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Form 2213
PRELIMINARY FORM FOR DECLARATION OF INTENTION TO BECOME A CITIZEN
5496
U. S. DEPARTMENT OF LABOR
NOT TO BE FILLED IN BY ALIEN
FOR USE OF OFFICIALS SEARCHING IMMI-
NATURALIZATION SERVICE
GRATION RECORDS
MATORAYIZA MON SERVIOR
CLERK OF COURT:
RECORDS EXAMINED
50481
Place number
in
upper left-hand corner of all copies of
CARD INDEX
SEP
17 1928 NATURALIZ TION SERVIO
declaration, immediately under your
INDEX BOOKS
11312101
declaration number.
BOSTON. MASS.
OF LABOR SEP 15 1928
DISTRICT DIRECTOR OF NATURALIZATION
MANIFESTS
Abbert Kellers
DEPAKING U LABOR
I desire to file my Declaration of Intention (first paper) to become a citizen.
Mr.
My name is
Mrs.
/
Mr. Albert Kellers
; age,
22
years.
Miss
(Alien should print or typewrite here true, original, and correct name)
(Give age last birthday)
My present occupation is
weaver
My personal description is: Color, White ; complexion, Fair
; height, 5 feet 52 inches;
weight,
159 pounds; color of hair, brown
; color of eyes,
brow bleu
other visible distinctive marks: none
I was born in
Krefeld
Germany
(City or town)
(Country)
on the 7th day of
July,
1906.
My present residence is 5 Elm Place,
Mystic
New London
Conn.
(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
Bremen
, on
June 1, 1927
(Month)
(Day)
(Year)
The name of the ship or railroad on which I came was
George Washington
My last place of foreign residence was Krefela, Gormany
(City or town)
(Country)
wife
I am not married. The name of my
}
She
is
---
was born at
husband
He
---
, and now resides at
,
I am now a subject of and intend to renounce
Republic of Germany
The allegiance German to (Write name and title Ruch 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
Hobokon
(City
or new town) York
New Jersey
, on
June IT, 1987.
(State or territory)
14-8
(Give exact month, day, and year)
(OVER)
10
07A
SEF 29 192A
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- Type
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Document data
- ID
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- 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\n5496\nU. S. DEPARTMENT OF LABOR\nNOT TO BE FILLED IN BY ALIEN\nFOR USE OF OFFICIALS SEARCHING IMMI-\nNATURALIZATION SERVICE\nGRATION RECORDS\nMATORAYIZA MON SERVIOR\nCLERK OF COURT:\nRECORDS EXAMINED\n50481\nPlace number\nin\nupper left-hand corner of all copies of\nCARD INDEX\nSEP\n17 1928 NATURALIZ TION SERVIO\ndeclaration, immediately under your\nINDEX BOOKS\n11312101\ndeclaration number.\nBOSTON. MASS.\nOF LABOR SEP 15 1928\nDISTRICT DIRECTOR OF NATURALIZATION\nMANIFESTS\nAbbert Kellers\nDEPAKING U LABOR\nI desire to file my Declaration of Intention (first paper) to become a citizen.\nMr.\nMy name is\nMrs.\n/\nMr. Albert Kellers\n; age,\n22\nyears.\nMiss\n(Alien should print or typewrite here true, original, and correct name)\n(Give age last birthday)\nMy present occupation is\nweaver\nMy personal description is: Color, White ; complexion, Fair\n; height, 5 feet 52 inches;\nweight,\n159 pounds; color of hair, brown\n; color of eyes,\nbrow bleu\nother visible distinctive marks: none\nI was born in\nKrefeld\nGermany\n(City or town)\n(Country)\non the 7th day of\nJuly,\n1906.\nMy present residence is 5 Elm Place,\nMystic\nNew London\nConn.\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\nBremen\n, on\nJune 1, 1927\n(Month)\n(Day)\n(Year)\nThe name of the ship or railroad on which I came was\nGeorge Washington\nMy last place of foreign residence was Krefela, Gormany\n(City or town)\n(Country)\nwife\nI am not married. The name of my\n}\nShe\nis\n---\nwas born at\nhusband\nHe\n---\n, and now resides at\n,\nI am now a subject of and intend to renounce\nRepublic of Germany\nThe allegiance German to (Write name and title Ruch of sovereign and country of\nwhich now a subject;\nor, if citizen of a republic, write name of republic only)\nI arrived at the United States immigration port of\nHobokon\n(City\nor new town) York\nNew Jersey\n, on\nJune IT, 1987.\n(State or territory)\n14-8\n(Give exact month, day, and year)\n(OVER)\n10\n07A\nSEF 29 192A"
}