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Form 2213
PRELIMINARY FORM FOR DECLARATION OF INTENTION TO BECOME A CITIZEN
5382
U. S. DEPARTMENT OF LABOR
NOT TO BE FILLED IN BY ALIEN
FOR USE OF OFFICIALS SEARCHING IMMI-
NATURALIZATION SERVICE
GRATION RECORDS
CLERK OF COURT:
RECORDS EXAMINED
Place number
in
upper left-hand corner of all copies of
CARD INDEX
declaration, immediately under your
INDEX BOOKS
declaration number.
DISTRICT DIRECTOR OF NATURALIZATION
MANIFESTS
I desire to file my Declaration of Intention (first paper) to become a citizen.
Mr.
My name is
Mrs.
Miss
/
lite. De noia
; age,
18
years.
(Alien should print or typewrite here true, original, and correct name)
'Give age last birthday)
My present occupation is Moulder's Kilper
My personal description is: Color, white ; complexion, dark
; height, 5 feet 834 Linches;
weight, 138 pounds; color of hair, black
; color of eyes, brown
;
other visible distinctive marks: Scarmeight thumb
I was
born in 30 the (City or town) I tally
Bari,
(Country)
on
the
day of May :
1909
My present residence is 24 Hamilton Ewe.
Groton Cank
(Number and street)
(City or town)
(County)
(State)
The or me was
place where I took the ship train which landed in the United States naples Italy
, on
(Month)
(Day)
(Year)
The name of the ship or railroad on which I came was Illadona
My last place of foreign residence was said wife (City or Bari town 1 margaret She
I
am yes married. The name of my
is Havele Inflic
was born at
He
New London Conn husband and now resides at groton Canor
I
am now a subject of and intend to renounce allegiance , to Victo said Yrite name and € 24 country of which nown subject;
III, tei
momannel
or, if
I
arrived citizen at of a-republic, the United write name States of republic immigration only) port of Brooklyn New (CityLor town) York
new (State York or territory)
, on dug 1448 30.1910 (Give exact month,
day, and year)
(OVER)
Page data
- Page
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- Source index
- 0
- Type
- photo
- Media ID
- cd1ea7263fdad3fe
- Size
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Document data
- ID
- 159596813
- Core
- doc
- Type
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DTO data
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Context sent to Scholar
Document identity
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Document source metadata
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Document source extras
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Page context
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"ocrText": "Form 2213\nPRELIMINARY FORM FOR DECLARATION OF INTENTION TO BECOME A CITIZEN\n5382\nU. S. DEPARTMENT OF LABOR\nNOT TO BE FILLED IN BY ALIEN\nFOR USE OF OFFICIALS SEARCHING IMMI-\nNATURALIZATION SERVICE\nGRATION RECORDS\nCLERK OF COURT:\nRECORDS EXAMINED\nPlace number\nin\nupper left-hand corner of all copies of\nCARD INDEX\ndeclaration, immediately under your\nINDEX BOOKS\ndeclaration number.\nDISTRICT DIRECTOR OF NATURALIZATION\nMANIFESTS\nI desire to file my Declaration of Intention (first paper) to become a citizen.\nMr.\nMy name is\nMrs.\nMiss\n/\nlite. De noia\n; age,\n18\nyears.\n(Alien should print or typewrite here true, original, and correct name)\n'Give age last birthday)\nMy present occupation is Moulder's Kilper\nMy personal description is: Color, white ; complexion, dark\n; height, 5 feet 834 Linches;\nweight, 138 pounds; color of hair, black\n; color of eyes, brown\n;\nother visible distinctive marks: Scarmeight thumb\nI was\nborn in 30 the (City or town) I tally\nBari,\n(Country)\non\nthe\nday of May :\n1909\nMy present residence is 24 Hamilton Ewe.\nGroton Cank\n(Number and street)\n(City or town)\n(County)\n(State)\nThe or me was\nplace where I took the ship train which landed in the United States naples Italy\n, on\n(Month)\n(Day)\n(Year)\nThe name of the ship or railroad on which I came was Illadona\nMy last place of foreign residence was said wife (City or Bari town 1 margaret She\nI\nam yes married. The name of my\nis Havele Inflic\nwas born at\nHe\nNew London Conn husband and now resides at groton Canor\nI\nam now a subject of and intend to renounce allegiance , to Victo said Yrite name and € 24 country of which nown subject;\nIII, tei\nmomannel\nor, if\nI\narrived citizen at of a-republic, the United write name States of republic immigration only) port of Brooklyn New (CityLor town) York\nnew (State York or territory)\n, on dug 1448 30.1910 (Give exact month,\nday, and year)\n(OVER)"
}