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age
in
birth
Form 2213
nsible marking
PRELIMINARY FORM FOR DECLARATION OF INTENTION TO BECOME A CITIZEN
5460
U. S. DEPARTMENT OF LABOR
NOT TO BE FILLED IN BY ALIEN
FOR USE OF OFFICIALS SEARCHING IMMI-
NATURALIZATION SERVICE
GRATION RECORDS
1928
CLERK OF COURT:
49926
RECORDS EXAMINED
RATURALIZATION SERVICE
Place number
in
RECKIVED
upper left-hand corner of all copies of
CARD INDEX
declaration, immediately under your
INDEX BOOKS
AUG 1928
declaration number.
OF EXAMINER
DISTRICT DIRECTOR OF NATURALIZATION
MANIFESTS
MN SERVIOE
RECEIVEL
I desire to file my Declaration of Intention (first paper) to become a citizen.
AUG 28 1928
is the NO
Mr.
My name is
Mrs.
Paolo (Alien should print Vasington typewrite here tone, original, and correct ISTRICI
DIRECTOR age,
61
years.
or name)
(Give age last birthday)
My present occupation is Laborer
Miss
BOSTON, MASS.
DEP A RIMENT OF LABOR
My personal description is: Color, white complexion, dark
; height, 5 feet sifty inches;
weight, 135 pounds; color of hair,
;
color of eyes, Brown
;
other visible distinctive marks: main foundalifingn
I
was born in Ferlizzi (Cityor town) Bati
(Country)
on the 22 day of
June
Italy
1867
My
present residence is 23 Pond st Norwich NewLoudow bour
(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
napler
Italy
, on
The name of the ship or railroad on which I came was Saturnia
aug
3
1928
(Month)
(Day)
(Year)
My last place of foreign residence was wife (City or town) Bari
Jerliggo
(Country)
Italy
I am nowmanried. The name of my {
is
husband
angela Pellegrina He She
was born at
Terlizgi Bari Italy , and now resides at Terlizzi tertory Bari Italy
I
am
now a subject of and intend to renounce allegiance to King (Write name and title of Emanut sovereign and country of which 116 now a subject;
of Italy
Victor Emanuel III King. of Italy
or, if citizen of a republic, write name of republic only)
I arrived at the United States immigration port of
New (City town)
on August 1-8 14th 1928 and year)
york
Je
or
ny.
,
(State or terricory)
(Give exact month, day,
(OVER)
13
D/A
SEP 28 1928
Page data
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- Source index
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- Type
- photo
- Media ID
- 804d69ba4897ebf3
- Size
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Document data
- ID
- 159596813
- Core
- doc
- Type
- document
DTO data
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"ocrText": "age\nin\nbirth\nForm 2213\nnsible marking\nPRELIMINARY FORM FOR DECLARATION OF INTENTION TO BECOME A CITIZEN\n5460\nU. S. DEPARTMENT OF LABOR\nNOT TO BE FILLED IN BY ALIEN\nFOR USE OF OFFICIALS SEARCHING IMMI-\nNATURALIZATION SERVICE\nGRATION RECORDS\n1928\nCLERK OF COURT:\n49926\nRECORDS EXAMINED\nRATURALIZATION SERVICE\nPlace number\nin\nRECKIVED\nupper left-hand corner of all copies of\nCARD INDEX\ndeclaration, immediately under your\nINDEX BOOKS\nAUG 1928\ndeclaration number.\nOF EXAMINER\nDISTRICT DIRECTOR OF NATURALIZATION\nMANIFESTS\nMN SERVIOE\nRECEIVEL\nI desire to file my Declaration of Intention (first paper) to become a citizen.\nAUG 28 1928\nis the NO\nMr.\nMy name is\nMrs.\nPaolo (Alien should print Vasington typewrite here tone, original, and correct ISTRICI\nDIRECTOR age,\n61\nyears.\nor name)\n(Give age last birthday)\nMy present occupation is Laborer\nMiss\nBOSTON, MASS.\nDEP A RIMENT OF LABOR\nMy personal description is: Color, white complexion, dark\n; height, 5 feet sifty inches;\nweight, 135 pounds; color of hair,\n;\ncolor of eyes, Brown\n;\nother visible distinctive marks: main foundalifingn\nI\nwas born in Ferlizzi (Cityor town) Bati\n(Country)\non the 22 day of\nJune\nItaly\n1867\nMy\npresent residence is 23 Pond st Norwich NewLoudow bour\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\nnapler\nItaly\n, on\nThe name of the ship or railroad on which I came was Saturnia\naug\n3\n1928\n(Month)\n(Day)\n(Year)\nMy last place of foreign residence was wife (City or town) Bari\nJerliggo\n(Country)\nItaly\nI am nowmanried. The name of my {\nis\nhusband\nangela Pellegrina He She\nwas born at\nTerlizgi Bari Italy , and now resides at Terlizzi tertory Bari Italy\nI\nam\nnow a subject of and intend to renounce allegiance to King (Write name and title of Emanut sovereign and country of which 116 now a subject;\nof Italy\nVictor Emanuel III King. of Italy\nor, if citizen of a republic, write name of republic only)\nI arrived at the United States immigration port of\nNew (City town)\non August 1-8 14th 1928 and year)\nyork\nJe\nor\nny.\n,\n(State or terricory)\n(Give exact month, day,\n(OVER)\n13\nD/A\nSEP 28 1928"
}