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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 5459 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 OCT 15 1928 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 (NOTE TO CLERK OF COURT.-To guide you in preparing the Declaration: The black face lines on this form contain statements in the regular order as they are to appear on the Declaration of Intention.) I desire to file my Declaration of Intention (first paper) to become a citizen. Mr. My name is Mrs. mR. DAVID RAKOSKY ; age, 29 years. Miss (Alien should print or typewrite here true, original, and correct name) (Give age last birthday) Also known as (If alien has used any other name in this country, that name should be shown here) I used that name because The full name of the person shown on my steamship ticket was DAVID RAKOSKY My mother's maiden name was EVA Finkelstein My maiden name was (if woman) My present occcupation is merchant My personal description is: Color, white ; complexion, Hair ; height, 5 feet 334 inches; weight, 167 pounds; color of hair, Brown ; color of eyes, Brown ; other visible distinctive marks: none I was born in malkin Poland 7th day of (Gity or town) (Country) on the December , 1898 My present residence is 24 montanscom newhondon wwwoudon Conn (Number and street) (City or town) (County) (State) My post office address is 24moutant are new London Coun The or me was place where I took the ship train which landed in the United States Potterdam Holland. , on (Month) (Day) (Year) The ticket on which I came to this country was bought at new (City) your 4.4 (Country) U.S A The name of the ship or railroad on which I came was Potadam (OVER) c14-8

Page data

Page
1192
Source index
0
Type
photo
Media ID
742a944070edadf8
Size
unknown

Document data

ID
159596813
Core
doc
Type
document
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Context sent to Scholar

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    "ocrText": "Form 2213\nPRELIMINARY FORM FOR DECLARATION OF INTENTION TO BECOME A CITIZEN\n5459\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\nOCT 15 1928\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\n(NOTE TO CLERK OF COURT.-To guide you in preparing the Declaration: The black face lines on this form contain statements\nin the regular order as they are to appear on the Declaration of Intention.)\nI desire to file my Declaration of Intention (first paper) to become a citizen.\nMr.\nMy name is\nMrs.\nmR. DAVID RAKOSKY\n; age,\n29\nyears.\nMiss\n(Alien should print or typewrite here true, original, and correct name)\n(Give age last birthday)\nAlso known as\n(If alien has used any other name in this country, that name should be shown here)\nI used that name because\nThe full name of the person shown on my steamship ticket was DAVID RAKOSKY\nMy mother's maiden name was EVA Finkelstein\nMy maiden name was (if woman)\nMy present occcupation is merchant\nMy personal description is: Color, white ; complexion, Hair ; height, 5 feet 334 inches;\nweight, 167 pounds; color of hair, Brown\n; color of eyes, Brown\n;\nother visible distinctive marks: none\nI was born in\nmalkin\nPoland\n7th day of\n(Gity or town)\n(Country)\non the\nDecember\n, 1898\nMy present residence is 24 montanscom newhondon wwwoudon Conn\n(Number and street)\n(City or town)\n(County)\n(State)\nMy post office address is 24moutant are new London Coun\nThe or me was\nplace where I took the ship train which landed in the United States Potterdam Holland.\n, on\n(Month)\n(Day)\n(Year)\nThe ticket on which I came to this country was bought at new (City) your 4.4 (Country) U.S A\nThe name of the ship or railroad on which I came was\nPotadam\n(OVER)\nc14-8"
}