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Form 2213
PRELIMINARY FORM FOR DECLARATION OF INTENTION TO BECOME A CITIZEN
5317
U. S. DEPARTMENT OF LABOR
NOT TO BE FILLED IN BY ALIEN
FOR USE OF OFFICIALS SEARCHING IMMI-
NATURALIZATION SERVICE
GRATION RECORDS
NATURALIZATION.
SERVICE
CLERK OF COURT:
42122
RECORDS EXAMINED
RHC
Place number
in
upper left-hand corner of all copies of
CARD INDEX
JAN 16 1928
declaration, immediately under your
INDEX BOOKS
declaration number.
OFFICE O* EXAMINER
NEW OF LABOR
HAVEN, CONN.
DISTRICT DIRECTOR OF NATURALIZATION
MANIFESTS
BUILDAY UI
NATURALIZATION
getter of Hulter
77.
1923
19
I desire to file my Declaration of Intention (first paper) to become a citizen.
Mr.
My name is
Mrs.
Gertrude
; age, M Nineteen years.
Miss
(Alien should print or typewrite here true, original, and correct name)
(Give age last birthday)
My present occupation is maid
41/2
My personal description is: Color, white complexion, ; height, 5 feet $ inches;
weight, 120 pounds; color of hair, dark brown ; color of eyes, brown
bRoyld
dark
;
other visible distinctive marks:
none
I was born in
Breamsche
(City or town)
on the of June avenue
Germany
(Country)
The place where I took the ship or train which landed me in the United States was Bremlu
mystic
Come
My present residence is (Number and street) Oity or town) (County) (State)
hearing
on April (Month)
28th (Day) n 1926 (Year)
The name the ship railroad which I Bierre Ventana
of or on came was
My
last place of foreign residence said was Bremsche wife (City town) Germany (Country) She
or
I am not married. The name of my
t
is
was born at
husband
ne
, and now resides at
,
Ifam now a of and intend to renounce to
subject The German Reioh allegiance Bernay (Write and titte sovereign and
name of 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 (City town) Now Jearly
or
n.y.
,
(State or territory)
on may 14-8 (Give 10TH month, all day, 926 and year)
exact
(OVER)
O/A ISSUED
9th
JAN 21 1928
Page data
- Page
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- Source index
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- Type
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- Media ID
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- 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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"ocrText": "Form 2213\nPRELIMINARY FORM FOR DECLARATION OF INTENTION TO BECOME A CITIZEN\n5317\nU. S. DEPARTMENT OF LABOR\nNOT TO BE FILLED IN BY ALIEN\nFOR USE OF OFFICIALS SEARCHING IMMI-\nNATURALIZATION SERVICE\nGRATION RECORDS\nNATURALIZATION.\nSERVICE\nCLERK OF COURT:\n42122\nRECORDS EXAMINED\nRHC\nPlace number\nin\nupper left-hand corner of all copies of\nCARD INDEX\nJAN 16 1928\ndeclaration, immediately under your\nINDEX BOOKS\ndeclaration number.\nOFFICE O* EXAMINER\nNEW OF LABOR\nHAVEN, CONN.\nDISTRICT DIRECTOR OF NATURALIZATION\nMANIFESTS\nBUILDAY UI\nNATURALIZATION\ngetter of Hulter\n77.\n1923\n19\nI desire to file my Declaration of Intention (first paper) to become a citizen.\nMr.\nMy name is\nMrs.\nGertrude\n; age, M Nineteen years.\nMiss\n(Alien should print or typewrite here true, original, and correct name)\n(Give age last birthday)\nMy present occupation is maid\n41/2\nMy personal description is: Color, white complexion, ; height, 5 feet $ inches;\nweight, 120 pounds; color of hair, dark brown ; color of eyes, brown\nbRoyld\ndark\n;\nother visible distinctive marks:\nnone\nI was born in\nBreamsche\n(City or town)\non the of June avenue\nGermany\n(Country)\nThe place where I took the ship or train which landed me in the United States was Bremlu\nmystic\nCome\nMy present residence is (Number and street) Oity or town) (County) (State)\nhearing\non April (Month)\n28th (Day) n 1926 (Year)\nThe name the ship railroad which I Bierre Ventana\nof or on came was\nMy\nlast place of foreign residence said was Bremsche wife (City town) Germany (Country) She\nor\nI am not married. The name of my\nt\nis\nwas born at\nhusband\nne\n, and now resides at\n,\nIfam now a of and intend to renounce to\nsubject The German Reioh allegiance Bernay (Write and titte sovereign and\nname of country of which now a subject;\nor, if citizen of a republic, write name of republic only)\nI arrived\nat the United States immigration port of (City town) Now Jearly\nor\nn.y.\n,\n(State or territory)\non may 14-8 (Give 10TH month, all day, 926 and year)\nexact\n(OVER)\nO/A ISSUED\n9th\nJAN 21 1928"
}