Museado / NARA Collection ctn — Collection ctn
Recent Folios
Login Register
English español (Spanish) magyar (Hungarian) हिन्दी (Hindi)

Survos folio page chat

File numbers 4874 - 5509, 1926-1930

Ask the Scholar

Page 295 of 1298
I can add historical knowledge about this page.

Page image

Page 295

OCR

Form 2213 PRELIMINARY FORM FOR DECLARATION OF INTENTION TO BECOME A CITIZEN 5022 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 I desire to file my Declaration of Intention (first paper) to become a citizen. Mr. My name is Mrs. Dora (Alien should Julia print or typewrite here true, Safeworty original, and correct name) ; age, 2222 years. Miss (Give age last birthday) My present occupation is My personal description is: Color, white; complexion, fair operator m organifactory ; height, 5 feet 1 1/2 inches; weight, pounds; none ; eyes, gray 130 color of hair, darkform color of ; other visible distinctive marks: I was born in Kupsiki Russia (City or town) (Country) on the may day of 17 , 1904 My present residence is 28 maple St. Morevich Comm (Number and street) (City or town) (County) (State) The place where I took the ship or train which landed me in the United States was Libon, Russia , on Oct. 1st y 1910 (Month) (Day) (Year) The name of the ship or railroad on which I came was Kursk My last place of foreign residence was said A Kupsiki Russia (City or town) (Country) I am not married. The name of my wife She is was born at husband He , and now resides at I am now a subject of and intend to renounce allegiance to the State (Write and title of sovereign of and Russia country of which name now a subject; I arrived at the United States immigration port of selinfact or, if citizen of a republic, write name of republic only) (City or town) new Yorkhity on Oct 10, 1910. , (State or territory) 14-8 (Give exact month, day, and year) (OVER)

Page data

Page
295
Source index
0
Type
photo
Media ID
d48a1adf65640d67
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": 295,
    "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_00295.jpg",
    "mediaId": "d48a1adf65640d67",
    "ocrText": "Form 2213\nPRELIMINARY FORM FOR DECLARATION OF INTENTION TO BECOME A CITIZEN\n5022\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\nI desire to file my Declaration of Intention (first paper) to become a citizen.\nMr.\nMy name is\nMrs.\nDora (Alien should Julia print or typewrite here true, Safeworty original, and correct name)\n; age,\n2222 years.\nMiss\n(Give age last birthday)\nMy present occupation is\nMy personal description is: Color, white; complexion, fair\noperator m organifactory\n; height,\n5 feet 1 1/2 inches;\nweight, pounds; none ; eyes, gray\n130 color of hair, darkform color of\n;\nother visible distinctive marks:\nI was born in Kupsiki\nRussia\n(City or town)\n(Country)\non the may\nday of\n17\n, 1904\nMy present\nresidence is 28 maple St. Morevich Comm\n(Number and street)\n(City or town)\n(County)\n(State)\nThe place where I took the ship or train which landed me in the United States was\nLibon, Russia\n,\non\nOct. 1st y 1910\n(Month)\n(Day)\n(Year)\nThe name of the ship or railroad on which I came was\nKursk\nMy last place of foreign residence was\nsaid A Kupsiki\nRussia\n(City or town)\n(Country)\nI am not married. The name of my\nwife\nShe\nis\nwas born at\nhusband\nHe\n, and now resides at\nI\nam now a subject of and intend to renounce allegiance to the State (Write and title of sovereign of and Russia country of which\nname now a subject;\nI arrived at the United States immigration port of selinfact\nor, if citizen of a republic, write name of republic only)\n(City or town)\nnew Yorkhity\non Oct 10, 1910.\n,\n(State or territory)\n14-8\n(Give exact month, day, and year)\n(OVER)"
}