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Form 2213
PRELIMINARY FORM FOR DECLARATION OF INTENTION TO BECOME A CITIZEN
4965
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
(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.
Ginseppe typewrite Grills true, original,
; age,
36
years.
Migg
(Alien should print here and correct
or 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
Ginseppe Grillo
My mother's maiden name was Francesca
My maiden name was (if woman)
My present occcupation is Laborer
My personal description is: Color, white complexion, dark ; height, 5 feet X/2 inches;
for
5-14
weight, 145 pounds; color of hair, Brown
; color
of gray eyes, brown
;
other visible distinctive marks: on right + over his
I was born in Jusa, messiva
right part of the top ot the these
(City of town)
(Country)
Italy
on the
10 day of
My present residence is 8 spring (Number and street) at Norwich (City or town) - New London (County) (State) Form
Sept
1 890
My post office address is
by
n
n
as
4
The place where I took the ship train which landed in the United States at naples
or me was
Italy
, on
19
(Month)
March (Day) (Year) 1909
The ticket on which I came to this country was bought at
Jusa
(City)
Italy
(Country)
The name of the ship or railroad on which I came was Lloyd Naliana
(OVER)
c14- -8
Page data
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Document data
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- Core
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"ocrText": "Form 2213\nPRELIMINARY FORM FOR DECLARATION OF INTENTION TO BECOME A CITIZEN\n4965\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\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.\nGinseppe typewrite Grills true, original,\n; age,\n36\nyears.\nMigg\n(Alien should print here and correct\nor 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\nGinseppe Grillo\nMy mother's maiden name was Francesca\nMy maiden name was (if woman)\nMy present occcupation is Laborer\nMy personal description is: Color, white complexion, dark ; height, 5 feet X/2 inches;\nfor\n5-14\nweight, 145 pounds; color of hair, Brown\n; color\nof gray eyes, brown\n;\nother visible distinctive marks: on right + over his\nI was born in Jusa, messiva\nright part of the top ot the these\n(City of town)\n(Country)\nItaly\non the\n10 day of\nMy present residence is 8 spring (Number and street) at Norwich (City or town) - New London (County) (State) Form\nSept\n1 890\nMy post office address is\nby\nn\nn\nas\n4\nThe place where I took the ship train which landed in the United States at naples\nor me was\nItaly\n, on\n19\n(Month)\nMarch (Day) (Year) 1909\nThe ticket on which I came to this country was bought at\nJusa\n(City)\nItaly\n(Country)\nThe name of the ship or railroad on which I came was Lloyd Naliana\n(OVER)\nc14- -8"
}