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Form 2213
PRELIMINARY FORM FOR DECLARATION OF INTENTION TO BECOME A CITIZEN
5489
U. S. DEPARTMENT OF LABOR
NOT TO BE FILLED IN BY ALIEN
NATURALIZATION SERVICE
FOR USE OF OFFICIALS SEARCHING IMMI-
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.
Mrs.
Jose Rodrigues ,
26
My name is
; age,
years.
(Alien should print or typewrite here true, original, and correct name)
(Give age last birthday)
Mics
My present occupation is Fishmen
My personal description is: Color, White ; complexion,
Dakk
; height, 5
feet $7 inches;
weight,
128 pounds; color of hair, o Dark Brown
;
color of eyes, Light Brown
;
other visible distinctive marks:
I was born in Praia da Vitoria.
Terceira Izores
Portual
(City or town)
(Country)
on the 9
day of
August
1.202
New London Conn
My present residence is
12 Hancox St
Stonington
(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 Angra do Iroismo
Terceira Azores
October
15
190 5
, on
(Month)
(Day)
(Year)
The name of the ship or railroad on which I came was
Peninsular
Portuguez Line
My last place of foreign residence was
Praia da Vitoria. Azores
Portugal
(City or town)
(Country)
wife
I am
married. The name of my
}
is
Constance Henry
She
was born at
husband
He-
Stonington
and now resides at 12 Hancox St.
,
I am now a subject of and intend to renounce allegiance to
Republic of 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
New York
(City or town)
N. Y,
, on November 2 190 5
(State or territory)
14-8
(Give exact month, day, and year)
(OVER)
Page data
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- Type
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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
Document identity
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"ocrText": "Form 2213\nPRELIMINARY FORM FOR DECLARATION OF INTENTION TO BECOME A CITIZEN\n5489\nU. S. DEPARTMENT OF LABOR\nNOT TO BE FILLED IN BY ALIEN\nNATURALIZATION SERVICE\nFOR USE OF OFFICIALS SEARCHING IMMI-\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.\nMrs.\nJose Rodrigues ,\n26\nMy name is\n; age,\nyears.\n(Alien should print or typewrite here true, original, and correct name)\n(Give age last birthday)\nMics\nMy present occupation is Fishmen\nMy personal description is: Color, White ; complexion,\nDakk\n; height, 5\nfeet $7 inches;\nweight,\n128 pounds; color of hair, o Dark Brown\n;\ncolor of eyes, Light Brown\n;\nother visible distinctive marks:\nI was born in Praia da Vitoria.\nTerceira Izores\nPortual\n(City or town)\n(Country)\non the 9\nday of\nAugust\n1.202\nNew London Conn\nMy present residence is\n12 Hancox St\nStonington\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 Angra do Iroismo\nTerceira Azores\nOctober\n15\n190 5\n, on\n(Month)\n(Day)\n(Year)\nThe name of the ship or railroad on which I came was\nPeninsular\nPortuguez Line\nMy last place of foreign residence was\nPraia da Vitoria. Azores\nPortugal\n(City or town)\n(Country)\nwife\nI am\nmarried. The name of my\n}\nis\nConstance Henry\nShe\nwas born at\nhusband\nHe-\nStonington\nand now resides at 12 Hancox St.\n,\nI am now a subject of and intend to renounce allegiance to\nRepublic of Portugal\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 or town)\nN. Y,\n, on November 2 190 5\n(State or territory)\n14-8\n(Give exact month, day, and year)\n(OVER)"
}