'11-L ~~ --,-of my wife is------~-~--------------------------; she was b rn at~~ __ ::..:._ ____ _ ~;~s n~~ r~~~~e~~~~~f';~~~~-;,-;:~ii-;;i!~g;~-~~~~~~~~~ii!Yi;,-~~;;y-f~;~ig;;
te, ta e. otr sov:e gnty, and parttcularly to _ _ ______ _c_:.-,)_~"4 -.--_,_:1 .. .._~_~~-___ _
--# --A:d.Jt;....L,t.._~-~---~-~---q-_ __ _ _!i_"_':_~--------------------------------• of whom I am now a subject;
I arrived at the port o ___ --------------~~--~:o/--------------------------------------------------------;:;_:,---• in the
State of __________ ____ _ _____ -----------------------~'--=-----------------------• n or about the ________ £ ______________ day
of ____________________ _ _____ "T ________________ , anno bomini r ____ ___ I am not an anarchist; I am not a
polygamist n r a liever in the practice of polyga y; 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.
Subscribed and sworn to before me in the office of the Clerk of
[SEAL]
said Court this 24-day of -or----------· an no Domini f-9 / ~w~----------------------------------
-.:::Jl_rk of th~~-~~~~~ Court.
By ~-?4---------~---~------------Clerk . 0 . (/ {/ ;~
U. S. DEPAR T ME NT OF LA BO R IN RULY ING PLEASE ll&FER TO THIS
Porm HI!
(O ld 205-B) BU REAU OF NATURALIZATI ON
WASHING T O N
Prothonotary, Common Pleas C;urt,
~:a shington, Pa .
Dear Sir:
FILE NUMB ER
2838-d-1699
July 14, 1925.
The Bureau is in re <l eipt of the application of the pers on na med be-
low for certified copy of declaration o f i nte n tion made i n your co urt:
Name : :art i n Tillman,
Address: c/o Prothonta:ry, Com .. rnon Pleas Court, ''lashington , Pa.
Declaration number: 1699.
The application has been approved and the Bureau is inclosing here-
with Form 115 for the issuance of the copy requested. It should be a n
exact copy of the original in your bound volume.. You should enter on
the original declaration in your bound volume a notation showi ng the is-
suance of a certified copy thereof. The blanks in the red ink certificate
should be filled in and signed by you. It is not necessary to issue a n d
send to the Bureau a duplicate of the certified copy.
The applicant has been advised that the certified copy will not be
issued until your fee has been paid . If he resides in your vicinity he
should call at your office to sign and receive the copy , after identifying
himself as the person entitled thereto. If the applicant resides at
a distance, the certified copy, and also the post office address of the
applicant , should b e forwarded to the following-named officer for sig-
nat u re and de liv ery.
Very truly yours,
~
I nclosure ..
Commiss i o ne r o f Natura ~
(I(}--8-:1-4)
U.S. D EPARTMENT O F LABOR
ORI G I NAL 3 9 9 \,/ v NATURALIZATION SERVICE
No. _Lbf,f#'/~ e11l Til or ~~
~~~ "'t'•
;:::
< ;z
.,'i .,.
~V> w
DECLARATION OF INTENTION ~
and o re ·de
It. is y b a fi intention to . renounce forever all allegiance and fi~elity t~ foreign
~-ri:c::+:: __ ~·-~~--~:r~I~~I:rl~-~-o--~-~to;~--=f-
l arrived at the port of ·-------------------------~-'---~------------------------------------------------------------------.. -·, in the
State of ----------------------------------------------------'22:~"----------------------·• on or about the ________ .!.._-!:?~-------day
of ___________________________ -:121../k:::Z.: ______________ , an no 6omini r _'jt2 ____ , 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
') become a citizen of the United States of America and to perman ently reside therein :
So HELP ME Goo. ~~----~-------------
[SEAL]
(Original aignature of declarant)
Subsc;ribed and sworn to before me in the office of the Clerk of
said Court this~~J!;!.. of----~---------· anno Domini 19 ;2.--/
___.LA.iO~~~r=JJ;,·-------c'tJI of the-~~~ Court.
By __ {J-:_1tf_/7~---------, --~-----Clerk. -rf ---{/-------}·-~=-·~
O RI GINA L
U. S. DEPARTMENT OF LABOR v """""""". ""'"
No ... /)t2_QIJI/~ .,~,~-or .~1f)<J ~-~~~ ~~ ~~
DECLARATION OF INTENTION ~ Y::I h~a · or all purposes seven years after the d ereof
·----{!~--~------------------;:z-~-------j ss: In the -----------·········-·:··--,-Ztfd __ Court
------------¥------.. ···············=·y of _.?1.~-----········-····-··--·-~' ·--------------~~~~~~--------------------------·• aged ·-----d--~------years,
occupation -------~~~~:Ji;;_;;j~~L~__Jjlt;do declare on oath that my personal
description is: Color ~---------• complexion ----~-------·• height 6_ ___ feet:-_____ inches,
weight __ _j_i_g _______ pounds, color of hair ---~--Ad ____________ , color of eyes--~--------------------·
vth er visible distinctive marks~---------------------------------------------------------------------------------------------
1 was born in --"Zj;--___ ___ _ _____ _ _ ___ '1---~--------------------------------------------------------~---------
on the ~--;:.v _____ L__q_ __ day of ____ _ _ _ ____ "~---fj------.--·• anno D~i I_R_~_O ; I now reside
at u_~ _____ JJ..LZ.£. !~~ -t--__ ~£'_ ___ ~~~~----'---~~------------------------------------------=o"'"--"'"-....... ---'-"\ (Give number, street, ctty octo and State)
I emigrated to the lJ ni~ed States of America from ____ ___ ________ _ _ -r--____ __ -----·----_____________________ _
on the vessel________ _ _ __ ----------------------------------------------------------------------------------------------------·: my last
• • alien ardve;I -othej)Ni/) than tY veBBel, tne ch~r ot. ooavey&n~me or transpC'rtation compaoy should be g~ven)
foreign r~s1~ence was ?j~-r:--~ I am ______________ marne~the ~arne
of my wtfe 1s -------------r-5-;~---------__________ , sh_>-w~ porn at-~~---~
and now resides at -~14.. _ ____ _ _ __ i__Zdj__ ___________________________________________________________________ _
It is my bona fide intention to ren unce forever all allegiance ~n~ Melit~ !O_ anl,._foreign
~rince, ~o~en~ state, or sovereignty.:./~d partic_ularly to~~~~ ~ . -;r;~-~U<, ~~g_f whom I am now a subje::t;
I arrived t e port of ....................... 21:~-------·····--······-·-···············-···························• in the
State of -------------------~-----,.--------------------------7]:~-J/!:-----: _____ , on or about the ---------. --~-----day
of -------------------------&lJ-1~--------------• an no Dommt r _q_./1__ , I am not an anarchist ; I am not a
polygamist nor a believer in the practice of polyg;ID:y; and it is my intention in good faith
to become a citizen of the United States of Ameri~nd to permanently reside therein:
So HELP ME Goo. ___ '1_~---~AM ________ _
(Original•irr;na.tur::rr~t>
Subscribed and sworn to before me in the office of the Clerk of
[SEAL]
said Court this_2_3_~da_Yyof ------~-----· anno Domini rc?---~L(o_~(d)_j_~--1_,/ ____________________ _
cr-~lerk of the--------------------------~~--------Court.
By ... Q .. ':4J~d _________ , . r?-Clerk.
U.S. DEPARTMENT OF LABOR
ORIGINAL 4 01
~Invalid fQr all purposes seven years after the
__ gLJ:& _____ ~_(~~-----~ In the __________ _ _ _ _ _ _ ~--Court C!,c------1'----------:ff~_k ss: of ---~~ll.&_! _______________ _
:!\. ~----------------~-~----4~-------------------------------• aged --h-~--~--years,
occupation -----~--ltz'!_,_:~.':.: _____________________________________________ , do declare on oath t at ruy personal
description i~ Color -~~--• complexion ~ ______________ , height _§ __ feet_( __ inches,
weight ___ j&_Q ___ pounds, color of hair ---~• color of eyes--~~------
other visible distinctive marks ----~-----------------------------------------------------------------------------------:nwt~e b~~~-in ~~::~::::::::::::::-:-~~~~--0~;;;;~;--;-;g;;r:·-~---~--~~-:;-;~~;~~
at ----~-1'----------------'------------------------------------------------------------_________________ _
(Give number, street, cit~ c:;-:-----
~~~~!r~:::e~~--~:~~-~~~~-~~:=-~~----~---------~---------------:--~~~~~-~~:~~~~~~;--~-;;-i~~~
(If the alien arriv~ri.Be than by vessel, the character of conveyance or name or' transportation company should be give!l)
foreign residence was ____ :fL.._~~----~c:<_ _________ ; I am ______________ married; the name
of my wife is--------~----------------------:, she was born at --~----------------------------
and now resides at ---~------------~---0~-C-----------------------------------------------------------
It is my bona fide intention to renounce forever all allegiance ?-nd f],9,_e~i~y to any foreign
. . . ~-~(!~trY"~ ~0 P!Jnce, potentate, state, or sovereignty, and part1cul~rly to~~--~---~
-~--~-~~---~~.r.J.d:~&.f.L-~:! __ , of whom I am now a subject;
I arrived at the port of ----------~:---1'-·---------------------------------------------------------------------------------··-·• in the
~~~;:;:~~~~~;~;:,~~~:~:;r:~~~~~~~?~:~--::1 ~i~~;:~~~:;i:~~~i~~--~~~-~~~~
to become a citizen of the United States of America and to permanently reside therein :
So HELP ME Goo.
[SEAL]
Subsoribed and sworn to before ~~ th; -~ffice of the Clerk of
said Court this ___ .:)---2day of---~~-· anno Domini I<b2-I ~cJ-~-Q~~J:<_ ______________ _
r{j' c;-; C/erkojthe_[~court
By ___ fJL __ ~L---~~}j_,z.&,'(: _____ , ___ _d~ Clerk.
402 ORIGINAL
U. S. DEPARTMENT OF LABOR
NATURALIZATION SERVICE
No. _JJ~~t1 t/ ~ •" ~ Tl• or 4(\1)~ ~-~·~ ~-.. o~
DECLARATION OF INTENTION ""f/
~Invalid for all purposes seven years after the date
____ Sf4/i ___ f-I--Q~~--------] ss: . In the ---;;;_-~~ _ --~--Court
__ f!&_~ --r------'2d__~----tJ 0 f ___ :;d.--------------------------------------
:!1, ___________ q~------9-~----------------------• aged ~] __________ years,
occupation --------------~-1)-~----------------• do declare on oath that my personal
description is: Color ---~-------• complexion ~---------• height __ '-:?_feet J---inches, weight ____ _jft}_ ______ pounds, ~:0~--~--· color of eyes ___ ~------
~t~~ v~~:~e i~i~ti:_:l£_ar~:=~~::tt::_::::::::::::::::::::::::::::=:::::=:::::::::=
on the _l_fi= mmmmm day of ____ c6)__~._ ________________ , anno Domini L _ _£Jj; I now reside
at _____________ 1:_~~-Q~-·--------------------------------------------------------------------------------------
caive number, stceet, eity « ",.s;nd State) /) ./
l emigrated to the United States of America from ---~~-t---0~-----------------
on the vesse l ______________________ C}i~~---LL ______________________ ------------------------------------; my I ast
. • (lt thfll alien arrived ;~erwiun.:y_ v~~l, tne charactel" ot coo.~e!(f.!)OO or came of ~ransp<'rtation company should be g~ven) •
foreign residence was -~---tt=.L":'Y-LL+-~---------· I am ______________ marned, the name
of my wife is-----~---------------------------: she was born at--~---------------------------
and now resides at -----~ _ ----2~---------------------------------------------------------
lt is my bona fide intention to renounce forever aU allegianc~ ~~elity to any foreign _
prince, potentate, state, or sovereignty, and particularly {/(~~~~~.d!--o
--i--~--~--::~~-~ .eaa .. ..lo<~/ _____ , of whom I am now a subject ;
! arrived at the port of -----------------·;ry)'?iJ'"=~ ,..U _______ :·--------------------------;;z-----• in the
State of ---------------~--____ ----------------------------~~~I ---------:--~-----------~ ~n or about the ---------.-----_--------------day
of ----------------------------_ ~---------• a o Dommt r -ra __ , I am not an anarchist, I am not a
polygamist no'r eliever 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 Goo. ~_k __ It _____ -=--~---zd;-ginal sl~~-~larant)
Subscribed and sworn to before me in the office of the Clerk of
said Court this _J_~_dayr:o f -----~---· anno Domini 19 ')) ~0'-~~--------(j;., "'); Clerk of the~/.~_ Court.
By .• Q:.C::~~--~~~----~, -~---Clerk .
[SEAL]
U. S. D EPARTME NT OF LABOR
ORlGIN A L 4 0 3
NATURALIZATION SERVICE
OF INTENTION
nr Invalid~ all pm-poses seven years after the da 1ereof
----'¥17----~---~~: ________ ss: In the~---~7 _______________ ---------------------Comt
________ : __ ~ ____ jif_~-1?~------. of -~~_,_(?Q: __________________ _
OCCU!t;~~ -_ _ __ ---_ ·::----_ ' --;a~:---~-d~~j;;~-~na~:~h-;~~~~;~::::;
description is: Color ~-------• complexion~ __ , height ~-feet_!::.. inches,
weight ____ t_£2l pounds, color of hair-------~' color of eyes~------------------·
other visible di~ye marks ------~---------------------------------------------------------------------------------~nwt~e b-o~:--~~'ftct~~~(l:~~~--~~~~-0~;;;;~;-;-:;r~=::;---i--;;~~;~~j~~
at -~---~-~~----------
~;7~!r~::~e~~~:-~~--~=-~-~~~~-~~~:=-~~~~~~~----~----~----~~----~--------~-~~~~--~-----~--------~~~~~~~---~-~--~;--~-~-i~~~
(If the alien arrhed ot wiee than by vesse(j"f'cter of conveyance or name oi trsneportation company should be given)
foreign residence was__ _ / _ -r--f~-----------: I am ______________ married; the name
of my wife is ----------------------------------------------------; she was born at --------------------------------------------------------
and now resides at -----------------------------------------------------------· -----------------------------------------------------------_______ _
It is my bona fide intention to renounce forever all allegiance and fidelity to p eign
::4-=~:~_n_t~: __ a_:~--~:~'c-~I:rl~-t-o:~~~;~ ~:u~'
I arrived at the port oi ---------------~-l.~-----------------------------------------;2-y-----_ , in the
State of ----------~------------------------------------------27-t--~---------• on or about the ----------------------------day
of ___________________ Ud ________________________ , an no Domini I J,-3 .; 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. -~~--~---S:a.r_:£&iil!LIL. __________ _
r;rmal ;;g;.F;;-of declarant)
Subsoribed and sworn to before m~ the office of the Clerk of
[SEAL] said Cour~~£~(2{A~,---:-· anno ~~~~:' __ '9~ f
Clerk of the --------------------------------_________ '41 __ Court.
By ____ a__~::!l_~_J/_ _______ , Clerk.
404 O R IG IN AL
U. S. DEPARTMENT OF LABOR ' 0 u-1 J """"'"'"0" '"""
No.__//()d ~ .,~,~· or
.. <tf)~ ~-~·~
.. V> .A
DECLARATION OF INTENTION ~
occupation --------------~------------------------------------• do declare on oath that my personal
description is: Color ~-------• complexion ______ d._~~--• height if __ feet fq__ inches,
weight j .. fi..Q ....... pounds, color of hair---~~:.;;;;;_ ___ , color of eyes--~·-_-···········
other visible distinctive marks ~--------------------------------------------------------------------------------------
1 was born In .......... C£~,.... ... . .... _·. ... ...................... ~---:---··i·----~------··· -~~-; ~
on the ........ /.3 .......... da f .......... ······m,··········• anno Domini r. ... .J.b.; I now s d
at ------~--06 n • --_____ _:L. _________ f!::P-/.dt __ £ _____________________________________________________ _
(Givenumber,street,cttyortown,nnd~ ~
~~~~:r~:::=~:~-~-~:=-~~~~~~~~~~~~~~~~~--------------~---~--------------------------~-~~~-.; ~-;·i~~~ . . {U thft alien arriv~e~s.e than by veBB;.--m~hara.cte~nv.eyance or name of transpC\rtation company should be g~ven)
foretgn residence was ---~~J .. L1.&£:J2£o!~----------; I am --~--marned; the name
of my wife is ____________________________________________________ ; she was born at ---------------------------------------------------------
and no \V resides at -----------------------------------------------------------------------------------------------------------------------------------
It is my bona fide intention to renounce forever all alle~d fi elity to any foreign
prince, potentate, state, or sovereignty, and particularly to-:: · -______ q-y ~~--
~fo--~-1~-~-~~ w o-rn-ffm now a su~ject;
l arnved at the port of .................. -:):Z,.~·-·····················-··········-·-··············-······;z,-····"" 1n the
State of _____________ -----------------------------------------------~L-~--------• on or about the _________________ ;! ________ day
of _____________________ _ ____________________ , anno Domini r .!.f1-.J: I am not an anarchist; I am not a
polygamist nor a eliever 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. ~--::?~-~
(Original ~U;;.;.....t>
[SEAL]
Subscribed and sworn to before /)1 the office of the Clerk of
said Court this ..;;z __ l({dayof ---'Pf--~--. anno Domini 19.
-~--g__~--~-----------------__ 7 _____ _
~ ~k of the----------_ ________ _____ ~-Court.
By .. V:J,:::Z. ..... ..!//eL .. -2J'~.._-! ~~ Clerk .
ORI G I NAL 4 () 5
U.S. D EP ARTM ENT OF LABOR
Kl or~-~ .~1) ~·~ •• ~4
DECLARATION OF INTENTION ~
~In val~ all purposes
--~----7)--:/m__,7 _____ l ss:
seven yea~ hereof
In the --------------------------------~-Court
-~-~--r-------~Mld!l--1! .
~' -~------------------------_ _ _ -----~----------------------------------·• aged ___ d_h --7---------years,
1
of __ 2f_~--~0_ ________________________ _
occupation ____ __ ___ ____ __ -.------------------------------------------------·• d~ declare on oath t at r;:y persona
description i : Color~--------• complexion ----~------·• height __ <£feet}. _____ inches,
weight __ ;z,_ __ J__Q ___ pounds, color of hair ----~--• color of eyes-~-------·
~~~~~~=~:====~========= ~; _the:=~~------d:y of=-: -~--£:;;=~7~~-~:~~-~~:r:~~~:
(Givenumber,street,city~ ~ ~
~~~~!r~::~e~~--~~:--~-~~-~=-~-~~~~-f-~:=-~~~~~--~----~----~-~-------~---~~--:------~~~~~L~~~;--~-;;-i ~~~
• . (If the ulien arrh ed ot~n by ~ess~haracter of convoyance or namo or transportation company should be g~ven)
:~r~~n :~:~~:n_c:::s_:::::~-_=:::::~----:'::~~~--~~;;:;-~~;--1-::::~~-'fl_e_~~-t~-e_: __ ~:
and now resides at --------------------------------------------------------------------------____________________ -------------------------------
It is my bona fide intention to renounce forever all al~!;;n.se _. ~n§ ~ to ~ forei~ _
prince, potentate state, or sovereignty, and particularly to ~ _ ~:t:£_;_ J~--?~-~--~~-~ of whom I am now a subject;
I arnved at the port ot ____________ -:;r;_~---¥-~------------------------------------------------------------------------7 _____ ... , in the
State of ------------/-V----------------------------------------~! __ 2/,._. ________ , on or about the _______ }£r; ______________ day
of __________________ c.;?{,J~~------------------• an no Domin( I __ 7-t__(!__; 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. tlt11A' ----------------------------------______________ 72_ ___ , _____________ _
[SEAL]
Subsoribed and sworn to be:~~he office of the Clerk of
said cau~£(Z~o ~~~~:'_'9 ~ 1
p Clerk of the ~----Court.
By Co--<--~-/2Jr!L _:2J~--------, --~~-___ Clerk.
~ rr:Jc
406 ORIGINAL
U. S. DEPARTMENT OF LABOR
I 7 o "G 0 cr/ ,;/ "'"'"""'0
' "~'"
No. ·········-········· ~ ., ~Til or .<t~~ ~-~·~
... ~4
DECLARATION OF INTENTION ""'(f
~Invalid for all purposes seven years after the date llereof
.... .fiwf .. 3l_.a·'··:··j ss, In the ·-~ ~ourt --~·::::!:·r;~ti~··············---·-·········~~ .. ~: ... ·. ·~~:~~~:z:~::·~:~~:.
occupation ----------t:-----~-----~~~----------------------• do declare on oath that my personal
description is: C lor --~-------• complexion --------~----·• height -~--feet J---inches,
weight _____ j-l2__Q_ ____ pounds, color of hair --~~-----------·• color of eyes----~------------
other vi sib 1 e dis tin cti ve marks~----~-----------------------------------------------------------------------------------------~nw~e b.o~: .. ';3:::::~~:~=::::::::·~~~~·~;;;;~;·;:=iJJ···; .. ~·~~·~~~id~ at -·-··-······~~-:.-,;1-:;1-..~~('.1,;;.;-.£~.,. __ ·········-···························.
[emigrated to the Unit7J ~t~~es of America from --~~-r~---------------------------------on the vesse l .... ,;;;;.;~~;;;;;.;·;;;;"[f/:~;;;;;;;·;;;;;;:;,;;;;;;;,;·~;;;;;;;;,;;;,;·;,o·;,~;;; ... : my last
~~r~~n ;~;~~:n::_~".s.:::::= ...... :~~~·-·' s:e ~if ~~~~-~·' .. '.:::~:.:~e.~~ .. ~h~_:::
and no \V resides at --------------------------------------------------------------------------------------------------------------------------------
It is my bona fide intention to renounce forever all allegiance and fidelity to any foreign
~ri~.c::~:t::=£:;:;~.£~v_S2e~~.~~ .. ~:~~~~~rl~·t·o .. :~~=~~
I arrived at the port pf -4--------------------fl---J?-"~~------------------------------------------------------------------·• in the State of -··························································L,it····-·········-··• on or about the ............................ day
~~iyg;~-i-~-t--~~~-~-bcl:~~~--i~--th~--;r~~n ~e ~f ~~~~~;:~ ai~ i~0~~ i~~:~~~i~ti~ ~~~ ~~~~
to become a citizen of the United States of America and t o permanently reside therein:
So HELP ME Goo. _______ dhd~ ---------_: _________________ _
~--v--,...-(orii;n~ aturo of declarant)
Subscribed and sworn to before me in the office of the Clerk of
[SEAL]
said C ourt this ______ Lday of _______ !JJi_~ anno Domini 19 ~
~~-Y._ __ cff_lL!_~_
/ j VJ/11 C~)!! ~s::!'~. Court.
By .... L/.': ... /LL. ... J~..e.L._, ····~···· Clerk .
U .S. DE PA RT MENT OF L A BOR
ORI GINAL 4 0 7 ./ w J """"'"""" """'
No /__;lf)/i!t s1 ~ 111 or f\~· ~·~·~
.. ~ DECLARATION OF INTENTION ~.
w-Invali~all purposes seven years after the dat ereof
___ Sid_± ______ ~ ____ __!fJJ
71
______ l ss: . In the ___ ;;:yj'____________ ~---~-Court ____ {]_, __ -:!--~-~--'--of ---------~--------------------------------
:!\, ______________________ --~-----~-------_______________________ , aged ______ .;}_ __ )=_ years,
odccu~ati.on ·:·-----C·----~----------------rr~-1-----~-----------~L~clar~ o~ ~:t~h;t mt i:~rs~nal
escnptwn IS: o or ~~-----• comp exiOn ---r_;:;{~::...-;;.,_-----• etg ·------ee ______ me es,
weight _-.L6.!L ___ :·· pounds, color of hai~---·• color of eyes--~---------·
other v1s1ble. dts~mct1 m rk~--------------------------~------------------------------------------~nwt~e b~-~--~~12.:=----:.: d~; ~~:=_-_:~:-:~;~~~-J;~;;;;r;;·-~;---~--~~:;;;·;~~jd~
at ------~-c;p:;, -----------,a;:;; ~;~,a~~~,;;V""'-----------:------:;;;-:5 --
~:7~:r~::~e~ot~~--~nited ~~-f-r~::::~L~:::~:=~::::~:.:;-;;;;--1 ~:;J
(It the alien arrh; otherwise ha.n by ves&el, the cllaracter of co nveyance or name or tran sportation company should be given)
foreign residence w¥____ _ _____ r~::-:::::::t __ ; I ~----------married; the na ~
~~::o:i~::~~~-~~ ___ :_7l#;;~;;;:;;;M;:;:z __ ]i~r_~;,_~:=
It is my bona fide intention to renounce forever all allegiance and'/~,e-l~t: to any fo reig n
prince,pot~~~~n~~~S~JL~~)" ~t the port oi ________ ;')!£~~----------------------------------------------------------------------_, in the
State of _________________________________ !)j_, _____ Jf;----------------------------·• on or about the ____ l___Q_ ______________ day
of ____________________________ {J!&:f _________________ , an o Domini 1 ______ ..... ___ ; 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 there in:
So HELP ME Goo. --------ClLrW~~Ci£._ _________________________ _
(Original signature o_yfec larant)
Subsc,.ribed and sworn to before me in the office of the Clerk of
[SEAL] said Cour::f_£_aQ~~-~~:~~-n-:o~~~-':'_~ 9 ~ 1
// c7 J/h /1 perk of the~~-Court.
BJi.../L __ J_J_f_, _ _l!_k~ ______ , __ d):_1~ Clerk.
408 ORIGINAL
U.S. DEPARTMENT OF LABOR
J
No .. L1f2 __ ~p44 .,~Til or~·
!t~· . ·f'·~ ~~ ~~ ~ DECLARATION OF INTENTION ~
NATURAL IZATION SERVICE
[SEAL]
-_ __ _ ____ Court ..
-, cZJ§~-Clerk.
U.S. DEPARTMENT OF LABOR
ORIGIN AL 4 0 9 v NATURALI ZATION SERVICE
No.l:ZQ_!/l!A, ., ~Til or ~~· ~-~·~
\ l
/
.~ -4 DECLARATION OF INTENTION ~
~ _______ _ __p,_~~-~_jy_ _____ J__~da..;.q_~ _____ _ _______________ , aged .J;t. ________ years,
occupation ___________________ _ _ _ +__fJ _______________ V ____ , do dec;~re on oath that my personal
description is: Col~------• com~lex)on~eight ~feet6..._inches,
weight -----/.lf.J-----pounds, color of hair -~-------• color of eyes-------~------------
other visible dist~;ti~e marks ~-~--------------------------------------------------------------------------------------
:nw:e b~_r: __ i~r-L:::--:.~t:Jf:t:::-·:::::::·:-~~;~--Q~~-i;;--;-:;;_Q:T·;-~~:;-;~~;d~
at ------------------6n___ -------------------_f!--J_. _______________________________________________________________________ _
(Give number, street, city or)!..,wy. and State~ -~
I emigrated to the(UJ)-9:ed States of America fro~ ___ z_~-------------------------
on the vessel _____ c2tfl___@ _ _ _____________________________________________________________________________________ ; my last
.. . (If the alien a.rrh-ed he is? than by v~el, fJe character of ~onveyance or name ot transportation company ~hould be g~ven)
foreign r~si~ence was__ _a:::x)__w~~------------------: I am -~-marned; the name
of my wife Is ----------------------------------------------------; she was born at ---------------------------------------------------------
and now resides at ----~--------------------------------------------------------------------------------------------------------------------------
It is my bona fide intention to renounce forever all allegiance and fidelity to any foreig n
tentate, sta1r sovereignty, and ~larly to ----------------------------------------------------------------
1 arrived ~~~ po;~-~; :~~~:~:~:f; ___ : __ ~::::~~--=~:: __ 1 _~: __ :::_~ s,ui~et~~
State of --------=----{J------------------------------12-·-----Jf--: __________________ , on or about the ___________ /_ ______________ day
of ------------------~~-----------• anno Domini L'f-~-O I am not an anarchist; I am not a
polygamist nor a b7I~~~;--i~ 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 Goo. -~~-~~---
z:r·-~----0 (Original signature of d~~~~~l----o -~-c -
Subs<>ribed and sworn to before me in the office of the Clerk of
said Court this_\..3 ___ day of-----~-~-------· anno Domini 19 .tJ /
-~7--~-a-~---------
Clerk of the ----~~f~_ Court.
By .1!1~---t=--~'----"'.L. ~,.-w-v ______________ ~ -~~---Clerk.
[SEAL]
410 ORIGINAL
U. S. DEPARTMENT OF LABOR
NATURALIZATION SERVICE
No.-L1iQfiJJ .,~,~-or
~~· ~ ~ DECLARATION OF INTENTION
~Invalid for all purposes seven years after tlte date
~ __ tJfl!tb!_ __ ~----------~ In the -------------------------------------------~~-.,Court ~:~.:'··1-····!}1~~---'·· ss: of .2£~. <h_ ____ ... _: .......... ____ _ ~1 ________________ (;J~--~~-----~~----------------------------·• aged ·---~/ _______ years,
occupation ---~---------------------------------------------·• do declare on oath that my personal
description is: Color ~-------• complexion__ _ ______ _ ----------·• height · __ :£feet--~-inches,
weight ___ L12::. _____ pounds, color of hair____ _ _______ ---------·• color of eyes------~-------·
~t~:s v~~~~e i~i~ti:~:~ _LL,-~~--~~~ u. "ZA...---~~----~-~V---1--~--
~; ~~::::ITJ1I~~:~:!~;z.::::~---~~-,-==~:~:~:~~:~~--~o:~:~ __ ':=~~~~: __ ' ... :~:':~i~:
. • (Give nu~ber, street, ctty or t , and State) C ~
I .emigrated to the ~mted SfAes of Ame~tca from___ _ _ ____________ --------J---------Z:'~--------
on the vesseL~--~_ __ _ -~~--=--__ __ _ --~'-f!:..: .. ; my last
(l! th~ alien aniv~ v~a.raeter of conveya or name of transpNtation company should be~;~
~~r~~n;~:~~:n::.=~-~:=: ................... :: .. :: .... =-~~~;;;~;-:_1_:_~=-:~r r~-:~~-t~~-:~~:
and no\ v resides at ------------------------_ ------------------------------------------------------------------------------------------------------
It is my bona fide intention to renounce forever all allegiance and fidelity to any foreign
prince, pot~te, sta~ sr sovereignt~, and particularly to ·-------------------------------------------------------~-------·----:-------... --~ .. IZJ.--n~f who~ I am now a su~Ject;
i arn ved at the port of __________ ·-------------~--:;j;-------------------------------------------------------------------------·• In the
State of -------------~------__________________________ jJ ___ ,_( ______________________ , on or about the ----------L-~-------day
of ___________________ c;;__ _ _ _ _______________ , an no Domini rf-d_.;_ ___ ; I am not an anarchist; I am not a
polygamist nor a bel' ever 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:
$0 HELP ME GOD. -------~----~-~_b!!:!!_ _______________ _
[SEAL]
(Original signature or declarant)
Subscribed and sworn to before IJ!,e ... !n the office of the Clerk of
said Court this .~3 .... day of .. .::ff~----·· an no Domini r '};J--/
V ~~~.-L-~ourt
By .. :R!fr;l~--------· d~-~~--Clerk.
ORI GINAL 41
U.S. DEP A RTMENT OF LABOR
~ '• ~ DECLARATION OF INTENTION ~
[SEAL]
ORIGINAL
U. S. DEPARTMENT OF LABOR v """'.um•o• """' \~ No .. L)Lr:_fJo/, A 4\1~111 or
r ~~ ~ &t4t~ . . ~~ ~~~
\'
.~ ~ DECLARATION OF INTENTION
m= In~alid for all purposes seven years after the d ereof
·-------~----d:/___(l_~_: __________ l ss: In the·---········-···········_·@;~-Court
______ e__~---o/1--~-~------of ?1::~-------------------------------------------
:l!, -··········--~~---~------·-···-·-··-···········-··········--· , aged ___ }._::/.. ..... years,
occupation ----------------------~--~---------------------• do declare on oath that my personal
des_cription is: Color ft~--_------• _complexion -----~------·• height~--feet ~Z--inches,
wetght /JCL _________ pounds, color of hair ---~---------·• color of eyes--~---------------------·
other vis i b I e d isti n cti ve marks --~-------------------------------------------------------------------------------------------
I was born in ·----___ __ ____ _ --~-~---~-------------------------------------------------------------
on the ___________ 2.d_~-------da of ------c:;¥~-------------------·• an no Domini 1 $ __ ~-}--: I now reside
at ____ 0dr:~ ------~-'-----------------------------------------------------------------------------------------------------------
coive number, street, ctty Gil town, an')Ftate) rn '
I emigrated to the United States .of America from--~-~+-~~~-----------------·
on the vesse l ____ 6 __ 1~~;;;~;;.;i:-u;-;~l.-;;;.;.;-~;------;;;~~-.;;,-~~-~~;-.;-r-i~~;j;~~~ti~;~~~j;;~-y-;h~-;.1d_b~-gi~~.;;)--·; my last
foreign residence was ~;z~-.L~_; I ~-----------married; the name
of my wife is--------~~~-----------~---: she was born at ----U--~-----------------------
and now resides at ______ _____ _ __ _ ___ (?_(&_ ___________________________________________________________________________ _
It is my bona fide intention to renou ce forever all alle~giance and fidelity to a~y foreign
prince, p9tentate, state, or sovereignty, and particularly to . ~-_ _ __ _ _ _ -~1-
"fi.,._;j£_~~--J,~--_ --~--..... w om I am a s bject;
I arrived at the port of ------~"--11---:?yj------------------------------------------------·-----------------------------• in the
State of --------------(L~---___________________ / ________ (../_:______ -·---------------------• on or about the _________ g,_ __ :LJ_ _____ day
of --------------------------__ J?bl------------• anno omini r .'JL_Q_; I am not an anarchist; I am not a
polygamist nor believer)n the practice of polygamy; and it is my intention in good faith
to become a ciftzen of the United States of America and to permanently reside therein:
(Original signature of decla.mnt
Subscribed and sworn to before me in the office of the Clerk of
said Court thisJL..dayof ____ /})1 __ ~, anno Domini rg 7/
_ -~"'a ·i'-~-Cl~~Y.~---·······
(Q' a-: Clerk o/'tke _L~~-Court.
By ........ : ... £........... ...... ·-··-· ........ __ , ·---~--Clerk.
[SEAL]
U. 5. DEPARTMENT OF LABOR
IN R!PLYING PLEASE REFER TO Td'I.S"
BUREAU OF NATURALIZATION
142 FILE NUMBER
( 0 1 r.l ?.05 -B ) WASHINGTON
.2838-d-1712.
October .20, 1924.
Prothonotary, Common Pleas Court,
\lashington, Pa. -
Dear Si r:
The Bureau is in receipt of the application of the person named be-
low for certified copy of declaration of intention made in your court:
Name: John Troskyn,
Add r ess : P. O.Box 1375, Ellsworth, Pa.
Declaration ~umber: 171.2.
The application h~s been approved and the Bureau is inclosing here-
with Form 115 for ti1 e issuance of the copy requested. It should be an
exact copy of the oritzinal in your bound voJ ume. You should enter on
the original declarat::.on in your bound volume a notation shoV/ing the is-
suance of a certifi e~ copy thereof. The blanks in the red ink certificat e
should be filled in anri si gne d by you. It is r,ot 1'1ecessary to issue and
send to the Bure~u a duplicate of the certifi~d copy.
The applicant has been adv ised that the certified copy will not be
is s ued until your fee has been paid. If he r eciJes in your vicinity he
should call at your office to sign and receive the co py , after identifyi n~
himself as the p8rson e~titled t he reto. If the applicanl resides at a
dista.nce, the certifled copy should be forv.ra rded to the officer narEed be-
low for signature and delivery.
Very truly yours,
~4'Vr/rc.&t.k
" Commissioner of Naturali,.~~o.l..r:~
Inclosure.
I w~/
No l_J!_:f_{j ., ~ 111 or
U.S. DEPART ME NT OF LABOR
O RIGI NA L 413
NAT URALIZATION SERVICE
f\~· ~ ~ DECLARATION OF INTENTION
[SEAL]
---~,.~-------------------
Subsoribed and sworn to before me in the office of the Clerk of
said Court this J __ l:-_ day oL---~-· an no Domini 1 c[7--I
------------------------------------------------~-----
Clerk oft e -~~----Court.
By _6:_ __ 9;:__11;_@,( __ -2?_~------------------, ~---------Clerk. (/ ----/1 1 14-b~
414 ORIGINAL
U. S. DEPARTMENT OF LABOR
NATURALIZATION SERVICE
'rt 1Jr/4-No.L7-...... .,~T18 or
ft~· ~ ~ DECLARATION OF INTENTION
~Invalid for all purposes seven years after tlte da ereof
.. U4 .... ~CJ!~·-········j ss: In the ~ ---·--------··············-~·-·:········· court
_f2o_, ___ 1-_u'*21~-'-··· (/ . of--~-~----··· ·-··········-······
:!\, -······Q'T··--IJ.~ .... a', .. kc~---······················-·• aged ...... dG .. .O.. years,
occupation ________________ _____ _ ___________________________________ , do declare on oath that my personal
description is: Color ~-------• compte~----·• height :£__feet_!_.!__ inches,
weight _______ /£5 ___ pounds, color of hair ___ d_~--------------------• color of eyes---~-~-------
other visible. distin~ marks ~-------------------------------------------------------------------------------------------
1 was born In -------'1--~~~------~~---------------------------------------------------------------------------~~ ~~~:::::.a:a~.a-~1~~;;::~·-:_ =-~~---:::~ -~=n~--~C~_·!':~;--~--:~: ':~i~:
(Give number, street, etty ll" ~ynd Statef C
I emigrated to the Uni~tates of America from -----2~-----r-~----------------·
on t~ e ves~e l ____ <"lit"b"~-..ll;;-~;,;~-;;d~tg-~.fri¥~;---.;;;;:;·y;:;·,;~~-~~;;;~-.;i;;:,;~;~;;;ti~;;_-~;;;j;;;;;;;;h~~~ij;;·i~-;;,;-)--·; my I as t
foreign residence was ___ !_£~---JY~-------------: I am ~--marned; the name
of my wife is ____________________________________________________ ; she was born at ----------------------------------------------------------
and now resides at ------------------------------------------------------------------------------------------------------------------------
It is my bona fide intention to renounce forever all allegi~l)C~ and fidelity to any foreign
prince, potentate, s~ai:Jl or sovereignty, and particularly to ---~-({!f~_jjj_ ____ _
-------~(~-----4:/0._£a4---------------------;;:;------------------------------• of whom I am now a subject ;
i arrived at the ~rt of --------------------------~:----'{~-----------------------------------------------------y---------·• in the
s:ate of ··············-···zn·······;---···························----;tr._-=~--________ , on or about the-------~---------------day
o_ ----------------------------61--Ll::li.~-------------• anno Dommt r ___ 2L)_ __ ; I am not an anarchist; I am not a
polygamist nor a believer in the practice of polyga y; 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 Goo. ·-----------L/1 ~--~------~ ~--~-J~~t?
[SEAL]
(~a! signa~~nwt)
Subscribed and sworn to before me in the office of the Clerk of
said Court this ..ih: .. day of.-~---····• anno Domini 19 ;?.. 1
-·;!f:;!f~::?J~:::~-~ourt
By ______ 72l_~[)_::j£1_a~-----------, ------~--: ___ Clerk. ~--------~ ---~-. . . . f . . {/;-
U.S. DEPARTMENT OF LABOR
ORIGINAL 415
j NATURALIZATION SERVICE
No.__!,?/~~~.,~,~~ or
~~1)
~ DECLARATION OF INTENTION
IB'1 Invaliu all purposes seven years after the date ·eof
.---~----~-----···----~~--------~ ss: In the --·----------------------------------r -Court --~~-~~ .. :.··:·~~-~-r------·---~~.:.:::·.~~~~.:~:i:::::-~:~;::
occupation ~~-LL¥-------------------------------------• do declare on oath that my personal
description is: Color -"~--------• complexion ----~-----• height --~--feet ----J1nches,
weight ___ J._I.a.O ..... pounds, color of hair ----~---·-• color of eyes ·--~j ___________ _
o ther visible d istinctl ve marks -~----------------------------···-------------····-----------------------------------··---·
I was born in ___ g_--;;._:1_~~---::..-.~--!f----------------------------------·--·----·-------·-·-----·-·------------------
on the _____________ !2_-=--1----· day of _______ 0__:i.k ___ . _______________ ., an no Domini 1 1__?_ __ {; I now reside
at ------~~--;!]_-~---___ _ _· . ___ . _______________ ffi~---·.·--·--·--···--·-·-·-------------------
cGlvo number, street, city or town, and Stat " (-};;/--_ f'~ /
I emigrated to the United States of America from-~ ------~~-~----------··----·-·------------·
on the vesseL ___ ~. _ ____ _ __________________________________________________________________________________ ; my last
(If the alien arrived otherwise than vessel, the ch(j~ of co~veyance or name ot transportation company should be giv en)
foreign residence~_q:::-a_g _______ -~----~~~--------------: I am -------····---m~r~d;" the name
of my wife is----~----------------------: she was born at~-~-~-------------
and now resides at ____________ (IJ~ __ _ _____________________ SZ:.~-----·---------------------------------------------------
It is my bona fide intention to renounce forever l allegiance and fidelity to any foreign
prince, potentate, state, or sovereignty, and particularly to ---------------------------------------------------·-··---------
....... 1/~---Cf~,:ru.Adi!I .. ../r::J-·-1-~· of whom I am now a subject;
I arrived at the port ot ----·---------~-------------------------~--------------------~-------·-----------.. ··• in the
State of -----------------~------------------------------------~-: ____________ , on or about the ____________ _/ __ (;_ ________ day
of ___________________________ {J_c_..i ________________ , an no Domini r -7-ll ____ ; 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 permanent! reside therein:
So HELP ME Goo. . __ /ro_f}_JM= ____ $Ju2_ ·------~--------·------·-·---------
<onginataigna re of declarant)
Subs<>ribed and sworn to before me in the office of the Clerk of
[SEAL]
said Court this ____ /bday of ---------~4-a-y----· anno Domini 19 ')__ 1
c ;d{(/;,T.b.u~--r:·-------------
i Clerk of the~----~--Court.
By -~}1t.f;;a~---------, ---~--Clerk.
ORIGINAL
U. S. DEPARTMENT OF LABOR
NATURALIZATION SERVICE
Na.l1lt'!of4--~~Til or
!t~· ~ ~ DECLARATION OF INTENTION
~Invalid for all purposes seven years after the date hereof
... '&uL .... o;jC!'o.c __ ~-----······---~ ss: In the ___________________ ---------------~--------------Co urt
.. ClP. .. ~---1>--71 ~-'---of _____ "2'r~. . -'--·-· . ---------------·
;l1 ...... {f.ML~/!J~.-~lJtLuL-f,_.L~--· aged .... .2 .. ~----years,
occupation -----------------"~-----~---------------------------• do declare on oath that my personal
description is: Color r"-~-------· complex~~m ______ U4---·· height ~~--feet,.La __ inches,
weight ____ L !j_Q _____ pounds, color of hair _d--~~---• color of eyes ____ d._ ____ ~_:
-o ther visible. distinc»ve maJks ~--~---------;p--7!~----~---~---~----------------------------------~------------
l was born m r:;;J~.-~---E:~t--~---·····-
~~ -~~~::::~:-~:_;~!!-.&. ___ :. ·::··:· -··::~~-@;~-Q~i~~=-~: ____ ~ __ :~= r:~i~:
(Givenumber,str ,Cityor~andState) -'~-"'---A.J~
I emigrated to the United States of America fr m ----/-~~----t--~.e::-L~"'-~=-~--~~---
on the vessel_~-------------------------------------------------------------------------------------·; my last
• • (l! th~ o.lien liv therwise han by el tne chou!"'~r of con";J'nc~ or-~e ~t _tran sp<'rtatlon company should be g~ven)
foretgn residence wa __ __ .:V-;---. -. _ --r~ I am -~-marned; the name
of my wife is -----------------------------··----------------------; she was born at ----------------------------------------------------------
and no\ v resides at -----------------------------------------------------------------------------------------------------------___________________ _
It is my bona fide intention to renounce forever all allegiance . an~ to any foreign
prince, potentate, state, or sovereignty, and particularly t~.:U · · -~J-~r
~-~-~;;;,~-~-~/W.~p~hom I am now a su~ject;
I arnved at the port o ····-·········------~-'Zj .b/y:_··-···-·--·······-·--··-····-·················-··········• m the
of ________________________________ (.1-M: ____________ , an no Domini r ____ o_':f.; I am not an anarchist; I am not a
State of -------------------------------------------------------------------------~-t-·· ____ , on or about the-------~--------------day
polygamist nor a believer in the practice of polyga y /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. __ ;;t;o.ML.· '"',~~-m~~------------------7<<>;iginal signature of declarant)
[SEAL]
U. S. DEPARTMENT OF LABOR
ORI GINAL 41 7 ¥ "m'""""" ""'"
No. L:YzftA ~ ., ~Til or ~-
.~~'\! ~.~ .~ .4
DECLARATION OF INTENTION """W
~nvali~ all purposes seven years after the da reof
---CEo----------------~~------] ss: In the -------------------------------------~ -------Court ---------------C-i--------11:_~-----of _21_~-~-----------------------------------~, ________ dJ~------~d'j_:r.!.~---~---------------------------------·• aged ·---~_/_ ______ years, occupation----~------------:~~~~~:? ______________________ , do declare on oath that my personal
cescription is: Color .A~---------• complexion _____ c.&.-.._i_J-_ _________ , height __ -5:_ feet -1----inches,
weight ______ _L_J_f ____ pounds, color of hair .. d:.~~~-fd.. __ , color of eyes ___ ££.: ___ ~
ether visible d is tir;7tive ~ark~----;:;;·----------------~---------------------------------------------------------
1 was born ind~/-~p~-----~-~----------------------------------------------------
on the _________ c2.J __ f_ ________ day off:o~ ____________ Q_~--------------• an no Domini r YZ_Q __ ; I now res ide
at ___ _a_AL-f -R flf!. ?fa..-L ___________ :-__ --~---~ -Ci:o,.~ _________________________________________________________ _
/ ( ~number,street,ci~ ~ ~~~~!r~::~e~~t~te~-~f---~~-e~ica_f~::_:_:: ___ :_:: __ :_: _____ :_:= ____ : __ ::_::: __ -:_~------~ ~;-~;~;
(If the alien arrh·od o erwiae than by: easel, e aracter of conveyance or name or' transportation company should be given)
foreign residenc e wa ___________ __ --,--____ ~~-~~-: I ______________ ml}~ri~d; the name
of my wife is ____________ :;{~---------------: she was born at ____ 0 _~£,~
and now resides at ---------~...Lt....--1 -~-~A---____ c_.".L~----'-------------------------------
It . is my bona fide intention to _renounce fore~er all allegiance a d fidelitY_ to a~ foreign
~r~n-c~::~t~:a~~--~::tc~l:l~-t:.::~~-~~i~':S~
I arrived at the port of --------------~:--¥-----------------------------------------------------------------------------------• in the
State of ----"71-x;·--------------------------------~--------~:-tf---------------• on or about the _____ _1_.-_rz__~------------day
of __________________ Uf..d..d.: ________________________ , an no Domm1 LY.f-f' __ ; 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. /i'lll~--~.a -------------------------------
(Originaloign re of declarant)
Subscribed and sworn to before me in the office of the Clerk of
[SEAL]
said Court this_}_~ ___ day of ---------~..tL&{· anna Domini 19 ~I
~G_:_C?J_t~:Jt---------------rtJ ') Clerk of the--------__ _ _ _ ________ -------------Court.
By -----~-".!L__~)lzci~lf_7-______, -~---Clerk.
418 ORIGINAL
U. S. DEPARTMENT OF LABOR
.~ D~ ~ DECLARATION OF INTENTION ~
\Ani 'V'lJ""'--.. u_ereof
:!), -----~------~-------------------------------------------• aged --------------------years,
occupation ------~-------------------------------------------------• do declare on oath that my personal
description is: Color~---------• com1,"~------• height :J -.-· ~es ,
weight -)J)-.... 0 ............ pounds, color of hair ________________________________ , color of eyes-------------------------------------
other visible. distinrtive m~rks ~~-~----------------------··---~--------------------------------------------------------
[ was born m ~-r------1-:.~~-----~~----------------------------------------------------
on the .................. ../.. .. 0.. .................. day of ............................ __ ............................... ~---~n no~nini I ...... % .. ~ .. 91 now reside
at ----------~,_uy[_ -'"'•• ,, &;~y-;;;·--;;;o"i';;;;;;,;_f __ ~~-----------~~7~!r~::~e~o--t~:~m-e_r_~~~r~=-:::~:: __ :::::::~--~:-_:-_::::::::::::; ;;;·;·;~~~
(lf th ~ alien arF,oujlwise tha~ by Jessel, tne character of conveyance or name of transp<'rtation company should be given)
foreign residenc~wy -~~rr~----------; I am ............................ married; the name
of my wife is .. .);d2 .. .li .. ~ ...................................... ; she was born at -~~---~-------
and now resides at ................ d~~----"J!k-~ .... J ...... ~ .. 2 ...... tl2~ ........................................................................................... ..
It is my bona fide intention to renounce forever all allegiance and fidelity to any foreig n
~r~:_c(l~·-=ei~~':'~-~-o __ :~f!'~-~-~j~~~-;
I arrived at the port of ----------·----------~-: .. Jf: .. "--------------------------------------------------------------------------• in the
State of ................................ -.=--vw----------------------------------21: .... "J{: ..................... , on or about the ............ l..J.. ............................... day
of ____________________________ ../.1./...fL.:. ................................. , an no Domini 1 ...... f.. .. f? ......... ; 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 fait h
to become a dtizen ~i,ted States of America and to p~~anently reside therein :
So HELP~E~~ ~-«A ' --~~---------------~~-----~-;&(&:~ G .c:J-' /// · (Origi!uHt[fig.l.t~reofdeclarant}
scribed and sworn to befor me in the office of the Clerk of
said Court this .. Lrfl ...... day ~f .............. 2JJ;ft-jt-----· anno Domini 19 ---:J-.. /
l SEAL] ~-~-:'_t __ h__ __ \..Z__~~--__ _
;;;' ~lerk of th e ----~~Court.
By ___ (0_,_--J._~ _ __f/ f'{ _ _'?l_~ ____ , --~Z,t;.---Clerk.
U. S. DEPARTMENT OF LABOR
ORIGINAL 41
NATURALIZATION SERVICE
No/,Pf?C'ff~ .,~,~~or~-.. ~~ ~.~ .y> ~4
DECLARATION OF INTENTION "'?/
w-Invalid for all purposes seven years after the ereof
-~---if8:---j ss, In the ---------;;;;;!;;X!;;_--~-----court ----~:-:r~--:-~;cutc~~~-:f __ :~ ___ : ___ :~.~:d --~~-~:-:~~::
occupation~..L-~--~.....L..::::V------------------------• do declare on oath that m~ personal
Gescription is : Color ~--------• complejfi'l,n -----~---• height '!(___ feet ______ inches,
weight -----L-~--7---pounds, color of hair --~~-• color of eyes----~-
cth er vis i b I e d istin cti ve arks ~-----------------------------------------------------------------------------------
1 was bo m in _____ _ _ -~---2~---7-----------------------------------------------------------------
on the ________ 3d__________ of ·-----0=-M~---------------------no Domini L~ __ <f_~_; I now reside
at _______ # 0 _ Cl-~---~-"..1.__-----------------------______________ C?..~--------------------
coive number, street, city 01' to~ 2:t_
~~~:r~::~e~~--~~:--~-~~~~~-~-~~=-~~~~~~-~~~---~--~---~--~---~~~~~~-----------~;-1~~~
--'"'"~'""~"' ......... "" '""' ..... ,. ... '"=·. ~·-~·= -~·' -· '••:-) :~r:~n\~~;~~:~::_=-~-~-~~-~~~----~--------=~~~------~--~~~-~~--~=z~--~~-~--~-::_::==-~-~-~~-~~-~~--~he_:~::
and now resides at ----------------------------------------------------------------------------------------------------------
It is my bona fide intention to renounce forever all allegiance and fidelity to any foreign
prince, potentate, state, or sovereignty, and particularly to~~~-~ ~
--~-1-J"'rc""£L~:--2:b,_,J-{--.;;;;~f whom l am now a subject;
I arrived at the port of ________________ 2J:_:Jf~---------------------------------------------------.----------------------------.. -, in the
State of _________________________________________________________ 1/__:_~-~---------------• on or about the __________ ff'_ ___________ day
of ________________________ q-~------------------• anno Domini ~__{jl!/=; 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 Goo. ·--~~-~---------------
Subscribed and sworn to before me in the office of the Clerk of
said Court this ___ L~_day of_ _____ ~-~-----· anno Domini 19 '1--I
~-;l·:~~-~~ourt
By _'2J]_, __ ¥-J~~.------------, -~--Clerk.
[SEAL]
420 ORIGINAL
U. S. DEPARTMENT OF LABOR
NATURALIZATION SERVICE
No .. I/2rzf!i/!
~~· ~~ ~ DECLARATION OF INTENTION
~:~:i:~~r:::~~:j::oses seve: :::E~~-~:~~t
~1 _______________________ Ec;:r-~£--~-----------------------------·• aged ----¥~-----years,
occu~ati.on -:-----------~ __ --------~-!._---------~----------------• do _declare o~ oath ~hat my p~rsonal
descnptwn Is: Colo ~-----• complexiOn _________________ ------·• height-:5 __ feet f----mches,
weight _;Z_o__5__ __ pounds, color of hair_____ ______________ _ ______ , color of eyes---~---------------------
other visi b 1 e d isti n cti ve marks --~------------------------------·-------------------------------------------------------------~nw;:e b~~:-~>;:::?:.~'f!f!;f~~~~~-~D~;;;;~~-;·:c_:;_j%_;·--;--~~-;;;·;~~;~~ ;~e~-i~~;:~-;~-~~::'~·;r;;;~;;:;;;~·~;. :· :;;;.:, .. __ ' ~: ·:~}!]~::::::::::::
on the vesseL .......... .-i~---~-~---····························; my last
• . (lt tho a.tiTn "';:?"]') otheryse th~n by vessel, t cha ter of conveyance or name o! transp0rtation company should be g:ven)
foreign residence~~ c;~..,.------~ _ _ _{2.~£.)--; I am ______________ marned; the name
of my wife is ______ (f)_kculeft ______________ ; she as bor rf'at u~~---~-~-'--
and now resides at ____ /l_ ___________ _[~~-~-&.~-/1!-~--~----------------------------·----------------------------------
lt is my bona fide intention to renounce forever all allegiance and fidelity t;>.,_ any 12:~~
~~~:=:;::.a.~-~--~:~,c~~:~~-t·o-~~-=;r~;;
I arrived at the p t of __________ ----------------21~-¥------------------------------------------------------------------------, in the
State of ___________ -z7)fi-;,--------------------------------------------::_Jj_~~1(----------• on or about the ------~()_ __________ day
~~iyg~~-i-~-t--~~~-{{;~~--i~--t-h~--;r~~~~e ~~~~~~/~y;;n~ ~~ i~0~~n i~~:~~~i~ti;n ~~: ~~Jt~
to become a citizen of the United States of America and to permanently reside therein:
So HELP ME Goo. ----------------~/__ __ '?_~---------------
(Original signature Lj;?.~l~rsnt)
(SEAL]
Subscribed and sworn to before me in the office of the Clerk of
said Court this .. ,L?.day ~~ -~---·• an no Domini '9 ;;.
_____ ;J/fo.~----~AL~---·············
cJ 1/ <fj&rk of the. ---~--~---· Court.
By ···-_)/L,fo.A.!!kr£~-----, .. dM·· Clerk .
U.S. DEPARTMENT OF LABOR
ORIGINAL 4 21 / w """""'"." ""'"
-\
~~~ ~~-~ DECLARATION OF INTENTION ~
~Invalid for all purposes seven years after the date hereof
---~8----------55 : In the -----------------------------------__ _ Court
__________ : __ 7'------------------------___ :___ ________ , of _JI~~ ---:: ___ .,&c._ ______ _
occu!t;~-~:::::~~~:-::::_~:::::::-::::--d~-d~~j-~~~-~na~:~h-;!~;-~-e;s:~:;
c!escription is: Color ~-----• co~-----·• height ·--~feet -7--inches,
weight __ J-__ {;_c;!i ____ pounds, color of hair -------------------------------·• color of eyes-~---·----------·
ether visible distinctive marks --~-----7/------------771 ----------~----;~----~---------------------------------~-
I was born in _____ A)_~_,/c_~~----~-------------------------:----
~~ _the-~=-:--f~:)__J;t~:---~-:--:_:-~--_:-------::::: __ a~:o __ ~&:~~--~::::::!~--~---:~:_r~~~~~
(Giv<> number, street, city Oi" town, and S e)
~~~~:r:::~e~~--~~:--~-~-~~--~~:te~ ~~~-~-~:=-~~=-~~~~~~~----~----------------~~~~~~~~----_-_-_-_-_-_-_-_-_~~~~--~~~~~~~~~~~~~--~-;-~~~~-
• • (If the alien arrhed th ise than by vessel, the aracter of conveyahor nameli. transportation company should be g~"en)
fore1gn residence was ___ -----~~r-------~-r:: I am ______________ marned; the name
of my wife is -----------:::2~-------------------: she was born at -~~--:2-~~---:;~s n~~ ~~~~e~~: -;;;;~~~~;~~-;;;~g~~~~~--~~d--fid~ii!Y-t~--;;;y;~reig~
~_Jt~~state, ~~nty, and particul~~~~~~ -~-~-~-:f---~------~-~--· of whom I am now a subJect;
I arrived at the port ot _________________ -11_~----~--.:L/--------------------------------------------------------------------.:;-----·-·• in the
~r;;;:~~::~~;~~:E~~:~~~~:;r~~~f;~~~~~~:!n~ ;~~;~~~~:;~:~;;~-I~:-~;~~
to become a citizen of the United States of America and to permanently reside therein:
So HELP ME Goo. _____ ( j ~~ _______ Q!'~~-__ P !.__ _____________________ _ ~1&11.. (Origine.lsi~~~j
Subscribed and sworn to before me in the office of the Clerk of
[SEAL]
said Court this _l_k ___ ~ay of _____ :m_ __ ~------· an no Domini 19 ~ 1
1_c;__: ____ Cl(J:JL~-----------------------
Clerk of the--~~-----Courl.
By ___ '!J:!L-7~~---------, ----~.::;.;--Clerk.
I
422 O R IGI NAL
U. S. DEPARTMENT OF LABOR
NATURALIZATION SERVICE
No .. i~zP~~ .,~111 or
~~~
~ DECLARATION OF INTENTION
~Invalid for all purposes seven years after the ~~~·..,.__
-~--~Lt~--·-----------j ss .. ----------'1---'::)l.~,--:;;__
:!!, -------------~----;----------------------------------------------------------------·• aged -------'Jk-2::: ... years,
occupation ____________________ __ _ ___ _ ________________________________ , do declare on oath that my person al
des_cription is: Color~di ________ , _complexion ------~-------·• height _':12__ feet ~inches ,
weight _--~-J-.51!_---~--p~unds, color of hmr ---~---• color of eye~--------------------·
other v1 s1 b 1 e d 1st 1 n ct1 ve marks~---------------------------·-------------------------------------------------____________ _
~nw:e b-o~~-¥{-: __ ~~:!::;;t::::~~:2:::~::·~~-~~--o~;;;;~-;-;·:::i:fj.--i-~~;;:;-~~~id~
at ______ ,3_;2J_Z~---~~;j~--(f!_""-----------------------------------
l emigrated to the United States of America from ---~--~r------------------
on the vesse ~----~~-----------------------·------------------------------------------------------------------------; my 1 as t
(lf the alien an-z:,..y. z;::.::.::.:.,~•••E£1•, tne hlll."'a.Cter of conveyM.Dce or name of transpCirtation company should be given)
foreign residence was _.(0_=-~~-~=~/a~--"'-_ _ __ _4~--------------: l am ______________ marri_>f} the name
of my wife i: --------~~-~-: he w!is born at ~~7-~--~9 ~~~s n~~ r~~~~e~~~ i~(~;:;(;~;:;~~;fi;--~~-~~~~;;y·-~~-~--f~~~i~~ Q i~-
pnnce, potentate, state, or sovereignty, and particularly to.....J:A&...d...e;..~--~~-----
:J~--t:/Lt ___ ~-~-~--~--~-~~hom I am now a subject;
I arrived at ~e pori of ·----------------~-4~+------------------------------------------------------------------, in the
a:;:;~:~;::~~~~~:-:~:~::;,:~~~~~-~:~lj~~1 ;~;~~~~:;~=~~0i;;:·I~~~;~~
t o become a citizen of the United States of America and to permanently reside therein:
So HELP ME Goo. d. ,£ a (
--------------~:-;fo;;g;;~-;;g~~~il"~t) _____________________ _
Subscribed and sworn to before mh~n the office of the Clerk of
said Court this--4-ct;,v.of ___ "_./IL __ ~----• an no Domini 19 .)-/
---<21-~-:?f_r;,G: ___ u~_ ~--
? 7 Cle;J of th e ----~/~~--Court.
By ----____ 21)_-fy{r?Ja_~--, .. d~'"'-d;:t Clerk .
[SEAL]
U.S. DEPARTMENT OF LABOR
ORIG INAL 4 2 3
~Invalid for all pm·poses seven years after the hereof
~-----¥:(/~;1----ss: In the --------------~-----Court
-----------r-----------2{ _____________ .____ of 21~-~---~--------------
~ :----------------~-"---''-tfa'fr--£L __________________________________________ , aged ___ h_~_&'_ ____ years,
occupation ----~~-------------------------------• do declare on oath t a_ my personal
Gescription is: Color ~------• camp~-----------• height,£ __ feet __ £inches,
weight ____ LS~!2: ___ pounds, color of hair ________________________________ , color of eyes-----~--------·
ether visible di~s1n tive marks ---~ ---------------------------------------------------------------------------------------
1 was born in _ -~---h~-,--9-~f-~--------------------------------------------------------
on the ______ j_f__ _ _ _____ day of ·-------::Y-kl---~--77:.-----------• a o Domini 1 ~f'.Z' __ ; I now reside . u~
at ----------_ _ __ _ _________ -~-----------~-------------------------------------------------------------------------
(Gin numfa", street, cit(/wn, and State) d\_ / ~
I emigrated to the United States of Ameri a from __ Jf}-IJ-~--~ff~ __ .fL~---------------·
on the vessel ________________ J__ __ _ _____ -R1..£LM.d ___________________________________________________________________ ; my last
(If the alien arrh erwise t n by vea&el, the character ot co eyance or name ot' transportation company should be given)
foreign residence was _ _ __ _ _ ______ _,_2_ ___________ -7--: I am ______________ married; the name
of my wife i: ____________ jL__ _ _________________________ ; she was orn at _tJk/f:-__ _;_~7"-----------
and now resides at _________________ _ _ _ ___ __ _rl:__a..:::_-'------------------~-.f_ ___________________________________ _
It is my bona fide intention to renounce f ever all allegiance and,_}idelity to any foreign
prince, potentate, state, or sovereignty, and particularly t~.::tt£_t;._ __ ~-~
--~-J!-~--~--~-:----~7---fof whom I am now a subject;
I arrived at the port oi __________________ ?J: __ y__C;T""V/---------------------------------------------------------------------··-·• in the ~r;:;;~~~::~~~:~bi!~:;~=t~~~P-r:~~:~;~~;£7:~:~ ;~;:~~~:;~::,~-I~:-~;~~
to become a citizen of the United States of America and to permanently reside therein:
So HELP ME Goo. //£' / /J / ------~r!_~§ __ ~f!_~_'2_ __ '2_ ______________________________ _
(Original signature of declarant)
Subscribed and sworn to before me in the office vf the Clerk of
[SEAL]
said Court this}" ___ dayof ______ 2'!1~-----· anna Domini 19 :>-/
-------------------__ 0 ___ .£~--------
Clerk o he-~~-./~----Court.
By _____ Q._?Jt~--J/~-~=--------~ __ q?__~-----Clerk.
(/ 17 (j_5~
42 4 ORIGINAL
U. S. DEPARTMENT OF LABOR
. w-Invalit/,r all purposes seven years T/~1 -/c-----... !!b. .......... l ss: In the ·---~---h ·----·--... .. .. .. Court ~ · ~ ~ · ) !} j1 of .... ..LUl .... c .. r:£a .................... ..
~~ ___________ __ --~~---------------------------------------------·• aged _____ LZ._f----years,
occupation _________ __ _ __ _ · __ _ _ __ -------------------------------------------• do declare on oath that my personal description is: Color ~A ... complexion .. : .... ~--· height ~hes,
weight _______ i_J{)_ ___ pounds, color of hair -----~---• color of eyes-------------------------------------·
other visible distinctive marks -----~----~--=v----------··-------------------------------------------------------------~nwt~e b~~:2£:t1::~::~::::~~~::::·:·~~~~D~;;;~~;--;·:z:~::::J;--·;·~~~~-~~~~~~
at --------------------7/~ ------------·-(//;~~b..~;0:t.~--~-: ___________________ __
~~~~=r~::~e~o--t~:~~e~i:.~ro::~~:~~;;;;·;~~;
. • . (lf tho alien arri~rwise than by vessel, tne cu~· of transp<>rtation compai>y should be g~ven)
. :~r:~n ~~:~~:~::_:~-~-~~~~~-'--~~~~~~~~~~~~; -~h~-~~-~--~~~-~-~~-~--~-:=~~~-~-~~~-~~-~~--~-~:-~:=:
and no \V resides at ------------------------______ --------------------------------------------------------------------------------___________________ _
It is my bona fide intention to renounce forever all allegiance and fidelity to any foreign
prin%ppte~~gnty, an~------------------------------------------~--------------------~-~-:J.c~--~:~:=~=:::': .t_ .. LL------·-------· ..... of whom I am now a subject;
l arrived at the p t of ------------7)~-------_______ q__L-~---·-------------------------------------------~--------• in the
State of --------------;;;=;r;;J·----------/j-'--~----------------~--~{__-~--------·• on or about the ---------:------------------day
. of _________________________ __(!----------------------------• anno Dommt r1f-r; 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 Goo.
[SEi\L]
U. S. DEPARTMENT OF LABOR
,/ ~ "''"'""'"" ""'" No._L/?.~f~ •• ,~111 or~-
ORI GI N AL 4 2
.,
\
.. ~~~ ~~~ ~V> .4
DECLARATION OF INTENTION ~
~Invalid for all purposes seven years after the date hereof
BLL .. ~ ... Clf!L .... ~·Jss: In th ~~--Court
__ IE;_,_·~·····~~---· of .. ~£1 J L........ ··--·-·-······-···
:!\, ·.····· .{jj.;;..d.dd.Jr:. ..... ~.:-u .. ~ ......................... _. aged -~~~-=-···years,
occupatiOn ----~-----------------------------------------______ , do declare on oath t a_ my personal
cescription is: Color ~~----• com Iexion __ ------------------------·• height _!:C__ feet_::?__ inches, weight----/-~-------pounds, color of hair ________________________________ ,--6Ior of eyes-----~
cth er vi sib I e d i sti n cti ve mark~ ~------T-i}------------------------------------------------------------------------_ :nwt~e b.:~t .. :~~~::::::~::~;~;·;·:l~G:;··-~-~~~-;~~id:
at ___ ._...::.. ·· ··· .::;tg;;;;,,f¥f.".ki·i;;,;;;···-·--···-·-·-·-·-··-···················· ··
I emigrated to the United States America from -----~-J-~.
on the vesse ~-----------------~~----------------------------------------------------------------------------____ ; my I as t
{If the alien arrhed otherwise than by veesel, the character of conveyance or name or transportation company should be given)
foreign residence was----~~~-.:.-------------------: I am ---~married; the name ·
of my wife is ---------------------------//---------------------; she was born at ---------------------------------------------------
and now resides at --------------------------------------------------------------------------------------------------------------
It is my bona fide intention to renounce forever all allegiance and fidelity to any foreign
prince, potenta7'Jstate, or sove:eignt!~articularly to ----------------------------------------------------------------·········-~--. ..J~····§!_;!'~········• of whom I am now a subject;
I arrived at the potfof ···························-~---··"21·.)'{ ..........................................................• in the
~~~;:;:~;~~~f?~~~::;~::~~~:~~~~~~~~~~~;~¥;:1 ~i~ai;~~~~:~~!~i~~l~:~~~~
to become a citizen of the United States of America and to permanently reside therein:
So HELP ME GOD. _________ £_~ __ ~~-!J_-~ __ --: __ ~~~
(Original sign~~
Subscribed and sworn to before me in the office of the Clerk of
[SEAL] said Court :s.:~~·:_d;L:~~~~:t:t.~qY /
By JJtJlJ~ ..... ~:.o~-~he-~~~ ~:: y-: r1 1-6!
ORIGINAL
U. S. DEPARTMENT OF LABOR
NATURALIZATION SERVICE
[SEAL]
U. S. DEPARTMENT OF LABOR
Form 1 4 2
(Ol d 205-B )
IN REPLYING PLEASE REF"ER TO ~~
BUREAU OF NATURALIZATION FILE NU MBER
Prot}tonotm• ~r,
\i'ashin,::;ton, a .
Dear Sir:
WASHINGTON
221 -21 7:.-
9-2:>-25
The Bureau is in receipt of the application of the person named be-
low for certified copy of declaration of intention made in your court:
Name: Tony Gutosky
Address: Box 53 ,Vestabur~,Pa .
Declaration number: 1 726 v 1 d ' 0 • ~.
The application has been approved and the Bureau is inclosing here-
with Form 115 for the issuance of the copy requested. It should be an
exact copy of the original in your bound volume. You should enter on
the original declaration in your bound volume a notation showing the is-
suance of a certified copy thereof. The blanks in the red ink qertificate
should be filled in and signed by you. It is not necessary to issue and
send to the Bureau a duplicate of the certified copy.
The applicant has been advised that the certified copy will not be
issued until your fee has been paid. If he resides in your vicinity he
should call at your office to sign and receive the copy, after identifying
himself as the person entitled thereto. IF THE APPLICANT RESIDES AT
A DISTANCE, THE CERTIFIED COPY, AND ALSO THE POST OFFICE ADDRESS OF THE
APPLICANT, should be forwarded to the following-named officer for sig-
nature and delivery.
~ TO THE CLERK : Please note
carefully the above under-
scored instructions.
Inclosure.
5-13-25
Very truly yours~
Commissioner of Naturalization.
00\ IU t.-...IIII EJ•iT PRI!«TU.Q OFFICE
'
14--1091
ORIG IN A L 4 2 11
I U .S. DEPARTMENT OF LABOR u """""m'ON ""'"
4~~ ~~-~V> ~
DECLARATION OF INTENTION ~
:::~~~t~;~:~j:oses seve;n ::~-:;_;_=-~:-~:~:
~' ·-------------------~----~~-------------------------------·• aged ------~--~----years.
occupation ----------------------~----------------------------------• do declare on oath that my personal
Cescription is: Color ----~---• com~-----·• height :!E_ ___ feet_{::__ inches,
weight ______ /_~_£_ __ pounds, color of hair --------------------------------• color of eyes---~--------·
c th er vis ib 1 e distinctive marks ~-----------------------------------------------------------------------------------------
:n wt~e ~-=:-~~--':::::::~::::::::::-~~~-n~;;;;~;--;-:;;,;;:~::; ~-~~::;-;~~;~~
at -~-~--~~~. ~--~--~-----------------------
1 emigrated to the United States of America from _____ · ____________________________ -)!--!__~--------·
on the vessel __________ : __ ~---------------------------------------------------------________________________________ ; ~y last
(If th e alien a.r~ot erwise than by veaael, the character of conveyance or narue or' transportation company should be given)
foreign residence was___ __ _ _ _________ ,_ ___ a_~ __________ ; I am -~-married; the name
of my wife is ---------------------------------________________ ; she was born at ------------------------------------------------------
and n ow resides at ----------------------------------------------------------------------------------------___________________________ _
It. is my bona fide intention. t~ . renounce fore~~r all allegiance an fidel~ to any foreign
pnnc~tentate, state, or soveieignty, and parth.,ularly to__ _ _ ____ _ _:::.~h-------------
_______ {/l:1t::..~---~-Ltf&P. __ ~~---------------_,of whom I am now a subject;
I arrived t the port of ----------------9/--·----=v------------------------------------------------------------------------------------, in the
State of ---------~----------~--------------------------:'ll--'-Jf:-----~-;--1. on or about the _____ o!_ __________________ day
of -----------------------_________ .: ___________________ , an no Domm1 I _r _________ ; I am not an anarchist; I am not a
polygamist no 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. -~----~-----------------------(Original aignature of declarant)
[SEAL]
428 O RI GINA L
U. S. DEPARTMENT OF L A BOR
~ "'""'"'"'" ""'"
No.l.'J-l£0 1/ .,~Til or
.. ~~· 4·f'·~ •• ~ ...
DECLARATION OF INTENTION ~
.. ~~~tlt~~~ .. ~~urposes seve:n :::~ct::~-=··· Court
Jl~·'···rf · !il.,«."'L.! ... ss :( of ... 2f.nAAL ... CPA ·····=············
~' _____________________ ff:~_o_ ____ .::£__~--------------------------------------·• aged ·----~-~-------years,
occupation ---~-------.-----------------------------------------------·• do declare on oath that m~ersonal
description is: Color -~--------• complexion ------~------·• height~---· feet ______ inches,
weight _____ /f:J..~ __ Q ___ pounds, color of hair ~---·• color of eyes--~------------·-·
oth~r visible. di~ti~ks ------~~-----------------------·-------------------------------------------------------------1 was born m .. t.d.... --~;ff:t;:_···J)~··· ········~·: .. 77;······-·········· ~···· ~~ -t~~~:,{?:.f .. :::::~:~Q;;~~;~;;~;.~~;;~~~::;~ni::~:I:I ... I=:::::=:; ... I.:~:.r~~l~~
~~7~:~::~e~o .. t~~---··n·:J~~.e~I:.f.ro_~ ~:~~:.:::·~_:::::::::::·;··;;:;~-;~~;
• • (lf th• alien aniv~d~is); ~an by vessel, tne charac~veyance or name of transp~rtation company should be g~ven)
foreign r~s1~ence ~s ----~---~,_y; ~---------: ~ ~m ____ 7 ______ ~marned: fJ:. ~arne
of my wife 1: ------~------------------: she was born at -~-~---~~----:~~s n~~ r~~~~e~~: -~~~;~~~~~-~if:;;f=;c;jj ... ~jj~-~~~~~-~~d-fi·d;j;;y·!;··~~y-·f~~~g~ prince, potentate, stat'h or sovereignty, and particularly t'IJJ ~ .. rff~ .. /L/. ...... .
·····~-1-······~,£-~ ....................................................... of whom 1 am now a subject;
I arnved t tne port of ______________________ 2J..:--?/--~-------------------------------------------------------------;:[jj------·• m the
State of ------------~-------------------------------------------1J__:_y_: ________ ,;:.n or about the ----------------------------day
of ________________________ _L/J_~.!_ ________________ , an no Domini r -/-/L6 __ ; 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 per~_2;ently reside therein:
So HELP ME Goo. 6/f. ,. >r;~
\ ' •, ·----~-?JL-:(&,. _________ ~--------------------------------
(Originalslgnature of declarant)
Subscribed and sworn to before me in the office of the Clerk of
[SEAL] said Court ::~·;~~(1__¥o-~I.:i.I92/
Clerk of ~he --~ _ _f__..&~_ Court.
By __ a ___ ~}Jj_ ___ 2/_~---------, -~------clerk . (/ fl.~,h
U. S. DEPART MENT OF LABOR
OR IGINAL 4 2
NATUR ALIZ ATI ON SE RVI CE No./J2fd~~ s1 ~ Tl:l or ~-
~~~ ~.~
' \
~ DECLARATION OF INTENTION ••
~ Invali{l for all purposes seven years after the dai.Jg--:t«J .
~~g~:::::::Jss: In the~! ___ 2_1_~-·------~-~:~~t
~' ________________________ fiMJ. .... :da~----------------------------------------------• aged _______ 3_-f ______ years,
o cc upation ~il~---------------------------------• do declare on oath that my personal
description is: Color ~-------• complexion ---~---------• height~---feet-~-:_ inches,
weig ht ------1-.S:..b.. __ pounds, color of hair------~ color of eyes---~--------·
o th e r visible. di~tinc(~ marks~----------------------pp·-------~-----------------------------------------
1 was born 1 n -----~.ad_,. _____ ~-~---~--------------------------------------------------------
:; _the~:-1J;:;-;;-~:::=:~"i!;:,:_i:~---~---:~:r:~i~:
I emigrated to the~_)ed States of An:erica from _: ___ -::f=.-~-4~--------d--7"---------------·
on the vessel ________ '_/__~--------------------------------------------------------------------------: my last
• • (If tho alien or~•'f o~rwise !ban by v ess(l; "';,.~ ~~ con"l""c~n;; or nome J'-transportation company should be g~ven)
foreign r~si~ence was --~~-r----T--~-==~-=--~S::; I a~ ------~-------marned; the name
of my wife IS----------~---------------· she was bon at ;1~----~.Ll.::::-~
and now resides at _____ 2 ______ ~~---=-------______ -·---------=--~-4_-~------~-~----------------
It is my bona fide intention to renounce for er a ll a ll egiance and fide li ty to any fo reig n
prince, pote~te, st~te, or sovereignty, a n d particularly to ----------------------------------------------------------------·--------------------~--~~--G'f~-----------• of whom l am now a su bject;
I :r; v:
1
d at the port oi ------------1J---t,--------~----------------------------------------------------------------;z·--;;---, in the
S t ----------------u;-=-----------------------------1!.:-Zj-~------------------·• on or abo u t t h e ----------------------------day ~~iyg~;;;-;;;---~~;~--b~~!r-~~--~h~--;,:~~~e ~~~~~~~k;'t·;--;n ~ ~~ i~0~~n i~~:~~~~\;n ~~: ~~itt~
to become a citizen of the United S tates of Am erica a n d to perm a n e ntl y reside the rein :
So HELP ME GOD. _____ 1!~-----d_~------------------------------
(Original signature of declarant)
Subsuribed and sworn to before me in the office of the Clerk of
[SEAL]
said Court this ___ _(_?__ day of ------~--y-------· an no Domini I 9 2---/ 1~---~~--(l __ ~g _________ _
Cler~ of the ---~--(Z:_~--Coutt.
By ---~---·_(J_. __ J~ 1 ~j~ ~--~--------~ __ t{9__~--Clerk.
,. ~~~~--~~·----,-l~b -
430 ORIGINAL
U. S. DEPARTMENT OF LABOR
NATURALIZATION SERVICE v
No.l_J2g_(!d4 e-t ~TIS or
(t~· ~ ~ DECLARATION OF INTENTION
:!!, -----------------------~----~----------------------------• aged ______ .. .l. .. 'f-.. years,
occupation -----------~~------------------------------7 do /d_eclare on oath that my p:rsonal
description is: Color -~------• complexion -----~l:r------·• height .. £feet--~-mches,
weight ______ .!£~pounds, color of hair --~--• color of eyes ______ ~----------·
.other visible distinctive marks ____________ ---,.------------=z:_------~-----------------------------------------------
1 was born in __ _ ______ ---------~--------)---~--~-~~~-~--~-----------------------------------------------
on the ________________ --~; day of ---;~---------~--------------·• an no mini r 1_~ __ ?::.._; I now reside
at ----------~--7J __ ~i:..\ (Gl~e ~~;.;:t,;~ city-oc to.;n, a~d St-.J~~------Cl!..~--.---------------------------
1 emigrated to the Unity~ States of Ameri~a from_________ _ __ -------------------~--------------------
on the vessel __ ·----------~-A9~-----------------------------------------------------------·; my last
. • (lf thft alien anjved otherwise than by~ tne characte!,l!_ conf'eyan or name ol tmnsJWrtation compa~y jhonld be g~ven)
foreign r~s1~ence was _a_~eq-~--t-_ ; I am~--marned; the name
of my WIfe 1s ----------------------------------------------------; she was born a ------------------------------------------------------
and no\ v resides at ---------------------------------------------------------------------------------------------------------------------------------
It is my bona fide intention to renounce forever all allegiance and fidelity to any foreign
prince, potentate, state, o~ignty, and particularly to -~-:;f'~ __ jjf
_______________ ,"')_r;;:C~--t-----------------:tj-------------71/i·---------------• of whom I am now a subject ;
i arrived at the /ort f ________________________________________ .!J__:_lf·------------------------------------------------------------·' in the
State of ------------;:;::,-p _____________________ /)1:~--------------------------• on or about the __________ (5_ _______ day
of -----------------------~-!-~----------• ann Domini r_?f-2:_9__; I am not an anarchist; I am not a
polygamist nor a beli~er 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 r;,icte therein:
So HELP ME Gon. ____ 'JC~-~-L#=
Subscribed and sworn to before me in the office of the Clerk of
said Court this---/1--day of ________ 2.__~---· anno Domini 19 2-1
______ 2{cf:_Cl_~-----------------------
/'vh (} p Clerk of th~(?~--Courl.
By .J~'(~~-~------· -~::;,.----Clerk.
[SEAL]
U.S. DEPARTMENT OF L A BO R
ORI GINAL 4 3 .
NATURALIZATION SERVICE
v Co/4 If"'
'
~ DECLARATION OF INTENTION ~
~Invalid for all purposes seven years after the date hereof
---~---~_Qru__,_1r--·] ss: In the ------__ __ -________ (Y_ ~ Court
----~--'-a:j------?lt:J.AU.H~.... of -----~culiL_:A_______ _______ __
;!!, __________ (-£~~------~---~------• aged __ gJ __ ~----years ,
occupation ___ _ __ _ _ _ _ _____ _ ____________________________________ , do declare on oath that my personal
descrip tion is: ~ol~------, complexion ----~---• height {C __ feet _G_ inches,
weight ___ j __ Q_ _________ pounds, color of hair ---~-• color of eyes--~---------·
other visible distinctiv~ mark~-------------------n·-----------------------------------~-----m---/7------n----~
I was born in -~-----~--:::.~-~--~r----~
on the ___________ £K_ ______ day of ----------~------------• anno Domm1 t}fl'.-f_; I now restde
;te~ ig~~t~d t 0 the u ite~ ;; -~-~~ r;;;;;~c~;7f;::,:;;::,;;;;;;;dii;i;;:·----~:~;:::::::::::::·=::::::::
on the vesseL __ _ ____ C{ ___ u~----------------~-------------------------------·; my last
• • If the alien arri otherwise than by v(itJ;-;,~aracter o~ conve~ce or ~ame of transportation company should be g:ven)
foreign r~si~ence was _ _ _----:--o·r::----~-~------: I am ______________ marn~d; the name
of my wife IS _____________ -----------------------------------.--: she was born at _______ _ ___ _ _ _______ _ _________ _
and now resides at _____ ___ __ _ _ ----------------------------------------------------------------------------
It is my bona fide intention to renounce forever all allegiance and fidelity to any foreign
prince, potentat~, state, or sovereignty, and parti/.cularly to _____ rihi----------------------------------------:-------;------------------~-rtf~-Jllln----1-•£':;cr hom I am now a subJect;
I arrived at the port ot ------------------------------~-~--~----------/1_ ___________________________________________________ , in the
State of --------------:7Vl;r~---------------------------------------2f--'1f--------• on or about the -----------~-~-=---day
of -------------------------~--'--!'..~---------------• anno Domini L7--tJ_d, I am not an anarchist; I am n ot a
polygamist nor a believer in the practice of polygamy; and it is my inten tion in good faith
to become a citizen of the United States of America an d to p e rmanently re~n :
So HELP ME Goo. ~ ~ [,/(~ -----Y-0 --------(-0rl·g;;;;!~i-g~~t,;~~)----------------------
Subse>ribed and sworn to before me in the office of the Clerk of
said Court this ..Lf--day oL.--14"~--· anno Domini 19 y ;
--~-G~~a___ _ __ _ ____________________ _
0---... ~ Clerk of th~---____________ Court.
By -74-tfr'T--~;;------------, -~--;--Clerk.
[SEAL]
432 O R IGINAL
U. S. DEPARTMENT OF LABOR
I ~ "''"'"""'o" ""'"' No./7~-zf~ ~ 51 ._ 111l or .. ~~ ~-t'·~ .... .4
DECLARATION OF INTENTION ~
~Invalid for all purposes seven ye
--~-dJcv ________ l
55
: In th --------__ _ _ _ -~'---__ __ -------:--·-:· Court
----------~--f!'iJ.a..rJv __ ,____ _ of ____ '71~-•--_ d _________________ _
:!\, _______ /}1~-<?c~-:-&~~=-L-----------------------• aged ___ 'o2~_Q ____ years,
occupation ----------~-----------------------------------• do declare on oath that my personal
descriptio/} /jo!or __ 7:1:; __________________ , _complexion ---~-----• height Q __ feeti<'Z inches,
wetght ____________________ pounds, color of hair -----~-• color of eyes----~--------------
other visible. distinctive marks ~--{J!--~¥~--~-~------------------------------
1 was born tn ?t./~----~-~------1-~---=-:0:f_~~v---------------------------------
on the : ______ 2__-2_ ______ d~of ----~4:/. ____ ("---z;---• anna Domin! Lff.ZQ; I now reside
at --.LJ1-~--.:J2_J __ _f_~~;;;;;,;-;:; ~ --~~-,-,-...,-,----7.i_:-;--.:::·:·:=::·-------
l emigrated to the~~te~ States of America from --~,----~.r_rc:~--------------
on the vessel _________ ~-----------------------------------------------------------------------------: my last
(lf th" alien~~ o"orpse tha~sel, tne, cba~terE onveyaa ar aiUll ol trnnsp<'rtetion company should be given)
foreign r~si~ence-~a0~~------=-·I a~;~-;L----)!2./'~rried; _the~~
\.of my wtfe 1: ___ s..J1 __ 1 _______ ;;;;--;----------------· sh . was born at ______ ./L~~~---',J_~~k
~~~s n~~ r~~~~e~~~ -;~(;;(i~n to r~no~~~~--~~~-;;e-;-,;i~~:1i-~~--;~y-;~;ig-;;
prince, poten ate, state, r sover~ty, andl:articularly to ---~-~-4----ol--~-------
------------------_ --~-----------------------• of ,;hofn I at11 n-o~-a ~bJeGt ;
1 arrived at port of -------------------n~~--------------------------------------------------------------------------------• in the
State of -----------~--------------------71---------------------------------~ on cr about the _____ /_0 ______________ day
of ------------------~-----------------• '-a. no Domini r_q_(!f., I am not an anarchist; I am not a
polygamist nor a believer in the practice of polygafily; 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. . __ !( _f..£~:1 ____ &_~~-------~(.~ (Originall!lgnatnre of declarant)
Subscribed and sworn to before me in the office of the Clerk of
said Court this_~0 day of -----~-f!1;f an no Domini 19 ::;:x.
[sEAL] ----l~2:-1Af---~~-LL~-_____________ _
,:/ YJ; IJ5.ietJ of J!te _{!_, __________________ --~-Court.
fly ---__ ,07}4-YL~-f, --d~~.-ur~----Clerk.
U.S. DEPARTMENT OF LABOR
O RI G I NAL 4 3 3
.. 1/ """'""'"0" ""'" No.LZ:i?_~ . s1 t\ 111 or ~c..• ~-~ ..
'
~~~ ~ti?~
.. ~ DECLARATION OF INTENTION ~.
~Invalid for all purposes seven years after the date llereof
---~--~~-·--------~ss: In the ~ ____ court ---~--~--1:---.. 21~·-·--of _____ 2f.~~--/ ___ ______ ______ _
~~ ·----------~---~------------------------------------·• aged -----~-~--years,
occupation -~--------------------------------------;:z_; ~o ~eclare on oath that my personal
description is: Colo rff~----• complexion --;~----===,//-----·• height~ feet.b __ inches,
weight -~-----pounds, color of hair _____________________________ , color of eyes----~---·
~ ~/!. ~. L) t? £?. d ~ --------~:-------~-----------------------· (Original signature of declarant)
Subsc,ribed and sworn to before me in the office of the Clerk of
[SEAL]
said Court this~f_dayof. ______ ~~annoDomini 19y I
~{f:LQ~---By_?j_O~ko -1~-~~;:_ p---; -Lev==#
ORIGINAL
U. S. DEPARTMENT OF LABOR
J ~ NATURALIZATION SERVICE
No .. iJ:Z_ifJ~ .,~Til or ~~· ~·f'·~ .~ ~4 ~ DECLARATION OF INTENTION YfJ
~ ---------------~----"2zz~-~· aged ----------7----years,
occupation __ --------------------------___ __ _ ___________________________________ , do declare on oath that my personal
descriptio~: Col~----• complexion _____________________ -_____ , height~-feet-finches,
weight j_ _______ Q ______ pounds, color of hai ___ _ __ __ ------·• color of eyes--~---
other visible. distinctive mark~;--.;----------------------------------------------------------------------------~nw~e ~0_': __ ':_ii.::cf!:~7Y._::::!..::::::::::--~~~~--;~;;;;~;;·:gz_7-~~::;;-;~~;~~
at ---------~ ___ .i,__f_ ___ ~#;;;CJ-'i;;;;;~-c:;:=-------------------------------
l emigrated to the United States of America from ________ .::JZ_&:.:.t_L, ____ 2-..LI:~--------------------
on the vesse 1 ____ 6_-iih~-.;li;~-;~~.;,;i~-t-.;-(~}:;;·----;~!---,;:;;;~-;;.;.-~~.-~~~;-.;(;:;.;-~;~~;:u;-ti~;.-~~;;;:~~~;;;b.~~-~;-!j;;-&i-;;,;:)--·; my 1 ast
foreign residence was _ffi_~~E__:ct::) ________________ ; I am ______________ married; the me
of my wife is ____________ ____ _ ____________________________ ; she was born at ___ ____ _ __ -
~;~s n~; r~~~~e~~t -;~te;ti~~~1~~~~af~~d---fid-;li-;y·(~---;~y -f;;;ig~
prince, potentate, st ~ae, or overeignty, and particularly to -~-rf/~ ___ f__l_L
_____________ t2~ ___ : _______ ____ ~---_________ --------------------------------• whom I am now a subje~t ;
I arrived at :J!ort f _______________ ?.;;Ji_ __ :(/~._,_~_--;1!1. ____________________________________ , in the
State of -----------;;:--v------------~~-'-~------------------------• on or about the _________________________ day
of -------------------67---l,.L'-~------------------• anno Domini r _r_g__ _____ ; I am not an anarch is ; 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.
(SEAL]
U. S. DEPARTMENT OF LABOR
[SEAL]
ORIGINAL 4 0 5 ,._) l
43 6 O RI GINAL
U. S. DEPARTMENT OF LABOR
~Invalid for all pu1·poses seven years after the date hereof
-~i-Q'!: .. : ..... ·-]ss: In the~~-Court
_(}& --«-~::?1~-;/J • (_ .-/ of ..... .iM..Ju. .... @A .. , ............... .
~1 ___ CJJ~~..t:L:LL .... ) ~----;(~-R<:Y. ....................• aged ...... /f ...... years,
occupation_____________ _ .. ~-£-____________________________ , do declare on oath that my personal
description is: or __.,.A-d~-----• comp~~~n _____ 4__~--·• height .~eet _f:.._ inches,
weight ··i.-1-.{} .. pounds, color ~air ... lfSf~---• color of eyes-~---
other vis ble. dis~ marks/FT.·;~~---···-··············-·············-·······················
I was born m ~~<L--~--/--=~------------------------------------------------------·------------------
on the -------~---------r -day of -----~--7V/ ff~ Domjni L~!LKI now reside ;te~i~:;~~~f{;;:€~ ...... ~ ~~--:~:::
on the vessel _____ ~; ~t rwise th~:;;t,;,··; ;l-tb;~J,-.;~;n-;;,-~;-;;;_;;;;~t;.;:~;~;(.;:ii~;.-~~;-.;-p~~y-;·~-;,:j~jb;·gi;;-;,;-)·-·; my last
foreign residen~1J _ d.... --~--..--:-:_·---~-""'~---_21. ___ ; I am -~married; the name
of my wife is ____________________________________________________ ; she was born at ------------------------------------------------------
and now resides at ----------------------------------------------------------------------------------------------------·----------------
It is my bona fide intention to renounce forever all allegi ce and fidelity t~ foreign
~i~~~: .. ~:t~~~a~e:.s~~t::.~r .. ~:~:;.n.t~:;;~~~~ar~~:-~-. ·• of-;_,~~~ ;·t~~=-----
1 arnved at the port of •n;nnm•mm•11----r--7VJ.--nm••···-----n:nm•mmn••mmmn;,7·---.... In the
State of -······-·······-~-;T --~--------------------________ ..L~~-?f'qr ··• ~n or about the -----:··-:··----------day
~~iyg~~-i~-t--~~~-~--pe!iev~uin -t-h~--pr~~~~e ~~~~~~l;;;·;-~n~ ai~ i~0~~n i~:~~~~~\'n ~~: ~~;t~
to become a ciffzen of the United States of America and to permanently reside therein:
So HELP ME GOD. •
[SEAL]
. . r,:j ·------4-~---~-~fd!f-JP.L------------
Subscribed and swor~ ~~ before my.~_: ~o~ce of the Clerk of
said Court this~day of ID~' anno Domini 19 ?-~T _::~_: __ ~::::~~ourl.
By ---, ___ -Z:_ _____ -.. ,------------/f~. ~---Clerk.
U.S. DEPARTMENT OF LABOR
ORIGINAL 4 3 7
NATURALIZATION SERVICE
v~// No /7-~---~ ., ~ 111 or
~~~
~ DECLARATION OF INTENTION
~Invalid for all purposes seven years after the da ereof
---~--¥:C2ru_, ______ l ss: In the ---~--_ _ _ _ ______ --;------------~---Court
------------------~-:?1_~'----of --~_OALiu_ __ (}A_____________ ~ ----------UH-P-J~, __ !! __ ;;/dL __ ~---------· aged ___ J,[_L_ ___ years,
occupation _____________ __ __ __ _ _ _________________________________________ , do declare on oath that my personal
description is: Color~------• complexion ---------~---• heigh~---feet~?_-=c-inches,
weight --------~~---pounds, color of hair d.-~--~-~--• color of eyes--~----------
~~~~i=~===~:~~============ ~; the:o:_(l~_~;;_:::~~T;;~:;-~--;:::===~--~---::: __ r:~'~:
I emigrated to the United States of America from --------!4-~-V/~-----------------------------
on the ves se ~----,-,,-:i/.;;;;~t{.~;!}-;;;;.;.:-~;>;~;;-.:.;;;;;;;;,;,;;;-;;~;-;,;~;;;,;;;,;;;;;;;;;;;;;;;;-;;;;,;,;-;,;-;,~;,;;:--; my last
foreign residence w 0~----------'-::ic-a.~-------· I am --------------:narnecn t~e name
of my wife is___ __ ______ _ _ _______________ ; s~e w~ born at G?.~-~~----
f;~s n~; r~~~~e~~~ -;~(~i;~;;-t-;; ;~~--;~~;-~~fid~iiiY--~~-;;-~~--i~reig-;;
prince, potentate, state, or sovereignty, and particularly to ~---~-4:.~=--llJ
-----J-~----lf----~--~--/f,][ __ -~--;-----------• of whom I am now a subject;
I arrived a the 6ort of _________________________________________ ..~.7 __ r _ _.._,. ______________________________________________________ , in the
State of. --z?"'ww ----------------------------------------21:f-'-----------------• on or about the ____ _/ __ £_ ____________ day
of ----------------ILI-aAt ----------------------------• anno omini If!._:}_ __ ; I am not an anarchist; I am not a
polygamist nor cif 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. 0. ·£.~A.M.. ~----~P/$_-----~----------CJ~'-/7/Vv (Original signature of declarant)
Subse>ribed and sworn to before me in the office of the Clerk of
[SEAL] said :urt ::~~:~~~:~1 ~::/
By -----6~~~, -~;-Clerk.
438 ORIGINAL
U. S. DEPARTMENT OF LABOR
NA)"URALIZATION SZRVICE
No .. iJJiitfr/J .,~Til or ~~· ~-f'~~~ .~ v4
DECLARATION OF INTENTION ~
~Invalid for all purposes seven years fter the date hereof
--~--1-ff~-.-·j ss: In the _____ ""!:. ................... --··:·· (:i;;····· .... Court ---·-·········---~---····························· of ----~--~----············--------···--·-
~ ....... tJ.~--J!.~------·-·····························• aged --~--rz ______ years,
occupation _________ _ _ _ _ ______________________________________________________ , do declare on oath that my personal
description is:~Color~-------• comp!e~ion -:-~-------·• height \2 __ . feet L~-inches,
weight ___ L_!!_~-----pounds, color of hair -~----------• color of eyes-~--------------
~t~:s v:~~~e i ~ istu~~~:::::::::::::::::.:.·~-~-:~_::.:.::::::::::::::::::::::=::::::::::::::::=::::::::~
=~ ~:~:~~
~~~~:r~::~e~~--~:: __ ~-~~~~~~~-~~~-~~~~~~~-.-~-~~-~----------~----~--~~~~---~---~------------~~~~~~~~~~~;--~;-i~~~
(lf tb., alien arrh~ise t;,n by vessel, tne chamc ~ ve:.p;e ;r name of transpe>rtation company should be given}
foreign r~si~ence was ____ L..£:.'_~ _ _,_ ___ 'l::.tl.L7 ___________ ; 1~------------m~r~d~t~e name of my Wife IS ---~~---····-----pshe was bus o."t ... L/lL&~-~-------
!~i~:;; ~~~::::~~~~:::~~~~~~-~~~~:~~~~/ / .................... : ... -----~':.J'!it::l;f ..... ~-7[£-······-----• of whom I am now a subject;
I arrived at th port jt ___________________ 71 ____________ /j:__ __ .,_rc..-----------------------------------------------------------·• in the
~r;:~:~~~----~~~--~~~~~~~==~~:~~-~~;~:1 ;~ai;~~~:;~:~i:~i~-1~~-~;~~
to become a citizen of the United States of America and to permanently reside therein:
So HELP ME GOD. ·---~·-c· ;~·-·····-
Subscribed and sworn to before me in the office of the Clerk of
[SEAL] said Cour!:;;/::Ji~A-···:anno ~o~-l:i_,_~ I
clerk of the f!c___ _ _ __ __ _ ___________________ Court.
By t;'f:j:_~_fla/ __________ , -~-Cltrk.
U.S. DEPARTMENT OF LABO R
ORI GINAL 4 3 9
NATURALIZATION SER VICE
~~~
~ DECLARATION OF INTENTION
[SEAL]
(Original signature o f declarant)
Subsoribed and sworn to before me in the office of the Clerk of
said Court ~his2~{~~~~~~~~, anna Domini 19 7--/
~~-:~;~~~dz~::=::~~~aurt.
By ri!5_,_-L~£Cd2~~~~~~, ~-;~~ Clerk.
L~40 ORIGINAL
U. S. DEPARTMENT OF LABOR
J NATURALIZATION SERVICE
' or
.~ ~.
DECLARATION OF INTENTION
ar Invalid fo: ~II purposes seven yea~~ her~:~---Court
-§!i!t1ff------------] ss: ln the ~ ~~L----~---------------------------1-----------------~--------, /O _ = of----------------~' ________________ C~_L_JU ___ ~----------------------• aged ------~--3 _____ years,
occupation ___ __ _ _ _ ___ ___ ___ _ _ ___________________________ , do declare on oath that my personal
description is: Color~----• comple~i~ ---~----·• height~-feet _2.; inches,
weight _j.f2t __ ~ pounds, color of hair-----~--· color of eyes---~---·
o ther visible. dis~arks ~---~---------------------------------------------------------------------
~nwt~e b~~n-'~::L::::::~~/1t:;%~--~:: __ ~~;--;;~;;;i-~;--;-ji_'i_j_:;---~--~~:;-;~~;~~ at ----------~-<2/"4"'-=~;Q=~-------------------------------~~~~::::~e~o t~e ~~-~tales 2~~-f~::_::::::::::::::::::?~-~~-;;;~-h~;
o.lien ar · ~ ot e iae than bJ v~ssel~ .. ;~;~_cbaracter of c:onveyance ol· uame of tranapC'rtation com~ny Jhonld be given)
foreign residence was ______ _,___ --~---=--./~I..L--------------: I am~~--married; the name
of my wife is ____________________________________________________ ; she was born at ----------------------------------------------------------
:In d no \V resides at ----------------------------------------------------------------------------------------------------------------------------------
It is my bona fide intention to renounce forever all allegiance and fidelity to any foreign
prince, potentate, state, or sovereignty, and particularly to __ "1f~-G__~ ___ L//
______ fl~-----1-,_,_u~-------------------------------------------------• of whom I am now a subject ;
i arnved a_ the port of _________________ '7J_:L(----------------------------------------------------------------------------------• tn the
State o~-y ------------------------------------------------------?/--:-~'1(~-----------• on or about the ---------:~----------day
of -------~~-~----------------------------• anno Domm1 r __ ¢/~; I am not an anarchist; I am not a
polygamist ~or a believer in the practice of polygafi-ly; and it is my intention in good faith
t o become a citizen of Ihe United States of America and to permanently reside therein:
So HELP ME GOD. ·-~---~ __ ]L{gj)_ ____________________ _
(Original signature of declarant)
[SEAL]
ORI G INA L 4 41
I U.S. DEP ARTMENT OF LABOR
NATURALIZATION SERVICE
No .. .l,21Z~~: s1t\TII or ~"' ~ ~-~ ~~ ~'o ~ DECLARATION OF INTENTION ~
~Invalid for all purposes seven years after the date hereof ····~·····~-Q'.~---Jss: In the -~t--Court -···-·········'··1;.·······-~~--of ........ -:2:1~.:.. ............. ---·-····· ~ ···········~~----(dL'4 .. ~---···············• aged ... .j .. .!z: ..... years,
occupation -------------· ____ __ _ ___ _ ____________________________________________ , do declare on oath that my personal
cescription is: Color ~--------• complexion --~----------·• height £feet _6__ inches,
weight _) ____ (Q_Q __ pounds, color of hair ___ -=:/d~-----• color of eyes~~------------·
other visible disti~e marks ~L£---~----~--o/---0:.--?j--~--~~--
I was born in -~~----~...2~·······-··········-··········.··:··-y·······-··-·············:····
on the --------z:r ·-/-~----day of ·----------~~---------------·• anno Domtm ~__ __ '.£.£; I now restde
at ______ L_~--_0_L__~--~-f[J--c;l:-,-------------TJ_/ ____ -;; __________________________ _
I emigrated to the l]nJJed States of America from ________ "~!)]~-~-----------------------·
on the vessel _______ ~~--------~----~--"--Cf~---------------------------------------·-------------------·; my last
(If the alien arrh the~_jjlan by vessel, the charactenf conveyance or name oi transportation eompany ahould be given)
foreign residence was _________ (._£'~--~~-R-~------:cJm ______________ married; the name
of my wife is ....... '2JJ .. J .. ~e ws porn at ........ ~.-;:!J....;ta..R.y. ......
and now rest des at _______________ (3 ___________________ ~~-------------------------------------------------
It is my bona fide intention to renounce forever all allegia~c~ foreign ~-":2Z::: .. £~~:; .. ~::i~~l:rl~·t·~-~of ~~o;, I.~~ no~ .a s~-~~~~ I
I arnved &\he p;;j[~f ................................... c ... ~:·············································-···············• m the
State o~-----______ _ _ ----------------------------------------------------------~-: __ , on or about the --------h-~--------day
of ___________ ____ ___ _____ _ ______________________ , an no Domini 1 __ f!lf..f _; I am not an anarchist; I am not a
polyga · nor a eliever 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 ~side therein:
So HELP ME GOD. -~~~-~-~~---~-~~-~----------------------
(Original signature of deolarant)
[SEAL]
Subscribed and sworn _>o before me in the office of the Clerk of
said Court this __ .;?h_d~y of _____ /JL __ ~--· anno Domini 19 2_/
~GfJ-~---··-·-··-·-
cterk of th~~--:iec:-~----Court. a;(f;C,;..:PJ..r:~1fif ......... , -~--Clerk.
442 ORIGINAL
U. S. DEPARTMENT OF LABOR
NATURALIZATION SERVICE
or
~~~
~ DECLARATION OF INTENTION
~Invalid for all purposes seven years after the (~eof
S!:i2_ J/10 IX ~-~ ~~::::~=~?i~::lss: In the~~Ch::·-_:::~:-::_~:~=
~ _____ ~-~~----------------------------·• aged __ <E.__/ __________ years,
occupation ___ _____ _ _ _ _ _ _____ ____ ____ _ _ _ ------------------~-LJ~ declare on oath that my yersonal
description is: Color~---• complexion--------~--· height ~---feet-~-inches,
weight ___ f-.0 ___ c2/pounds, color of hair ---~---------·• color of eyes~----------
~~~:s v~~~~e ~~U~~::::=:=:::==:=:::_~-~:_-_-_:·_-_-_-_::::::::::::::::::::::::::::::::=::::::::::::::::
~~~:~~~~:~~~;~s~~;:~;-~~~~;~~~;:::~::~0.=-r~':I~~
on the vesse ~----,u-u;;~·;;;;;,-,;;;;-~---;;;-;;;;;;;;-,;;;;.-;;;-;;~;-,;;;;;;;,;;;;;;;;;;·;;;,;;;.;;;·;i1.;;,-~;;;;;;;;_-~; my I ast
foreign residence was --U~--_ _ ________________ ; I am~~~: the name
of my wife 111 .uauU----~r.A._ _______ ; sh was born at --------------------------------------------------------
and no \V res 1 des at --------------________ -----------------------------------------------------------------------------------------------------------
It is my bona fide intention to renounce forever all allegiance and fidelity to any foreign
prince, potentate, state, or s~vereignty, and particularly to ~----6_~--~--
-------:---~~.:-------¥---<;:)l__~---------------:·----------------------• of whom I am now a subject ;
l arn ved at t e port of -------~---;;·----2--Jt--------·------------------------------------------------------• m the
State of _07 ____ .,-_____________________ z ___ (---------------------:---:-------------·• on or about the ------~------------------day
of ______________ 1--_~---------------------------------• anno Domtm r f{lil__; 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 Goo.
[SEAL]
ORIGI NAL 4 4 3
U.S. DE PARTMENT OF LABOR ..; v """'"""'0" ""'"
.. ~~ ~'o ~~ '4 . DECLARATION OF INTENTION ~
~Invalid for all purposes seven years after the d.
-~-4-CJ2,~'--------j In the ---------------------------------~Court
hereof
{L_, __ 1 __________ )f-~L-ss' ,of -----~~-'---~-------------
~' -···---------------------~---~~------------------------·• aged--------------------years,
occupation ---~-~----------------------------• do declare on oath that my personal
cescription is: Color ~--------• complexion -----~-----·• height -~feet S inches,
weight _/._-!?!:. __ Q ______ pounds, color of hair -----~--• color of eyes---~--------·
ether visible disti~e marks ~---------------------------------------------------------------------------------------
1 was born in --V~-------~~------------------------:·--:--y;;f-·---:-----------------:-;
on the ___________ .a. __ r_ _______ day of ·--------0·---·---------------------·• an no Domm1 1 __________ (l I now resJae
at --~--------~--LJ.6(_(;.;;;~-~rrJ;t;?~.--------------------------------------------
l emigrated to the United States of America from -------~~L4ZL-,-~-----------------------
on the vessel ________ ..::zr::;; ______ --~---------~-------------------------------------------------------------·; my last
. . (I! the alien arri~herw· e han by v ess~~ter of conveyance or name or t ransportation company sho uld be g:ven)
foreign re sidence was ___ i ...l'.i; __ . _____ ,_ _______ if~---------------------; I am ______________ rna~; the name
of my wif~ i~ --------------~-~~--------------; she was born at .... 8~---V-~------------
f;~s n~~ r~~~~e~~~ -f~t~fo~:~~~~;ll~gl;~~~--;··-----fict~-~i-t~--t;--;~y--f~reig~ ~-ri:m~~tE:_o'Jf~--~:rtl~~l:r~_t_e_:::~.--~~-~~=~
I arrived at the por ot ___ !J ________________________ ~-¥--------------------------------------------------;;z_--------·-·• in the
State of --------------------------------------~-,._1L_ ________________________________ , on or about the ----------------------------day
of---------------------~£ ______________ , c4no Domini x!/.t2.-!?.:; I am not an anarchist; I am not a
polygamist nor_ a{jelie~er 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. .L .r:.. .. ~ -~~---::;:::1.~--------------------------------
(0riginal signature of declarant)
[SEAL]
~44 O RI GINAL
U. S. DEPARTMENT OF LABOR 0. """'"'moo• ""'"'
or~ .~ ··~·~
.. V> ~A
DECLARATION OF INTENTION ~
·.
nrlnvali~ all purposes seven years after the da e hereof .ft-4;6~----1;--'!l·-----j
55
: In the _ _ ___ . __________ -~ ~--Court ---~-::i_-__ --_:·:_1z;;;~::::;;t~--------:f __ :?!:=.~:~-~:-~::::-~::;::
occupation ------------~~--------------------------------• do declare on oath that my personal
description. is: Color ~---------• complexion --~---------·• height --~feet 9----inches,
weight ___ }_!//_ ______ pounds, color of hair ---~-----·• color of eyes---------~------------
other visible _ d ist~i '!"_ marks -----~-:-~-~= ------------------------------------------------------------
1 was born 1 n ___ -;;j--JA~--~~--,---~~-~~--0-~~---------------------------------------------------------------
on the --;:r-/J--8:_ ____________ day of ___________ -::2la::U~----------------·• am~Q, Domini 1 _K_J_f__; I now reside
at _________ J/~_ ------------------------'-------=-+a~--------£V~-"--cz:_ __ (l: __ J3cl:JO-_}A_ __ t_
(Give number, street, e1ty o&, and State) .iJ ~~7~=r~::~e~o--t~: __ ~M~ _stat:s of America fr:=~=:_::~:: :::.::::-!::::::=·;;;;~-;~~;
. • (lf th• alien ani~~ by vessel, tne c racter o convey .. uce or name of tra.nsp0rtation company should be g~ven)
foreign r~s1~ence was .e:;;J~A ~-if-~,.--_ __ __ __ -~--: I am ----------~---marned~)he name
of my w1fe 1s -------~------------------; she was born at .t~_._-:-'2_6 /
and now res1des at ________ X..ifl~---~G_q_~------------------------------------------------------
It is my bona fide intention to renounce forever all allegiance and fidelity to any foreign
prince, potentate, state, or sovereignty, and particularly to~-~-~-d..-~ ~-~~~-~-'¥~~~ aii',nowra~~b;cr;--~ ....... -
l arnved at the port of _________ /3~-------------------------------------------------------------------• 1n the
State of -------------------y n ------------------~ -r----~------------------------------·• on or about the _______ .;2)_ ____________ day
of __________________________ cz_v~_: ___________ , annd Domini r 1-2..2 __ ; 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 State s of America and to permanently . reside therein:
So HELP ME Goo. --~~--d£!P~--------------------------------rf (Original sign/ •: of declarant)
Subscribed and sworn to before in the office of the Clerk of
said Courc;#~_---_:~---:-_____ :--:_anno~i-19 ?-/
h ~ __!; lerk of tJJ ----------------,--Court.
By _________ "_) __ : ___ {?L__ ____ ~e ________ -~4 _____ de~--Clerk .
fJ I ··-('
[SEAL]
U.S. DEPARTMENT OF LABOR
ORIGINAL 4 4 5
j v """~""""" ""'" No.L /~~~ .,~Til or~"
4(\~ ~.~ ~· ~4 DECLARATION OF INTENTION ~
&=Invalid for all purposes seven years after the date hereof
---~------~--@_·Jss: In the~~-Couri -~-'--¥--~~'--... / of -----~------~------·-------------
~ ... ... . ....... -.JI~~---··-:L.'i:c:-~---····-······--··-·• aged ...... .t!p .. 'j'-. years,
occupation ----------~--~----~-------------------------• do declare on .oath that my personal
cescription is: Color ~------• complexion ----~--• height ':£. ... feet _3_ inches,
weight ______ L5__Q ___ pounds, color of hair ----------~---• cot of' of eyes-----~-----------------·
cth er vi sib I e dis tin cti ve marks -~-------------------------------------------------------------------------------------__ _ I was born in -~---·2j;l. . ·--~---························-~--~·-··g···;_··:· ...... ··;~··; :· ~; the:··--:Jt;:.··J~ay ~f _·---·:: _ . ·':·~----------:r2:~~~-o:.:~~~;;.:: ... I_~~=---~:~
(Give number, s eet, city or town nd State) U ~~7~!r~:~e~o-t~:~=::zk::~,:==:~f::::::: ..... ~~~;
• • (If the alien a.rrintherwi~ tha_n jY veS&el~'""'thrharactar of conveyance or name or' transportation company should be g~ven)
foreign re?Idence was --'--~--.:2.~~--~----------; I~ ------,;;------~marne ; the name of my wife is .......... :.~---··-·····-: She was4orn at --L~----·······-------7
and now resides at ____________ _:J/._JZAL4: __ a~h_ ___ O..cu._. _______________________ ----------
It is my bona fide intention to renounce forever all allegiance and fidelity to any foreign
prince, potentate, state, or sovereignty, and particu!ar~ to _ · .
.x:dd..---~--~-1-~-~:z"]/~rf~m I now a su~j ,
I arrived at the port ot ----------------~-t-~------------------------------------------------------------·• m the
State of ______________ 770~ .. :.-~----------------:~-------------------------------• on or about the ____________ d_ __ l_ _____ day
of -------------------------V'd-----------------• anno Domini r.fJ-t! ... L; 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. ____ 1/!t!!._it__ ______ i_?f_~---------
<ong;nai signature of declarant)
Subscribed and sworn to before in the office Gf the Clerk of
said Court this __ ,6 ____ day of..___ _ ______________ , anno Domini 19 ;;.._,
r A/~ o /} /J L ~-~-~-2 --------------~----------------------
[SEAL]
G--, (;f---t Clerk o£rihe ---------------------__ _ ------~--Court.
By ___ ,?._: __ d:._ ____ tf?Jlz_ C~.]J~t--·, ---~---Clerk.
4 J1r :ttD U. S. DEPARTMENT OF LABOR
ORIGINAL
NATURALIZATIO N SERVICE
No.i;l£/6 t/'~s1a.118 or
~~..,
~ DECLARATION OF INTENTION
~~=~:~ -~ .. ~urposes seve: ::a~s ___ :~:r·-~-~-----~·-· Co urt
ss: . .f
occu!t;~~-~.rt;;:.~ ... :,... . ·::·· ···: ... ~-loi~~-~~~~-~na~:~h·;~~~;-~~;s~~=;
description is: Color -~~ c omJ?lexi n .. ~ ......... , height l2.. feet LE inches,
weight .--~-:2-l:---~--p~unds, color of hair ....L!~--k~---• color of eyes .k"---~--~------
other visible. d1sp.nctiv~ marks -~-;61--------------------------------------------------------------------------------
l was born In -~~ ... .J::J.~a.-.J-L:.,J··················-·-··-·--·-·--··-·--·------··--····
on the ___________ JA_···~·· gay of ........ '2J..f!3J., ........ 7:7'iT .... , anna Domini L..~~-~ l now reside
at .......... c3 . .2o.J. .... 12\1:;1,..e&-.... ~;~.M' ~~.;,, s;.,,) ~ ·· .. ii£:¥J..L(;}:~-u ... ~
[ emigrated to the United tates of An:erica from _______ --~L-------...LidJ~--------------
on the vessel__________________ __ ___ _ -----------------------------------------------------------------------------------------; my last
• • (lf the alien ar .ved o r ise th by ve~sel tne h~~of conv a.nce or name of transp(\rtation company should be g~ven)
foreign residence G:---_--. __ _ _ __0_a__ ____________ _ ____ ; I ~y;--z·------marn_ed; the name
~f my wife is ....... 0. O .. ····---p ··-·~-----·-11:_h wa~n at ·----~~~-~ .
and now restdes at ----~~-~~-----d::IU._, __ (_£~-------------------------------------------------------------------
lt is my bona fide intention to renounce forever all allegia e and fidelity to any fore ign
prince, P,o»;ntate, stat~~r s~vere~gnty, an~articularly to ___ _ _________ ---Y----~---1-------
__________ ( __ ~ __ (/.'5; __ ----_y__ _ _______ --------------------------• of hom I a~ now ~subJe ct;
I arrived at the port of ______________________ -~---~--------------~----------------------------------------------• in the
State of -----------r:~-~ -------------------------------------------------:52./Jj_ ______ , on or about the _________ / __ 1 __________ day
of -----------.---------L-"'--! . -_:: _____________ , an no Domini If--~ am not an anarchist; I am not a
polygamist nor a belle r m the practice of polygamy; and it is my intention in good fait h
to become a citizen o the United States of America and to permanentl~eside therein:
So HELP ME GOD. ~ • ~
Subscribed and sworn ~--~e~:J~'~:~ ~;;~~:··~;:;:·:~
said Court t~~~p~~~-~9 ~ / [SEAL]
C lj!} oj the ~-~---"·---~------------------------------Court.
By ·----L2--~-~· ~-Clerk .
U. S. DEPARTMENT OF LABOR
ORIGIN A L 4 4 7
~~ 'o ~V> ~
DECLARATION OF INTENTION """
~1 -------------------------~------~----------------------• aged ____ ?:_~----years,
occupation ------~-----------------------------------------• do declare on oath that my personal
cescription is: Colo~---• complexion ----~--• height -~-feet~ inches,
weight ____ j __ 6f_~ounds, color of hair -------~olor of eyes---~-----------
h ""bl d". . k ~ ot er visl e IstinsJ:t v~ mar s --------------------n----------i~---~----------------------------------------------------------------
~nwt~e b::~n_E_~J~~--r;~;;;;~;--;f9:2j--[--~~:;-;~~jd~
at _______ _c;p_Q1L1---~~~k~'L----~------
~~~~:r:::~e~~--~h~--~ n:t~~-~:~:c_~_:c~-~~~~~~~~~~----~~----~~----~----~--~~~-----~--~~--; my -~~J
• • (~~£~erwi~e than by vessel, the cha~ of conve~e or name or transportation company fou ld be g~ven)
foreign residence was_ __ _ _ _ _ --,---~----; I a ___________ marned; the name
of my wife is ---------------------------------------------------; she was born at -----------------------------------------------------
and nov.; resides at ----------------------------------------------------------------------------------------------------------------
It is my bona fide intention to renounce forever all allegiance and fi~~~.....,.any foreign
prince, potentate, state, or sovereignty, and particularly t ~~-,i(~-~~.e::--'i. ~o~~--~~1t::~:::~~~~-:=-----~•ui~e~ .
State of----~/-~----------------------------------~._ __ 11/__~-----------------• on or about the ..,. _______________ .::::-=-_______ day of------------~-.! _____________________ , an no Domini I .7-Ct ; I am not an anarchist; I am not a
polygamist nor a eliever 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 Goo. -~-ct.~--------------
(Original signature of declarant)
Subscribed and sworn to before m the office cf the Clerk of
[SEAL]
said Court this ___ ~ ____ day of --------7>F:~~,x.......,,_,._ __ ..a
ORIGINAL
U. S. DEPARTMENT OF LABOR
J ~ """~umoo• """'
or~ ~~~ ··~.,.
~ DECLARATION OF INTENTION ~
[SEAL]
·-----~~~~-~~----
Subscribed and sworn to before ·n the office of the Clerk of
said Court this _________ day of _______________________ ,an no Domini 19 ;:;... /
---------··------____ Q~~----
. 0 Yh 9. Frktf e -___________ @ __ a _____ ---------Court.
By--------//)~-----__ ~-;;;d-ek~ ~-------Clerk . -0' (j f?-'~
ORIGI NAL 4 4 9
U. S. DEPARTMENT OF LABOR v y """'"""'0" ""'" No__!/~j~~ .,~Til or 44f
4~c ~•~ ~V>-~4
DECLARATION OF INTENTION ""(f
~Invalid for all purposes seven years after tile date Jtereof
~~4----CZ~ __ : ___________ j In the -~-~--court
---~---of--;?t-~:--;:_j of -----~~-_ --------------------
~' ·----------------___ ______ ----J>-CL-~-_ _ __ a ___ ----------------------------·• aged ___ 0_ __ ~-----years,
occupation -------·----------------------______ ~ _ _ -------------------------------·• do declare on oath that my personal
c!escription is: Color --~-• complexion ---hd!u:i:., height ~--feet-~-inches,
weight ----------1--J __ (_ pounds, color of hair ---~-------·• color of eyes---~-----------·
other visible distinctive marks~---~--------------:-----r=/5--------------:-------------------------------------
I was born i)f!---~-~~~------------------:--
on the --------------------------:..day of ·----------~~------?;]-·' an no Dommt 1 --%--~-R" I now resi de
at -------_,_ _____ fJ!d:__a!LA __ . ~o ____ (p_~----~4--.8--__ ---------------------
(Give number, street, city m· tow te) ~
~~~~!r~::~e~~--~~~--~~~~~~~=-~=~~~~~~--=--~----~-----------~----------------~----------~---: my last.
• • (If the alien a:1ed ot}frwiBe thr;r~vessel, the character o;;co;_ve~ar:/.)~ame oJ.tra~eportation company should be g~ven)
foreign residence was~--~-~ am _____________ marned; th~79me
of my wife i~ --------------~-_ --------;---~: she was ~11at ______ '222__~ __ { -~L---
and now resides at _____________ _ _ _ --:1---~~-!__~ _____ a:__a.,.._: _____________ _
It . is my bona fide intention to . renounce fore~er all all~nce _a nd fidelity_ to any foreign
pnnce, pote?tate~ state, or sovereignty, and particularly t6~-d..~--~
~-~~--'f~~of'k~amnowas-G_bject; .
I arnved at the port ot ·---------------------------~==---1/--,-----------------------------------------------------?----··-·• m the
State of _____________ l7.J:: ______________________________________________ ?J._~2f.---·• on or about the ____ }_______________ ______ day
of __________________________ 'd_d:.. _______________ , anno Domini r__tf'/.3. __ ; 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. _r.l/__'h_~~-_____ u;J___t_Q_(/__~k_ _________ _
(Original signature of d-:;;,.;;.~t)
Subscribed and sworn to before in the office of the Clerk of
[sEAL] said Court ~G~rL--~·~~o~~~-~:i _'9 ;u
a Glft;k Jf the ____________ (~/::l _________________ ~ourt
By -------------------~---//:'~--------~ ---~---~lerk. . u ---(/-~-------y::;
O R IGINA L
U. S. DEPART MENT OF LABOR
N ATURA LI ZAT,lPN SERVICE
/ Oo!
No. I/~ ., ~Tie or
!\~· ~
" DECLARATION OF INTENTION
~Invalid for all purposes seven years after tile d te hereof
~--1:--:=l4d __________ j ss: In the ____________ : __________________ ..~_e_<:_&r_-'!l ____ Court
~--------_ ----------~·~c__ Of Vi..~Ulk.L---(1_-& _________________________ _
'41 01 -_ ______ ___ _U~.d~Q~_., aged ____ ,3._(__ __ years,
occu~ati_on -~----------------~----------------~-----------;;--• do ~_:clare o~ oath that m~~rsonal ·
descnptwn Is: Color ~--• complexion -----~Y-----• height<-£ ___ feet ______ mches,
weight _____ }~--pounds, color of hair _____ d__~ color of eyes----~-------------------
other visi b I e . disti')Ft~ve ml"'~ --~i'_----------------fj----~----o--(j_ _________ Q____________ -----
1 was born I~.d~~--0--~~--~-----------------------------:~ ~~~:~-~---~:::~ib:~:~--~:r:si~:
(Givenumber,str ,ett~ ~ T-~:7~=r~::~e~O--t~~lt:~--StateS--Of Am_e::':~~r::_=_:_::_:=:_:::: ___ ;;;;;;~:::::::;~~-~~~;
(U thft alien arrjv. otherwil!e tha v sel, tne,characte n y&B.Ce or name o t ~ny should be given)
foreign residence wa ___ __ _ ____ 'A:1L _ _ __ _ .; I am ______________ married; the ~~e ,...
of my wife is ----------------_ -~----~------------; she ~sporn at-~-1-~-~
and n ow resides at ~--~--~-!::21~-~-_..__(ll!:':::_~--------------------------------------
lt is mi bona fide intention to renounce forever all ~ce and fidelity to any foreign
~ri~~: __ s~~t::~r~:::_n_t~:a~~-~::~~l:rl~-t-o------~~~~~l~;-;
I arrived at the port of ____________ -::__~'if-nk----------------------------------------------------------------• in the
~~~;:~~~~;::~~~~::~~~~~±:~i~~~ia~~;:1 ;~;~~~:~i!~i~~~~~~~;~~
to become a citizen of the United Stat es of America and to permanently reside therein:
So HELP ME GOD. IJ;;r1 ~d' ofl-f.e ~t'4(.J ----~i!_~--&~~e.j(_~£; ____________________ _
(Original eignaturo of declamntJ
Subscribed a nd s worn to before me · the office of the Clerk of
[SEAL]
said Court t h is ---9-----day of_______ _ _______________ ,an no Domini I 9 '7---/
~---9-12~~-------
Clerk of th e ... ~~ Court.
By ______ Q_:_JJJ~:)-1~----------, ----+zu_-_____ cterk. 0 ---(.h,~
O RI GINAL 4 51
U.S. DEPARTMENT OF LABO R -v NATURALI ZATI.ON S ERV IC E
No./2'~~~; .,~Til or 44l .. ~~ ~.,0
~~ ~ · DECLARATION OF INTENTION ~
· ~Invalid for all purposes seven years after tile date hereof
~-~CP_{b! __ ,_: _____ Jss: In th~~~-----Court
--~'--~--------'21~-_ of ___ '2j~L: ____________________________ _
~ _, ________________ QJ__k __ (2 __ --~~---------------------· aged --~.2:-_ ____ years,
occupation __________ _ _ _ _ __ __ __ _ ____ --------------------------------·• do declare on oath that my personal
cescription is: Color ~----• complexion -----~-----·• heigh~---· feet :T:~ inches.
wei ght __ fh __ Q _____ pounds, color of hair -----~color of eyes ___ ~------------------·
ether visible distinctive marks -~--------------------------------------------------------------=-~-----------
1 was born in --~~----~--{_-~----~-:g-~4)
on the -----z-:1/:Ji{t!L_ o;_--/}.,G{~------;-!_ __ , anno D~~{-2.:7--X:: _I now reside
at ------. ~~-c-div-;-;;~~~-d--J--------Q;,~-~--(fa___
I emigrated to the United States of America from __ (J~----K;.J~-------------------·
on the vessel c ___ c"ii-t.b.;-.;u.;~-~;~?k-.~7;~f-c;;,;;;~~;c-;~;-~~;;,;-~;t;~~;j,~;;,ti~~-~~;r,~~y--h~-;,jd.-b~-gi-;;;;)--·; my last
foreign residence was~-~----~~·----; I am _ _ ____ married; the name
of my wife is ------------------------"--------------------------;. she was born at ------------------------------------------------
and now resides at ----------------------------------------------------------------------------------------------------------------
1 t is my bona fide intention to renounce forever all allegiance and fidelity to any foreign
prince, potentate, state, or sovereignty, and pa_!14:ularly t~.;,-~--~~--~
-~---~-----~-J!LJ~D~-~:f;{ wttc~sub j ect;
I arrived at the port ot ____________ 7/.~--¥----------------------------------------------------------------------------------··-, in the
State of -------------,-~---------------------------~-::';{-·--------• on or about the _____ !:::-________________ day
of ----------------------------~.W.: ________ , anno Domt I ~_9__/_{_; I am n ot an anarchist; I am not a
polygamist nor a believer in the practice of polygamy; and it is my in t e ntion in good faith
to become a citizen of the Unite d States of Am e rica and t o permanentl y reside t h erein:
So HELP ME GOD. ~-'7:'!:11~---
Subs cribed and sworn to before e in t h e office of the Clerk of
said C ourt this ---1-----day oL ________ _ ______ ,an no Domini 19:1--J
~---~-----------------
(' C t7: 1 th~ ----=--------=--------"-------------------------Court.
By --2it---~-)Ll ·~-------, --~--Clerk.
[SEAL]
O RI GI N A L
U. S. D EPA RTMENT OF LABOR
N ATU RALIZATION SERVICE
~Invalid for all purposes seven years after tlte fut;'f;f+-JI -~~----~ In the_ _ _______________________ __ _ ___ ---------Court
-__ 2 ___ ;y--tf-j ;;b_---~ of _'Jj_~, ---------;;_z--------------
~1 ·--------------------------------------------------~------------------------------------------------------·• aged ____________________ years,
occupation -------~------------------------------------------• do declare on oath that my personal
description is: Color~------• complexion -----~-----• height~-feet _cf: inches,
weight __ j_~Q ____ pounds, color of hair __ d__'---~• color of eyes----~---------
other visible. distinS,~ marks ~ _ _ _ ______ _ --~-------=::::_·---p-------------------,----------------------------------------
1 was born ~,~--------_____ __ --~~-------------------------------------
on the ~p--·--r=·-_pday oh--------__ _ ---~-------• ~ Domini IJJ-Y now reside
at ------~~4-<---~'::':~~~~--------------
~~~~:r~::~e~~--~:a~--S~~tes -~~ A~-~-~~:~-~-~:----~------~~-~~~~-~-~--~~~--~~-[~-~~-------:--_~
(U thfl alien arrjv ~J' than b,f vessel, tn{1::s:_tep o~ ~~e~ce or ua~e of tranep0rtation company should be given)
foreign r~si~ence was __ --~~'""~---=~~ ~tfm --------.------married; the n~e
of my wife IS _____________ --~----------· she w~S!nn at/ld._.d:~"-o,I!J~:.Q!.J:, __
~~~s n~; r~~~~e}.~~ -i~i~;:;;;~;;-(~.,';--1~---~£/ti~ii_Y_!~-;;;:;y--f~~;;g;:; ~~~:~;:;:~~~: __ "_n_~--~:r~~~~~~o-~~::£~=~-;~~j~~~-;
i arrived at the port of _______________________ t!Jl.: .. 1.j:-------------------------------------------------------~--7 _________ ., in the
~;;;;:;s~::~~;~~~:~~·:~g~:~~~~i~i~1 ;~;~~~~=;i~-I~:-~;~~
to become a citizen of the United States of America and to permanently reside therein:
So HELP ME Goo. ·---~~---------------------------
<onginalsign&tur• of decl&rtmt)
[SEAL]
U.S. DEPARTMENT OF LABOR ORIGINAL 4 53
oj . tl~ """"'"'"" ""'" No.LZ~-v .,~t!S or ((~· ~-~·~
.. ~ DECLARATION OF INTENTION V>4
W' Invalid for all purposes seven years er the d~ reof --~------__ f},)_ __ ~r -··] ; In the ----------------------------------~------------------Court ---~->--r------___ t;«L/N_:____ ss: ~~ ~~-~-@..&: ____ : ________________ _
~' __________________ _ ________ Ja_ __ ~------------------------• aged _____ 2-:::f ______ years,
occupation ------------------~--~----~do declare on oath that my personal
description is: Color -~-----• complexion ------~1i-~--• height £...feet -tt----i~ches,
weight ____ f _k __ -!;C_ __ pounds, color of hair -~------·• color of eyes -----~-;_-~=r----------·
other visible distinctive marks --~----------------------------------------------------------------------------------------
1 was born in ----~-------a_-~---------------------------------------------------------------------
on the ----------:h-~----/)dj-Y of -----_-----------2~-----_____ , anno D?mini I -~-2:.-C I now reside
at _____ Lin , ~-cru;~,;;;,:-~,; ~ .. ~-~h _____ c:E._~-----------------
~~7~:'::~e~0_1~:~'::::: _______ : ____ :::_:::::_~:~:: __ :::_-_~-~~j~~;
~ • (If the aHen arrh~t~erwise than by vessel, th=c ra.cter of conv auce,or name oi transportation company should be g~ven)
foreign r~si~ence was-~_,___ . __ _ ___ _ _____ ; I am --------------~arne~e
of my Wife IS----------~~----------------;----·cas born at Y~-,---------------------~
and now resides at _____________ _ ________________ (?ll..,. __ ,_ _____________________________________________________ _
It is my bona fide intention to renoun forever all all epa~~, and
11
~delity to~ foreign
prince, potentate, state, or s_overeignty, and particularly to -~~-t!/-~~
-------~-----~·~------------------------------------------------------------• of whom I am now a subject;
I arrived at the port of ---------------------~~--1/-~--------------------------------------------------·--• in the
State of --------------------r{-)------------------------~-~-21-.----------------------• on or about the _______ d_ ______________ day
of _________________________ {ZJ;!_ __ ~-----------• anno 6omini LlJL k_; 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 Goo.
[SEAL]
4~4 ..J.J\._ U. S. DEPARTMENT OF LABOR J NATURALIZATI ON S ERVIC E
~ No .Ll~!!ucrf~ s1t\118 or -~ .~~ ~-~·~ ~ ... ~4
DECLARATION OF INTENTION ~
ORIGINAL
142
(Old 205B)
142-d.ad
U.S. DEP ARTME NT OF LABOR
BUREAU OF NAT URALI ZATION
WASHI NGT ON
IN REPLYING PLEAS E REFER TO THIS
FILE NUNII[R
2838-d.-17 54
December 19, 1923.
~ro thonotar y , Common Pleas Court,
\Tash ington, Pa.
Dear Sir:
The Bureau is in receipt of the applicat i on o f the person named below
for certified copy of declaration of intention made in your court.
The applicat~on has been approved a nd the Bureau is inclosi ng herewith
Form 115 for issuance of the copy requested. It should be an exact copy of
the original in your bound volume and be signed by the declarant if practi-
cable; otherwise, his name may be entered by you in the place i n tended for
his signature . The blanks in the red ink certificate should be filled in
and signed by you.
You s hou~d enter on the original declaration in your bound volume a
notati on s howing the issuance of a certified copy thereof. It is not neces-
sary to issue and send t o the Bureau a duplicate of the certified copy.
The app lic ant has been noti fied by the Bureau that as soon as he pays
y our fee he may receive the certified copy . Of course, if you have already
r eceived your fee, you may proceed in a ccordance with the foregoing without
further delay. The completed copy may be given or sent direct to the
upplicant.
Name:
Address:
John osk os,
Box 48, Canonsburg, Pa.
1754. Declaration number:
Very truly yours,
Commissioner o f Naturali
Incl.
U. S. DEPARTMENT OF LABOR
ORIGINAL 4 55
NATURALIZATION SERVICE
..; ~/ No--L;!~ ; s1 ~Til or~-
.~~ ~.~ ~· •-s~ DECLARATION OF INTENTION ~
w-Invalid for all purposes seven years after the ~ereof
_QU_ ____ ai!_ __ (l~-------------·] In th~-------~---court e-----1--------IJ:i:-~--------s~: of 21~-------~--:_________ ____ _
:!1, -------------- - --------- - --9~------------• aged ___ ,?__ __ ~?:_ _____ years,
occupation -------~-----------------------------------• do declare on oath that my personal
description is: Color ~----• complexion ---~---·• height .:6 reet -~-inches,
weight ... L~Q ____ pounds, color of hair ---~--• color of eyes.~----·
h ""bl d " .. k ~ ot er visi e tsUncyv~mar s ----------------------------~------a -------------------------------------------------------------------
1 was born in ---c¥~-------_____ -----~----~..L--d .. J ~-~-------------------------------------------------
~; _the_~;;;;_•Y t:£; : _ ___ ::"_:-:xz::~--~~~-i:i __ ~:~=;---'---:~:_'~~i~~
r· (Give number, street, city o~d State) V_
~~7~:r::::e~~--~~~: .. ~az::= -~---~-· ~-~----~---------~--~~;-i~~~
• • (I! the alien ~:;;e~: b: v~sel, the a cte ve o.nce or name or transportation company..BQould be g~ven)
foreign residence was .. ..c.~7 -~-~-----. . _____________ ; I am --~---------marned; the name
of my wife is ____________________________________________________ ; she was born at ---------------------------------------------------------
and now resides at ----------------------------------------------------------------------------------------------------------------------
It is my bona fide intention to renounce forever all allegiance and fidelity to any foreign
prince, ~tate, state, or sovere · gnty, and partic~larly to ------------------------------------------------------··:··-------------~---lLf~-~----. . _. ---fl-~~-'dd, Gf whom I am now a su_bJect;
I arn ved at the port ot -------------------~~---------------------------------------------------------------------------------·-, m the
State of-~--------~------------------------------~-------"Z:L -~-----------------T ' on or about the 2:.3..t:LY __ Id_ _____ day
of _____________ _ __ _ _____________________ , an no f>omini 1 J _________ ; I am not an_ anarchist ; I am not a
polygami t nor eliever 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 Goo. __ CP-_:4~:n.,~--nz.~!?..~------S(i..~.C?.S .. _
(Original signature of declarant)
[SEAL]
Subsoribed and sworn to before
said Court this/., ... day o
~(Q~
in the office of the Clerk of
............. -""-' .... , anno Domini 19 ;J. /
/
ORIGINAL 456 U.S. DEPARTMENT OF LABOR
NAT UR ALIZATION SERVICE
No.;/£llt$ .,~Til or e1jAlifi
!t~· ··~~~ ~~ ~4
DECLARATION OF INTENTION """'
~Invalid for all purposes seven years after the da ereof
. _ _ ________ t?~.:---·-------~ In th _______________ -----___ :~--Court
----·-1---~'11--~-'--------ss: ofc_}£_~--~-----------------------~' ------~---___ -~---------------------·• aged ____ C~---------years,
occupation ----~-------------(_j __________________ ,, do declare on oath that my personal
description is: ~lor~-------• comp~exion -~-----·• height 1.,.5" __ feet __ ;k inches,
weight ./-.. ¥6 _____ pounds, color of hair ~---------• color of eyes-------~----------------
other visible distinctive marks -~---------------------------------------------------------------------------------------
1 was born in ~---j;!./~-----------------------------------.-------------------------------------------------~~ ~~:za;~:;_d:y of ·:·--------~~--~~---;__~~:: __ ~::_~:~Yd-,~~~~;--1--~~=~~~id:
(Give ber, street. cit 11t , and Statej
I emigrated to the United States of Am rica from ___ -~-.,----~--------------------
on the vesseL~4 ... -;;;~-;--;;;;;,;·;;;;::_~-;;-;;;;;;;;;;;;;;·;;;,;;·;;;;;;;;=.;·;;;;;p;;;j;;;;~,;;-;;;·;;;;;;·--; my last
foreign residence was ___ ::._-Pf-7"-.L.W.,f'~ ~ _______________ ; I a~...J-=-married; the name
of my wife is ----------------------------------------------------: she was born at --------------------------------------------------------
and now resides at ----------------------------------------------------------------------------------------------------------------------
It is my bona fide intention to renounce forever an allegiance and fidelity to any foreign
~;-~;i~;;;~~~
I arrived at the port of -=-~-----(J_-~------------:?:l-~-¥r-----------------------------------------------------------------·• in the
State of ----~------------------------------~-:.2/. ______________________ , on or about the ---------~2:: _______ day
of _________________ LL(_fJd.: ____________________ , ann t' Domini ,_q__ __ ':_; 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:
$0 HELP ME GOD.
[SpAL]
U.S. DEPARTMENT OF LABOR
ORIGINAL 4 511
NATURALIZATION SERVICE
~Invalid for all purposes seven years after the d
~1-:;,:_(J__O:-:_,T ______ l ss: In the ---------------------------------. -~----Court ---~:____ _ _________ }1 __ ~--------of __ J/~.:. _____________________________________ _
~ ------------ --a -~--~--;~_=aged --------~---years,
occupation ________________ _________ _ _________________ --·----------------------------• do declare on oath that my personal
descriptiln )1: Color ___ _ _____ -__ , complexion_____ ____ _ __ ~-_____ , height ~--feet~ inches,
weight _____ J ___ Q ____ pounds, color of hair ______________________________ , color of eyes~---------
other visible distins>jve marks ~~---------------------------------------------------------------------------------------
1 was born in ~---.,.~-~-----------------------------------------------------------------------------
:; _the_:~~:/---.~~-~-~-=----:::::_:_•-::o -~'Gt~~;-~---~~=-r~~i~~ -:i~; (G>nMmW,""''"''~~~"" ~ ~~7~=r~::~e~o-t~:Q7~::: __ ~:_e~·~· ~r~:_::::::: __ : __ :_~:_-_-_:_-_____________ =::::::::;--;;;;-i~~;
(If the alien a.rrhe therwise than by vessel, the rae of conveyance or name ot transportation company: should be give!l)
foreign residence was_____ __ ___ _
7
__ · -.--_ _ ________________ ; I am .Or ____ =:_married ; the name
of my wife is ----------------------------------------------------; she was born at ---------------------------------------------------------
and now resides at -----------------------------------------------------------___ --------------------------------_________________________________ _
It is my bona fide intention to renounce forever all allegiance and fidelity to any foreign
~~~t:Ja_t::_d}~: __ "_~~--~::·~~l:rl~-t-o_~!~-~~~j~~;;
I arrived a the port of --------------------------------21--'---'¥: _______________________________________________________________ , in the
State of ----------------t?-T/f/i ______________ 2J__. __ y__,_ ____________________________ , on or about the __________ Jy _________ day
~~iyg;~-i-~-t--~~~-;-t;~[~~~~--t-h~--;r~~~~e ~~~~~~~!y; :n1 ~~ i~0~~n i~~:~~~~\~ ~~: ~~i~~
to become a citizen of the United States of America and to permanently reside therein: ·
So HELP ME Goo. --~M-~J..--~-LL _,_ ~~----------<·o;i~ .. !;ignature of dec~~
[SEAL]
Subsc,ribed and sworn to before me in the office of the Clerk of said Court this _ __[~-day o~---· an no Domini 19 )--I
G? ~t~::::_::=:=::::::-:--~ourl
By ________________ -:. ____ ;;z_ __ ~/JJ~ ___ _L.f-~, ____ (£ £)~-----Clerk. (J ---7~---~---z:._b"
U. S. DEPARTMENT OF LABOR
NATURALIZATION SERVICE
No.j_JE-fi!t/JI ., ~ 11:1 or ~~· ~-~·~ ~~ q·~ ~ DECLARATION OF INTENTION "'¥
\9 &"Invalid for all pu1·poses seven years after the e hereof
'\ -----~d!C2~--------j In th _ ___ _ _ ________ -~----cc ~ -~-1/;-~rL•J_L______ ss: of _2}_~_{];._ -----------------
~ ~ ----~~--~--?/_~-----------------------------------• aged __ 3_£ __ ye
_,$ occupation --~---~------------------------------------------------• do declare on oath that my persc ~description is: Color ~----------• complexion -------~----·• heightS ____ feet _J::_ ind
weight _____ ,f__J/:-_2:::._ __ pounds, color of hair _1~ .. color of eyes---~--------------
other visible distinctive mark~-~~p~-----1--~------------
I was born in -:Jk~~~-~~-1L-~-------------------------------------------------------------
. on the --------~:J--_£_ _____ W of -------------~d~------------• an no Domini 1 K.k:'~ now res· ~at -------------.-J ,_ ~ _f?.. ___ w_~ __ B~ _:ci: ____ ~~-_!/~J:-~.-------___ _
. ~ . (Given~ber,skee,olfr .. YJ ·~d Jtate) j (/ ~
I emigrated to the Umted States Amenca from ~~~-----"---c.·r·--------------------"-L --:--· ~~ on the vessec:;;/~---~; _____ LlJ~----------------------------------------------------------; my . V (U th" o.lien aniv o e 1se than by ve I, ~~ter J}_ oonv~oo or came of transp<'rtation company shonld be given)
~ foreign residence was______ _ _ --}.Ll~T-~ · I am -~----married; the na
, \' ~ ~~: ~0:i ~::~d~~-~-;--:::::::::==::=::::::::::::::::===~--she_::~~,~-"~::::=:::::::::::=:=-~~~::::::::::=~~=-
~ It is my bona fide intention to renounce forever all allegiance and fid~it~)o any fore
~ prince, p?):enta~, sta~or ~overeignty, anstJ parti~ularly to -~-y_--~----1------\~----------Q!;:t~ __ /O:J~~---~~.t:L~-------------• of whom I am now a subje~
l arrived at the port of _________ "}t-~~;1 ------------------------------------------'-----------------• in
s;ate of ---------------------~--------------------------------~~----;;--;:• on or about the ---=::=: _______ d
o _________________________ .c::2fJ__~----------------• anna Dommt r ______ _ __ ; I am not an anarchtst; I am not
polygamist nor a believer in the practice of polygamy; and it is my intention in good fai
to become a citizen of the United States of America and to permanently reside there1
So HELP ME Goo.
[SEAL]
Form 142
(O ld 20&-B )
. U. ,5. DE;PARTMENT OF LABOR
BUREAU OF NATURALIZATION
Ja.11.uary 23,1926 . WASHINGTON
?r ~thonotc.r:,r, Cor•1non Pleas Court ,
)ashinS"ton, Penna .
Dear Sir:
FILENU ME ER
2838-d -1 '?58
The Bureau is in receipt of the application of the person named be-
low for certified copy of declaration of intention made in your court:
:.Iort;an Rnyes '.lard , Name : 20 Onklnnd 3t .,Wnshinct on , Pn . Address: 1758 Declaration number :
The application has been approved and the Bu r eau is inclosing here-
with Form 115 for the issuance of the copy requested . It should be an
exact copy of the original in your bound volume . You should enter on
the original declaration in your bound volume a notation showing the is-
suance o f a certified copy thereof. The· blanks in the red ink certificate
should be filled in and signed by you. It is not necessary to issue and
send to the Bureau a duplicate of the certified copy.
The applicant has been advised that the certified copy will not be
issued u n til your fee has been pa1d. If he resides in your vicinity he
should call at your o ffice t o sign and receive the copy , after identifying
hi mself as the person enti t led t here t o . IF THE APPLICANT RESIDES AT
A DISTANCE , THE CERTIFIED COPY , AND ALSO THE POST OFFICE ADDRESS OF THE
APPLICANT , should be forwarded to the following-named officer for sig-
nature and delivery.
~ TO THE CLERK: Please note
c a refully the a bove under-
scored instructions .
Very truly yours ,
Commissioner of Naturalization.
Inclosure.
/
No//c5jZ--tf4/-
~~·
U.S. DE PARTM ENT OF LABOR
NA TURA l iZATION SERVICE
~~ ~ DECLARATION OF INTENTION
ORI G IN A L
\
~Invalid for all purposes seven years after the date hereof
--~--*GDL _______ jss: In the---~~----court ------~'---aJ------/k_aJv___ of _________ 71______________ ----------------___ _
~~ _______________ ./to ~-~ __.. . ·-----~~----------------------------------·• aged ___ 0__~-----years,
occupation --------~---=~-#:T____________ _ _ _______ _ _ _ ____ , do declare on oath that my personal
description is: Color ---~---• co plexion -~---------·• height __ <!:f. feet &!:Jnches,
weight _ _/_ __ ~_!(__ _______ pounds, color of hair __ _J_r-~-• color of eyes--~~--------------------·
other visible. dist~ve _marks -~-----------.----------------------------------------------------------------------------
1 was born m ----------'1--'J--~-__ _ _ __ _ __ (L, __ fi'__.,___~--~---------------
on the --------S-'-~---___ day of·---------------------______ -----·• anno Domt i IM---'f-; I now reside
at ---:J-1-1--------·_ -...e--------~~~:~'t~~'t.~·ity~--~(Lq_. _________________________ : __
I emigrated to the United tates of America from __ ~~--~~-;---~~
on the vesseL ___________________ Q. ----.--_____ ~-~(A:?(U ____________________________________________ ; my last
• • (If the alien arrhed o~herwise than IJ v~::;:ter ~~~or n~ ~!s~n company should be g~ve!l)
foretgn r~st~ence was_,~--__ --~---1'~~::=;-r ~=_-----:-----marri~; the name
of my wtfe ts --------------------------__ -~-; she was b -1-~--(134-~ ~;~s 0 ~~ ~~~~e~~~ -i~i~~-ii~n 1~~~~-~~---------;iii---_;-;;--;~-y--~~;~-;; ~ri:-~·»--~~--rer~-n-1~-•_nd_ pa~i~ularl~t~~~-?~~~t~5+
I arrived at the port of ____________________________ ~-----~--------------------------------------------,--------·-• in the
State of ------------------------;rp-----------------------------------(f_~--------• on or about the _c_ __________________ day
of ---------------------------------L4~~----------______ , anno Domini L!J/--9--; I am not an anarchist; I am not a
polygamist nor a believer in he practice of polygamy, and it is my intention in good faith
to become a citizen of the nited States of America and to permanently reside therein:
So HELP ME Goo.
[SEAL]
--------~ -------~ ~~~ ----------· -z;;;:r--------(-~,;i-;i'gnature-;i(ili;;;t)=-~------~
/ _;~Cler
By ----------~{------~--.
·n the office of the Clerk of
~;:;~.&..--, anno Domini 19 2--/
460 O RIGI NAL
U. S. DEPA RTMENT OF LABOR
NAT UR ALIZATION SERVICE j
No .iJ6__()_&# ., .. Til or ~
~~· ··~·~ .~ ~A
DECLARATION OF INTENTION ~
:cf~(;i;~l:::~J:oses seve;n :::~~::~-~:~:
~' __________________ Q/~---_ ____ _ · -----------------------------------·• aged ________ L5!__tJ-__ years.
occupation -------------~--------------------------------------·• do declare on oath that my personal
description is: Color ~------• complexion ---------~---• height -~--feet d _ inches.
weight _____ J_{F___s:_ ____ pounds, color of hair ___ de .. ~., color of eyes--~-----------
other visible dis~~e mark~-------.--------------------------------------------------------------------------------
~nw;:e ~0~:-~d.:J~:--~::::::-~~-~;-;;~;;;i~i;=f{J;i--~-;;,:;-~~~id~
at ----------------------------__ : __ a~~------------------------------------------------------------------------------------
. (Give number, street, city G~ town, and State) ~
::~~=r~::~e~o-t~: __ ym~-~-~r~::::~~-:::: __ :_:::::::::_~:=::::::;--;;;-~~~~~
• • (Utlio~t~rwi se than by vesael, tne cbamctero( convey ce or n_ame ol tmnsp~rtation compnny should be g~ven)
foreign residence W3J--..--C4AJ~-_ -----_. _____________ marned; the name
of my wife is--------~-------------: she )I"JS born at --~-~
and now resides at -------------------------u.~---------------------------------------------------------------------
lt is my bona fide intention to ren nee forever all allegi nee and fi~y to any fore ign
pr" ce, potentate, ~tate, or soverei nty, and partic~larly to__ _ ---~~-----------
----___ -~---------__ , of whom I am now a subject;
i arri d at the port of _______________ _ _ ---~~-------------------------------------------------u-----·• in the State of _____________ 7117fij _______________________________ f"'JJ _?:f;----------·• on or about the ---------4-----------day
of -----------------------=--1--LL~------------• anno Domin rt;{a..1 .. : 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 Goo. ~-----~ :!_ ~~ ~-:_~ -::-~-------------------~~~1.>
(SEAL]
said C o~rt this ..• l::-f.day of _________ -~• anno Domini 19 "'2-}
Subscribed and sworn to before ~-the office of the Clerk of
-D!d~~-~oztrL
By .. a.~~---:Jj-.~ _ _d_ _______ ) -----~-czerk. u (/ i4~
U.S. DEPARTME NT OF L A BO R
O RI GINAL 4 6]
I NATUR ALIZA TI ON SE RVICE
No .. //£L_('~; ., .. 111 or ~-
~~t}~ ~.~ ~ DECLARATION OF INTENTION ~.
~Invalid for all purposes seven years after the d· hereof
--~---~----(2~=------------j
55
: In the (!_ ____ ~--~ Court
... C!.& .. , .. ¥-····Ji·~---···· of ...... . .... . ······'··-··-········-···-········-
:! ····:····--d;f..~--4 -J.-···········-··································• aged ........ 2:::.0 __ years,
occupation --------------------~-----------------------------------------• do declare on oath that my personal
description is: Color ___ f_l_.1h ____ , complexion -----~----• height -~feet # .. -inches,
weight ____ j:J_6_ ___ pounds, color of hair ----~• color of eyes __ -:i!_L _~ __ '::_~_<::! _________ _
other visible distinctive marks -------~--------------------------------------------------------------------------------
1 was born in -~-~-------------·-------4---a~------------------------------------------
~~ -~h~~"!if ·: ... :·;m; . ." ~~%f£~;,.~~=:i~~=2~r:~i~:
I emigrated to the uli'ted States of merica from ·---~·-•·····---y ~··---~---·········
on the vesse !___________ ------------------------------------------------------------------------------------------------------------------; my I as t
(If t n arrived otherwise, than b ves~~cter of convyauce or name oi transportation company should be given)
foreign residence as _________________ J__~~~-U!A _________ ; I am ~-----married; the name
of my wife is ----------------------------------------------------; she was born at -------------------------------------------------------
and now resides at ___________ :._ _________________________________________________________________________________________________________________ _
It is my bona fide intention to renounce forever all all egiance and fide li ty to any foreig n
ntate, stat~, or sovereignty, and partic~la r ly to ~---::_r£~------------~-------
-------___ __ _ ---------------------------------------------------------------• of whom I am now a subJect;
I arrived at t e port oi ----------------~~-~;----~----------------------------------------------------------• in the
State of -···-······-··········-·····-···.·············-~-'--;~·-·········-······• on or about the ......... L.'G. ......... day
of ------------------------_ _ _ _ _________________ , anno D in i L!f-..2 -_, I am not an anarchist; I am n ot a
polygamist nor a b iever in the practice of po lygamy; an d it is my intention in good faith
to become a citizen of the United States of Ame ric a and t o permanently reside therein :
So HELP ME GOD. ~ ,rq ~~d ---------_'!f.----------------------------------------------·---------------
(Original ature of declarant)
[SEAL]
462 ORIGINAL
U. S. DEPARTMENT OF LABOR
J
No. __ {_1f!?_ __ !___(/ cl j
NATURALIZATIO N SERVICE
~'fp· ~~ ~ DECLARATION OF INTENTION
U. S. DEPARTMENT OF LABOR
IN REPLYIN G PlEASE REFER TG TillS:
For 142
(Old ~05-B) BUREAU OF NATURALIZATION FILE NUMBER
WASHINGTON
November 28,1925 . 2838-d-1762
P rothonotary, Con·1on Pleas Court,
• Washington, Penna.
Dear Sir:
The Bureau is in receipt of the application of the person named be-
low for certified copy of declaration of intention made in your court:
Name: ,Tolm Pr ~rs lupshk ey,
Address: 2 ~67 Grayling Ave.,Detroit . l.ich .
Declaration number: 1762
The application has been approved and the Bureau is inclosing here-
with Form 115 for the issuance of the copy requested. It should be an
exact copy of the original in your bound volume. You should enter on
the original declaration in your bound volume a notation showing the is-
suance of a certified copy thereof. The blanks in the red ink certificate
should be filled in and signed by you. It is not necessary to issue and
send to the Bureau a duplicate of the certified copy.
The applicant has been advised that the certified copy will not be
issued until your fee has been paid. If he resides in your vicinity he
should call at your office to sign and receive the copy, after identifying
himself as the person entitled thereto. IF THE APPLICANT RESIDES AT
A DISTANCE, THE CERTIFIED COPY, AND ALSO THE POST OFFICE ADDRESS OF THE
APPLICANT, should be forwarded to the following-named officer for sig-
nature and delivery.
District Director of :t-Taturalization,Post Office Blde;. ,Detroit, Mich.
Very truly yours,
~ TO THE CLERK: Please note .. carefully the above under-
scored instructions.
Commissioner of Naturalization.
Inclosure.
5-13-25 14--199 1
I U.S. DEPARTMENT OF LABOR
ORIGINAL 4 6 3
NATURALIZATION SERVIC E
No ..... / .. 2.~ __ ?_ __ 0 uf ,j s1~11:1 or ~~· ~ ~ DECLARATION OF INTENTION
Court
[SEAL]
464 ORIGINAL
U. S. DEPARTMENT OF LABOR
NATURALIZATION SERVICE y
No. ___ 1_7--~-~--u t>/t
~~· ~~ ~ DECLARATION OF INTENTION
g C/j ~.Clerk of the .. ------------------------------------------------Court.
By __________ i_ ___ = __ L£1-~-~~, --------------------------------Clerk. u if-.ic>
\
ORIGINAL 4 6 5
U. S. DEPARTMENT OF LABOR
) NATURALIZATION SERVICE
No./:lhfZ~ol~ .,~,~~or~-~
._(\t; ~'o ~~ '4
DECLARATION OF INTENTION ~
ar Invalid for all purposes seven years after the d._......~ ..
_5]Lz&~-t~C70:!_, ___ ] ss: In the ------~-------------------_ _ ________ Court
·----~---·-tf ··----1£-~---of ___ d:_~_, ___ O&_ ______________ _
~' ·--·---------~d~-----------------------------------·• aged ____ k__K ______ years ,
occupation ---------------~-~----------------------• do declare on oath that my personal
cescription is: Color ~-------• complexion ----~----• height ~-feet _K_ inches,
weight _____ j_.f/-.._Q ___ pounds, color of hair -----~--• color of eyes---~-------·
cth e r vis i b I e distinctive marks~--------------------------------------------------------------------------------------__
I was born in ---------~---_ _______ ---------------------------------------------------------------------------------------:~ -th~;Jr-~~--~-z: . ~-----:-_::::·---::_ ~n:o o~e~::~~---:~:~~~~~:
(Give number, street, city or town, and State r::,._~~_j
I emigrated to the United States of Americ_a from -------------~--=---<-~-0 ------------------------
on the vessel___________________ ___ _ __ _ ________ -------------~---------------------------------------------------------: my last
(If tho alien arrhed ot by vessel, the cha~Yeyance or narue or transportatio~ould be give n)
:~r~~n,~;;~~:n~:_:a_s_:~==-----=::=::::::_=:---~ 5 ~: ~~;-: __ ~_::_:::::::=.:~:=•-r:_e_d_:_the na::
and no~· resides at ---------------------------------------------------------------------------------------------------__________ _
It . is my bona fide intention to . renounce fore:er all alle?~n_ce and fidelity to any foreign
pnnce, potentate, state, o sovereignty,_ and particularly to ~G;~_--:J:{::[
·-----~---/l.:j_____ _____ _ _ ------------------------------.------------------• of whom I am now a subject;
I ar;i;ed at the po~ of ----·-----------~1---~---·-----·--·--·----------------------------• in the
State of ----------~-r----------------------------------------~--~--~+t·· on or about the ---------~---_--------------day
of ------------------------~~------------------• an no Domm1 r 1-----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. --~------___________________________________________ y
(Origmaloignature of declarant)
[SEAL]
466 ORIGINAL
U. S. DEPARTMENT OF LABOR J NATURALIZATION SERVICE
No ... L2k6:t'::~ s-t ~Til or ~,~t) ~·~·~
.. ~~ . ~A
DECLARATION OF INTENTION """'
_lT I~=ali~Q~I-'-~urposes seve:n :::·=--~~---~~~--~ -~Court :::_~ __ L __ . __ J ss: of _z:]l~_{k ___ ---------------
~ ___ 1;;')2{~----.Js:;,~--------------------• aged _fj__-5_ ____ years,
occupati~ _______________________________________________ {/ _____ , do declare on oath that my personal
description is: Color~-------• complexion-~--------, height .0":leet lj_ inches,
weight ____ jh__()_ _____ pounds, color of hair ---~-• color of eyes----~--------------------
other visible dis t~ti,?e marks ~--------------------------·-----------------------------------------------_--------------
1 was born in --~~+--~7~-------------------------------------------------------------------------
on the ___ _ ________________ day of _______________ -:n_ __ (LJ)_ __ ~----·' an no Domini · 1 _J?!.E.6: I now reside
~te~;~-;~;:d·-~o ~he United ;tat:~ o~'f.";;icr.;;;~~~:.::~~-~:-
on the vessel~ __ _ _____________________________ ------------------------------------------------------------------------------·• my last
. • (lf t ~ aif~·}9d other:'ise than by ve .. ~l ne cbannveyance or name of transp<'rtation company should be g~ven)
foreign residence was;d'~-~----~-LJ:, __ ; I ~ ==~---S{ __ marned; the name
of my wife i: ------------~-_ _ ______________ ; she was~ at Cl.t..:----=-~-)"--------------------------------
an d now res 1 des at -----------_ ---~~----------------------------------------___________________ _
~~~~c~~o!e:~t;ds~~:::e:t~~~i~el~~~~~~~~-~::~~~~::1~-~~~~tq~:~~~~
[ arrived at the port of ----------~--?--~-----------------------------------------------------------------------·• in the
:~;::::;~~::~~;~~~~:;~::~~~~~~:~~~~~~i~;·~:i ;~~~~:;~=~~~~~i~-~~~~
to become a citizen of the United States of America and to permanently reside therein:
So HELP ME Goo.
Subscribed and sworn to before in the office of the Clerk of
[SEAL]
said Court this -cZ_q_day of_ ___ ~-rr.r
O RI G I NAL 4 61
U.S. DEPARTMENT OF L AB OR
~Invalid for all purposes seven years after the d.,.~ ........_~
___ :} ~i.c __ ~(/_0!_r ---j ss: In the __ -r-------7}-:7:~-~--Court _E=LJ-----b/~.-----ofJfao&L---~----------------------~' _________ Q~.v~-----------------·--····················• aged ....... 21. ----years.
occupation ----------~----------------------------------·-··• do declare on oath that my personal
cescription is: Color ~---• complexion-----~ height~. feet __ (. inches,
weighLj~d_:--pouhds, color of hair -~---• color of eyes __ ~----
cther vislble distinSj}ve marks~-:;;.::r -········:J:.:-·---------~-----------····-········-··············-········-------
1 was born in ~--=-----~~---~-------------------------------------------------------
~; ~he-~~--~~~ _ _ ______ day-of _:------:~~~,-~i:i_d::_::_I---~=r~~~~~
' (Givenumbor,street,cityor~ ~
~~~~!r~::~e~~--~--~eric~ ~~~~-~~zl:--~~-----~-------~~~~----------------------~-~~~~-----~;--~;-i~~~
~ • (If the'nlien a.rrive~~rwi~::, ve~s~ the ~amc t conveyance or :ame or' transportation company should be g~'·en)
foreign residence was~.k~-~--L~,--.... ; I am ~marned; the name
of my wife is-----------------~: she was born at --------------------------------------------------------
and now resides at ---------------------------------------------------------------------------------------------------------------------
It is my bona fide intention to renounce forever all allegiance and fidelity to any foreign
prince, potentate, state, or sovereignty, and particularly to~--~~~~-~
,d;d. .. ~~---~~----~-:.. o w r/fo ~a~~
I arrived at the port oi ________ ~--ri!±Jv _____ ---------------------------------------------------------------, in the
1
State of -------------------------------------~'----------------:--~----------~on or about the ------C(---------------day
of ------------------------------=--. ____________ , an no Dom1m I .f!L ·=• I am not an anarchist; I am not a
polygamist nor eliever in the practice of polygamy; and it is my intention in good faith
to become a ci zen of the United States of America and to permanently reside therein :
So HELP ME GOD. (I.. (/). --el~-------AJ-~L~-------------< Original signature of declarant)
[SEAL]
46d ORIGINAL
U. S. DEPARTMENT OF LABOR
NATURALIZATION SERVICE
[SEAL]
I
ORIG INA L 4 6 9
U. S. DEPARTMENT OF LABOR
J v "'""''uno• '"""
No .. f/6-f {/~ &1 ~ 111 or ~~WI ~-.. ~~ ~~J!A .~ (/~ .V> f4J
DECLARATION OF INTENTION ~
W' Invalid for all purposes seven years after the date hereof --~-.. . ... CZ~'---·-j ss: In the .~£.462 __ court ~--·'·a/·-· ... ·--~·-··;·· . of ---~~_. __ C!&_ ___ ---------··
?,, ·---------------______ -~---Y~-------------------------------·• aged _____ 2-._ __ 5:_ ____ years,
occupation ______ __ _ __ _ _ · -------------------------------------------------------· do declare on oath that my personal
cescription is: Color~----• complexion-----~--· height -17 feet ~ inches.
weight : _____ J _55pounds, color of hair -------~-----• color of eyes.~---------------------·
cth er visi b I e d isti n cti v ar _____ -------------------------------------------------------------------------------_____________ _
I was born in _____ _ ---~.,.--~---------------------------------------------------------------------
;~• ~~::~:
~~~~=,~:~.~0--~:~·~~--:.: __________ :::::~_::.~z::::::::··;;;·~-;~~;
(If the alien arri~erwise t~n by vBBsel, character of conveyance or name or transportation company should be g.iYen)
foreign residence was --L~4------_ _ _ _ _ --------~--------------: I am -~--married; the name
of my wife is --------------------------------------------------; she was bo m at ------------------------------------------------------
and now resides at --------------------------------------------------------------------------------------------------------------------
It is my bona fide intention to renounce forever all all~:-~;ed~~ fide ity to an~oreign
princ , potentate, sta~ei~ty_, __a~ _p~~~!arly t -_ __ __ ___ _ ___ !-../2id£: t.L ~-+ . · .1 .~~1.. . _ .. o ~;;-now a s'ubject:
I arrived at the rt t -------------------~-t:/-~----------------------------------------------------"--------• in the
State of______________ --------------------------------::'27--f...-~ ____ : __________ , on or about the ----------1--~--day
of ------------------------__ _ ____ _ ____________ , an no Dorlini I --~2 ... I am not an anarchist; I am not a
polygamist nor a beli er 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. ---------~--------~-~--------------------------
conginal signature of decla.rant)
Subscribed and sworn to before · n the office of the Clerk of
[SEAL]
said Court this ~_day of__ ------------------· anno Domini 19 2 _
4
~~; th:.:. : .. ~:. :: _-.. .. . ourt.
By .. -dps:;:e~----····-· -~--Clerk.
470 ORIGINAL
U. S. DEPARTME NT OF LABOR
N ATURALI ZATION SERVICE
j /t!IJ No. __ j:JJ?!_ ______ _
~· ~~ ~ DECLARATI O N OF INTENTION
U. S. DEPARTMENT OF LABOR
Form 142
(Old 20&--B)
IN REPLYING PLEASE REFER TO 11115
BUREAU OF NATURALIZATION FILE NUMBER
WASHINGTON
October 7,1925.
P rQthonota~J,COrnmon Pleas Court,
Washington, Penna.
Dear Sir:
2838-d-1771
The Bureau is in receipt of the application of the person named be-
low for certified copy of declaration of intention made in your court:
Matiasa Sampolinskiege,
ANdamde: 2 28 West Chestnut St.,Washington, Pa.
ress: • 1771
Declaration number:
The application has been approved and the Bureau is inclosing here-
with Form 115 for the issuance of the copy requested. It should be an
exact copy of the original in your bound volume. You should enter on
the original declaration in your bound volume a notation showing the ~s
suance of a certified copy thereof. The blanks in the red ink certificate
should be filled in and signed by you. It is not necessary to issue and
send to the Bureau a duplicate of the certified copy.
The applicant has been advised that the certified copy will not be
issued until your fee has been paid. If he resides in your vicinity he
should call at your office to sign and receive the copy, after identifying
himself a s the person entitled thereto . IF THE APPLICANT RESIDES AT
A DISTANCE , THE CERTIFIED COPY , AND ALSO THE POST OFFICE ADDRESS OF THE
APPLICANT , should be forwarded to the following-named officer for sig-
nature and delivery.
~ TO THE CLERK: Please no t e
carefully the above under-
scored instructions.
I nclosure.
5---13-25
Very truly yours,
Commissioner of Naturalization.
14-1901
ORIGINAL 4 71
U. 5. DEPARTMENT OF LABOR I NATURALIZATION SERVICE
.~~ ~'o ~~ ~
DECLARATION OF INTENTION ~
[SEAL]
472 ORIGINAL
U. S. DEPARTM EN T OF LA BOR
/ ~ """"'"'noN '"""
or~ ~~~ '"~•'o ~ DECLARATION OF INTENTION ~
ORIGINAL 473
U. S. DEPARTMENT OF LABOR
\
f,\\1 ~-~ 4~VP ~~o ~V> '4
DECLARATION OF INTENTION """''
~Invalid for all purposes seven years after the d
~-~----1/l(bd __________ l ss: ----~---~---Ji_a _n ---"----/ of __ Ji-~_I]LC}_ _____________ _
:JJ, --------9-~---Cd_-~----------------------------• aged ___ ./k __ k __ years,
occupation -------·--------~--______________ -----------------------------------------• do declare on oath that my personal
. • . 7 /) . -'-l . 4 "" I • -y h . ht E f t ~. h -ces cnptwn IS: Colo ~--------• comp ex10n ----~----------------------·• etg ~----ee ______ me es,
wei ght _--~'--~-_-k_--p~unds, color of hair ---~----------·• color of eye~----------------------·
ether visible dtst1nct1ve marks~~-----------------------------------------------------
!nw;:e b-o~~j_"fi:__~~7:::-:::::=-~~~~--Q~~-~~~--;iJ~:;-;--~~~-~~~;~~
at -------__ _ _(m.; ..;;;;;;,;~ ~ .;;;;;;,;;-;;;;;;----------------~--------------------------
1 emigrated to the United St~tes of America from --"?1:-~-F-J-"'----------~-----·
on th€ v e sg~ /f-:: _____ m -m --~---~------mnm _.J. ___ ~ __ z/_ _____ .; my last
a • ~~f the alien arri othe ethan b vesso' the chal"ncter of ccnmnc r name oi transportation company should be g~v en)
foreign restdence~as _ _ _ _ _ ~~-uk~· I am ______________ marned; the name
of my wife is ___ (9 ______ ~----------------------; she was born at ---~-------------------------
and now resides at ____________ __ _ __ ___ _ ______________ (2!_~-!---------------------------------------------
It is my bona fide intention to renounce forever all all~ance an~ fidelity to ~my foreign .
p~otent" e. sta~r ~nll·~~:t_!9-ularly to ~-'7~-~ ~--~r; __ -~--1!-~-~~-~f whom I am noN a subJect,
I arrived at the port of ·----~--____ _ ___ --~------------------------------------------------------• in the
State of_____ __ __ ____ _ _ _____ ------------------------------------------------···• on or about the _____ / ____________________ day
of ___________ _ _____________________________________ , an no Domini I 7-Lf.. __ ; I am not an anarchist ; I am not a
polygamist n 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 Goo. --r.~;;;,~?-----
Subscribed and sworn ~efore e in the office of the Clerk of
said Court this ____ _j_ .day of __ ..... __ . ___ , anno Domini reV-/
[SEAL]
~ hi OT~3!
By ____ _(()_;__~ ::._/'L~.
474 ORIGINAL
U.S. DEPARTMENT OF LABOR v NATURALIZATION SERVICE
No.i22tt.V~~ .1\~TII or .~~ ~-~·~
.. V> ·~
DECLARATION OF INTENTION ~
occupat~--~.::.z=--------------------------------------~, do declare on oath that my personal
des.cription is: Color ~------• _complexion ____ ------------~--------·• heig~-inches,
weight /_.J's_ ______ pounds, color of hair ------------------------------·• color of eyes--------------------------------------
other visible distinctive ~r.ks ~---__________ --------------------------------------------------------------------------
1 was born in--------1-~,.----------------~ --------------------------------------------------------------------~~ ~~:.~~~:~~~------~day ~f ~-~----~~ -~~~::::.~::: __ o_o~~:' .. ~:==~--~--:~~r:~i~:
(Give number, street, city~
~~~~:r~::~e~~--~~~~-~-~~-~--~-~~~~~~--~~~~~~~~~~--=~~~------------_-:_-_-_----~-~~~---~--.: y last
(lf th• alien a.rri~ot~iai~E:;:.;.l, ,tne ch~ of ~n~ or name of tra.nsp0rta.tion company should be given)
foreign r~si~en~as ___ ::_).~-----~------: I am ---------=----married; the name
d my wtfe ts ---~~--------------: she was born at~---------------------------
and now restdes at ----~ ___ _ _____ ---__ _ (70::!.._~-----------------------------------------------------------------
it is my bona fide ·intention to renounce forever all allegiance and fidelity to any foreign
~~~!~~~Yi~uj~~-
1 arrive8' at the port of -----------~-?f_~--·---------------------------------------------------------------·• in the
State of -----~----mm ... mm--~~--~:--:m .. j>f ' on or about the m_m<Jl--m-mmm day
of _______________ __________ __ _ _ ______________ , an no Dommt 1--------7 : I am not an anarchist; I am not a
polygamist nor eliever 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 Goo. // 7 ___; 4 _
_____ VL~-~-------------
(Origina.l signatnre of declarant)
Subscribed and sworn !:9 before ~ in the office of the Clerk of
said Court this l ___ d_J ay of_____ ____ _ ____ ,anna Domini 19,)--/
[SEAL)
------------~~-
c p {J?--d{i!erk of e ___________ (jk--c.k:Z_: ________________ Court.
By _____ t[)._';:Z__ __ :U/£:L21_~--, -~----Ckrk.
ORIGINAL 4 7. 5
U. 5 . DEPA RTMENT OF LABOR
V NATURALIZATION SERVICE
No./222_Pc// ., .. ,,,or ~~· ~·~·~A .~ q~ .V> ~
DECLARATION OF INTENTION ~
rw-Invalid for all pnrposes seven years after ~eof --~-i_f2ru__ --~55 : In the --~----------------(Jf;,~ Court --~-·--1-------?l~-"-of .. "Ji.t!.<P~----------'--------------
;!1, ________ ·-----~"1--~------·-----------------------------------• aged __ _d;__.;'2_ ___ years,
occupation ----------~----~---------------------------------------------• do declare on oath that my personal
cescription is: Color ~-------• com le ion ___ ------------~-______ , height ...5.. feet-~-inches.
weight --/cJ.S. ___ pounds, color of hair__ ____ _ _ _ _ _ _ _____ , color of eyes-~----
cth er vi sib I e dis tin cti ve marks ----~-----------------------------------------------------------------_____________ _
I was born i 11'-~*--~-:::-; __ ,-:-:: __ ~-=-=--r<'-~ __ ,____ _ __ ----------------------------------------------------------------------------------------------
on -~he ___ ;2._;__6_ ___ ay of _____________ " ______________ _ _______ , anno Domini 18:' .. 1-'-~-; I now reside
at --L -2-7--_ ___ -~ .. ...l------- ---------------------------___ c;J:_q._-.-( _________ _
(Give x;.umber, street, city or town, and State)
~~~~:r~:::e~~-~~-~-~~~~-~~~=-~~~~------------------------~~~-~--~~;--~;-i~~~
(If the alien arrh otherwise than by vesa the character of conveyance or unmo ot' transportation company should be giYen )
foreign residence was ________ ·_____________ _ ___ -----~--___________________ ; I a ~ ____ married; the name
of my wife is ___________________________________________________ ; she was born at ------------------------------------------------------
and now resides at ---------------------------------------------------------------------------------------------------------------------
It is my bona fide intention to renounce forever all allegiance and fidelity to any foreign
d=ic~~-~![~'~~~~':t;:g'~~
I arrived at the port of ----~-?;;~------------------------------------------------------------------------··-·• in the
State of -----a---___ _ _________________________ 22._~---1;/-------~--~----~----------• on or about the--------~----------day
of ______________________ _ ___________________________ , an no Dommt 1 f/_~_; I am not an anarchist; I am not a
polygamist a beli er 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.
[SEAL]
ill
476 ORIGINAL
U. S. DEPARTMEN T OF LABOR I NATURALIZATION SERVICE
No._l'l__'J_{,lJ ~ -~~,~~ or .~f)'\l ~-~·~ ~'V> ~.AI
DECLARATION OF INTENTION ~
of my wife is ----------------------------------------------------; she was born at -----------------------------------------------··--------~-
and no \V resides at --------------------------------------------------------------------------____________________________________ ·-------------------
It is my bona fide intention to renounce forever all all~ance and fidelity Jo any foreign
prince, potentate, state, or sovereignty, and particularly t«~----~~---~ ~--~~-~-1~~-~whom 111m novfa subject;
J. arrived at the port of -------------------------------~--:~-~-------------------------------------------------• in the
State ~f _____ 1li _____ ----------------------------------------------?J~--'lk--"------------·• on or about the ________ /_~----day
of __________________ _ _________________________________ , an no Dorrllni r f:L~ ___ ; I am not an anarchist; I am not a
polygamist or a eliever in the practice of polygamy; and it is my intention in good f~ith
to become a citizen of the United States of America and to permanently reside therein:
;>o HELP ME GOD. ~--____ • -------------------------------
<Original signature of declarant)
lerk of
[SEAL]
D . . 2-1 ______ ,anno ommt 19 •
.L4-.
ORIGINAL 47t
U.S. DEPARTMENT OF LABOR
NATURALIZATION SERVICE
/ 7/ tJ.-f' t/-
No J~_'J__2 __ ~ ., ~ Tfl:l
~~~~
or
~ DECLARATION · OF INTENTION
::~~~~~~:~~~~ses seve::::~~~=-~:~=
~' -----------~---~---------------------------------·• aged --~ ___ Q ___ years,
occupation~----~~--~• do declare on oath that my personal
description is: Color ~--• complexion _____ d__~----·• height -~-feet __ ?__ inches,
weight __ }_2_ _ _(! _______ pounds, color of hair ------~--• color of eyes----~-
other visible distinctive~s __________________ _
:;w~~~:_:~di:f_--·::::-,~,;;~"~~·-s=.:.c..oo~.>.(:',d· ~a.:ty.L~~L-:d-~~_,;f·::~si:l;~t~--~~~~::;:!;~:-~~:-r~sl~:
I emigrated to the United States of America from ----~-£..1L0/~-~--------------------
on the vessel _______ ~-----------__________________________________________________________________________ ; my last
(It the alien arnotherwise than by vessel, t C racter o! COnveyance or name Of transportation company should be giVC!l) foreign residence was -LL:'~----------_ ---------------u. ____________ ina~ the name :;F~~i:~ir~~~;-~~~~:~:~~--~~~ r:
~?ot:~ta~t:PllZi:_n_t~:_a_:~--~:r~J~~l:r l~-~-o--~-~~;;; J .~;now a s~bje~t ;1ll,
I ar:-;;';i'1 the port oi ~--------cf_·----~--1;~--____ --------------------------________________ , in the State of ---------------;;:--------------------------------------------=»-'-¥·~;· on or about the -------:---fl_________ day
of -----------------------------W--~----------• an no Dom1n1 I --1--------; I am not an anarc 1st; I am not a
polygamist nor a believer in the practice of polygamy; and it is my intention in good faith
~"o b:~~~:: g~;n of the United States of . Am:K:1_~:-~::r~'-n_:
(Original signature of declarant)
• Subs<>r ibed and sworn to before me in the office of the Clerk of
said Court this __ if_ day oL__ _ ___________________ , an no Domini I 9?-r
~~--------·-------~:!~~~-----[SEAL]
•
478 ORIG I NAL
U. S. DEPARTMENT OF LABOR
NATURALIZATION SERVICE .;
No ./-i--.-'Jl1/J. ~ ., ~ Tl:l or
~~~
~ DECLARATION OF INTENTION
~Invalid for all purposes seven years after the dat hereof
:~:~::~~-t~~:f.:~-~--~~~~~:~~::~:
occupation ------~------------------------------------------• do declare on oath that my personal
description is: Colo~------• _com~, height~ inches,
weight ____ j.J_tS:_ _____ pounds, color of hair ________________________________ , color of eyes--------------------------------------
other visible. distin9-ize marks ---~---___ ---------------------------------------------------------------------------------
~nw:e b-o~:_':f·:L::~ __ d~y of ______ :u :-~~ -__ ·:-::·-~~~~----0~~;~; ;·:;ii::¥'i-~~;;:;·;~~id~
at ___ 3,_2£_~;.--.rJ;ii;-~0:"-u _________ _
I emigrated to the U 'ted Sta' o Amer'ca from ·:-----,------'--~--1--------------------
on the vessel____________ __ _ __ __________ __ __________ _ __ _ _______________________________________________________________ ; my last
(lf th" allan arnved o se than b ease tne cha.ra.cter con e an or name of tra.nsp!'rtation compa.Dy ahould be given)
foreign residence was_____ __ _ --------------_ -----..,.---------------___ _ ____ ; I am ---~arried; the name
of my wife is ------------------------·----------------------------: she was bo n at ----------------------------------------------------------
and no \V resides at ----------------------------------------------------------------------------------------------------------_________________ _
It is my bona fide intention to renounce forever all alle~iance and fidelity to any foreign
prince, potentate, sta~t, r sove eignty, and particularly to11~_tff'Ll2/_~ _ _!E:
__ j~r-----.oJZ------------. . . .... 7 ____________________________ , of whom I am now a subject ;
I arrive~t the ~ort of ______________ ------------~U~-----------------------------------------------------·• In the
State of --------------r&-------7 -____ aJ.~-¥-~-----------------f-~---------------• on or about the ---------./--d.----------day
of ____________________ IJJ__g& ____________________ , anno Dommt f/J-3_ _____ ; 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 Goo. --~_r:;:f~-------------------
< Original signature of decla.ra.nt)
[SEAL]
U.S. DEPARTMEN T OF L ABOR
OR IGINAL 4 7 9
NATU RALI ZATIO N S ERVICE
I // J No 12-1-~V ~· .,~,~~ or
~~~~
~ DECLARATION OF INTENTION
g m;:r Invalid for all pnrposes seven years after the ~
-------~----j/;!1:-----~55 : In the~~--~-----------Court ---~::'::1_~_:_---:-_____ _ _ ___ ____ __ of :-~~-:~:~·-::::3:2;::-~~~~:.
occupation --~---------------------------------=z~lare on oath that my personal
description is: Color ~---, complexion --;;--y-~~;-:.·--·• height <.5:: feet __ J:lnches,
weighk ... /££ pounds, color of hair --~ZJ~;/olor of eyes F --'f'. ___________________ _
other visible dist inc;J_v!J marks -~---~~------~-------------'!_ _____________________ _
:nw~e b:fu~::::~~:~~~~----~;;;;~;-;gzr:~--;--~~-:;;-;~~;~~
at -----------------r------'-!ii~-4-..~,;;-;;--;;~o-i;;;;;--"':-:l-------0 -------------------------------~~7~=r~::~e~=l~~~-~r::_:~~::::_:_~~-j~~;
(If the alien arrh-?Jrrwiae than by veasel, th~&/5ter of conveya~ce or name ot transportation eowp~ould be given)
foreign residence was-~~~-----!-~-------: I am -~---married; the name
of my wife is ----------------------------------------------------; she was born at ---------------------------------------------------------
and now resides at _____ ---------------------------------------------------_______________________________________ -------------------------------
It is my bona fide intention to renounce forever all alleg iance and fidelity to any fore ign
~rince, potentate, state, or sovereignty, and particularly to~--.I'CL~~w .....
~ ~---~---1--~~--~--· of whom I am now a subject;
I arrivefd at the port oi -------------------~~~-------------------------------------------------o·--·• in the
State o ------------~--___ -------------------------------------~----~----------------• on or about the _________ 2:_ _____________ day
of ----------------------------____________ : ______________ , anno D6mi n i I ~-!L __ ; I am not an anarchist; I am not a
polygamist nor eliever in the practice of po lygamy; and it is my intention in good faith
~o0 b:~~;~: ~~~n of the United States of A~;d_;lr;{:_~:s~:;{n:
[SEAL]
Subsoribed and sworn to before
said Court this_l _~ __ day of. __
(Original signature ~f declarant)
4 8 0
No.L7-ff.o_7l/. .?/
~~·
U. S. DEPARTMENT OF LABOR
NATURALIZATIO N SERV ICE
~~ ~ DECLARATION OF INTENTION
[SEAL]
ORIGINAL
ORIGI NA L 4 81J
U. S. DE PARTMENT OF LABOR
NATURALIZATION SERVICE
~Invalid for all purposes seven years after the dat~......,
--~----!!/~ ___ {?ill~---------] ss: In th ---------------------------------7J-------------------Court -~-:---tl --~ad~ ___ :_______ of 2/:_~~---~--~--------------------------
~, ·------~C -~~~-------------------------------·• aged ______ w_ __ ~ years.
occupation --~--~--~------------------·• do declare on oath that my personal
description is: Color ~------• complexion ---~----·• height '!£.__feet -.3-inches.
we i ght·---/---;3---~ounds, color of hair -~color of eyes ~------·
other visible distinc~ve n;,ar~s -~/------n--1!--------------------------"Jh-~---~--~-=-~----;,---~-=-~-~-----------
~nwt~e bo~:-in ~~~-~~-;~;;;~v-:7 -;~~jd~
at -----------~+-1-----~1.':1:, -----~-c --~-~-----------------------
(Give numbe , street, city Ot' town, and Stat e) ~
1
h ·
I emigrated to th United States of America from -~-~----.12-r-ctJ --~------·
on the vesse !_____________ -------------------------------------------------------------------------------------------------------------____ ; my I as t ·
• • (II th · n arrived otherwise than by ve se l} tho c rae r co veyance or name ot ~n com~a~ -~h ~u_!d_)!..i~'·e n)
foreign residence s~ _____________ L _ _ ______ ; am ~arned; the name
of my wife is -----------------------------------------------___ ; she was born at ---------------------------------------------------------
and now resides at ---------------------------------------------------___________________________________________________________________________ _
It is my bona fide intention to renounce forever all all:5iiance and fidelity to any foreign
p rince, potentate, state, or sovereignty, and particularly to___ ______ __ _ __ ----~--~~
~~---~-~-1-~~--~~_'_'_';fo'f~ om I am now a subject;
I arnvec.tat the port ot ----------------~--7#-t:!:d_to_ ______________________________________________________________ , in the
State of ------~--r------------------------------21-_______ f(_--~--~----j(f} on or about the------~-'?.-----------day
of --------------~-----------------------------• an no 15ommJ r ____________ ; 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 Goo. ------~---a.mnl ~--~~-------------------(Origine.l signature of declarant)
[SEAL]
482 ORIGINAL
U. S. DEPARTMENT OF LABOR
NATURALIZATION SERVICE v '7 / J
No./1-f:'_l_li/. .,~,~· or ~~· ~-~·~ ~~ ~., ~ DECLARATION OF INTENTION "'
w-Invalid for all purposes seven years after the ereof
--~ .. ---~-'---ss: In the---~------.... :{!;;~ Court --a;~,::r;;p=,-~:.:~----............. ~-------:f .. : .. :·_:::~~~:~":i .. ;z~::::-~:::.
occupation ______________ -_____ __ --. _______ ---~----• do declare on oath that my personal
description is: Color~.Lii__ ______ , complexion ~-----·• height .-6 feet -7-inches,
weight __ Ld; __ Q ______ pounds, color of hair -----~--------• coolloor of eyes-~----
other visible . dis tin~ marks ==-.<.~ ............................................................. ..
~nw;:e bor: .. t;r:::::~~--=-~-;;~~ .. D~;;;;-~; .. ; .. iJ&·i--~~~-;~~;~~
at ---------z-_a_y__~--.. ~~-~.tlL ....... ~, ............ .
(Give number, street. ett~'40 ;;~~ ~ J.A _/
I emigra ed to the)fJnited States of America from ---"--"'=p-=-=--v.:-p=----=:.:;-==-=-r--------------------------------·
on the vessel __ _t2f]/~ _____ '()~:IA_L ________________________________________________________________________ ; my last
(U thf'l a lien art~ erw1se than by vessel, character of oor.;ureyaaoe or .u&me of tranSIWrtation company should be given)
of my wife is ______ :_ _ -~-------------------: s e was born at-----~+-~:! _______ _
foreign residesnwas _f__J ____ · _ -y ----------_____________ ; I am ______________ marriedi-J ~e name
and now resides at ___ ---~---;~;/=-------------------------------------------------------!_ ___ _
It is my bona fide intention to renounce forever all Jii~Jan~~ al).Cl fidelity to any foreign
prince, otentatet,t te, or sovereignty, and particularly to~-~-~ ---------~--__________________ -~~-t(----_________________ _ __________ , of whom I am now a subje~t;
I arrived at e p t of ---------------'---~2"'-~----------------------------------------------,-------·• in the
State of---------~--____________________________________ -:JJ _f:jj_.: _______________ , on or about the _________ Y::::__ ___________ day
of _________________________ --~------___________________ , an no Domini 1 _'J__"'k ____ ; I am not an anarchist; I am not a
polygamist n a beli er in the practice of polygamy; and it is my intention in good faith
to become a citizen f the United States of America and to permanently reside therein:
So HELP ME Goo. ~ / _/? ~
. __________ t!_ld!_:f'AJ ___ {L_!L_~---------------------------------
(Original signature of declarant)
Subscribed and sworn to before
said Court this ~ _day of __ _
[SEAL]
ORIGINAL4 83
U.S. DEPARTMENT OF LABOR
NATURALIZATION SERVICE
ORIGINAL
U. S. DEPARTMENT OF LABOR
I '// ~ J """"""'ON "'""
"· J-1%!... · ~ s1 ~tEl or
~~f)
~ DECLARATION OF INTENTION
W" Invalid for all purposes seven years after the hereof
:~?~=:::.:::~:::: ss: In the~;-~·-:::~-~-~:~:
:![, ·········---~~----·········-····· ·······································--·--·• aged .-.:'f..~---······ years,
occupation ------------~--------------------------------------------• do declare on oath that my personal
description is: Color ~------• comRlexion --~------• height~--feet 7_ __ inches,
weight !_6_ __ Q __________ pounds, color of hair __ d_:_~_, color of eyes_/ ___ ~_!::!, __ ~---------
-other visible dist&jrk~--------------------------------------------------------------------------------------
~ ~nw;:e b-o~n-·i:::E ::::::·d~;-~f-·::::::··Z2,2:~~::::::··:~::~~~~;;~;;;;~;;i[""6_;··j-~~~-~~~id~
at ---------~---~Q __ (__~ -1--[l!Q)__c ________________________________________________________________ _
(Givenumber,s tree~ :$.. ~~~~=r~::~e~o-t~~:~___ ___ : ______ ::::::::~:~:-~~:::::::·;-;;~-~~;
• • (U th" o.li en a~ oth e rw~ t~ by~~ •. tne character or co eyance or J"")J " o!_;,r"Ji;,ap<>rtati on company shouhl be g~v en)
foretgn restdenc~s ~-~~ ~~·; I am ______________ marned; the name
)
of my wife is ___ "::(;1/-L~------------------;__ s w s born at -:-~--~~~----
~~~s n~; r~~~~e~~~ ·;~it;r~~;-~ll-~ii;g;;;~~~--~~d--fid~liiY·l~--~~Y-f~~;;
prin~ttt~t~e: ?~ __s.oy~r~~and particularly to ~~-~~~~&.M. ~--J'.d-~~~1 ~--(7->~---~~--~~-~hom I am-..;-n-o'wasubJect;
rrived at the port of ······---~-11.4-;r ·········---·-·····:·················-······-:f-·;i········• in the
State of ________________ ----:_:;.;-------------------fl'lJ __ ,_ __
7
r-_________________ , on or about the __ ,_~.&_ _______________ day
~f -----------------------____ (!->-L. __________________ , anno Domini r .j-J.l _; I am not an anarchist ; I am not a
~ ~lygamist nor a believer in the practice of polygamy; and it is my intention in good faith
~ become a citizen of Ihe United States of America and to permanently reside therein:
~0 HELP ME GOD. -----&AA---~~-------------------------0 -(Original signatu~~"i..rant)
[SEAL]
U. S. DEPARTMENT OF LABOR
Form 142 BUREAU OF NATURALIZATION
WASHINGTON
~othonotary, Common Pleas Court,
Washington, Pa.
Dear Sir:
FILE NUMBER
2838
D-1784
The Bureau is in receipt of the application of the person named be-
low for certified copy of declaration of intention made in your court:
Name: Martin Midof'er
Address: P. o. :Sox 47 Strabane, Pa.
Declaration number: 1784
The application has been approved and the Bureau is inclosing here-
with Form 115 for the issuance of the copy requested. It should be an
exact copy of the original in your bound volume. You should enter on
the original declaration in your bound volume a notation showing the is-
suance of a certified copy thereof, and the date of such issuance. The
blanks in the red ink certificate should be filled in and signed by you.
It is not necessary to issue and send to the Bureau a duplicate of the
certified copy.
The applicant has been advised that the certified copy will not be
issued until your fee has been paid. If he resides in your vicinity he
should call at your office to sign and r-eceive the copy, after identifying
himself as the person entitled thereto.
If the applicant resides at a distance from your office, please
forward the certified copy, with advice as to post office address of the
applicant, to the officer named below. He will then undertake to del.:_;-cr
the certified copy.
Very trul y yours,
Commissioner of Naturalization. ? ~
Inclosure.
3-31-27
ORIGINAL4 8 5
U.S. D EPA RTMENT OF LABOR
NATURALIZATION SERVICE
i <:? _., {u';_ L No.t --7-~-~JLd -~ ., ~Til or ~~~ ~-~·~
" DECLARATION OF INTENTION ••
~Invalid for all purposes seven years after the date hereof
--~~ __ (Lg/_, __ j ss: In the __ -------------------··:·---~court ---------------------~------7t_~--~-_ of _2f~-----------------------------------------
~' ·--------------~---~~---------------------------·• aged _____ d_ __ ~---years,
occupatio~------------------------------------------~---p~eclare on oath that my ersonal
description is: Color~-------• complexion ___ T_::-.. _______ -: ______ ., height ~----feet ___ 2 _ inches,
weight :-~ __ 5:_t)__:---~--p~unds, color of hair-~-· color of eyes --Jl--_,L2~f;~~r-------------·
other vtstble dtstlncttve mar~-----.-----------------------------------------L( _________________________________ _
I was born in~----~-------------------------------------------------------------------------
:; ~he:=~dz~~~~~:--~~=:~--~~~~=--~---~::r~~i~~
(Q;.o •="''•'"oo' "'' ~ """'· ~""k) ~ ~~~:r~::~e~o_tCj~=:]f~=::: .. :~_.: .... ~:-::::::::::::::·;·;;;~j~~;
• • (If th• au en~···~ cnv•yanc•Er.• ot transportation comp'::l;•hould b• g~ven) :~r:~n ~~:~~:n~:.:.~s_:::::_:: _ _::::::::_::::=~=:::=::-~~0 ;~ at :_I_::.:~=::::::.:.~rrr·e-~;-~he_n::
and now resides at -----------------------------------------------------------__________________________________________________________________ _
It _is my bona fide intention to .renounce fore~er all a2f,g.i:~:.e~~n3~ity to a~f~
E!J9-~· p~~~li~erei nty, ~u! _7J_!u~:---tL~ ~~0~-f--'-~,j ___ __ ~,.J!:t!!l!1:a _~~~of whom~ now a subJect, I arrived at the port o i __________ : ____ __ __ ---~----------------------------------------------------------_ , in the St ate of ---··c::z:--··--------------------~-?c,;-;;;~;--~----------• on or about the ________ !._ ______________ day ~~iyg~;;;-i·;(--~~~r~~~~e o~~~~~£1·:-;n~ ~~ i~0~~ni~~:~~~~\n ~~~ ~~~~
to become a citizen of the United States of America and to permanently reside therein :
So HELP ME Goo.
[SEAL]
486 ORIGINAL
U. S. DEPARTMENT OF LABOR
NATURALIZATION SERVICE
?~t74J
No ./t-a 6. ~,~Till or ~~ ~ ~-~-~~~ 49>,~ ~ DECLARATION OF INTENTION ~
[SEAL]
U.S. DEPARTMENT OF LABOR
ORIGIN A487
NATURALIZATION SERVICE
/ tJ~d
No l -7 Z--Z---~ ., ~ 111 or AI-.. ~~ ~.~ ~· ~4 DECLARATION OF INTENTION ~
~Invalid for all purposes seven years after tile · llereof
--~---i -CX~/_: ___ l
55
: In the _________ ----------~: --~--Court -0-'---~--------Jl-----------Q of --~----------------------------~' ·-------~------ff~-----------------------~------·• aged ---~-?==-years,
occupation -------~----·------------------------------------• do declare on oath that my personal
description is: Colo~------• complexion _______ _ ---------·• height ~feet -~nches,
weight ~J-10-------pounds, color of hair______ _ ___________________ , color ~f eyes--~-----·
other visible dis~ive marks ---~-z--_;·---------------------------------------------------------------------
I was born in ---k-~---;:=-=-""(1-----------------------------------------------------------------------
on the ----------l--2-----------day of ·---------~------7)-------~-·· an no D~i r _f_f_~; I now reside
at -------------~---.,.d;iJ--~-(Gi~-!'!f~fl~i~JQL ______________________________________ _
~~7~~~:~e~o--t~e~--~f-~:_e~i~~-~,~~::::~:::::::::::·;--;;;~j~~;
• • (If the alien ~th erw i ee than by vesse~, the charactel' of conveyance or name or transportation company should be g~Yen)
foreign r~si~ence was __ q~---__ :£L 1:1-----------: I am .'l~ __ marned; the name
of my wife Is ----------------------------------------------------; she was born at --------------------------------------------------------
and now resides at ----------------------------------------------------------------------------------------------------------------··------------
It is my bona fide intention to renounce forever all alle~iapc~ an~fidelity to an~ foreign
prince, potentate, state~o~overeignty, and particularly to ~~-~ __ {_(_~-----------------~--?~---------------------------------------------------• of whom I am now a subject;
I arrived at theqSort or -------------------------~-~7£------------------------------------------------·-• in the
State of _______________________ ------------------------~/Vd on or about the ___________ d __________ day
of ---------------------__ _ __ __ _ ______________ , an no DomUi'i r _-f-2_/_; I am not an anarchist; I am not a
polygamist a believ: r in the practice of polygamy; and it is my intention in good faith
to become citizen o the United States of America and to permanently reside therein:
So HELP ME Goo. --~~-----~ ~~----------------------· (Origm"~signature of declarant)
[SEAL]
Lt88 ORIGINAL
U. S. DEPARTMENT OF LABOR
NATURALIZATION SERVICE
[SEAL]
ORJGJNA489
U. S. DEPARTMENT OF LABOR
NATURALIZATION SERVICE
No .. J}~#WJ ., .. TEl or ~~· ~·~·~ ~~ .4
DECLARATION OF INTENTION ~
~Invalid for all purposes seven years after the date hereof ---~-~~"9q~-~----_______ In the---------------------------. ---------·Court
__ C!&__:: _____ tt----;JL..tL12~-----------ss: of ---~~_. __ a: _________________________ _
~' ·---------~---_a..,. _______________________________________ , aged ___ !;;/__;?:: _____ years,
occupation -------~----------------------------------------------• do declare on oath that my personal
cescription is: Color ~-------• comRlexion ------~------• heigh~---fee~-inches,
weight ----/-0.$ ___ pounds, color of hair -~----• color of eyes~---------------·
other visible distinc.t.j,ye mar.ks ~-------------------------------------------------------------------------------
1 was born in ______ /1~--~-----------------------------------------------------------------------------------
on the -------------~LJ--------day of ·------------------______________________ , an no Domini 1 _Q-/-1--: I now reside
at _0__!2_ · @.tt:;Jb-1 "7-::-/------~i~-;~~t;~~:~t;~"t:~ity~;to;,;-~--st;t;)-~53: ____ c ___________________________________ _
~~7~:r~=~e~o--t~~--~-n-~~~:-~f A:_erica-fr::.=:::::~:::=~~-;~-j~~;
(If the alien arriv ed otherwise thaJJ. by vessel, the ~c~ of~:v~: or name or' transportation ..-:ompany should be g iven)
foreign r~si~ence was ___ 2)_~--~~--=--if.------------: I a~m _________ married; the name
of my Wife I: --------------------------------------------------: she was bor(Y> ~----_______ -------------------------
and now resides at ---~ ____________ ----------------------------~---------------------------------------------
It is my bona fide intention to renounce forever all allegiance and fidelity to any foreign
pri~y potentate, state, or sovereignty, and ~ticularl: ~o O_L~------------------------------------------------------------~-L)~--~~-_l_c__?:___~;l>-;--~-·~·c-· of whom I am now a subject;
I arrived at the port of ----------------~1/-~---------------~-----------------------------------------··-·• in the ~i~;:;:~~~=~~;~~~~~;?!,~~~=;,~~~~:~i-~~r~-~:;:~ :i~~;:~~~:~i:~~~~-Ii:-~~~~
to become a citizen of the United States of America and to permanently reside therein:
So HELP ME Goo.
Subscribed and sworn to before me in the office of the Clerk of
[SEAL]
said Court this ___ f ____ dayoL _____ ~~nno Domini 19 ?-I
. ~;~~:~~~ -~!::courl
By _______ {Q_ ___ ,~)lz_~_ /f__ ~--·~---, --~.1!. ~----Clerk.
49 0 ORIGINAL
U. S. DEPARTMENT OF LABOR
NATURALIZATION: SERVICE
.v fUJ
No .LJ__f_Q . • -~ t\ Tie or
~~f;)~
~ DECLARATION OF INTENTION
f_:~w;~~~j:oses seve::::~~-;;;~,~~::~:~_:
~' _J:]_~---a~---------------------------·1 aged -----~--~---years,
occu~ati_on -:~-:-----------------------------~-----------------• do declare o~ oa~that my p:rsonal
descnptwn IS: Color ~------• complexiOn -~------·• height ____ feeO.. ___ mches,
weight ____ jz_~-------pounds, color of hair ___ d. __ ~----• color of eyes------~-------------·
other visible dist · nctive marks ---~-----------------------·-------------------------------------------------------------
1 was born in -----------------------------------. -----------r-----------------------------------------------------------------------------
:~ ~h_e_~:::~:::~(o,;~;;iif,;;~:-:~~:;;;;;~::,-~::~---~::~~:=;---I--:~~r~~i~~
l em igrate d to thE( ~itecitSt~es of Americ.a from~~-c.L-~------------------------
on t~e ves~el ____ <_i~;~;~~.;;~;?;.;~~-~;~;-.;{t;:.;~;j;~;~ti~;-,-~~~p;~;,-;};~-;,1d_b;-i~-;.-,;-)--·; my last
foreign residence w_q------------------~~-------~~------------: I am ______________ marned; the name
of my wife i: ---------~~--------~--------: she ~born at-----~~------------------------------
and now resides at -----------~----l.L::..P.::!._~---------------------------------------------------------------
It is my bona fide intention to renounce forever all allegiance and fidelity to any foreign
prince, potentate, state, 9\ s_2vereignty, and particularly to 1/_~_fj!_~--~!_(
-----~~------¥----~~-----------------------------------------------• of whom I am now a su.bject;
i arnved at the port of ---------=-~----~~-----------------------------------------------------------• m the
State of -----------'7Jz--------------------------------------------~~-f---;;(j on or about the __________ L ___ -r-_ ________ day
~~lyg~~-l~t--~~~--~--b~~;--i~--th~--;r~~~~e ~~~~~~!;y·;--~n~ ai~ i~0 ~~n i~~:~~~~ti~ ~~: ~~~~
to become a citizen of the United States of America and to permanently reside therein:
So HELP ME Goo. /2~ If /J -/;~
. ---"-~~-----~--f_ ____ d~-~----~---f!!:-~ff.!?'
(Original signature of declarant)
Subscribed and sworn to before me in the office of the Clerk of
[SEAL] said Court ~;::~6t~~-:: ~::19J /
., f:! J C~:k o{thf --------------------------=·;------Court.
By -~ : _____________ ")2 ____71__7-, --£¥--------~-?:---Clerk .
r
\
ORIGINAL
U. S. DEPARTMENT OF LABOR
) NATURALIZATION SERVICE
No.t-J'fJ __ t~~ s1 ~ 111 or ~-v ~·~ .. ~~ ~~o .V> ~
DECLARATION OF INTENTION """1/
~Invalid for all pnrposes seven year{ter the dat hereof
-~-----~~-n------··j ss: In the .. ----~--------------J~-court
.-----------'---~----':Jf"'LMJ.i:u_________ of _______ ---~---G..tl ......... ____________ _
~ ---·-·H~-----·---"121~-------------------------------------• aged ·----~-d_ __ years,
occupation ----------------~-----------------------------------------• do declare on oath that my personal
cescription is: Color -~-------• complexion -~----------• height ..!£___feet --~-·inches.
weight _j_& ___ (:?_ _______ pounds, color of hair -----~---• color of ey~---------------------·
other vis i b I e d ist1 n cti ve marks -~---------------------------------------------------------------------------------------
1 was born in -----~------~---~-------------------------------------------------------
on the -------l.----J-1----day of ·-------J~-~---------------------• an no Domini 1 ~-?(_zf._; I now reside
at _________ _ _ _ _ ___________ ., ____ Q_ a../-~-----------------------------------------------------------------------
caive number, street, city Ot ~·and State) I H" ~A~ A 1/
I emigrated to the U it ~tates of America from ----L-~---~---=:---=-~--=----:---~-7 __________ .
on the vessel __________ ___________ ------------------------------------------------------------------------------------------------------; my last
(If the alien ani~ ther;!s~ than ~y Jessel, theAharacter of conveyance or name oi transportation company should be giYen)
foreign residence was ___ :L~----~-; I am _____________ married; the name
of my wife is----~_<!!__ __________________ ; she wa~rn at----~~---------------------
and now residRat ___ !!__ ___ ~~--LL~-t;l:!.~-----------------------------------------------------
lt is my bona fide intention to renounce forever all allegi~ and fidelity ~ ~~oreign .
prince, potentate, state, or sovereignty, and particularly t~-~£1._~:_-=---~--~ '
~-~~~ --------------------------------~------------1------------------------------U----------------~-----------------• of whom I am now a subject;
I arrived at the port of -----------------------~---~[2_ ___________________________________
77
___________ ., in the
State of -------,--____ ------------------------------------'21-"'---¥--------------• on or about the ----------------------------day
of _______________________ _ _______________________ , an no Domini r _.f__~-~-; I am not an anarchist; I am not a
polygamist a be 1ever 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 Goo. --------~~-----ftl::n~----------------U_c..£L __ ~-~ginalsignature of declarant)
Subscribed and sworn to before me in the office of the Clerk of
[SEAL]
said Court this __ j _____ day of--------~ anno Domini 19 ~ /
~~-£f%d~-!J:-~ Clerk of the--~~-Court.
By _______ (£)_~--~~--~-.. -_______ , ---~--Clerk. -----pt-··--------~a-
492 ORIGINAL
U. S. DEPARTMENT OF LABOR
I NAT URAL IZATION SERVICE
~ .A ~ DECLARATION OF INTENTION "1"
~t:w-Invalid for all purposes seven years after the d~ereof --~---~~~---··········]55 : In the~--··---~---Court ----~~--'/; .. -~-'-----...! . of .?£~._{k_,_______ ......... .
:!!.. .......................... · ....... MC.s;;fr.4--&-···-·················· aged ... dO ... years,
occupation ·······--'~~---·-··-·--·····--··--··• do declare on oath that m~rsonal
description is: Color~---·····• co~·-······• height~es,
weight ___ j_~(]__ pounds, color of hair -----------------------------·• color of eyes--------------·-----------------------
other visible distinctive marks -~-------------------·-------------------------------------------------------------:nwt~e b~~Ji ... :~~-':~:-~~~~--D~~;~;-·;·::r..J::'i.:;··;·-~~;;~~jd~
at ____________ <Jf:./&dl _______ ~-----~-#--~-;-~(ii~-;{!be;-::tr~et, ctty;:~;;-7,-;d-ii t;t~--------------------------------------------------------
[ emigrated to t~of America from.. .. ___ ··········-····· ... ······················-········-··-
on the vesse ! __ ·----------------------------------------------________ -----------------------------------------------------------------·; I ast
(lf thf'J alien a.nived otherwise tba~ by vessel, t e char r conveyance qr uame of tra.nspN·tation compal:!y should be given)
foreign r~si~enc~s ~t--___ ___ _ _ _________ ; ~ed; the name
of my wife IS ... le~----------: sh~s born at .lJ~------------------------------------------------f~~s n~; r~~~~e~~~ ·;~~~~;~;~-~i~u;g;~~~~--~~-d···fid~·,;iY··;-;··~~y-·t~;;g~
prince: p~tentate, ;tate, or sovereignty~ ~d particularly t~-~~~-
-~fty_~-~--~~---... .. __ ··--······• o ~mTiOw a subject ;
I arrive: at the fort of ......... --~-------_----'11--------T---·------------------~---·--------------···-····/z:r··• in the ~;:;~:~~~~lf=~::f~:;~~g~:~i~~~;~e~:;:~ ;~~;:~~~:~~=~~~~~;~-I~:-~~~~
to become a citizen of the United States of America and to permanently reside therein:
So HELP ME Goo. ----~au:SZz~----d~k
(Original signature or decla~ ---ZT-
[SEAL]
..
U. S. DE PARTMENT OF LABOR
ORIGINAL 4 93
NATURALIZATION SERVICE
v
No __ L7-7---2l/a-/-d ., ~ 1!1 or ~~~· ~-~·~ ~·~ ~4
DECLARATION OF INTENTION ~
~Invalid for all purposes seven years after the date hereof
_2fu.,; __ y_;;;;~'----------] ss: In the ---------~----------------lfgn&_ Court
{!_p __ '---1----/.fL~-:-------of ______ _ ____ aal _, __ : -------------------
:ll, _______________ /2'a:,./;;B/ ____ '2fi--_~d_ ________________________________________ , aged ---~-'/'------years,
occupation --------~--------------------------------------------------• do declare on oath that my yersonal
Gescription iy Color -~----• complexion----~ ~~~:h~~ches,
weight ___ /_&_CL _ pounds, color of hair -----~------• color 4.f ~L~:~---------------~t~:sv~~:~e i~'X_;::::_~~s;:z_Jf;;;/j;£ttt::::~ __ : _____ ::::::=:=:::::~:~
:; -th~~;,:~~::,;~:-i:i ___ ~:::~--~~--:~=1;~~
I emigrated to thc:)Jpited ?tatesA of America fro'NJ_J-~_, ___ t:?J~----------·
on t~e ves ~el ____ <~~t"h;j?l~t".;r-~i -.,-,;-~;;-~-;,-c-.;~;-~;;;;;-;.;-t~~;~~~~ti~;,-~;;;;;~;,-y-;i;~-;;id.-j;;-g~.;;,;-s ·-·; my last
foreign residence was --d..-~-~~r _ _ _ ____ ; I am _____________ marned; the name
of my wife is --~--2-=LAd ____________________ ; she was born at----~-~~------------------
and now resides a · _ _ ______________ (Z!__q:!__· ________________________________________________________ _
It . is my bona fide intention to . renounce fore~er all allegiance ~n~t;>Ielity to any foreign
~t~A rJove~e1gnt , a~ p~c~~~f--~~-~--(JL~--
--y -~,..L~;r~-~--__ _ _ -~--~-~~----'-----• o whom I am now a subject;
I arrived at the port of ----------~-----~L------------------------------------------------------------------·• in the
State of ------------~---------------------------------:?-t!.:~-----------------• on or about the ______ {_7_ _______________ day
of ________________________ Ll__~ ___ J(_ _______ , anno Domini I -~12:~_;1 am not an anarchist; I am not a
polygamist nor a believer in the practice of polygimy: and it is my intention in good faith
to become a citizen of the United States of America and to ~manently reside therein:
So HELP ME GOD. /).44 6'V£( ~ J( &~ -----------------------<-o~!gi,;~-;;g~~~;~-~i'd~l~iff}_-------------------
Subscribed and sw~n ~to before me in the office of the Clerk of
[SEAL] said Court this ___ ~ ____ day of --~/0 an no Domini 1 ~ I ~1Y/ __ 6J___,LL~-------~IE __ _
Clerk o{the -------------------------------~~--Courl.
By _______ r.l_ __ ;l ___ 1Jf_~ __ lf__~----------, ___ &_~ .,____ Clerk. 17 71----------;~ be
1.9 Ll J. 1L ORIGINAL
U. S. DEPARTME NT OF LABOR
~ NATURALIZ,t.TION SERVICE
No .l1-71!'Yd ~ s1 ~ 111 or ~~ ~-~~ ~~ .,0 ~ DECLARATION OF INTENTION ~
· all purposes seven years after the da,a ... l!-tH;3r
~:~-:~::-: ~:-__ aL ____ j 55 : In the ~;-~:'VJ~:~ -~---=:::~:~:
:!!, _____________ _ _____________________ '?! ____ _ --~~aged _____ ?::_tj ______ years,
occupation ------------~-___ .a__~---_____ -----~-~-do declare on oath that my personal
description }1;' Color ~'/:L _____ , co exion _ ___ -----------~' height <.5:: __ feet0':j{inches,
weight __ ( ______ Q ____ pounds, color of hair__ ___ _ __ ___ _ _____ , color of eyes---~----
other visible. distinctive marks ---~----------------------------------------------------------------------------
1 was born m ______ (L ~~-------_ _ _ ___ ---------------------y----------------------
:~ -~~~-~::~:::fl'Jl:/11~~;~~ ~~:;:~~:;-n~-~~:'_~:r=a~--ir::~~:
:~~~=r~::~e~oQJ'~~:~~r::_: __ ::::::::::::::::::: __ :_:::::::: ______ : ____ -_-~:: __ ;-: j~~~-"-
• • (lf th., alien arr· otherwise than l?Y v ssel, tne chrtepr. con~e or u a me of anspC"rtation compan/ _should be g~ven)
foretgn residence was_ _ __ ____ _ __ ~~~ ______ , I am ~--marned; the name
of my wife is --------------------------------------------------; she s born at ----------------------------------------------------------
and no\v resides at --------------------------------------------------------------------------------------------------------------------------------
It is my bona fide intention to renounce forever all alle~ce a~ fi~eli% to En: foreign
prince, potentate, state, or sovereignty, and particularly to~~---~--"-rt~-----~-'"
----------------------------------------------------_____ _ _____________________________________________ , of whom I am now a subJect;
( arrived at the port of __ ___ _ ____________ ___ ____ __ _ --------------------------------------------------------------------------• in the
State of ------------;IJ;r~r----------~ -----------:--:----________ ,on or about the-----~--------------day
of ________________________ Li_~----------------------------no Dommt I_Jf2 __ i__; I am not an anarchist; I am not a
polygamist nor a believer in the pract ice 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 , Goo. r .
[SEAL)
/
U.S. DEPARTMENT OF LABOR
ORIGINAL 4 9 5
NATURALIZATION SERVICE
I
No ... l7;J _,2]~_.,~, ~ 1!1 or tt·~
4~f; ~10 .V> ~
DECLARATION OF INTENTION """"
~Invalid for all purposes seven years after tlte date
-------~---J_~(lQ}~----j In the --~----------------------------Court --~-'--1:/;--t!!Jl~.:. ss: of .... '2--~'----·------------------------
~ ___ ·····---~=t;-I_--~.J_-~------------------------• aged -----7'----{;_ __ years,
occupation ---------------------------------~_::£_ _____________________________ , do declare on oath that my personal
cescription is: Color~------• complexion -----~~-----·• height'£_ __ feet _2-:':'inches.
weight--~-~--~--p~unds, color of hair ~------------• color of eyes~--------------·
c the r vt s1 b I e d 1 st2 n c tt ve marks -----~ ____ (/_ ____________________________________________________________________________ _
!nwt~e b-~': __ :,t:~~-~-~-ifi!i..:::=::~~-~~--0~~;~;-·;·:g;_~:~-~~:;-~~~id~
at ----~~~i,-t -;;;~-~d-st;"t;)·-----------------------------------------------------
1 emigrated to the United States of Ameri_ca from-~----~----------------------------·
on the vesse I -----------------------------------------------------------------------------------------------------------------------------·; my I as t
.. • (If the alien arrhed otherw' than by ''esse), the ~hara~ ~o~~ce or name oi transportation company should be g~ven)
foreign r~st~ence was ---~-~---~=-r-------------; J am ____________ marned; the name
of my Wife IS ----------'221~-:-----------;~ho:bom at -~------------------------
and now res 1 des at ---------~~#------------------~-----------------------------------------------------------
It is my bona fide intention to renounce forever all alle~~ce and fidelity to any foreign
prince, potentate, state, or sovereignty, and particularly to ---~-{i~ __ /L_/ __ _
··----··:·----~---~----~--------------------------------·:···r··-------• of whom l am now a subject ;
I, arnved at th por ot -------------~----------~--1:/-~LZ------------------------------------------r----·• in the
State of ------------~----_ ---------:------------------'2/-L'lf--------------------• on or about the _______ -?:_ _________________ day
of ------------------------____________________________ , an no Domini r -'f--<2_[_; I am not an anarchist; I am not a
polygamist nor a be ever 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 Goo. -~q _________ ~?Z-~~fi_ __ _
(Original signature of declarant)
Subscribed and sworn to before me in the office of the Clerk of
[SEAL]
said Court this----~---day of ____ c:cu._~---· anno Domini 19.//
~-"7---S -~L~~k ______ _
£: Clerk of the -~--c.!t.2:~~--Court.
ay ______ --~-&: ... :222@.-' .::JJ,·c~y---~ . cterk.
S:96 ORIGINAL
U. S. DEPARTMENT OF LABOR
NATURALIZATION SERVICE
v / lJ~ No. ·--1--{--f---({)______ '
~· ~~
-G DECLARATION OF INTENTION
~;~~~~:~j:oses seve: ::a~8-:fi~~the --~-~:~:
;ll, ____ ----~--:2/-~--------------------------------------_______________ , aged ---~ ,3_ _ years,
occupation -----------~d __________________________________________ , do declare on oath that my personal
description is: Color --~-----• complexion ------~----·• height lfi ___ feet/_Oinches,
weight --~------pounds, color of hair-----~ color of eyes----~-------
other visible . d is_ti(J' ~--~~---------------------------------------------------------------------------
1 was born 1 n ___________________________________________ -----------------------------------------------_______________________________________________ _
~; -~~ __ ;_~t:~:-~:~-'j~::&~:i -~~~-=;---1---~~=r~:i~:
. " . (Give nu~ber, street, c1ty o:-a , ~:dJt~e~ p .A . ~ ~
l emigrated to th Umted State? of Amenca from --~-----k:J--~--------------
on the vesse I_________ ______ ___ _____ ______ _ ---------------------------------------------------------------------------------·; my I as t
. . (lf th~ allen a.r1~therwise than by Yessel, tn~ter of conveyance or name of transpC'rta.tion company should be g~ven)
foreign r~s1~ence w_:~LF~J---~~----: I am ______________ marned; th~me _
of my wife Is--------~~-------: she~ born at~-~-~-\~
and now resides at -------------~~--~q.j_~--------------------------------------------------------------------
lt is my bona fide intention to renounce forever all a~ance and fidelity to any foreign
pri~~otent~te, state, or sovereignty, and particular! ~ __ ()::.:f.._4&:.C._-fj-~
AZ4L1z--~--L-~-1:;-_ ________________ __ _ ____________ , ~ nJw a su~ect; --
I arrived at the port of ____________ lte..d ____ --~-------------------------------------------------------------------·• in the
State of ---------------------------------------------~~----~---------------------------·• on or about the ____________ .!_.,._!; __________ day ~~Iyg;;;:;;;(-~~~~r~~~~e ~~~~~:~~f-;n~ ~~ i~0~~i~~:~~~~\~ ~~:d ~~~~
to become a citizen of the United States of America and to permanently resiqe therein:
So HELP ME ~D. ·· '· ---------------------~--Lk-~c-~---------J.,gmal eign£t.~f.-;{d.~~i~rant)
Subscribed and sworn to before me in the office of the Clerk of
[SEAL] said Court t:~~~~~r9 ~/
"); Clerk of the---~~-':!~---Coztrl.
By ____ VJLjLxfr!Jc.uL~----· -dp--u'7J.--Clerk .
U.S. DEPARTMENT OF LABOR
ORIGINAL 4 9 7
NATURALIZATION SERVICE
v
No -/--f-~7')'~ &-/-s1 ~ 111 or ~~· 4·~4>~ ~~ 1}>4 ~ DECLARATION OF INTENTION ~
[SEAL]
_____ !:!t~_~g~--------------------(O~a.lsilr'ature or declarant)
Subscribed and sworn to before me in the office vf the Clerk of
said Court this ---'1---day oL--~---------· an no Domini rqY/
, ~:~gt~~~ourl
By __ cf!~121--~--'4~fr,, --~~---CWrk.
{ 14-5e
ORIGINAL .. ag
~qJ
·U. S. DEPART MENT O F L ABOR
NATURAL IZATION SERVICE
1 /)~/.
No ./74-ff_p ~-., .. ,~~ or
... ~1) ~-~·~ .y> ~4
DECLARATION OF INTENTION ~
U.S. DEPARTMENT OF LABOR
O R I GINAL 4 9 9
NATU RAL IZATIO N S ER VICE
Subscribed and sworn to before me in the office cf the Clerk of
[SEAL] said CourQJ;;;~:~n:o ~o~i:'_'9 ~I
,-(] (}7;J Clerk of tnf2. ________ -------------~-"~-Court
By _W~ ___ ;L_'2Jrf'-___ )j~---· ~~---Clerk.
50 0 ORIGINAL
U. S. DEPARTMENT OF LABOR
NATURALIZATION SERVICE
~ ~,...,
DECLARATION OF I NTENTION ~
[SEAL]
----f~, .. ~;;,;;;.;;;,;;·····················
Subscribed and sworn to before me in the office of the Clerk of
said Court this _____ 9 _day of________ _ _______ . ____ , nno Domini 19 /-/ f?!f::t:/!:_ .. :-· --.. ·-:· -----~ourL
By _____ !j ___ r:t__0J~f!!}~-, ~-Clerk .