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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

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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"
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