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Form 2213
PRELIMINARY FORM FOR DECLARATION OF INTENTION TO BECOME A CITIZEN
5343
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
46563
Place number
in
CARD INDEX
NATORALIZATION SERVIOR
upper left-hand corner of all copies of
thinking
declaration, immediately under your
INDEX BOOKS
declaration number.
MAY
7
DISTRICT DIRECTOR OF NATURALIZATION
MANIFESTS
SERVICE
LAROR
MAY 5 1928
I desire to file my Declaration of Intention (first paper) to become a citizen.
Mr.
My name is
Mra.
Antoni OFFICE QF BX ANN, ;
Fedoprazia
age,
2830 years.
Miss
(Alien should print or typewrite here true, original, and
My present
occupation is labores
LABOR
(Give age last birthday)
My personal weight, 150 description pounds; is: Color, color white: of hair, blond complexion, lightfair light ; color of ; height, b 5 lue feet
H 53/4
5
inches;
eyes,
;
other visible distinctive marks:
none
I was born in
mta w as ,Russia,now Poland
3028
(City Gevember or town)
(Country)
Road The e if
on the day of
dyngast
,
887
My present residence is 388 St, Norwich Conn
A
(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
Danging
December-3-1926
gdonsk
, on
The name of the ship or railroad on which I came was Lithuaniateania (Month) (Day) (Year)
My last place of foreign residence was
Strygowk,
(City or town) Poland (Country)
I
am yes married. The name of my { wife
is
Genowafa Fedorogy He She
was born at
husband
I
am now a subject of and intend to renounce allegiance to Republic (Write and title of sovereign of and Poland country of which
unizy 52, Poland and now resides at Ry szyn Poland
name now a subject;
if citizen of a write name of
I or, arrived at the republic, United States republic immigration only) port of New york (City town) n.4
, on 20, 1926
December
or
,
(State or territory)
14-8
(Give exact month, day, and year)
leaker
up
(OVER)
of A ISSUED
AV 17 1928
Page data
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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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Context sent to Scholar
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"ocrText": "Form 2213\nPRELIMINARY FORM FOR DECLARATION OF INTENTION TO BECOME A CITIZEN\n5343\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\n46563\nPlace number\nin\nCARD INDEX\nNATORALIZATION SERVIOR\nupper left-hand corner of all copies of\nthinking\ndeclaration, immediately under your\nINDEX BOOKS\ndeclaration number.\nMAY\n7\nDISTRICT DIRECTOR OF NATURALIZATION\nMANIFESTS\nSERVICE\nLAROR\nMAY 5 1928\nI desire to file my Declaration of Intention (first paper) to become a citizen.\nMr.\nMy name is\nMra.\nAntoni OFFICE QF BX ANN, ;\nFedoprazia\nage,\n2830 years.\nMiss\n(Alien should print or typewrite here true, original, and\nMy present\noccupation is labores\nLABOR\n(Give age last birthday)\nMy personal weight, 150 description pounds; is: Color, color white: of hair, blond complexion, lightfair light ; color of ; height, b 5 lue feet\nH 53/4\n5\ninches;\neyes,\n;\nother visible distinctive marks:\nnone\nI was born in\nmta w as ,Russia,now Poland\n3028\n(City Gevember or town)\n(Country)\nRoad The e if\non the day of\ndyngast\n,\n887\nMy present residence is 388 St, Norwich Conn\nA\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\nDanging\nDecember-3-1926\ngdonsk\n, on\nThe name of the ship or railroad on which I came was Lithuaniateania (Month) (Day) (Year)\nMy last place of foreign residence was\nStrygowk,\n(City or town) Poland (Country)\nI\nam yes married. The name of my { wife\nis\nGenowafa Fedorogy He She\nwas born at\nhusband\nI\nam now a subject of and intend to renounce allegiance to Republic (Write and title of sovereign of and Poland country of which\nunizy 52, Poland and now resides at Ry szyn Poland\nname now a subject;\nif citizen of a write name of\nI or, arrived at the republic, United States republic immigration only) port of New york (City town) n.4\n, on 20, 1926\nDecember\nor\n,\n(State or territory)\n14-8\n(Give exact month, day, and year)\nleaker\nup\n(OVER)\nof A ISSUED\nAV 17 1928"
}