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File numbers 4874 - 5509, 1926-1930

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Form 2213 PRELIMINARY FORM FOR DECLARATION OF INTENTION TO BECOME A CITIZEN 5386 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 CARD INDEX upper left-hand corner of all copies of 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. Jakola Mr. My name is Mrs. Juwa. 30 ; age, years. Miss (Alien should print or typewrite here true, original, and correct name) (Give age last birthday) My present occupation is File Cutting by Hand. (Skilled) 6'14 My personal description is: Color, White ; complexion, Fair. ; height, 5 feet $ inches; weight, 165 pounds; color of hair, Brown ; color of eyes, Brown. ; or righthand I was other born visible in distinctive marks: Riga, Russia. (City or town) (Country) on the 15th day of August 5.2 My present residence is R.F.D.#: North Franklin New London Conn's (Number and street) (City or town) (County) (State) The place where I took the ship or train which landed me in the United States was Arbangal Lsk, ,on December 5th 1915 (Month) (Day) (Year) The name of the ship or railroad on which I came was Kursk. My last place of foreign residence was said Riga2 Russia. (City or town) (Country) wife I am She married. The name of my is was born at husband said He Poland, , and now resides at North Franklin, fonn I am now a subject of and intend to renounce allegiance to Russia. (Write name and title of sovereign and country of which now a subject; or, if citizen of a republic, write name of republic only) I arrived at the United States immigration port of Brooking NaHo or new (State/or territory) York (City new town) york on December 25, 1915 , 14-8 (Give exact month, day, and year) (OVER)

Page data

Page
1023
Source index
0
Type
photo
Media ID
11974881c7407abe
Size
unknown

Document data

ID
159596813
Core
doc
Type
document
DTO data 
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Context sent to Scholar

Document identity 
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    "ocrText": "Form 2213\nPRELIMINARY FORM FOR DECLARATION OF INTENTION TO BECOME A CITIZEN\n5386\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\nCARD INDEX\nupper left-hand corner of all copies of\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.\nJakola\nMr.\nMy name is\nMrs.\nJuwa.\n30\n; age,\nyears.\nMiss\n(Alien should print or typewrite here true, original, and correct name)\n(Give age last birthday)\nMy present occupation is File Cutting by Hand. (Skilled)\n6'14\nMy personal description is: Color, White\n; complexion, Fair.\n; height, 5\nfeet\n$\ninches;\nweight, 165 pounds; color of hair, Brown\n; color of eyes, Brown.\n;\nor righthand\nI was other born visible in distinctive marks: Riga, Russia.\n(City or town)\n(Country)\non the 15th day of August\n5.2\nMy present residence is\nR.F.D.#:\nNorth Franklin\nNew London\nConn's\n(Number and street)\n(City or town)\n(County)\n(State)\nThe place where I took the ship or train which landed me in the United States was Arbangal Lsk,\n,on December\n5th\n1915\n(Month)\n(Day)\n(Year)\nThe name of the ship or railroad on which I came was Kursk.\nMy last place of foreign residence was said Riga2\nRussia.\n(City or\ntown)\n(Country)\nwife\nI am\nShe\nmarried. The name of my\nis\nwas born at\nhusband\nsaid\nHe\nPoland,\n, and now resides at North Franklin, fonn\nI am now a subject of and intend to renounce allegiance to\nRussia.\n(Write name and title of sovereign and country of which now a subject;\nor, if citizen of a republic, write name of republic only)\nI arrived at the United States immigration port of\nBrooking\nNaHo\nor\nnew (State/or territory)\nYork\n(City new town) york\non December 25, 1915\n,\n14-8\n(Give exact month, day, and year)\n(OVER)"
}