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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 4938 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 CARD INDEX upper left-hand corner of all copies of declaration, immediately under your INDEX BOOKS declaration number. DISTRICT DIRECTOR OF NATURALIZATION. MANIFESTS (NOTE TO CLERK OF COURT.-To guide you in preparing the Declaration: The black face lines on this form contain statements in the regular order as they are to appear on the Declaration of Intention.) I desire to file my Declaration of Intention (first paper) to become a citizen. Mr. My name is Mrs. ) MoRRis name) age, 36 years. Miss (Alien should Mint or typewrite here true, original, and correel (Give age last birthday) Also known as (If alien has used, any other name in this count y, that name should be shown here) morris Bobsold I used that name because Hard to Pronounce The full name of the person shown on my steamship ticket was Bucoveshy My mother S maiden name was, My maiden name was (if woman) My present occcupation is Tailor My personal description is: Color, relite complexion, fair ; height, 5 3th feet inches; weight, 170 pounds; color of hair, Black ; color of eyes, Brown ; other visible distinctive marks: I was for born in and middle Kovlangurs none introfright Russia (City or town) (Counter) on the 28 day of Juitty 188990 My present residence is 287 (Munker and street) norwial Com (City or town) (County) (State) My post office address is The place or me where I took the ship train which landed in the United States was Germany Jan Hambey , on 1st. 1903 (Day) (Year) The ticket on which I came to this country was bought at The name of the ship or railroad on which I came was Pitoria (City) Pritoria (Country) (OVER) 014-8

Page data

Page
127
Source index
0
Type
photo
Media ID
123500795017c53b
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\n4938\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\nCARD INDEX\nupper left-hand corner of all copies of\ndeclaration, immediately under your\nINDEX BOOKS\ndeclaration number.\nDISTRICT DIRECTOR OF NATURALIZATION.\nMANIFESTS\n(NOTE TO CLERK OF COURT.-To guide you in preparing the Declaration: The black face lines on this form contain statements\nin the regular order as they are to appear on the Declaration of Intention.)\nI desire to file my Declaration of Intention (first paper) to become a citizen.\nMr.\nMy name is\nMrs.\n)\nMoRRis name)\nage,\n36\nyears.\nMiss\n(Alien should Mint or typewrite here true, original, and correel\n(Give age last birthday)\nAlso known as\n(If alien has used, any other name in this count y, that name should be shown here)\nmorris Bobsold\nI used that name because\nHard to Pronounce\nThe full name of the person shown on my steamship ticket was\nBucoveshy\nMy mother S maiden name was,\nMy maiden name was (if woman)\nMy present occcupation is\nTailor\nMy personal description is: Color, relite complexion, fair ; height, 5 3th\nfeet inches;\nweight, 170 pounds; color of hair, Black ; color of eyes, Brown\n;\nother visible distinctive marks:\nI was\nfor born in and middle Kovlangurs\nnone introfright\nRussia\n(City or town)\n(Counter)\non the 28\nday of\nJuitty\n188990\nMy present residence is 287 (Munker and street)\nnorwial Com\n(City or town)\n(County)\n(State)\nMy post office address is\nThe place or me\nwhere I took the ship train which landed in the United States was\nGermany\nJan\nHambey\n, on\n1st. 1903\n(Day)\n(Year)\nThe ticket on which I came to this country was bought at\nThe name of the ship or railroad on which I came was\nPitoria (City) Pritoria (Country)\n(OVER)\n014-8"
}