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Form 2213
PRELIMINARY FORM FOR DECLARATION OF INTENTION TO BECOME A CITIZEN
5424
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.
Arna Novick
; age,
26
years.
(Alien should print or typewrite hero true, original, and correct name)
(Give age last birthday)
Miss
My present occupation is Housewife
My personal description is: Color, white ; complexion, Dark
; height, 5 feet
/ inches;
weight, 140 pounds; color of hair, black
; color of eyes, brown
;
other visible distinctive marks:
I was born in
Grodns
Poland
(City or town)
(Country)
on the
5
day of april
1902
My present residence is
57 mechanic
norwich newLondon Conn,
(Number and street)
which landed me in the United States was Holland
(City or town)
(County)
(State)
The place where I took the ship or train
(Rotterdam)
march
, on
5
1920
(Month)
(Day)
(Year)
The name of the ship or railroad on which I came was Holland American Line
My last place of foreign residence was
Grodno
Poland
(City or town)
(Country)
a widow
I am
married.
The name of my
{
wife
}
was is meyer Novick
She
husband
He
}
was born at
Chenigor, Russia , and now
resides at dead
,
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
Boston
(City or town)
Marsachusetta
, on
march 15,1920
(State or territory)
14-8
(Give exact month, day, and year)
(OVER)
Page data
- Page
- 1109
- Source index
- 0
- Type
- photo
- Media ID
- d3e6d371abf13b02
- Size
- unknown
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\n5424\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.\nArna Novick\n; age,\n26\nyears.\n(Alien should print or typewrite hero true, original, and correct name)\n(Give age last birthday)\nMiss\nMy present occupation is Housewife\nMy personal description is: Color, white ; complexion, Dark\n; height, 5 feet\n/ inches;\nweight, 140 pounds; color of hair, black\n; color of eyes, brown\n;\nother visible distinctive marks:\nI was born in\nGrodns\nPoland\n(City or town)\n(Country)\non the\n5\nday of april\n1902\nMy present residence is\n57 mechanic\nnorwich newLondon Conn,\n(Number and street)\nwhich landed me in the United States was Holland\n(City or town)\n(County)\n(State)\nThe place where I took the ship or train\n(Rotterdam)\nmarch\n, on\n5\n1920\n(Month)\n(Day)\n(Year)\nThe name of the ship or railroad on which I came was Holland American Line\nMy last place of foreign residence was\nGrodno\nPoland\n(City or town)\n(Country)\na widow\nI am\nmarried.\nThe name of my\n{\nwife\n}\nwas is meyer Novick\nShe\nhusband\nHe\n}\nwas born at\nChenigor, Russia , and now\nresides at dead\n,\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\nBoston\n(City or town)\nMarsachusetta\n, on\nmarch 15,1920\n(State or territory)\n14-8\n(Give exact month, day, and year)\n(OVER)"
}