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File numbers 4874 - 5509, 1926-1930

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Form 2213 PRELIMINARY FORM FOR DECLARATION OF INTENTION TO BECOME A CITIZEN 5079 NOT TO BE FILLED IN BY ALIEN U. S. DEPARTMENT OF LABOR 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. Lucya utz ; age, 22 years. Miss (Alien-bould print or typewrite here true, original, and correct name) (Give age last birthday) My personal description is: Color, White complexion, light white My present occupation is Housewife light ; height, 5 feet 4 3/4 inches; weight, 170 pounds; color of hair, blonder ; color of eyes, blue ; other visible distinctive marks: scarton neek leftride of nick I was born in Plock Paland Anssia, now Poland (City or town) (Country) on the 13 day of December 1904 My present residence is montville Conor (Number and street) (City or town) gounty) (State) The place or me in where I took the ship train which landed the United States was Bremen Germany The name of the ship or railroad on which I came was ,on (Month) Kroonland 25-1913 (Day) (Year) may My last place of foreign residence said was Plack poland A (City or town) I am { wife } 0% Enghan (Country) married. The name of my is Frank body She husband He } was born at Grodns Poland , and now resides said at montrille lounc. I am now a subject of and intend to renounce allegiance to Poland (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 new york (City or town) (State or territory) , on June 14-8 (Give 3 exact month, 1913 day, and year) (OVER)

Page data

Page
410
Source index
0
Type
photo
Media ID
d83687b2ec490a25
Size
unknown

Document data

ID
159596813
Core
doc
Type
document
DTO data 
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Context sent to Scholar

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    "ocrText": "Form 2213\nPRELIMINARY FORM FOR DECLARATION OF INTENTION TO BECOME A CITIZEN\n5079\nNOT TO BE FILLED IN BY ALIEN\nU. S. DEPARTMENT OF LABOR\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.\nLucya utz\n; age,\n22\nyears.\nMiss\n(Alien-bould print or typewrite here true, original, and correct name)\n(Give age last birthday)\nMy personal description is: Color, White complexion, light white\nMy present occupation is\nHousewife\nlight\n;\nheight, 5 feet 4 3/4 inches;\nweight,\n170 pounds; color of hair, blonder ; color of eyes, blue\n;\nother\nvisible distinctive marks: scarton neek leftride of nick\nI was born in\nPlock Paland Anssia, now Poland\n(City or town)\n(Country)\non the\n13\nday\nof December\n1904\nMy present residence is\nmontville Conor\n(Number and street)\n(City or town)\ngounty)\n(State)\nThe place or me in\nwhere I took the ship train which landed the United States was Bremen\nGermany\nThe name of the ship or railroad on which I came\nwas ,on (Month) Kroonland 25-1913 (Day) (Year)\nmay\nMy\nlast place of foreign residence said was Plack poland\nA\n(City or town)\nI am\n{\nwife\n}\n0% Enghan\n(Country)\nmarried. The name of my\nis Frank body\nShe\nhusband\nHe\n}\nwas born at\nGrodns Poland\n,\nand\nnow resides said at montrille lounc.\nI am now a subject of and intend to renounce allegiance to\nPoland\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\nnew york\n(City or town)\n(State or territory)\n, on June 14-8 (Give 3 exact month, 1913 day, and year)\n(OVER)"
}