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Form 2213
PRELIMINARY FORM FOR DECLARATION OF INTENTION TO BECOME A CITIZEN
5176
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
FRANCESCOBRUNACCION: age,
398 2839
years.
Miss
(Alien should print or typewrite here true, original, and correct name)
(Give age last birthday)
My present occupation is Saborer
fair
My personal description is: Color, WRite ; complexion, light
41/2
; height, 5- feet & inches;
weight, 165 pounds; color of hair. gray
;
color of eyes, sight from
other visible distinctive marks: none
I was
born in cartacetto (City town) (town)
or
(Country)
Italy
on the 77th day of august
, 1888
My present residence is 75 Smith st hew Semichrophear (County) Lendon (State) community
(Number and street)
(City or town)
The place where I took the ship ortrain which landed in the United States Have France
me was
, on
atril 17 1910
((Month)
(Day)
(Year)
The name of the ship on which I came was Bretagne
My last place of foreign
residence sand was Contaceta Italy (Country)
(City or town)
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 United States of America
(Write name and title of sovereign and country of which now a subject;
or, if citizen of a republic, write name of republic only)
Italy
I
arrived at the United States immigration port of new york (City town),
City
or
Rew york
(State or territory)
on april 14-s (Give exact month, day, and year)
(OVER)
Page data
- Page
- 605
- Source index
- 0
- Type
- photo
- Media ID
- a9731a20cc8ac653
- 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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Document source extras
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Page context
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"ocrText": "Form 2213\nPRELIMINARY FORM FOR DECLARATION OF INTENTION TO BECOME A CITIZEN\n5176\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\nFRANCESCOBRUNACCION: age,\n398 2839\nyears.\nMiss\n(Alien should print or typewrite here true, original, and correct name)\n(Give age last birthday)\nMy present occupation is Saborer\nfair\nMy personal description is: Color, WRite ; complexion, light\n41/2\n; height, 5- feet & inches;\nweight, 165 pounds; color of hair. gray\n;\ncolor of eyes, sight from\nother visible distinctive marks: none\nI was\nborn in cartacetto (City town) (town)\nor\n(Country)\nItaly\non the 77th day of august\n, 1888\nMy present residence is 75 Smith st hew Semichrophear (County) Lendon (State) community\n(Number and street)\n(City or town)\nThe place where I took the ship ortrain which landed in the United States Have France\nme was\n, on\natril 17 1910\n((Month)\n(Day)\n(Year)\nThe name of the ship on which I came was Bretagne\nMy last place of foreign\nresidence sand was Contaceta Italy (Country)\n(City or town)\nI am not married. The name of my {\nwife\nShe\nis\nwas born-at\nhusband\nHe\n, and now resides at\n,\nI am now\na subject of and intend to renounce allegiance to United States of America\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)\nItaly\nI\narrived at the United States immigration port of new york (City town),\nCity\nor\nRew york\n(State or territory)\non april 14-s (Give exact month, day, and year)\n(OVER)"
}