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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 5197 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 Mrs. } Athanasiolbury (Alien should print ypewrite here true, original, and correct ; 39 age, years. on name) (Give age last birthday) My My present personal occupation Miss description is is; farther Color, ; complexion, dark ; height, 5 feet 7 inches; weight, 150 pounds; color of hair. brown ; color of eyes, brown ; leff litelifing other visible distinctive marks: Sm thumband now I was born in Dykowstaryi, (City or town) Xustria-Hungary, (Country) soland on the 8th day of March 1888 , My present residence is R. F. D. #2 Waterford New London Connecticut. (Number and street) (City or town) (County) (State) The place where I took the ship or train which landed me in the United States was Rotterdam, Holland. , on November 27 1989.09 (Month) (Day) (Year) The name of the ship or railroad on which I came was Statendam said My last place of foreign residence was Dykowstaryi, Augtria Hungary, (City or town) (Country) I am not married. The name of my wife She is husband } was born at He , and now resides at I am now a subject of and intend to renounce allegiance to Austrion 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) New York , on December 11, 1909. (State or territory) 14-8 (Give exact month, day, and year) (OVER)

Page data

Page
647
Source index
0
Type
photo
Media ID
657201b32d0b8e96
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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Page context 
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    "ocrText": "Form 2213\nPRELIMINARY FORM FOR DECLARATION OF INTENTION TO BECOME A CITIZEN\n5197\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\nMrs.\n}\nAthanasiolbury (Alien should print ypewrite here true, original, and correct\n; 39\nage,\nyears.\non name)\n(Give age last birthday)\nMy My present personal occupation Miss description is is; farther Color, ; complexion, dark\n; height, 5 feet 7 inches;\nweight, 150 pounds; color of hair. brown ; color of eyes, brown\n;\nleff litelifing\nother visible distinctive marks: Sm thumband now\nI was born in\nDykowstaryi,\n(City or town)\nXustria-Hungary, (Country) soland\non the 8th\nday of\nMarch\n1888\n,\nMy present residence is\nR. F. D. #2\nWaterford\nNew London Connecticut.\n(Number and street)\n(City or town)\n(County)\n(State)\nThe place where I took the ship or train which landed me in the United States was Rotterdam, Holland.\n, on\nNovember 27\n1989.09\n(Month)\n(Day)\n(Year)\nThe name of the ship or railroad on which I came was\nStatendam\nsaid\nMy last place of foreign residence was Dykowstaryi,\nAugtria Hungary,\n(City or town)\n(Country)\nI am not married. The name of my\nwife\nShe\nis\nhusband\n}\nwas born at\nHe\n, and now resides at\nI am now a subject of and intend to renounce allegiance to\nAustrion\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)\nNew York\n, on\nDecember 11, 1909.\n(State or territory)\n14-8\n(Give exact month, day, and year)\n(OVER)"
}