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Form 2213 PRELIMINARY FORM FOR DECLARATION OF INTENTION TO BECOME A CITIZEN 5490 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 NOV if 1928 I desire to file my Declaration of Intention (first paper) to become a citizen. Mr. My name is Mrs. Luiz PEREIRA ; age, 40 years. (Alien Should print or typewrite here true, original, and correct name) (Give age last birthday) Miss My present occupation is B Baker My personal description is: Color, White; complexion, Hair 11/4 ; height, 5 feet 4 inches; weight, 165 pounds; color of hair, Dark Brown color of eyes, Brown. ; other visible distinctive marks: Scard on and on I was born in Leica Leiteia brothern chin Postugal (City or town) (Country) on the 9 day of march 1888 My present residence is water Street Storming ton new London, Conns. (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 Lisboa Lisbon , on agort 21 1915 (Month) (Day) (Year) The name of the ship or railroad on which I came was Roma My last place of foreign residence was Leeria Leireia Portugal (City or town) (Country) 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 (Write name and titla OI sovereign and country of which now a subject; Portugal or, if citizen of a republic, write name of republic only) I arrived at the United States immigration port of Providence (City or town) R.L. , on sept / 1915 (State or territory) 14-8 (Give exact month, day, and year) (OVER)

Page data

Page
1255
Source index
0
Type
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Media ID
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Size
unknown

Document data

ID
159596813
Core
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Type
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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\n5490\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\nNOV if 1928\nI desire to file my Declaration of Intention (first paper) to become a citizen.\nMr.\nMy name is\nMrs.\nLuiz PEREIRA\n; age, 40\nyears.\n(Alien Should print or typewrite here true, original, and correct name)\n(Give age last birthday)\nMiss\nMy present\noccupation is B Baker\nMy personal description is: Color, White; complexion, Hair\n11/4\n; height, 5 feet 4 inches;\nweight, 165 pounds; color of hair, Dark Brown color of eyes, Brown.\n;\nother visible distinctive marks:\nScard on and on\nI was born in Leica Leiteia brothern chin\nPostugal\n(City or town)\n(Country)\non\nthe 9\nday\nof march\n1888\nMy present residence is water Street\nStorming ton new London, Conns.\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\nLisboa\nLisbon\n, on\nagort\n21\n1915\n(Month)\n(Day)\n(Year)\nThe name of the ship or railroad on which I came was\nRoma\nMy last place of foreign residence was Leeria Leireia\nPortugal\n(City or town)\n(Country)\nI am not married. The name of my\n{\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\n(Write name and titla OI sovereign and country of which now a subject;\nPortugal\nor, if citizen of a republic, write name of republic only)\nI arrived at the United States immigration port of\nProvidence\n(City or town)\nR.L.\n,\non\nsept /\n1915\n(State or territory)\n14-8\n(Give exact month, day, and year)\n(OVER)"
}