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Form 2218
PRELIMINARY FORM FOR DECLARATION OF INTENTION TO BECOME A CITIZEN
5000
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
Mrso
Odisseassakellaridis
41-
; age,
years.
Miss
(Alien should print or typewrite here true, original, and correct name)
(Give age last birthday)
Also known as
ulysses Sakillaridis
(If
alin has used any other name in this country, that name should be shown here)
I
used that name because it is a translation of the English
The full name person my steamship was
of the shown on ticket Odisseas Sakellarides
My mother's maiden name was Panajotta
My maiden name was (if woman) mm
My present occcupation is Restaurant
1 1/2
My personal description is: Color, white complexion, dark
; height, 5 feet inches;
weight, 120 pounds; color of hair, A
darkBrown
;
color of eyes, Brown
;
other visible distinctive marks: none
I was born in
Vrulia
(City or town)
sparta, (Country) Greece.
on the
9th day of
September
1885
My present residence is 93 Boswell are Norwich newLondon born
(Number and street)
(City or town)
(County)
(State)
My post office address is 93 Boswell are New London, bome
Norwich
The place where I took the or train which landed me in the United States was Patras
ship
Greece
, on about march (Day) 22 1914
(Month)
(Year)
The ticket which I to this country bought sparta (City) Siece (Country)
on came was at
The name or on came
of the ship railroad which I was Gaconia
(OVER)
c14-8
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"ocrText": "Form 2218\nPRELIMINARY FORM FOR DECLARATION OF INTENTION TO BECOME A CITIZEN\n5000\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\nMrso\nOdisseassakellaridis\n41-\n; age,\nyears.\nMiss\n(Alien should print or typewrite here true, original, and correct name)\n(Give age last birthday)\nAlso known as\nulysses Sakillaridis\n(If\nalin has used any other name in this country, that name should be shown here)\nI\nused that name because it is a translation of the English\nThe full name person my steamship was\nof the shown on ticket Odisseas Sakellarides\nMy mother's maiden name was Panajotta\nMy maiden name was (if woman) mm\nMy present occcupation is Restaurant\n1 1/2\nMy personal description is: Color, white complexion, dark\n; height, 5 feet inches;\nweight, 120 pounds; color of hair, A\ndarkBrown\n;\ncolor of eyes, Brown\n;\nother visible distinctive marks: none\nI was born in\nVrulia\n(City or town)\nsparta, (Country) Greece.\non the\n9th day of\nSeptember\n1885\nMy present residence is 93 Boswell are Norwich newLondon born\n(Number and street)\n(City or town)\n(County)\n(State)\nMy post office address is 93 Boswell are New London, bome\nNorwich\nThe place where I took the or train which landed me in the United States was Patras\nship\nGreece\n, on about march (Day) 22 1914\n(Month)\n(Year)\nThe ticket which I to this country bought sparta (City) Siece (Country)\non came was at\nThe name or on came\nof the ship railroad which I was Gaconia\n(OVER)\nc14-8"
}