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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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    "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"
}