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Form 2213
PRELIMINARY FORM FOR DECLARATION OF INTENTION TO BECOME A CITIZEN
5378
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.
Miss
|
; age,
39
years.
(Alien print or typewrite true, correct name)
should here original, and
(Give age last birthday)
My present occupation is shoe repairing
My personal description is: Color, white complexion, real
dark
to
; height, 5 feet X inches;
weight, 165 pounds; color of hair, gray
; color of eyes, brown
;
other visible distinctive marks: on fore Scar
I was born in
Sciara Sciara,
(City or town)
Itahy
(Country)
on
the 31st day of January
1889
My present residence is 124 Willette live new London Comm.
(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
Polermo
Staly
,on
June
1st
1915
(Month)
(Day)
(Year)
The name of the ship or railroad on which I came was Dante distringishieri
My last place of foreign residence was pait sciera
(City or town)
Itaby
(Country)
{
wife
Rossli Pariss
She
I'ani The name of my
is
was born at
party Sciana, Staby
husband
He
, and now resides at
said 124 Willetta her N.L Conn
I am now a subject of and intend to renounce allegiance to King of White name Italy and title of sovereign Victorie and country of which Emanuele now a subject;
if citizen of a republic, write name of republic only)
I
or, arrived at the United States immigration port of their 2 3rd Street (City or town) newyork
new (State territory)
York
,
on June 14-8 12 1915
or
(Give exact month, day, and year)
(OVER)
Page data
- Page
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- Source index
- 0
- Type
- photo
- Media ID
- d8b40eeb5355ed13
- 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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Document source extras
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Page context
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"ocrText": "Form 2213\nPRELIMINARY FORM FOR DECLARATION OF INTENTION TO BECOME A CITIZEN\n5378\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\nMrs.\nMiss\n|\n; age,\n39\nyears.\n(Alien print or typewrite true, correct name)\nshould here original, and\n(Give age last birthday)\nMy present occupation is shoe repairing\nMy personal description is: Color, white complexion, real\ndark\nto\n; height, 5 feet X inches;\nweight, 165 pounds; color of hair, gray\n; color of eyes, brown\n;\nother visible distinctive marks: on fore Scar\nI was born in\nSciara Sciara,\n(City or town)\nItahy\n(Country)\non\nthe 31st day of January\n1889\nMy present residence is 124 Willette live new London Comm.\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\nPolermo\nStaly\n,on\nJune\n1st\n1915\n(Month)\n(Day)\n(Year)\nThe name of the ship or railroad on which I came was Dante distringishieri\nMy last place of foreign residence was pait sciera\n(City or town)\nItaby\n(Country)\n{\nwife\nRossli Pariss\nShe\nI'ani The name of my\nis\nwas born at\nparty Sciana, Staby\nhusband\nHe\n, and now resides at\nsaid 124 Willetta her N.L Conn\nI am now a subject of and intend to renounce allegiance to King of White name Italy and title of sovereign Victorie and country of which Emanuele now a subject;\nif citizen of a republic, write name of republic only)\nI\nor, arrived at the United States immigration port of their 2 3rd Street (City or town) newyork\nnew (State territory)\nYork\n,\non June 14-8 12 1915\nor\n(Give exact month, day, and year)\n(OVER)"
}