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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
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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 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)"
}