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Form 2213
PRELIMINARY FORM FOR DECLARATION OF INTENTION TO BECOME A CITIZEN
5389
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.
Mr.
My name is
Mrs.
|
Luiei Pancie ta
; age,
4 2 years.
My present occupation Miss is Grocer
Alien should print or typewrite here true, original, and correct name)
(Give age last birthday)
My personal description is: Color, Whitz complexion, Dash ; height, 5 feet 7 inches;
weight, 190 pounds; color of hair, Dark Browy color of eyes, Brown
;
other visible distinctive marks: fear in center of for head on left
I was born
on the 26th day of Froterary
in onne (City or town) di golds
Italy
(Country)
1886
My present residence is 12 (Number and streett SH. (City Honord town) , New Loudou (County) (State) Coau.
sickary
or
The place where I took the ship or train which landed me in the United States was
Grnoa
Daty
,
on May
24 1921 (Year)
The
name of the ship orzaliroad on which I came was Princeds (Month) Madrica (Day)
My last place of foreign residence was said (City town) Feoroda Polds Country) Haly
or
wife
I am
married. The name of my
is
autohia Canciin She
husband
He
}
was born at
said Foruedi zolds , and now resides at said
I
am now a subject of and intend to renounce allegiance to Victor Duannal 111-
(Write name and title of sovereign and country of which now a subject;
or, a
if King citizen of republic, writename of of republic Ataly only)
I arrived at the United States immigration port of
Boston
Hassachueratic
or
us
(State or territory)
, on June 14-8 (City (Give 2 exact town) month, day, 1921. year)
and
(OVER)
Page data
- Page
- 1029
- Source index
- 0
- Type
- photo
- Media ID
- 030fb88801b5b271
- 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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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\n5389\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.\nMr.\nMy name is\nMrs.\n|\nLuiei Pancie ta\n; age,\n4 2 years.\nMy present occupation Miss is Grocer\nAlien should print or typewrite here true, original, and correct name)\n(Give age last birthday)\nMy personal description is: Color, Whitz complexion, Dash ; height, 5 feet 7 inches;\nweight, 190 pounds; color of hair, Dark Browy color of eyes, Brown\n;\nother visible distinctive marks: fear in center of for head on left\nI was born\non the 26th day of Froterary\nin onne (City or town) di golds\nItaly\n(Country)\n1886\nMy present residence is 12 (Number and streett SH. (City Honord town) , New Loudou (County) (State) Coau.\nsickary\nor\nThe place where I took the ship or train which landed me in the United States was\nGrnoa\nDaty\n,\non May\n24 1921 (Year)\nThe\nname of the ship orzaliroad on which I came was Princeds (Month) Madrica (Day)\nMy last place of foreign residence was said (City town) Feoroda Polds Country) Haly\nor\nwife\nI am\nmarried. The name of my\nis\nautohia Canciin She\nhusband\nHe\n}\nwas born at\nsaid Foruedi zolds , and now resides at said\nI\nam now a subject of and intend to renounce allegiance to Victor Duannal 111-\n(Write name and title of sovereign and country of which now a subject;\nor, a\nif King citizen of republic, writename of of republic Ataly only)\nI arrived at the United States immigration port of\nBoston\nHassachueratic\nor\nus\n(State or territory)\n, on June 14-8 (City (Give 2 exact town) month, day, 1921. year)\nand\n(OVER)"
}