Pacific County WA Archives Declaration Of Intent.....Medak, Yarka August 30, 1913 ************************************************ Copyright. All rights reserved. http://www.usgwarchives.net/copyright.htm http://www.usgwarchives.net/wa/wafiles.htm ************************************************ File contributed for use in USGenWeb Archives by: Grgeory Moore gj9994@comcast.net December 23, 2005, 9:01 pm Volume: Form No: 1590 State: Washington County: Pacific Court Name: Superior Court At South Bend, WA Applicant: Yarka Medak Address: Raymond, Pacific Co., WA occupation: Housewife Age: 55 Gender: Female Color: White Complexion: Dark Eyes: Brown Hair: Brown Height: 5' 1' Weight: 154 Visible Marks: None Race: W Nationality: Yugoslavian Date Of Birth: September 5, 1886 Place Of Birth: Sutivan, Dalmacia, Austria now Croatia Married Yes or No: Yes Spouse: Joseph Medak Date Of Marriage: October 26, 1913 Place Of Marriage: Portland, OR Spouse Place Of Birth: Naretva, Dalmacia, Austria Now Croatia Spouse Date Of Birth: February 27, 1883 Spouse Entry At: New York, NY Spouse Date Of Arrival: April 29, 1901 Spouse Residence: Raymond, Pacific Co., WA Number Of Children: 6 Name Date Of Birth Place Of Birth Residence Rena Edwards 7/1/1914 Raymond, WA Raymond, WA Mary Medak 6/11/1915 Raymond, WA Raymond, WA Genevieve Radford 10/3/1917 Raymond, WA Seattle, WA Virginia Dawson 1/12/1920 Raymond, WA Seattle, WA Josephine Medak 4/11/1925 Raymond, WA Raymond, WA Bonita Medak 5/15/1926 Raymond, WA Raymond, WA Previous Declaration: No Declaration No: Declaration Date: Declaration Location: Foreign Residence: Sutivan, Dalmacia, Austria Now Croatia Emmigrated From: Trieste, Austria Lawful Entry: New York, NY Under The Name: Yarka Vidovich Date Of Arrival: August 30, 1913 Vessel: SS Kaisar, Franz Josaf I Signed: Yarka Medak Place Of Signature: South Bend, WA Date Of Signature: March 9, 1942 Certificate No: 20 46051 Court: Superior Court Clerk: Verna Jacobson Photo: File at: http://files.usgwarchives.net/wa/pacific/court/medak2gnt.txt This file has been created by a form at http://www.genrecords.org/wafiles/ File size: 2.9 Kb