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Form 2213
PRELIMINARY FORM FOR DECLARATION OF INTENTION TO BECOME A CITIZEN
5494
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
I desire to file my Declaration of Intention (first paper) to become a citizen.
Mr.
My name is
Mrs.
Giov anni Battista Bellone ; age,
40
years.
Miss
(Alien should print or typewrite here true, original, and correct name)
(Give age last birthday)
My present occupation is
mason
My personal description is: Color, While complexion, Dark 5 84 inches;
; height,
weight, 168 pounds; color of hair,
brown
; color of eyes,
brown
;
other visible forefunger distinctive marks: scars on left cheek and end of right
I was born in
(City or
Tura, town) Italy
(Country)
on the
27 day of
november
1888
My present residence is
96 devision St. norwich newLondon loun.
(Number and street)
(City or town)
(County)
(State)
The place where I took the ship train which landed in United Palermo
or me the States was
The name of the ship or railroad on which I came was Canada
etaly
, on
may (Month) (Day) 6th (Year) 1911
My last place of foreign residence was
Tusa (City town) Maly
or
(Country)
I am
- married. The name of my
wife
husband
}
is
mica
She
}
was born at
-He
Tusa Etaly and tom
now resides at 96 devision It norwich
I
am
now a subject of and intend to renounce allegiance to Victor Emmul III
(Writa name and title of sovereign and country of which now a subject;
or, if citizen of a republic,
write King name of republic only) of Italy
I arrived at the United States immigration port of
new
newyorl
(City or towny
(State territory) york (OVER)
, on
or
may 14-8 exact month, day, 15 and year)
1911
Page data
- Page
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- Source index
- 0
- Type
- photo
- Media ID
- f138834885a1446a
- 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\n5494\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\nI desire to file my Declaration of Intention (first paper) to become a citizen.\nMr.\nMy name is\nMrs.\nGiov anni Battista Bellone ; age,\n40\nyears.\nMiss\n(Alien should print or typewrite here true, original, and correct name)\n(Give age last birthday)\nMy present occupation is\nmason\nMy personal description is: Color, While complexion, Dark 5 84 inches;\n; height,\nweight, 168 pounds; color of hair,\nbrown\n; color of eyes,\nbrown\n;\nother visible forefunger distinctive marks: scars on left cheek and end of right\nI was born in\n(City or\nTura, town) Italy\n(Country)\non the\n27 day of\nnovember\n1888\nMy present residence is\n96 devision St. norwich newLondon loun.\n(Number and street)\n(City or town)\n(County)\n(State)\nThe place where I took the ship train which landed in United Palermo\nor me the States was\nThe name of the ship or railroad on which I came was Canada\netaly\n, on\nmay (Month) (Day) 6th (Year) 1911\nMy last place of foreign residence was\nTusa (City town) Maly\nor\n(Country)\nI am\n- married. The name of my\nwife\nhusband\n}\nis\nmica\nShe\n}\nwas born at\n-He\nTusa Etaly and tom\nnow resides at 96 devision It norwich\nI\nam\nnow a subject of and intend to renounce allegiance to Victor Emmul III\n(Writa name and title of sovereign and country of which now a subject;\nor, if citizen of a republic,\nwrite King name of republic only) of Italy\nI arrived at the United States immigration port of\nnew\nnewyorl\n(City or towny\n(State territory) york (OVER)\n, on\nor\nmay 14-8 exact month, day, 15 and year)\n1911"
}