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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
- photo
- Media ID
- 69aa663770f70130
- 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\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)"
}