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Form 2213
PRELIMINARY FORM FOR DECLARATION OF INTENTION TO BECOME A CITIZEN
5048
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.
Beatrice Barbarossa
; age, 26
years.
Miss
(Alien should print or typewrite here true, original, and correct name)
(Giye age last birthday)
My present occupation is
My personal description is: Color, white complexion, dark
parts factory
height, 5 feet of 13/4 inches;
;
weight, 160 pounds; color of hair, dark brown ; color of dark eyes, brown
;
other visible distinctive marks:
none
I was
born in Terlizzi (City ór town) Bari
Italy
(Country)
on the may day of
29
900
My present residence is 76 (Number and street) St. Norrich (City or town) Cour (County)
Hashington
The place where I took the ship train which landed in the United States Tapht (State)
or me was
Italy
the ship railroad said which I Honte Degla abbrugzi
Duca Dight on april (Month)
29 (Day) 1921
(Xear)
The name of or on came was
My last place of foreign residence was
Terligging
(City/or cown)
Staly
(Country)
name
{
wife
is Frank Barbaroosa
She
sempo I am yes married. The of my
was born at
husband
He
Terlizzi Italy
,
I intend King Vittario Emanuile III
and now said resides at 76 thanking tou st. Horwich City
am now a subject of and to rénounce allegiance to
(Write name and title of sovereign and country of which now a subject;
or,
I arrived
if citizen at of a the republic, United write name States of republic immigration only) port of New York (City City town)
or
(State or territory)
, on may 14-18 16 (Give exact monthy 1921 day, and year)
(OVER)
Page data
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- Source index
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- Type
- photo
- Media ID
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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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Document source extras
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"ocrText": "Form 2213\nPRELIMINARY FORM FOR DECLARATION OF INTENTION TO BECOME A CITIZEN\n5048\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.\nBeatrice Barbarossa\n; age, 26\nyears.\nMiss\n(Alien should print or typewrite here true, original, and correct name)\n(Giye age last birthday)\nMy present occupation is\nMy personal description is: Color, white complexion, dark\nparts factory\nheight, 5 feet of 13/4 inches;\n;\nweight, 160 pounds; color of hair, dark brown ; color of dark eyes, brown\n;\nother visible distinctive marks:\nnone\nI was\nborn in Terlizzi (City ór town) Bari\nItaly\n(Country)\non the may day of\n29\n900\nMy present residence is 76 (Number and street) St. Norrich (City or town) Cour (County)\nHashington\nThe place where I took the ship train which landed in the United States Tapht (State)\nor me was\nItaly\nthe ship railroad said which I Honte Degla abbrugzi\nDuca Dight on april (Month)\n29 (Day) 1921\n(Xear)\nThe name of or on came was\nMy last place of foreign residence was\nTerligging\n(City/or cown)\nStaly\n(Country)\nname\n{\nwife\nis Frank Barbaroosa\nShe\nsempo I am yes married. The of my\nwas born at\nhusband\nHe\nTerlizzi Italy\n,\nI intend King Vittario Emanuile III\nand now said resides at 76 thanking tou st. Horwich City\nam now a subject of and to rénounce allegiance to\n(Write name and title of sovereign and country of which now a subject;\nor,\nI arrived\nif citizen at of a the republic, United write name States of republic immigration only) port of New York (City City town)\nor\n(State or territory)\n, on may 14-18 16 (Give exact monthy 1921 day, and year)\n(OVER)"
}