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Form 2213
PRELIMINARY FORM FOR DECLARATION OF INTENTION TO BECOME A CITIZEN
4964
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
upper left-hand corner of all copies of
CARD INDEX
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 ma
Mr.
semester Intention GO become a citizen
My name is
farmer (Alien should print or moraites typewrite here true, original,
26 25
Mrs.
; age,
years.
Misa
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 Semetrions moraites
full name of the person shown on my steamship ticket was
My mother's maiden name was Bessie
My maiden name was (if woman)
My present occcupation is Garage Employer
My personal description is: Color, White: ; complexion, dark
; height,
5 & feet 9 /4 inches;
weight, 160 pounds; color of hair, black
; color of eyes,
dark nota
other visible distinctive marks: Scar
I was born in Plomarion - Greece
(City or town)
(Country)
on the
of
aug
1901
My present residence is Sharmon Betgy Norwich, new London (County) bonn (State)
(Number and street)
(City or town)
My post office address is 81 Shitucketts n
.1
zb
The place where I took the ship or train which landed me in the United States was
Pareas
Piracns, Greece
The ticket on which I came to this country was bought at Pareas
, on June (Month) 8th (Day) 1911 (Year)
Gieece
(City)
(Country)
The name of the ship or on
railroad which I came was Themistocles
(OVER)
c14-8
Page data
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- Source index
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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
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"ocrText": "Form 2213\nPRELIMINARY FORM FOR DECLARATION OF INTENTION TO BECOME A CITIZEN\n4964\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\nupper left-hand corner of all copies of\nCARD INDEX\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\nstatements\nin the regular order as they are to appear on the Declaration of Intention.)\nI desire to file ma\nMr.\nsemester Intention GO become a citizen\nMy name is\nfarmer (Alien should print or moraites typewrite here true, original,\n26 25\nMrs.\n; age,\nyears.\nMisa\nand correct name)\n(Give age last birthday)\nAlso known as\n-\n(If alien has used any other name in this country, that name should be shown here)\nI used that name because\nThe Semetrions moraites\nfull name of the person shown on my steamship ticket was\nMy mother's maiden name was Bessie\nMy maiden name was (if woman)\nMy present occcupation is Garage Employer\nMy personal description is: Color, White: ; complexion, dark\n; height,\n5 & feet 9 /4 inches;\nweight, 160 pounds; color of hair, black\n; color of eyes,\ndark nota\nother visible distinctive marks: Scar\nI was born in Plomarion - Greece\n(City or town)\n(Country)\non the\nof\naug\n1901\nMy present residence is Sharmon Betgy Norwich, new London (County) bonn (State)\n(Number and street)\n(City or town)\nMy post office address is 81 Shitucketts n\n.1\nzb\nThe place where I took the ship or train which landed me in the United States was\nPareas\nPiracns, Greece\nThe ticket on which I came to this country was bought at Pareas\n, on June (Month) 8th (Day) 1911 (Year)\nGieece\n(City)\n(Country)\nThe name of the ship or on\nrailroad which I came was Themistocles\n(OVER)\nc14-8"
}