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Form 2213
PRELIMINARY FORM FOR DECLARATION OF INTENTION TO BECOME A CITIZEN
6485
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
CARD INDEX
upper left-hand corner of all copies of
declaration, immediately under your
INDEX BOOKS
declaration number.
DISTRICT DIRECTOR OF NATURALIZATION.
MANIFESTS
(NOTE TO CLERK OF COURT.-To guide you in preparing the Declaration: The black face lines on this form contain statements
in the regular order as they are to appear on the Declaration of Intention.)
I desire to file my Declaration of Intention (first paper) to become a citizen.
Mr.
My name is
Mrs.
Antonio Marques
; age,
27
years.
Miss
(Alien should print or typewrite here true, original, and correct name)
(Give age last birthday)
Also known as
(If alien has used any other name in this country, that name should be shown here)
I used that name because
The full name of the person shown on my steamship ticket was
Antonio Marques
My mother's maiden name was
Filomena de Conceic 00
My maiden name was (if woman)
My present occcupation is
baker
My personal description is: Color, White ; complexion,
Fair
; height,
5 feet 12/20 inches;
weight,
135 pounds; color of hair,
Brown
; color of eyes,
Brown
;
other visible distinctive marks:
Acavonright of lowerlip
I was born in
Concelho de Tabos S. Simiao &
Port ugal
(City or town)
(Country)
on the
25 day of
Mar ch
My present residence is 194 Blackmel St., New Bedford, Bristod Mess.
Potter Blocks Water sti Stonington born
1 900
address is Water st. born (County)
(Number and (street)
(Qity or town)
(State)
My post office
Stenington
The place where I took the ship or train which landed me in the United States was
Lisbon
Portugal
, on
May
1920
(Month)
(Day)
(Year)
The ticket on which I came to this country was bought at
New Redfond, Maso,
(City)
(Country)
The name of the ship or railroad on which I came was
SS. Roma
(OVER)
614-8
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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\n6485\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\nCARD INDEX\nupper left-hand corner of all copies of\ndeclaration, immediately under your\nINDEX BOOKS\ndeclaration number.\nDISTRICT DIRECTOR OF NATURALIZATION.\nMANIFESTS\n(NOTE TO CLERK OF COURT.-To guide you in preparing the Declaration: The black face lines on this form contain statements\nin the regular order as they are to appear on the Declaration of Intention.)\nI desire to file my Declaration of Intention (first paper) to become a citizen.\nMr.\nMy name is\nMrs.\nAntonio Marques\n; age,\n27\nyears.\nMiss\n(Alien should print or typewrite here true, original, and correct name)\n(Give age last birthday)\nAlso known as\n(If alien has used any other name in this country, that name should be shown here)\nI used that name because\nThe full name of the person shown on my steamship ticket was\nAntonio Marques\nMy mother's maiden name was\nFilomena de Conceic 00\nMy maiden name was (if woman)\nMy present occcupation is\nbaker\nMy personal description is: Color, White ; complexion,\nFair\n; height,\n5 feet 12/20 inches;\nweight,\n135 pounds; color of hair,\nBrown\n; color of eyes,\nBrown\n;\nother visible distinctive marks:\nAcavonright of lowerlip\nI was born in\nConcelho de Tabos S. Simiao &\nPort ugal\n(City or town)\n(Country)\non the\n25 day of\nMar ch\nMy present residence is 194 Blackmel St., New Bedford, Bristod Mess.\nPotter Blocks Water sti Stonington born\n1 900\naddress is Water st. born (County)\n(Number and (street)\n(Qity or town)\n(State)\nMy post office\nStenington\nThe place where I took the ship or train which landed me in the United States was\nLisbon\nPortugal\n, on\nMay\n1920\n(Month)\n(Day)\n(Year)\nThe ticket on which I came to this country was bought at\nNew Redfond, Maso,\n(City)\n(Country)\nThe name of the ship or railroad on which I came was\nSS. Roma\n(OVER)\n614-8"
}