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Form 2213
PRELIMINARY FORM FOR DECLARATION OF INTENTION TO BECOME A CITIZEN
5498
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:
48502
RECORDS EXAMINED
Place number
in
CARD INDEX
upper left-hand corner of all copies of
declaration, immediately under your
INDEX BOOKS
declaration number.
RATURALIZATION SERVICR
RECBIVEL
DISTRICT DIRECTOR OF NATURALIZATION
MANIFESTS
Gustar Angeles DISTRICI
JUL 5 1928
DIRECTOR
and
I desire to file my Declaration of Intention (fret Paper) to become a citizen.
Mr.
My name is
Mrs.
/
agustav (Alien should print or typewrite here Goae true, BUNN original, and OF correct lange control name) dabse,
JUL 3 1928
27
years.
àge last birthday)
Miss
My present occupation is Carpenter
8/2
My personal description is: Color, whiter complexion, light ; height, 5 feet 8 inches;
weight, 160 pounds; color of hair,
Bland color of eyes,
Blue
;
other visible distinctive marks:
macbsorder
I was born
in hours (City town) marfford
or
(Country) horway
My present on the residence 11 is 199 day of yealy schourst, new handom Conn
19.01
(Number and street)
(City or town)
(County)
The place where I took the ship or train which landed me in the United States was
Canada
,on
febr- (Month) (Day) 1928 (Year)
The name of the on on came
ship railroad which I
was Canadian pacific Raihou
My last place of foreign residence was
winipeg
mann
Canada
(City or town)
(Country)
wife
She
I am not married. The name of my
is
was born at
husband
He
, and now resides at
am now a subject of and intend to renounce allegiance to
King (Write name and aflaskon title of sovereign and country of which
now a subject;
or, if citizen
of of republic, write harway name of republic only) Haaker VAT, Ring of monway
I arrived at the United States immigration port of
Wills River (City or town) newport,
Vermank
, on
24 yuty at
(State or territory)
14-8
(Give exact month, day, and year)
(OVER)
march 2, 1928
DIA IASUED
JUL 26 1929
Page data
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Document data
- ID
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- Core
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- Type
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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\n5498\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:\n48502\nRECORDS EXAMINED\nPlace number\nin\nCARD INDEX\nupper left-hand corner of all copies of\ndeclaration, immediately under your\nINDEX BOOKS\ndeclaration number.\nRATURALIZATION SERVICR\nRECBIVEL\nDISTRICT DIRECTOR OF NATURALIZATION\nMANIFESTS\nGustar Angeles DISTRICI\nJUL 5 1928\nDIRECTOR\nand\nI desire to file my Declaration of Intention (fret Paper) to become a citizen.\nMr.\nMy name is\nMrs.\n/\nagustav (Alien should print or typewrite here Goae true, BUNN original, and OF correct lange control name) dabse,\nJUL 3 1928\n27\nyears.\nàge last birthday)\nMiss\nMy present occupation is Carpenter\n8/2\nMy personal description is: Color, whiter complexion, light ; height, 5 feet 8 inches;\nweight, 160 pounds; color of hair,\nBland color of eyes,\nBlue\n;\nother visible distinctive marks:\nmacbsorder\nI was born\nin hours (City town) marfford\nor\n(Country) horway\nMy present on the residence 11 is 199 day of yealy schourst, new handom Conn\n19.01\n(Number and street)\n(City or town)\n(County)\nThe place where I took the ship or train which landed me in the United States was\nCanada\n,on\nfebr- (Month) (Day) 1928 (Year)\nThe name of the on on came\nship railroad which I\nwas Canadian pacific Raihou\nMy last place of foreign residence was\nwinipeg\nmann\nCanada\n(City or town)\n(Country)\nwife\nShe\nI am not married. The name of my\nis\nwas born at\nhusband\nHe\n, and now resides at\nam now a subject of and intend to renounce allegiance to\nKing (Write name and aflaskon title of sovereign and country of which\nnow a subject;\nor, if citizen\nof of republic, write harway name of republic only) Haaker VAT, Ring of monway\nI arrived at the United States immigration port of\nWills River (City or town) newport,\nVermank\n, on\n24 yuty at\n(State or territory)\n14-8\n(Give exact month, day, and year)\n(OVER)\nmarch 2, 1928\nDIA IASUED\nJUL 26 1929"
}