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Form 2213
PRELIMINARY FORM FOR DECLARATION OF INTENTION TO BECOME A CITIZEN
5486
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
upper left-hand corner of all copies of
CARD INDEX
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
}
m Frank Kuannewska
; age,
35
years.
(Alien should print or typewrite here true, original, and correct name)
(Give age last birthday)
My present occupation is granding briver
My personal description is: Color, White: complexion, light ; height, 5 feet
614
4 inches;
weight, 167 pounds; color of hair, black burns color of eyes, there hazel
other visible distinctive marks: none
I was born in
Town of (City Obiervia town)
Paland
or
(Country)
on
the 4
day of
October
1893
My present residence is 67 myers Owe norwich new London Conn.
(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
Hamburg Germany
, on June (Month)
16
1913
(Day)
(Year)
The name of the ship or railroad on which I came
was Paetonia
My
last place of foreign residence was Obrerivia Paland
(City or town)
(Country)
wife
is many Kwasniewsha
She
I am yes married. The name of my
was born at
husband
He
and now resides at 67 myens are
I am now a subject of and intend to renounce allegiance to
Paland
(Write name and title of sovereign and country of which now a subject;
or, if citizen of a republic, write name
I arrived at the United States immigration port
of republic only) of Ellis Island
(City or town)
, on
(State or territory)
July 14-8 (Give 4, exact month, 1913 day, and
year)
(OVER)
Page data
- Page
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- Source index
- 0
- Type
- photo
- Media ID
- ba69f42088247376
- 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\n5486\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\nupper left-hand corner of all copies of\nCARD INDEX\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}\nm Frank Kuannewska\n; age,\n35\nyears.\n(Alien should print or typewrite here true, original, and correct name)\n(Give age last birthday)\nMy present occupation is granding briver\nMy personal description is: Color, White: complexion, light ; height, 5 feet\n614\n4 inches;\nweight, 167 pounds; color of hair, black burns color of eyes, there hazel\nother visible distinctive marks: none\nI was born in\nTown of (City Obiervia town)\nPaland\nor\n(Country)\non\nthe 4\nday of\nOctober\n1893\nMy present residence is 67 myers Owe norwich new London Conn.\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\nHamburg Germany\n, on June (Month)\n16\n1913\n(Day)\n(Year)\nThe name of the ship or railroad on which I came\nwas Paetonia\nMy\nlast place of foreign residence was Obrerivia Paland\n(City or town)\n(Country)\nwife\nis many Kwasniewsha\nShe\nI am yes married. The name of my\nwas born at\nhusband\nHe\nand now resides at 67 myens are\nI am now a subject of and intend to renounce allegiance to\nPaland\n(Write name and title of sovereign and country of which now a subject;\nor, if citizen of a republic, write name\nI arrived at the United States immigration port\nof republic only) of Ellis Island\n(City or town)\n, on\n(State or territory)\nJuly 14-8 (Give 4, exact month, 1913 day, and\nyear)\n(OVER)"
}