Ask the Scholar
Page 867 of 1298
I can add historical knowledge about this page.
Page image
OCR
Form 2213
20-77-7774
PRELIMINARY FORM FOR DECLARATION OF INTENTION TO BECOME A CITIZEN
5308
U. S. DEPARTMENT OF LABOR
NOT TO BE FILLED IN BY ALIEN
FOR USE OF OFFICIALS SEARCHING IMMI-
IATURALIZATION SERVICE
GRATION RECORDS
CLERK OF COURT:
NATURALIZATION SERVICE
RECORDS EXAMINED
21752
JUL 20 1926
RECEIVED
Place number
in
CARD INDEX
DIRECTOR MASSJUL
upper left-hand corner of all copies of
19
1926
declaration, immediately under your
INDEX BOOKS
DEPARTMENT BOSTON, OF OFFICE LABORAT OF
declaration number.
EXAMINER
NEW HAVEN, CONN.
DISTRICT DIRECTOR OF NATURALIZATION.
MANIFESTS
DEPARTMENT OF LABOR
(NOTE TO CLERK OF COURT.-T guide you in preparing the Declaration: The black face lines on this form contain statements
in the regular order as they are to appear on the Declaration of Intention.)
NATURALIRATION SERVICE
I desire to file my Declaration of Intention (first paper) to become a
Mr.
Othicsion
My name is
Mrs.
Levis. Otson AU;Gage, 8 122 24 years.
Migs
(Alien should print or typewrite here true, original, and correct name)
(Give age last birthday)
CERTIFICATE OF
Also known as
JOCL Levis OLAUSSON ARRIVAL
DIVITION
(If alien has used any other name in this country, that namo should bo-shown hore) Y.
it was my fathers name
DEPARTMENT OF LABOR.
I used that name because
The full name of the person shown on my steamship ticket was Jack Levis. OLSON
My mother's maiden Eva Kelberg
name was
My maiden name was (if woman) Eva Olanson, Hael hewis
My present occcupation is weaver
My personal description is: Color, White ; complexion, white an ; height, 5
feet 9 inches;
weight,
145 pounds; color of Cendre brow ; of
hair,
color eyes,
blue
;
other visible distinctive marks:
none olebackright Ear and
I born in Lerum
was
Tweden
(City or town)
(Country)
on the
8
day of
april
1904
ravery My residence is Windham Cann
present
Box 27, is Knin
(Number and street)
(City or town)
(County)
(State)
My post office address
Plainsfield. Come
The place where I took the ship or train which landed me in the United States was Sothenburg
Lurden
, on
October
13
1923
(Month)
(Day)
(Year)
The ticket on which I came to this country was bought at new (Qit) York
U.S.A.
(Country)
The name of the ship or railroad on which I came was
Distringhall
(OVER)
10/23/23
Page data
- Page
- 867
- Source index
- 0
- Type
- photo
- Media ID
- 895c63301345864e
- Size
- unknown
Document data
- ID
- 159596813
- Core
- doc
- Type
- document
DTO data
{
"id": "159596813",
"sourceUrl": "https://catalog.archives.gov/id/159596813",
"contentType": "document",
"title": "File numbers 4874 - 5509, 1926-1930",
"citationUrl": "https://catalog.archives.gov/id/159596813",
"collections": [
"Naturalization Records of Non-Federal Courts in Connecticut",
"Applications for Declaration of Intention"
],
"iiifBase": "https://s3.amazonaws.com/NARAprodstorage/lz/partnerships-0002/18-0177_US-MA/18-0177_US-MA_21/18-0177_US-MA_-4526886-CTN-Applications-for-Declaration-of--1926-1930/18-0177_US-MA_-4526886-CTN-Applications-for-Declaration-of--1926-1930_00001.jpg",
"thumbnailUrl": "https://s3.amazonaws.com/NARAprodstorage/lz/partnerships-0002/18-0177_US-MA/18-0177_US-MA_21/18-0177_US-MA_-4526886-CTN-Applications-for-Declaration-of--1926-1930/18-0177_US-MA_-4526886-CTN-Applications-for-Declaration-of--1926-1930_00001.jpg",
"largeImageUrl": "https://s3.amazonaws.com/NARAprodstorage/lz/partnerships-0002/18-0177_US-MA/18-0177_US-MA_21/18-0177_US-MA_-4526886-CTN-Applications-for-Declaration-of--1926-1930/18-0177_US-MA_-4526886-CTN-Applications-for-Declaration-of--1926-1930_00001.jpg",
"imageCount": 1298,
"hasImages": true,
"source": "import",
"hasTranscription": false
}
Context sent to Scholar
Document identity
{
"localId": "159596813",
"label": "File numbers 4874 - 5509, 1926-1930",
"core": "doc",
"dtoType": "document",
"citationUrl": "https://catalog.archives.gov/id/159596813"
}
Document source metadata
{
"id": "159596813",
"sourceUrl": "https://catalog.archives.gov/id/159596813",
"contentType": "document",
"title": "File numbers 4874 - 5509, 1926-1930",
"citationUrl": "https://catalog.archives.gov/id/159596813",
"collections": [
"Naturalization Records of Non-Federal Courts in Connecticut",
"Applications for Declaration of Intention"
],
"iiifBase": "https://s3.amazonaws.com/NARAprodstorage/lz/partnerships-0002/18-0177_US-MA/18-0177_US-MA_21/18-0177_US-MA_-4526886-CTN-Applications-for-Declaration-of--1926-1930/18-0177_US-MA_-4526886-CTN-Applications-for-Declaration-of--1926-1930_00001.jpg",
"thumbnailUrl": "https://s3.amazonaws.com/NARAprodstorage/lz/partnerships-0002/18-0177_US-MA/18-0177_US-MA_21/18-0177_US-MA_-4526886-CTN-Applications-for-Declaration-of--1926-1930/18-0177_US-MA_-4526886-CTN-Applications-for-Declaration-of--1926-1930_00001.jpg",
"largeImageUrl": "https://s3.amazonaws.com/NARAprodstorage/lz/partnerships-0002/18-0177_US-MA/18-0177_US-MA_21/18-0177_US-MA_-4526886-CTN-Applications-for-Declaration-of--1926-1930/18-0177_US-MA_-4526886-CTN-Applications-for-Declaration-of--1926-1930_00001.jpg",
"imageCount": 1298,
"hasImages": true,
"source": "import",
"hasTranscription": false
}
Document source extras
{
"url": "https://catalog.archives.gov/id/159596813",
"naId": 159596813,
"levelOfDescription": "fileUnit",
"onlineResources": [
{
"description": "FamilySearch",
"note": "This file was scanned as part of a collaboration effort between FamilySearch and the National Archives.",
"url": "https://www.familysearch.org/search/catalog/results?count=20&query=%2Bkeywords%3A4526886%20%2Bkeywords%3ANational%20%2Bkeywords%3AArchives"
}
],
"recordType": "description",
"ocrSource": "nara-archive"
}
Page context
{
"seq": 867,
"pageIndex": 0,
"type": "photo",
"url": "https://s3.amazonaws.com/NARAprodstorage/lz/partnerships-0002/18-0177_US-MA/18-0177_US-MA_21/18-0177_US-MA_-4526886-CTN-Applications-for-Declaration-of--1926-1930/18-0177_US-MA_-4526886-CTN-Applications-for-Declaration-of--1926-1930_00867.jpg",
"mediaId": "895c63301345864e",
"ocrText": "Form 2213\n20-77-7774\nPRELIMINARY FORM FOR DECLARATION OF INTENTION TO BECOME A CITIZEN\n5308\nU. S. DEPARTMENT OF LABOR\nNOT TO BE FILLED IN BY ALIEN\nFOR USE OF OFFICIALS SEARCHING IMMI-\nIATURALIZATION SERVICE\nGRATION RECORDS\nCLERK OF COURT:\nNATURALIZATION SERVICE\nRECORDS EXAMINED\n21752\nJUL 20 1926\nRECEIVED\nPlace number\nin\nCARD INDEX\nDIRECTOR MASSJUL\nupper left-hand corner of all copies of\n19\n1926\ndeclaration, immediately under your\nINDEX BOOKS\nDEPARTMENT BOSTON, OF OFFICE LABORAT OF\ndeclaration number.\nEXAMINER\nNEW HAVEN, CONN.\nDISTRICT DIRECTOR OF NATURALIZATION.\nMANIFESTS\nDEPARTMENT OF LABOR\n(NOTE TO CLERK OF COURT.-T guide you in preparing the Declaration: The black face lines on this form contain statements\nin the regular order as they are to appear on the Declaration of Intention.)\nNATURALIRATION SERVICE\nI desire to file my Declaration of Intention (first paper) to become a\nMr.\nOthicsion\nMy name is\nMrs.\nLevis. Otson AU;Gage, 8 122 24 years.\nMigs\n(Alien should print or typewrite here true, original, and correct name)\n(Give age last birthday)\nCERTIFICATE OF\nAlso known as\nJOCL Levis OLAUSSON ARRIVAL\nDIVITION\n(If alien has used any other name in this country, that namo should bo-shown hore) Y.\nit was my fathers name\nDEPARTMENT OF LABOR.\nI used that name because\nThe full name of the person shown on my steamship ticket was Jack Levis. OLSON\nMy mother's maiden Eva Kelberg\nname was\nMy maiden name was (if woman) Eva Olanson, Hael hewis\nMy present occcupation is weaver\nMy personal description is: Color, White ; complexion, white an ; height, 5\nfeet 9 inches;\nweight,\n145 pounds; color of Cendre brow ; of\nhair,\ncolor eyes,\nblue\n;\nother visible distinctive marks:\nnone olebackright Ear and\nI born in Lerum\nwas\nTweden\n(City or town)\n(Country)\non the\n8\nday of\napril\n1904\nravery My residence is Windham Cann\npresent\nBox 27, is Knin\n(Number and street)\n(City or town)\n(County)\n(State)\nMy post office address\nPlainsfield. Come\nThe place where I took the ship or train which landed me in the United States was Sothenburg\nLurden\n, on\nOctober\n13\n1923\n(Month)\n(Day)\n(Year)\nThe ticket on which I came to this country was bought at new (Qit) York\nU.S.A.\n(Country)\nThe name of the ship or railroad on which I came was\nDistringhall\n(OVER)\n10/23/23"
}