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Form 2213
PRELIMINARY FORM FOR DECLARATION OF INTENTION TO BECOME A CITIZEN
5290
U. S. DEPARTMENT OF LABOR
NOT TO BE FILLED IN BY ALIEN
NATURALIZATION SERVICE
FOR USE OF OFFICIALS SEARCHING IMMI-
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.
Joneph (Alien should print alegander typewrite here true, original, Lreen and correct
; age,
41
years.
or name)
(Give age last birthday)
Miss
My present occupation is carpenter
My personal description is: Color, white ; complexion, dark
; height, 5 feet 4
inches;
weight, 159 pounds; color of hair, black
; color of eyes, darkrown
other visible distinctive marks:
none
I was born in Tristan Da. Bunba, Great Britain
(City or town)
(Country)
on the 29
day of may
, 1886
My present residence is 423 main street nourch 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
on
(Month)
(Day)
(Year)
The name of the ship or railroad on which I came was Philadelphia Eug 24 1907
My last place of foreign residence was bape Town, south africa
(City or town)
(Country)
wife
I am yet married. The name of my
is Isadore
She
was born at
husband
He
norrach Born
, and now resides paid at 423 nourch main street
I am now a subject of and intend to renounce allegiance to
Greater Britain
(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 (State or fook territory)
,
on august 14-8 (Give exact month, 25, day, and 1897 year)
(OVER)
Page data
- Page
- 829
- Source index
- 0
- Type
- photo
- Media ID
- 7668cc790ac8f3ab
- 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\n5290\nU. S. DEPARTMENT OF LABOR\nNOT TO BE FILLED IN BY ALIEN\nNATURALIZATION SERVICE\nFOR USE OF OFFICIALS SEARCHING IMMI-\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.\nJoneph (Alien should print alegander typewrite here true, original, Lreen and correct\n; age,\n41\nyears.\nor name)\n(Give age last birthday)\nMiss\nMy present occupation is carpenter\nMy personal description is: Color, white ; complexion, dark\n; height, 5 feet 4\ninches;\nweight, 159 pounds; color of hair, black\n; color of eyes, darkrown\nother visible distinctive marks:\nnone\nI was born in Tristan Da. Bunba, Great Britain\n(City or town)\n(Country)\non the 29\nday of may\n, 1886\nMy present residence is 423 main street nourch 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\non\n(Month)\n(Day)\n(Year)\nThe name of the ship or railroad on which I came was Philadelphia Eug 24 1907\nMy last place of foreign residence was bape Town, south africa\n(City or town)\n(Country)\nwife\nI am yet married. The name of my\nis Isadore\nShe\nwas born at\nhusband\nHe\nnorrach Born\n, and now resides paid at 423 nourch main street\nI am now a subject of and intend to renounce allegiance to\nGreater Britain\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\narrived at the United States immigration port of new york\n(City or town)\nnew (State or fook territory)\n,\non august 14-8 (Give exact month, 25, day, and 1897 year)\n(OVER)"
}