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Form 2213
PRELIMINARY FORM FOR DECLARATION OF INTENTION TO BECOME A CITIZEN
5444
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
SEP 24 1928
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.
antonio
My name is
Mrs.
Antonio
Rodrigues
;
age, 25 years years.
Miss
(Alien should print or typewrite here true, original, and correct name)
(Give age LAst birthday)
My present occupation is
kaborox in Machino shop machinat
My personal description is: Color, White ; complexion,
dark
; height, 5
feet $3/44 inches;
weight, 151
pounds; color of hair, black
; color of eyes,
brown
;
other visible distinctive marks: none
I was born in larvoeiro---Macao
Portugal
(City orttwwn)
(Country)
on the 28
day of April
1.903
,
My present residence is
9 Grand
Stonington
-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 Lisbon, Porthgal
July
17
1919
, on
(Month)
(Day)
(Year)
The name of the ship or railroad on which I came was
Canada
My last place of foreign residence was Almitante Ave Roidi- Lisbon, Portugal
(City or town)
(Country)
wife
She
I am Yes married. The name of my
husband
is
Qlivia Rodrigues
was born at
xHe
Terceira, Azores
, and
now resides at 9 Grand Street. Stonington, Conn
I am now a subject of and intend to renounce allegiance to
Portugal
(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
Providence. R.I.
(City or town)
, on
July 27. 1919
(State or territory)
14-8
(Give exact month, day, and year)
(OVER)
Page data
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- Source index
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- Type
- photo
- Media ID
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- Size
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Document data
- ID
- 159596813
- 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\n5444\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\nSEP 24 1928\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.\nantonio\nMy name is\nMrs.\nAntonio\nRodrigues\n;\nage, 25 years years.\nMiss\n(Alien should print or typewrite here true, original, and correct name)\n(Give age LAst birthday)\nMy present occupation is\nkaborox in Machino shop machinat\nMy personal description is: Color, White ; complexion,\ndark\n; height, 5\nfeet $3/44 inches;\nweight, 151\npounds; color of hair, black\n; color of eyes,\nbrown\n;\nother visible distinctive marks: none\nI was born in larvoeiro---Macao\nPortugal\n(City orttwwn)\n(Country)\non the 28\nday of April\n1.903\n,\nMy present residence is\n9 Grand\nStonington\n-New London\nConn\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 Lisbon, Porthgal\nJuly\n17\n1919\n, on\n(Month)\n(Day)\n(Year)\nThe name of the ship or railroad on which I came was\nCanada\nMy last place of foreign residence was Almitante Ave Roidi- Lisbon, Portugal\n(City or town)\n(Country)\nwife\nShe\nI am Yes married. The name of my\nhusband\nis\nQlivia Rodrigues\nwas born at\nxHe\nTerceira, Azores\n, and\nnow resides at 9 Grand Street. Stonington, Conn\nI am now a subject of and intend to renounce allegiance to\nPortugal\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\nProvidence. R.I.\n(City or town)\n, on\nJuly 27. 1919\n(State or territory)\n14-8\n(Give exact month, day, and year)\n(OVER)"
}