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Form 2213
PRELIMINARY FORM FOR DECLARATION OF INTENTION TO BECOME A CITIZEN
5280
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.
My present occupation is Bootblack
Miss
/
Giovanni (Alien should print or typewrite bastagma here true, original, and correct
; age,
29
years.
name)
(Give age last birthday)
442
My personal description is: Color, White
;
complexion, Dark
; height, 5 feet t inches;
weight, 145 of Blak
pounds; color hair,
; color of eyes, Brown
;
other visible distinctive marks: scars on left tample scan under shin, and
ordinat
scan on lack left hand
A
I was born in
busa
(City or town)
Staly
(Country)
on the
24 day of
May
, 1898
My present residence is
34 (Nomber and street) (City an or town) New London (County) (State) com
geffersan
The place where I took the ship or train which landed me in the United States was Palermo
Italy
on Ottach
28 1912
(Month)
(Day)
(Year)
The name of the ship or railroad on which I came was
Canada White Star thine
last of residence was Jusa
sand
My place foreign
(City or town)
Italy
(Country)
I am not married. The name of my
wife
She
is
}
was born at
husband
He
,and now resides at
,
I am now a to renounce to
subject of and intend allegiance King Victor (Write Emanuel title of sovereign and country III of which of Italy subject;
name and now a
-
or, a name
I arrived
if citizen new at of the republic, United write States of republic immigration only) port of (City or town)
York (State OF
, on
1912
territory)
14-8
(Give exact month, day, and year)
(OVER)
Page data
- Page
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- Source index
- 0
- Type
- photo
- Media ID
- 6710ebd23ca133ab
- 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\n5280\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.\nMy present occupation is Bootblack\nMiss\n/\nGiovanni (Alien should print or typewrite bastagma here true, original, and correct\n; age,\n29\nyears.\nname)\n(Give age last birthday)\n442\nMy personal description is: Color, White\n;\ncomplexion, Dark\n; height, 5 feet t inches;\nweight, 145 of Blak\npounds; color hair,\n; color of eyes, Brown\n;\nother visible distinctive marks: scars on left tample scan under shin, and\nordinat\nscan on lack left hand\nA\nI was born in\nbusa\n(City or town)\nStaly\n(Country)\non the\n24 day of\nMay\n, 1898\nMy present residence is\n34 (Nomber and street) (City an or town) New London (County) (State) com\ngeffersan\nThe place where I took the ship or train which landed me in the United States was Palermo\nItaly\non Ottach\n28 1912\n(Month)\n(Day)\n(Year)\nThe name of the ship or railroad on which I came was\nCanada White Star thine\nlast of residence was Jusa\nsand\nMy place foreign\n(City or town)\nItaly\n(Country)\nI am not married. The name of my\nwife\nShe\nis\n}\nwas born at\nhusband\nHe\n,and now resides at\n,\nI am now a to renounce to\nsubject of and intend allegiance King Victor (Write Emanuel title of sovereign and country III of which of Italy subject;\nname and now a\n-\nor, a name\nI arrived\nif citizen new at of the republic, United write States of republic immigration only) port of (City or town)\nYork (State OF\n, on\n1912\nterritory)\n14-8\n(Give exact month, day, and year)\n(OVER)"
}