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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 5484 NOT TO BE FILLED IN BY ALIEN U. S. DEPARTMENT OF LABOR 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. ; age, 49 (Alien should print or tynewrite here tru roriginal, years. My present occupation Miss is and correct name) (Give age last birthday) My personal description is: Color, halite Dark ; complexion, weight, 140 pounds; color of hair, Bearts Dark color of eyes, brown tagen ; height, 5xx feet X inches; ; other visible distinctive marks: none I was born in Keir, t Russia (City or town) (Country) on the 15 th of november 1 878, My present residence is (Number and street) (City or town) newbounday (County) (State) born. 149Howard St, neurondon, The place where I took the ship or train which landed me in the United States was trohtrainatteen, tookship at Behava on October 15th 1911, (Month) (Day) The of the ship railroad which came was Bretona Bierma (Year) name or on I My last place of forgign residence was kew Russia. window (City or town) (Country) I am a { wife married. The name of my } is none She husband was born at Kew Russia is , and now Dead He 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 new York, n.y. new York (City or town) , on actr 2 8 the 1911 about (State or territory) 14-8 (Give exact month, day, and year) (OVER)

Page data

Page
1243
Source index
0
Type
photo
Media ID
8db691854c7b23e8
Size
unknown

Document data

ID
159596813
Core
doc
Type
document
DTO data 
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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\n5484\nNOT TO BE FILLED IN BY ALIEN\nU. S. DEPARTMENT OF LABOR\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; age,\n49\n(Alien should print or tynewrite here tru roriginal,\nyears.\nMy\npresent occupation Miss is\nand correct name)\n(Give age last birthday)\nMy personal description is: Color, halite\nDark\n;\ncomplexion,\nweight, 140 pounds; color of hair, Bearts Dark color of eyes, brown\ntagen\n; height, 5xx feet X inches;\n;\nother visible distinctive marks: none\nI was born in\nKeir,\nt Russia\n(City or town)\n(Country)\non the\n15 th of\nnovember\n1 878,\nMy present residence is (Number and street) (City or town) newbounday (County) (State) born.\n149Howard St,\nneurondon,\nThe place where I took the ship or train which landed me in the United States was trohtrainatteen,\ntookship at Behava\non\nOctober 15th 1911,\n(Month)\n(Day)\nThe of the ship railroad which came was Bretona Bierma\n(Year)\nname or on I\nMy last place of forgign residence was\nkew\nRussia.\nwindow\n(City or town)\n(Country)\nI am\na\n{\nwife\nmarried. The name of my\n}\nis\nnone\nShe\nhusband\nwas born at\nKew Russia\nis\n, and now\nDead\nHe\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\nnew York,\nn.y.\nnew York\n(City or town)\n, on\nactr 2 8 the 1911 about\n(State or territory)\n14-8\n(Give exact month, day, and year)\n(OVER)"
}