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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)

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Document data

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Core
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Type
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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)"
}