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Form 2213
PRELIMINARY FORM FOR DECLARATION OF INTENTION TO BECOME A CITIZEN
4920
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
(NOTE
TO
CLERK
OF
COURT.-To
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.)
I desire to file my Declaration of Intention (first paper) to become a citizen.
Mr.
My name is
Mrs.
george John Maistulis
; age,
40
years.
Miss
(AAlien hould print or here true, original, and corregt name) .
(Give age last birthday)
Also known
Grogras (If alien has Joanou Joams any other in this Maistrilis country, that should be shown
rased name name here)
I used that name because
The
full
name
of
the
person shown on my steamship ticket was george John maistrelis
My
mother's maiden name was Marigo george Chioteli
My maiden name was (if woman)
My present occcupation is
Commission weaver White
My personal description is: Color, light ; complexion, light
fair
3 1/2
;
height, 5 feet t inches;
weight,
130 pounds; color of hair, dont dolor of
eyes,
blue
;
Pattoomark other backorA under left ga
visible distinctive marks: as left stde Sifty
I was born in Plomation metiline
Greece
(City or town)
(Country)
on
the 14th day of november
,
1886
My present residence is 197 North mainst, Nomich, NewLondon, Conney
(Number and street)
(City or town)
(County)
(State)
My
post office address is 197 North mainst "
).
22
22
The place where I took the ship or train which landed me in the United States was
Patras, greece
, on
May
about 10, 1911
(Month)
(Day)
(Year)
The ticket which I this was bought at Pircieus
on came to country
greece
(City)
(Country)
The railroad which I came was athenal
name of the ship or on
(OVER)
c14-8
Page data
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- Type
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Document data
- ID
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- Core
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- Type
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DTO data
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"ocrText": "Form 2213\nPRELIMINARY FORM FOR DECLARATION OF INTENTION TO BECOME A CITIZEN\n4920\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\n(NOTE\nTO\nCLERK\nOF\nCOURT.-To\nguide\nyou\nin\npreparing\nthe\nDeclaration:\nThe\nblack\nface\nlines\non\nthis\nform\ncontain\nstatements\nin the regular order as they are to appear on the Declaration of Intention.)\nI desire to file my Declaration of Intention (first paper) to become a citizen.\nMr.\nMy name is\nMrs.\ngeorge John Maistulis\n; age,\n40\nyears.\nMiss\n(AAlien hould print or here true, original, and corregt name) .\n(Give age last birthday)\nAlso known\nGrogras (If alien has Joanou Joams any other in this Maistrilis country, that should be shown\nrased name name here)\nI used that name because\nThe\nfull\nname\nof\nthe\nperson shown on my steamship ticket was george John maistrelis\nMy\nmother's maiden name was Marigo george Chioteli\nMy maiden name was (if woman)\nMy present occcupation is\nCommission weaver White\nMy personal description is: Color, light ; complexion, light\nfair\n3 1/2\n;\nheight, 5 feet t inches;\nweight,\n130 pounds; color of hair, dont dolor of\neyes,\nblue\n;\nPattoomark other backorA under left ga\nvisible distinctive marks: as left stde Sifty\nI was born in Plomation metiline\nGreece\n(City or town)\n(Country)\non\nthe 14th day of november\n,\n1886\nMy present residence is 197 North mainst, Nomich, NewLondon, Conney\n(Number and street)\n(City or town)\n(County)\n(State)\nMy\npost office address is 197 North mainst \"\n).\n22\n22\nThe place where I took the ship or train which landed me in the United States was\nPatras, greece\n, on\nMay\nabout 10, 1911\n(Month)\n(Day)\n(Year)\nThe ticket which I this was bought at Pircieus\non came to country\ngreece\n(City)\n(Country)\nThe railroad which I came was athenal\nname of the ship or on\n(OVER)\nc14-8"
}