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Form 2213
PRELIMINARY FORM FOR DECLARATION OF INTENTION TO BECOME A CITIZEN
5470
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.
MR,
; age, 54
years.
My present occupation is millhand
Miss
(Alien should print or typewhite here true, original, and correct name)
(Give age last birthday)
My personal description is: Color white ; complexion, fair
; height, 5
feet 67/4/19 inches;
weight, 165 pounds; color of hair, dark Browns color of eyes, Blue
;
other visible distinctive marks:
no
I was born in
Olive (City town) Gennany Amsburg (Country)
or
on the 27
day of
april
, 1874
My present residence is 663 North Main St Norevich New Loudou County
(Number and street)
(City or town)
(County)
(State)
The where I or me was
place took the ship train which landed in the United States Hamburg
on
Jan
8
1914
(Month)
(Day)
(Year)
The the ship railroad which I was graf Waldeusee
name of or on came
My last place of foreign residence was (City or town) sud
Reklinghasisan
(Country)
I am yes married. The name of my
{
wife
}
is Elizabeth
She
was born at
husband
He
Wotlow Pilard
and now resides at 663 North Mains st
,
I am now a to renounce
subject of and intend allegiance to german Reich
(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
New York
(City town)
New (State York of/territory)
9 on Jan 14-8 16 1914
(Give exact month, day, and year)
(OVER)
Page data
- Page
- 1214
- Source index
- 0
- Type
- photo
- Media ID
- 75af4868fe31977d
- 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\n5470\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.\nMR,\n; age, 54\nyears.\nMy present occupation is millhand\nMiss\n(Alien should print or typewhite here true, original, and correct name)\n(Give age last birthday)\nMy personal description is: Color white ; complexion, fair\n; height, 5\nfeet 67/4/19 inches;\nweight, 165 pounds; color of hair, dark Browns color of eyes, Blue\n;\nother visible distinctive marks:\nno\nI was born in\nOlive (City town) Gennany Amsburg (Country)\nor\non the 27\nday of\napril\n, 1874\nMy present residence is 663 North Main St Norevich New Loudou County\n(Number and street)\n(City or town)\n(County)\n(State)\nThe where I or me was\nplace took the ship train which landed in the United States Hamburg\non\nJan\n8\n1914\n(Month)\n(Day)\n(Year)\nThe the ship railroad which I was graf Waldeusee\nname of or on came\nMy last place of foreign residence was (City or town) sud\nReklinghasisan\n(Country)\nI am yes married. The name of my\n{\nwife\n}\nis Elizabeth\nShe\nwas born at\nhusband\nHe\nWotlow Pilard\nand now resides at 663 North Mains st\n,\nI am now a to renounce\nsubject of and intend allegiance to german Reich\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\nNew York\n(City town)\nNew (State York of/territory)\n9 on Jan 14-8 16 1914\n(Give exact month, day, and year)\n(OVER)"
}