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Collection: Original Records > Naturalization
Declaration of Intention - Volume 5 (4-10-1923 to 2-11-1929) (113 pages)

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Page: of 113

U. S. DEPARTMENT OF LABOR ORIGINAL
NATURALIZATION SERVICE
9 STATES OF 4, Ley
“Uy,
“or ay DECLARATION OF INTENTION
occupation do declare on oat that my aise tl
description ve Das LOL KL a os : os eet ay inches,
ws , color of eyes YOO a Mawatha pounds, color of hat Oe
other visible = beers ae LLL ee Whee olriisiy ya73%:
Il was borpin._.. = A AWN.. £ “CES
on a ge ALLA
at
I emigrated
on the vess Se LS kcal A oI de es Ce ho ; my last
St ASCE
ee am not an anarchist; I am nota
polygamist nor ie my; and it is my intention in good faith
to become a citizen of the United States of wy and to "De vaf reside therein:
SO HELP ME GOD. ee
lt
l ZL signs’ oot LLLP.
jn the office of the ee of
[SEAL].