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Form 2213
PRELIMINARY FORM FOR DECLARATION OF INTENTION TO BECOME A CITIZEN
5196
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
address
Place number
in
CARD INDEX
91 main st, norwich Corn
upper left-hand corner of all copies of
INDEX BOOKS
% spisule
declaration, immediately under your
declaration number.
DISTRICT DIRECTOR OF NATURALIZATION
MANIFESTS
I desire to file my Declaration of Intention (first paper) to become a citizen.
they
Mr.
My name is
Mrs.
(Aken Joseph should print typewrife here Wanagel true, original, and porrect,
; age,
42
years.
Miss
or name)
(Give age last birthday)
My present occupation is
Works in the milliatoria
My personal description is: Color, White ; complexion,
fair
; height, 5 feet
weight, 148 pounds; color of hair, light brown color of eyes, blue
;
other visible distinctive marks: Scars littlefingere
I was born in
Vilna Russia now Europe Poland
(City or town)
(Country)
on
the 12
day of
Febrary
, 1885 Lisbon,
My present residence is
no.tl norwich Conn.
(Number and street)
(City or town)
(County)
(State)
The or me
place where I took the ship train which landed in the United States was Hamburg
Armany
, on
January (Month)
1913
(Day)
(Year)
The name
My last place of foreign residence was A Vilna (City or Europe (Country) Polanid
of the ship or said railroad on which I came was Pennsyloania
wife
is emily Wanagel
town) smoking
I am
{
She
married. The name of my
was born at
husband
part-vilna Baland , and now resides at Connecticut He idfistor
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
(State territory) (OVER) Feb 16, town)
14-8 (Give exact month, 1913 day, and
or
year)
Page data
- Page
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- Source index
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- Type
- photo
- Media ID
- f092f7cb3729a45d
- Size
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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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Page context
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"ocrText": "Form 2213\nPRELIMINARY FORM FOR DECLARATION OF INTENTION TO BECOME A CITIZEN\n5196\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\naddress\nPlace number\nin\nCARD INDEX\n91 main st, norwich Corn\nupper left-hand corner of all copies of\nINDEX BOOKS\n% spisule\ndeclaration, immediately under your\ndeclaration number.\nDISTRICT DIRECTOR OF NATURALIZATION\nMANIFESTS\nI desire to file my Declaration of Intention (first paper) to become a citizen.\nthey\nMr.\nMy name is\nMrs.\n(Aken Joseph should print typewrife here Wanagel true, original, and porrect,\n; age,\n42\nyears.\nMiss\nor name)\n(Give age last birthday)\nMy present occupation is\nWorks in the milliatoria\nMy personal description is: Color, White ; complexion,\nfair\n; height, 5 feet\nweight, 148 pounds; color of hair, light brown color of eyes, blue\n;\nother visible distinctive marks: Scars littlefingere\nI was born in\nVilna Russia now Europe Poland\n(City or town)\n(Country)\non\nthe 12\nday of\nFebrary\n, 1885 Lisbon,\nMy present residence is\nno.tl norwich Conn.\n(Number and street)\n(City or town)\n(County)\n(State)\nThe or me\nplace where I took the ship train which landed in the United States was Hamburg\nArmany\n, on\nJanuary (Month)\n1913\n(Day)\n(Year)\nThe name\nMy last place of foreign residence was A Vilna (City or Europe (Country) Polanid\nof the ship or said railroad on which I came was Pennsyloania\nwife\nis emily Wanagel\ntown) smoking\nI am\n{\nShe\nmarried. The name of my\nwas born at\nhusband\npart-vilna Baland , and now resides at Connecticut He idfistor\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 City or\n(State territory) (OVER) Feb 16, town)\n14-8 (Give exact month, 1913 day, and\nor\nyear)"
}