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Form 2213
PRELIMINARY FORM FOR DECLARATION OF INTENTION TO BECOME A CITIZEN
5443
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.
Miss
}
Ernests Furtado Vicente
;
age, 29
years.
(Alien should print or typewrite here true, original, and correct name)
(Give age last birthday)
My present occupation is labore
My personal description is: Color, White ; complexion, Medium ; height, 5 feet 29 inches;
weight, 145 pounds; color of hair, Braavn
; color of eyes, Brawn
;
other visible distinctive marks: Scar on lip
I was born in Villa Franca (City town) do Gamps. S. Mainuel (Country) Agores
or
on
the 26
day of Fevereirs February , T % 1899
My present residence is 12 humbull (Number at (City (County) born (State)
and street)
Monington
or town)
The place where I took the ship train which landed in the United States Ponta Delgada
or me was
S. Miguel Agores
, on / Hubulro 1920
Cathor
(Month)
(Day)
(Year)
The name of the ship or railroad on which I came was
Reoma
My last place of foreign residence was Virla Franca do bamps. (Country) S. Miguel Alexas
(City or town)
I am not married. The name of my
wife
She
is
was born at
husband
He
, and now resides at
,
I am now a subject of and intend to renounce allegiance to
Portugal
(Write name and title of sovereign and country of which now a subject;
I arrived at the United States immigration port of Providence
or, if citizen of a republic, write name of republic only)
R... I
(City or town)
on 9 de Outubro 1920
,
(State or territory)
14-8
(Give exact month, day, and year)
(OVER)
Page data
- Page
- 1156
- Source index
- 0
- Type
- photo
- Media ID
- a0d465ba4f796d63
- 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\n5443\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.\nMiss\n}\nErnests Furtado Vicente\n;\nage, 29\nyears.\n(Alien should print or typewrite here true, original, and correct name)\n(Give age last birthday)\nMy present occupation is labore\nMy personal description is: Color, White ; complexion, Medium ; height, 5 feet 29 inches;\nweight, 145 pounds; color of hair, Braavn\n; color of eyes, Brawn\n;\nother visible distinctive marks: Scar on lip\nI was born in Villa Franca (City town) do Gamps. S. Mainuel (Country) Agores\nor\non\nthe 26\nday of Fevereirs February , T % 1899\nMy present residence is 12 humbull (Number at (City (County) born (State)\nand street)\nMonington\nor town)\nThe place where I took the ship train which landed in the United States Ponta Delgada\nor me was\nS. Miguel Agores\n, on / Hubulro 1920\nCathor\n(Month)\n(Day)\n(Year)\nThe name of the ship or railroad on which I came was\nReoma\nMy last place of foreign residence was Virla Franca do bamps. (Country) S. Miguel Alexas\n(City or town)\nI am not married. The name of my\nwife\nShe\nis\nwas born at\nhusband\nHe\n, and now resides at\n,\nI am now a subject of and intend to renounce allegiance to\nPortugal\n(Write name and title of sovereign and country of which now a subject;\nI arrived at the United States immigration port of Providence\nor, if citizen of a republic, write name of republic only)\nR... I\n(City or town)\non 9 de Outubro 1920\n,\n(State or territory)\n14-8\n(Give exact month, day, and year)\n(OVER)"
}