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Form 2213 PRELIMINARY FORM FOR DECLARATION OF INTENTION TO BECOME A CITIZEN 4979 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 (first paper) to become a citizen. Mr. My name is STANLEY TRASKO ; age, 31 years. (Alien should print or typewrite here true, original, and correct name) (Give age last birthday) Also known as none (If alien has used any other name in this country, that name should be shown here) I used that because none name The full name of the person shown on my steamship tickot was My mother's maiden name wast My maiden name was (if woman) My present occcupation is Velvet Weaver My personal description is: Color White ; complexion, fair 71/2 ; height; 5 feet 8 inches; weight, 189 Brown brown was born in Survalhi Pusita, now Russia Poland other distinctive marks: Has my night visible american blg pounds; color American of fallood hair. ack on fright ; color of eyes, hand ; I (City or town) (Country) on the 24 day of December 1895 My present residence is Box154 Hunters supprite, newLonders Com arenovich My post office address is R. 7.WH4 (Number and street) (City, town) new London County) Com (State) nounch or The where D took the or train which landed me in the was place ship antwerhs Finland Belgian) name fairly name , on march 20th 1910 (Month) (Day) (Year) The ticket on which I came to this country was bought at (City) (Country) The name of the ship or railroad on which I came was Zinland (OVER) Belgian c14-8

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    "ocrText": "Form 2213\nPRELIMINARY FORM FOR DECLARATION OF INTENTION TO BECOME A CITIZEN\n4979\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 (first paper) to become a citizen.\nMr.\nMy name is\nSTANLEY TRASKO\n;\nage, 31\nyears.\n(Alien should print or typewrite here true, original, and correct name)\n(Give age last birthday)\nAlso known as\nnone\n(If alien has used any other name in this country, that name should be shown here)\nI used that because none\nname\nThe full name of the person shown on my steamship tickot was\nMy mother's maiden name wast\nMy maiden name was (if woman)\nMy present occcupation is Velvet Weaver\nMy personal description is: Color White ; complexion, fair\n71/2\n; height; 5\nfeet 8 inches;\nweight, 189 Brown\nbrown\nwas born in Survalhi Pusita, now Russia Poland\nother distinctive marks: Has my night\nvisible american blg pounds; color American of fallood hair. ack on fright ; color of eyes, hand\n;\nI\n(City or town)\n(Country)\non the\n24 day of December 1895\nMy present residence is Box154 Hunters supprite, newLonders Com\narenovich\nMy post office address is R. 7.WH4 (Number and street) (City, town) new London County) Com (State)\nnounch\nor\nThe where D took the or train which landed me in the was\nplace ship antwerhs\nFinland Belgian)\nname fairly name\n, on\nmarch 20th 1910\n(Month)\n(Day)\n(Year)\nThe ticket on which I came to this country was bought at\n(City)\n(Country)\nThe name of the ship or railroad on which I came was Zinland (OVER) Belgian\nc14-8"
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