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Form 2213
PRELIMINARY FORM FOR DECLARATION OF INTENTION TO BECOME A CITIZEN
5276
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.
Miss
|
A ntonia (Álien should print typewrite Caprilogan here true, original, and correct name)
; age,
47
years.
or
(Give age last birthday)
My present occupation is
Mill worker
My personal description is: Color, White complexion, Darkform ; height, 5 feet 4X inches;
weight, 169 pounds; color of hair, Brown
; color of eyes, Brown
;
other visible distinctive marks: Dauroon check. near lefteyer
I was
born in Ponter orno (City town) of taly
or
(Country)
Bleft in shin
on the 23
day of
April know Damani 1880
My present residence is
125 P altic street Nonvich honnociat
(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 Naples of tuly
suveloce
,
The name of the ship railroad which I Savelore La Scloce
on 7 Day (Month) July (Day) 1902
(Year)
or on came was
My last place of foreign residence was paid (City or town)
Ponterervo
wife
am Mansonia, married. The name of my
is badtrand Country He She
Etalana
I
Gactaua
was born at
Otaly husband , and now
resides
Aaid at A 125 Palter street
I am now a subject of and intend to renounce allegiance to
(Write name and title of sovereign and country of which now a subject;
I arrived at the United States immigration port of
or, if citizen of a republic, write name Italy of republic only)
new (Statepr territory)
York
New (City or York town) this
(OVER) , on July 14-8 (Give exact 7,1902 month, day, and year)
Page data
- Page
- 802
- Source index
- 0
- Type
- photo
- Media ID
- 212c82175c7834cf
- 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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Page context
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"ocrText": "Form 2213\nPRELIMINARY FORM FOR DECLARATION OF INTENTION TO BECOME A CITIZEN\n5276\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.\nMiss\n|\nA ntonia (Álien should print typewrite Caprilogan here true, original, and correct name)\n; age,\n47\nyears.\nor\n(Give age last birthday)\nMy present occupation is\nMill worker\nMy personal description is: Color, White complexion, Darkform ; height, 5 feet 4X inches;\nweight, 169 pounds; color of hair, Brown\n; color of eyes, Brown\n;\nother visible distinctive marks: Dauroon check. near lefteyer\nI was\nborn in Ponter orno (City town) of taly\nor\n(Country)\nBleft in shin\non the 23\nday of\nApril know Damani 1880\nMy present residence is\n125 P altic street Nonvich honnociat\n(Number and street)\n(City or town)\n(County)\n(State)\nThe place\nwhere I took the ship or train which landed me in the United States was Naples of tuly\nsuveloce\n,\nThe name of the ship railroad which I Savelore La Scloce\non 7 Day (Month) July (Day) 1902\n(Year)\nor on came was\nMy last place of foreign residence was paid (City or town)\nPonterervo\nwife\nam Mansonia, married. The name of my\nis badtrand Country He She\nEtalana\nI\nGactaua\nwas born at\nOtaly husband , and now\nresides\nAaid at A 125 Palter street\nI am now a subject of and intend to renounce allegiance to\n(Write name and title of sovereign and country of which now a subject;\nI arrived at the United States immigration port of\nor, if citizen of a republic, write name Italy of republic only)\nnew (Statepr territory)\nYork\nNew (City or York town) this\n(OVER) , on July 14-8 (Give exact 7,1902 month, day, and year)"
}