Luzerne County PA Archives Declaration Of Intent.....Staszak, John March 16, 1903 ************************************************ Copyright. All rights reserved. http://www.usgwarchives.net/copyright.htm http://www.usgwarchives.net/pa/pafiles.htm ************************************************ File contributed for use in USGenWeb Archives by: Nan Starjak naela@earthlink.net November 19, 2007, 9:49 pm Volume: Form No: 2104 Applicant: John Staszak State: Pennsylvania County: Middle District Court Name: Circuit Court Court At Age: 22 occupation: Miner Color: White Complexion: Fair Height: 5/5 Weight: 135 Hair: Brown Eyes: Brown Visible Marks: Warts On Chin Place Of Birth Blaszkowa, Austria Date Of Birth: May 2, 1886 Current Residence: Alden, PA Emmigrated: Bremen, Germany Vessel: Foreign Residence: Blaszkowa, Austria Married Yes Or No: Spouse: Spouse Place Of Birth: Spouse Age: Spouse Residence: Renouncement: all allegiance and fidelity to any foreign prince, potentate, state, or sovereignty,and particulary to Francis Joseph Emperor of Austria Lawful Entry: New York Entry State: Date Of Arrival: March 16, 1903 Vessel: Signed: His Mark Date Of Signature: August 13, 1908 Clerk: E. R. W. Searle Court: U. S. Circuit Court Court Deputy Clerk: This file has been created by a form at http://www.genrecords.org/pafiles/ File size: 1.7 Kb