Ask the Scholar
Page 271 of 1298
I can add historical knowledge about this page.
Page image
OCR
Form 2213
PRELIMINARY FORM FOR DECLARATION OF INTENTION TO BECOME A CITIZEN
5010
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
I desire to file my Declaration of Intention (first paper) to become a citizen.
Mr.
My name is
Mrs.
}
PAULINE Sysylas WAMbRych
; age,
33
years.
(Alien should print pr typevrite here true, original, and correct name
(Give age last birthday)
My present
My personal description is: Color, White ; complexion, lightfuir ; height, 5 feet 21/2 inches;
occupation is Galmar Bult C prachineoperator
weight,
115 pounds; color of hair. Bumnlte alkbrown ; color of eyes, Hagel
;
other visible distinctive marks: narrow Tracs none now
I was born in
Termback
Galicia, Paland
(City or town)
(Country)
TX
on the
23rd day of
may
1892.
My present residence is 338 main (Number and street) St. nawhondou (City or town) newLoudon (County) (State) Comm.
The place where I took the ship or train which landed me in the United States was
deterdam
Holland
,
on august 23rd 1906
(Month)
(Day)
(Year)
The name of the ship or railroad on which I came was Columbia
sach
My last place of foreign residence was
Tembark
(City or town)
(Country)
wife
She
I am
married.
The name of my
is
was born at
hushand
He
C and now resides at 338 mainest.
I am now a subject of and intend to renounce allegiance to
Galand.
(Write name and title of sovereign and country of which now a subject;
or, if citizen of a republic, write name of republic only)
I
arrived at the United States immigration port of
have H of (City or town)
Piter
,
(State or territory)
on august 14-8 (Give exact 30 month, X day, and 1906 year)
(OVER)
Page data
- Page
- 271
- Source index
- 0
- Type
- photo
- Media ID
- dc309e87156b800f
- Size
- unknown
Document data
- ID
- 159596813
- Core
- doc
- Type
- document
DTO data
{
"id": "159596813",
"sourceUrl": "https://catalog.archives.gov/id/159596813",
"contentType": "document",
"title": "File numbers 4874 - 5509, 1926-1930",
"citationUrl": "https://catalog.archives.gov/id/159596813",
"collections": [
"Naturalization Records of Non-Federal Courts in Connecticut",
"Applications for Declaration of Intention"
],
"iiifBase": "https://s3.amazonaws.com/NARAprodstorage/lz/partnerships-0002/18-0177_US-MA/18-0177_US-MA_21/18-0177_US-MA_-4526886-CTN-Applications-for-Declaration-of--1926-1930/18-0177_US-MA_-4526886-CTN-Applications-for-Declaration-of--1926-1930_00001.jpg",
"thumbnailUrl": "https://s3.amazonaws.com/NARAprodstorage/lz/partnerships-0002/18-0177_US-MA/18-0177_US-MA_21/18-0177_US-MA_-4526886-CTN-Applications-for-Declaration-of--1926-1930/18-0177_US-MA_-4526886-CTN-Applications-for-Declaration-of--1926-1930_00001.jpg",
"largeImageUrl": "https://s3.amazonaws.com/NARAprodstorage/lz/partnerships-0002/18-0177_US-MA/18-0177_US-MA_21/18-0177_US-MA_-4526886-CTN-Applications-for-Declaration-of--1926-1930/18-0177_US-MA_-4526886-CTN-Applications-for-Declaration-of--1926-1930_00001.jpg",
"imageCount": 1298,
"hasImages": true,
"source": "import",
"hasTranscription": false
}
Context sent to Scholar
Document identity
{
"localId": "159596813",
"label": "File numbers 4874 - 5509, 1926-1930",
"core": "doc",
"dtoType": "document",
"citationUrl": "https://catalog.archives.gov/id/159596813"
}
Document source metadata
{
"id": "159596813",
"sourceUrl": "https://catalog.archives.gov/id/159596813",
"contentType": "document",
"title": "File numbers 4874 - 5509, 1926-1930",
"citationUrl": "https://catalog.archives.gov/id/159596813",
"collections": [
"Naturalization Records of Non-Federal Courts in Connecticut",
"Applications for Declaration of Intention"
],
"iiifBase": "https://s3.amazonaws.com/NARAprodstorage/lz/partnerships-0002/18-0177_US-MA/18-0177_US-MA_21/18-0177_US-MA_-4526886-CTN-Applications-for-Declaration-of--1926-1930/18-0177_US-MA_-4526886-CTN-Applications-for-Declaration-of--1926-1930_00001.jpg",
"thumbnailUrl": "https://s3.amazonaws.com/NARAprodstorage/lz/partnerships-0002/18-0177_US-MA/18-0177_US-MA_21/18-0177_US-MA_-4526886-CTN-Applications-for-Declaration-of--1926-1930/18-0177_US-MA_-4526886-CTN-Applications-for-Declaration-of--1926-1930_00001.jpg",
"largeImageUrl": "https://s3.amazonaws.com/NARAprodstorage/lz/partnerships-0002/18-0177_US-MA/18-0177_US-MA_21/18-0177_US-MA_-4526886-CTN-Applications-for-Declaration-of--1926-1930/18-0177_US-MA_-4526886-CTN-Applications-for-Declaration-of--1926-1930_00001.jpg",
"imageCount": 1298,
"hasImages": true,
"source": "import",
"hasTranscription": false
}
Document source extras
{
"url": "https://catalog.archives.gov/id/159596813",
"naId": 159596813,
"levelOfDescription": "fileUnit",
"onlineResources": [
{
"description": "FamilySearch",
"note": "This file was scanned as part of a collaboration effort between FamilySearch and the National Archives.",
"url": "https://www.familysearch.org/search/catalog/results?count=20&query=%2Bkeywords%3A4526886%20%2Bkeywords%3ANational%20%2Bkeywords%3AArchives"
}
],
"recordType": "description",
"ocrSource": "nara-archive"
}
Page context
{
"seq": 271,
"pageIndex": 0,
"type": "photo",
"url": "https://s3.amazonaws.com/NARAprodstorage/lz/partnerships-0002/18-0177_US-MA/18-0177_US-MA_21/18-0177_US-MA_-4526886-CTN-Applications-for-Declaration-of--1926-1930/18-0177_US-MA_-4526886-CTN-Applications-for-Declaration-of--1926-1930_00271.jpg",
"mediaId": "dc309e87156b800f",
"ocrText": "Form 2213\nPRELIMINARY FORM FOR DECLARATION OF INTENTION TO BECOME A CITIZEN\n5010\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\nI desire to file my Declaration of Intention (first paper) to become a citizen.\nMr.\nMy name is\nMrs.\n}\nPAULINE Sysylas WAMbRych\n; age,\n33\nyears.\n(Alien should print pr typevrite here true, original, and correct name\n(Give age last birthday)\nMy present\nMy personal description is: Color, White ; complexion, lightfuir ; height, 5 feet 21/2 inches;\noccupation is Galmar Bult C prachineoperator\nweight,\n115 pounds; color of hair. Bumnlte alkbrown ; color of eyes, Hagel\n;\nother visible distinctive marks: narrow Tracs none now\nI was born in\nTermback\nGalicia, Paland\n(City or town)\n(Country)\nTX\non the\n23rd day of\nmay\n1892.\nMy present residence is 338 main (Number and street) St. nawhondou (City or town) newLoudon (County) (State) Comm.\nThe place where I took the ship or train which landed me in the United States was\ndeterdam\nHolland\n,\non august 23rd 1906\n(Month)\n(Day)\n(Year)\nThe name of the ship or railroad on which I came was Columbia\nsach\nMy last place of foreign residence was\nTembark\n(City or town)\n(Country)\nwife\nShe\nI am\nmarried.\nThe name of my\nis\nwas born at\nhushand\nHe\nC and now resides at 338 mainest.\nI am now a subject of and intend to renounce allegiance to\nGaland.\n(Write name and title of sovereign and country of which now a subject;\nor, if citizen of a republic, write name of republic only)\nI\narrived at the United States immigration port of\nhave H of (City or town)\nPiter\n,\n(State or territory)\non august 14-8 (Give exact 30 month, X day, and 1906 year)\n(OVER)"
}