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Form 2213 27/29-7126 / PRELIMINARY FORM FOR DECLARATION OF INTENTION TO BECOME A CITIZEN 4968 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: NATURALIZATION SERVION RECORDS EXAMINED RECEIVED 27473 Place number In CARD INDEX 1927 upper left-hand corner of all copies of DEC 14 1926 declaration, immediately under your INDEX BOOKS declaration number. OFFICE OF EXAMINER ANTERALIZATION SERVIOR NEW HAVEN, CONN. DEPARTMENZ OF LABOR ROCEIV DISTRICT DIRECTOR OF NATURALIZATION. MANIFESTS DD DEC 15 1926 CERTIFICATE OF (NOTE TO CLERK OF COURT.-To guide you in preparing the Declaration: The black face lineston this form contain statements in the regular order as they are to appear on the Declaration of Intention.) JSLAND, N.X. I desire to file my Declaration of Intention (first paper) to become a citizen. Mr. maria My name is Mrs. Mary Magic ; age, 26- 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 1 The full name of the person shown on my steamship ticket was Maria Magic My mother's maiden name was Maria sanker. My maiden name was (if woman) My present occcupation is VelorA warper My personal description is: Color, white ; complexion, dark ; height, 5 feet 2/2 inches; weight, 126 pounds; color of hair dark brown black ; color of eyes, gity other visible distinctive marks: ALONG stenoight side of wuck I born Morr was in Germany (City or town) (Country on the 10 day of April , 1900 My present residence is 19 Bay View Ar. Stomington two London bown (Number and street) (City or toyn) (County) (State) My post office address is 19 Bay Virun Armune Stomington. bome The place where I took the ship or train me which landed in the United States was Rottidene. Mraland May 24 1922 , on (Month (Day) (Year) The ticket on which I came to this country was bought at Cologue. Survey (City) (Country) The name of the ship or on came was railroad which I Noodam 6/3/22 (OVER) C14-8

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    "ocrText": "Form 2213\n27/29-7126\n/\nPRELIMINARY FORM FOR DECLARATION OF INTENTION TO BECOME A CITIZEN\n4968\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:\nNATURALIZATION SERVION\nRECORDS EXAMINED\nRECEIVED\n27473\nPlace number\nIn\nCARD INDEX 1927\nupper left-hand corner of all copies of\nDEC 14 1926\ndeclaration, immediately under your\nINDEX BOOKS\ndeclaration number.\nOFFICE OF EXAMINER ANTERALIZATION SERVIOR\nNEW HAVEN, CONN.\nDEPARTMENZ OF LABOR\nROCEIV\nDISTRICT DIRECTOR OF NATURALIZATION.\nMANIFESTS\nDD\nDEC 15 1926\nCERTIFICATE OF\n(NOTE TO CLERK OF COURT.-To guide you in preparing the Declaration: The black face lineston this form contain statements\nin the regular order as they are to appear on the Declaration of Intention.)\nJSLAND, N.X.\nI desire to file my Declaration of Intention (first paper) to become a citizen.\nMr.\nmaria\nMy name is\nMrs.\nMary Magic\n; age,\n26-\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\n1\nThe full name of the person shown on my steamship ticket was Maria Magic\nMy mother's maiden name was Maria sanker.\nMy maiden name was (if woman)\nMy present occcupation\nis VelorA warper\nMy personal description is: Color, white ; complexion, dark ; height, 5 feet 2/2 inches;\nweight, 126 pounds; color of hair dark brown black ; color of eyes, gity\nother visible distinctive marks: ALONG stenoight side of wuck\nI born Morr\nwas in\nGermany\n(City or town)\n(Country\non the 10\nday of April\n, 1900\nMy present residence is\n19 Bay View Ar.\nStomington\ntwo London bown\n(Number and street)\n(City or toyn)\n(County)\n(State)\nMy post office address is 19 Bay Virun Armune Stomington. bome\nThe place where I took the ship or train me\nwhich landed in the United States was Rottidene. Mraland\nMay\n24\n1922\n, on\n(Month\n(Day)\n(Year)\nThe ticket on which I came to this country was bought at\nCologue.\nSurvey\n(City)\n(Country)\nThe name of the ship or on came was\nrailroad which I Noodam\n6/3/22\n(OVER)\nC14-8"
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