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Form 2213
PRELIMINARY FORM FOR DECLARATION OF INTENTION TO BECOME A CITIZEN
5466
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
/
ALBeRt Tomesar
; age,
19
years.
(Alien should print or typewrite here true, original, and correct name)
(Give age last birthday)
My present occupation is mill hand
My personal description is: Color, White ; complexion, light
; height, 5 feet inches;
X
weight,
158 pounds; color of hair, light Burn ; color of eyes, Blue
;
other visible distinctive marks:
no
I
was born in Germany (City Raklinghausen town) and
or
(Country)
on the 19
day of September
Dronigh , 1999ndw
My present residence is 663 North Windhaue (County) Conmy (State)
filensille
(Number and street)
(City or town)
The plaçe where I took the ship train which landed in the United States January
or me was
Hamburg, Germany
, on
may
1914
(Month)
(Day)
(Year)
The name of the ship or railroad on which I came was Kaiser William II
My last place of foreign residence was Reklinghausen sud
(City or town)
(Country)
I am not married. The name of my
wife
She
is
husband
}
was born at
He
, and now resides at
I
am now a subject of and intend to renounce allegiance to The gerneon Reich
(Write name and title of sovereign and country of which now a subject;
I or, arrived at of the republic, United States republic immigration only) port of Ellis I'sland New york
if citizen a write name of
(City or town)
new
(Stata or territory)
york
, on may (Give 15 exact month, day, 1914 and
year)
(OVER)
Page data
- Page
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- Source index
- 0
- Type
- photo
- Media ID
- 4a1b0417a1f36777
- 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\n5466\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/\nALBeRt Tomesar\n; age,\n19\nyears.\n(Alien should print or typewrite here true, original, and correct name)\n(Give age last birthday)\nMy present occupation is mill hand\nMy personal description is: Color, White ; complexion, light\n; height, 5 feet inches;\nX\nweight,\n158 pounds; color of hair, light Burn ; color of eyes, Blue\n;\nother visible distinctive marks:\nno\nI\nwas born in Germany (City Raklinghausen town) and\nor\n(Country)\non the 19\nday of September\nDronigh , 1999ndw\nMy present residence is 663 North Windhaue (County) Conmy (State)\nfilensille\n(Number and street)\n(City or town)\nThe plaçe where I took the ship train which landed in the United States January\nor me was\nHamburg, Germany\n, on\nmay\n1914\n(Month)\n(Day)\n(Year)\nThe name of the ship or railroad on which I came was Kaiser William II\nMy last place of foreign residence was Reklinghausen sud\n(City or town)\n(Country)\nI am not married. The name of my\nwife\nShe\nis\nhusband\n}\nwas born at\nHe\n, and now resides at\nI\nam now a subject of and intend to renounce allegiance to The gerneon Reich\n(Write name and title of sovereign and country of which now a subject;\nI or, arrived at of the republic, United States republic immigration only) port of Ellis I'sland New york\nif citizen a write name of\n(City or town)\nnew\n(Stata or territory)\nyork\n, on may (Give 15 exact month, day, 1914 and\nyear)\n(OVER)"
}