◆ SpookStack

and that I am domiciled in the United Statés/my permanent residence being st _ rar AAY in the State of tana AOSIR., where I follow the occupation of lS woee een weeweees - 2c es sere ee My Jast passport was obtained from -........- Qe on ....- I am about to go abrosd temporarily; and I and Was _-------—-------2n enone YN Brennen (Disposition of pas } intend to return to the United States within 7 __ { months \ with the purpose of reaiding and per- forming the duties of citizenship therein; and I desire a passport for use in the countries following purpose: . EL "eee ~~. ~Cmedenty>) _ nr oor T <a Cae L intend to leave the United States from the port of ....---.-. ’ sailing on board the OD Ree on .......--- OATH OF ALLEGIANCE. Further, I do solemnly swear that I will support and defend the Constitution of the United States agninst all enemies, foreign and domestic; that I will bear true faith and allegiance to the same; and ¢ I take this obligation freely, without any mental reservation or purpose of evasion: So help me God. -. Sworn to before me this .....-.-.-----2--- day ‘6 nd Staian should vubunlt a birth or baptismal certificate with his application, or if the birt Sue tend phyricien, parents, o¢ other person having enfficienl knowledge te be able to teetily SE iia cote, Bua sen be dv hwuth Se asks in bach yee OVER. . Sere _ . re wee ea cas theo ow . a) we cotanar-ter i Toe