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File numbers 4874 - 5509, 1926-1930

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Form 2213 PRELIMINARY FORM FOR DECLARATION OF INTENTION TO BECOME A CITIZEN 5356 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 I desire to file my Declaration of Intention (first paper) to become a citizen. Mr. My name is | Mrs. / Stanislan (Alien should print typewrite Jarashticing here true, original, and ; age, 32 years. Mies or correct name) (Give age last birthday) My present occupation is work in bakary driver 43/4 My personal description is: Color, white ; complexion, weight, 175 pounds; color light of hair, brown light ; height, 5 feet 4 inches; ; color of eyes, theyouright blue other visible distinctive marks: "forefing I was born in Szczeberha Russia, now Poland (Country) (City or town) on the 22 day of Sec , 1 895 My present residence is 34 White St. norrick new London Conn. (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 Hambug Germany , on July 8 1909 (MontH) (Day) (Year) The name of the ship or railroad on which I came was S.S. america My last place of foreign residence was pack Wity/or town) Poland (Country) I am { wife norwich, Conn. aniela said Stankining She married. The name of my is husband He } was born at , and now resides at 34 White St I am now a subject of and intend to renounce allegiance to Poland. (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 (City or York town) , on (State or territory) July (Give 17,1909 month, day, and year) exact (OVER)

Page data

Page
963
Source index
0
Type
photo
Media ID
3db72457b13453b9
Size
unknown

Document data

ID
159596813
Core
doc
Type
document
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\n5356\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\nI desire to file my Declaration of Intention (first paper) to become a citizen.\nMr.\nMy name is\n|\nMrs.\n/\nStanislan (Alien should print typewrite Jarashticing here true, original, and\n; age,\n32\nyears.\nMies\nor correct name)\n(Give age last birthday)\nMy present occupation is\nwork in bakary driver\n43/4\nMy personal description is: Color, white ; complexion,\nweight, 175 pounds; color light of hair, brown\nlight\n; height, 5\nfeet\n4\ninches;\n; color of eyes, theyouright\nblue\nother visible distinctive marks: \"forefing\nI was born in\nSzczeberha\nRussia, now Poland (Country)\n(City or town)\non\nthe 22 day of\nSec\n, 1 895\nMy present residence is\n34 White St. norrick new London Conn.\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\nHambug\nGermany\n, on\nJuly\n8\n1909\n(MontH)\n(Day)\n(Year)\nThe name of the ship or railroad on which I came was\nS.S. america\nMy last place of foreign residence was pack Wity/or town)\nPoland\n(Country)\nI am\n{\nwife\nnorwich, Conn.\naniela said Stankining\nShe\nmarried. The name of my\nis\nhusband\nHe\n}\nwas born at\n, and now resides at\n34 White St\nI am now a subject of and intend to renounce allegiance to\nPoland.\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 arrived at the United States immigration port of\nnew (City or\nYork\ntown)\n, on\n(State or territory)\nJuly (Give 17,1909 month, day, and year)\nexact\n(OVER)"
}