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File numbers 4874 - 5509, 1926-1930

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Form 2213 PRELIMINARY FORM FOR DECLARATION OF INTENTION TO BECOME A CITIZEN 4971 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 (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 my citizen. Mr. My name is Mrs. ms Oten allent Beir Declaration Abis of paper) to become a ; age, 32. years. Miss (Alien should print or typewrite here true, original, and correct name) (Give age last birthday) Also known as Abraham Beit (If alien has used any other name in this country, that name should be shown here) I used that name because The full name of the person shown on my steamship ticket was My mother's maiden name was My maiden name was (if woman) My present occcupation is Clerkin stone My personal description is: Color, White, complexion, dark ; height, 5 feet 6 inches; weight, 180 pounds; color of hair, Black. other visible distinctive marks: ; color of eyes, gray ; I was born in Molonio (City town) (Country) how searsonded forefunger or on the Second day of peninary 1895. My present residence is 30 Pearl Strees how (Number and street) My post office address is norwith Couns. (City or town) (County) (State) The place where I took the ship or train which landed me in the United States was J Rotter dun Holland on Sectember (Month) 28, (Day) 1910 (Year) The ticket on which I camo to this country was bought at The name of the ship or railroad on which I came was new (City) Potterdan (Country) (OVER) 014-8

Page data

Page
193
Source index
0
Type
photo
Media ID
fc7b3898bfb81cc2
Size
unknown

Document data

ID
159596813
Core
doc
Type
document
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\n4971\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\n(NOTE TO CLERK OF COURT.-To guide you in preparing the Declaration: The black face lines on this form contain statements\nin the regular order as they are to appear on the Declaration of Intention.)\nI desire to file my citizen.\nMr.\nMy name is\nMrs.\nms Oten allent Beir\nDeclaration Abis of paper) to become a\n; age,\n32.\nyears.\nMiss\n(Alien should print or typewrite here true, original, and correct name)\n(Give age last birthday)\nAlso known as\nAbraham Beit\n(If\nalien has used any other name in this country, that name should be shown here)\nI used that name because\nThe full name of the person shown on my steamship ticket was\nMy mother's maiden name was\nMy maiden name was (if woman)\nMy\npresent occcupation is Clerkin stone\nMy personal description is: Color, White, complexion, dark\n; height, 5 feet 6 inches;\nweight, 180 pounds; color of hair, Black.\nother visible distinctive marks:\n; color of eyes, gray\n;\nI was born in\nMolonio (City town) (Country)\nhow searsonded forefunger\nor\non the Second day of peninary\n1895.\nMy present residence is\n30 Pearl\nStrees\nhow\n(Number and street)\nMy post office address is norwith Couns.\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\nJ Rotter dun\nHolland\non\nSectember (Month) 28, (Day) 1910 (Year)\nThe ticket on which I camo to this country was bought at\nThe name of the ship or railroad on which I came was\nnew (City) Potterdan (Country)\n(OVER)\n014-8"
}