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Form 2213
PRELIMINARY FORM FOR DECLARATION OF INTENTION TO BECOME A CITIZEN
5047
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.
Giovanni Pascucci
; age,
34
years.
Miss
(Alien should print or typewrite here true, original, and correct name)
(Give age last birthday)
My present occupation is
Gardfner
dark
My personal description is: Color, white ; complexion, fair
; height, 5
feet $ 4 inches;
dark
weight,
I50
pounds; color of hair,
Brown
; color of eyes, Brown
;
other visible distinctive marks:
none
I was born in Fano de Provincia Pesaro Italy
(City or town)
(Country)
on the 27
day of October
, 1 .992
My present residence is
I2 Harris Street, New London Conn.
(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
Genot t Staly
,on
May I4,
, 1914
(Month)
(Day)
(Year)
The name of the ship or railroad on which I came was
Berlin
My last place of foreign residence was said, Fano
Prov Pesamo , Italy
(City or town)
(Country)
wife
She
I am
married. The name of my
hasband
is Enrica gioai
said
Me
}
was born at
said Fano ,Itoly
, and now resides at I2 Harnis Street, >Now London-
I am now a subject of and intend to renounce allegiance to Vittorio Enmenuele III King Italy
(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
Now Yonk
(City or town)
, on
27 May,I9I4
(State or territory)
14-8
(Give exact month, day, and year)
(OVER)
Page data
- Page
- 347
- Source index
- 0
- Type
- photo
- Media ID
- 4e9509cc2087edd0
- Size
- unknown
Document data
- ID
- 159596813
- Core
- doc
- Type
- document
DTO data
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Context sent to Scholar
Document identity
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Document source metadata
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"ocrText": "Form 2213\nPRELIMINARY FORM FOR DECLARATION OF INTENTION TO BECOME A CITIZEN\n5047\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.\nGiovanni Pascucci\n; age,\n34\nyears.\nMiss\n(Alien should print or typewrite here true, original, and correct name)\n(Give age last birthday)\nMy present occupation is\nGardfner\ndark\nMy personal description is: Color, white ; complexion, fair\n; height, 5\nfeet $ 4 inches;\ndark\nweight,\nI50\npounds; color of hair,\nBrown\n; color of eyes, Brown\n;\nother visible distinctive marks:\nnone\nI was born in Fano de Provincia Pesaro Italy\n(City or town)\n(Country)\non the 27\nday of October\n, 1 .992\nMy present residence is\nI2 Harris Street, New London Conn.\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\nGenot t Staly\n,on\nMay I4,\n, 1914\n(Month)\n(Day)\n(Year)\nThe name of the ship or railroad on which I came was\nBerlin\nMy last place of foreign residence was said, Fano\nProv Pesamo , Italy\n(City or town)\n(Country)\nwife\nShe\nI am\nmarried. The name of my\nhasband\nis Enrica gioai\nsaid\nMe\n}\nwas born at\nsaid Fano ,Itoly\n, and now resides at I2 Harnis Street, >Now London-\nI am now a subject of and intend to renounce allegiance to Vittorio Enmenuele III King Italy\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 arrived at the United States immigration port of\nNow Yonk\n(City or town)\n, on\n27 May,I9I4\n(State or territory)\n14-8\n(Give exact month, day, and year)\n(OVER)"
}