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File numbers 4874 - 5509, 1926-1930

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Form 2218 PRELIMINARY FORM FOR DECLARATION OF INTENTION TO BECOME A CITIZEN 4959 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. Mrs. Franciska Sudik ; age, 32 years. Miss (Alien should print or typewrite here true, original, and correct name) (Give age last birthday) Also known as (If alien has used any other name in this country, that name should be shown here) I used that name because The full name of the person shown on my steamship ticket was My mother's maiden name was Rozalia Stankiering My maiden name was (if woman) Franciska gesmont My present occcupation is My personal description is: Color, white ; complexion, fair House beeping wife weight, 152 pounds; color of hair, browth ; height, 5 feet 43/4 inches; ; other visible distinctive marks: I was born in Poland Survalki Puscission Poland none color of eyes, gray (City or town) (Country) present on the residence is day 36 (Number Convent Jann, and street) ary (City the Morwich , (County) new Sondon (State) Corn 6 of 187595 My or town) My post office address is The plage where I took the ship or train which landed me in the United States was revier pool Liverpool, England on mau 8 1901 (Month) (Day) (Year) The ticket on which I came to this country was bought at The name or on I came of the ship railroad which was (Donot Kaows (City) [Country) (OVER) c14--8

Page data

Page
169
Source index
0
Type
photo
Media ID
d578d6515ada6c5f
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 2218\nPRELIMINARY FORM FOR DECLARATION OF INTENTION TO BECOME A CITIZEN\n4959\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.\nMrs. Franciska Sudik\n; age,\n32\nyears.\nMiss\n(Alien should print or typewrite here true, original, and correct name)\n(Give age last birthday)\nAlso known as\n(If alien has used any other name in this country, that name should be shown here)\nI used that name because\nThe full name of the person shown on my steamship ticket was\nMy mother's maiden name was\nRozalia Stankiering\nMy maiden name was (if woman)\nFranciska gesmont\nMy present occcupation is\nMy personal description is: Color, white ; complexion, fair\nHouse beeping wife\nweight, 152 pounds; color of hair, browth\n; height, 5 feet 43/4 inches;\n;\nother visible distinctive marks:\nI was born in\nPoland Survalki Puscission Poland\nnone\ncolor of eyes, gray\n(City or town)\n(Country)\npresent on the residence is day 36 (Number Convent Jann, and street) ary (City the Morwich , (County) new Sondon (State) Corn\n6\nof\n187595\nMy\nor town)\nMy post office address is\nThe plage where I took the ship or train which\nlanded me in the United States was revier pool\nLiverpool, England on\nmau\n8 1901\n(Month)\n(Day)\n(Year)\nThe ticket on which I came to this country was bought at\nThe name or on I came\nof the ship railroad which was (Donot Kaows (City) [Country)\n(OVER)\nc14--8"
}