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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 4984 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 Declaration of Intention (first paper) to become a citizen. Mr. My name is Mrs. ; age, 23 years. Miss (Alien should print or typewrite here true, original, and correct name) (Give age last birthday) Also known as Names De Grolis (If alien has used any other name in this country, that name should be shown here) I used that name because It is Just of Nickname The full name of the person shown on my steamchip ticket was My mother S maiden was My maiden name was (if woman) My personal present occcupation description is: Color, White ; complexion, Fair dark 53/4 My is Tailor ; height, 5 feet to inches; weight, 175 pounds; color of hair, Black ; color of eyes, Brown ; other visible distinctive marks: Note Under leffeat none I was born in Anagni (City or town) Italy (Country) on the 16 day of October 1903 My present is residence 502 Thannes froton New London Conn (Number and street) (City or town) My post office address is 502 Thames St. Groton (County) (State) Conn The place where I took the ship or train which landed me in the United States was France , on September 9 1970 (Month) (Day) (Year) The ticket on which I came to this country was bought at (City) (Country) The name of the ship or railroad on which I came was Ozynpic (OVER) 014-8

Page data

Page
219
Source index
0
Type
photo
Media ID
e2bd090f22b2d85b
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\n4984\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 Declaration of Intention (first paper) to become a citizen.\nMr.\nMy name is\nMrs.\n; age,\n23\nyears.\nMiss\n(Alien should print or typewrite here true, original, and correct name)\n(Give age last birthday)\nAlso known as\nNames De Grolis\n(If alien has used any other name in this country, that name should be shown here)\nI used that name because\nIt is Just of Nickname\nThe full name of the person shown on my steamchip ticket was\nMy mother S maiden was\nMy maiden name was (if woman)\nMy personal present occcupation description is: Color, White ; complexion, Fair dark 53/4\nMy is Tailor\n;\nheight, 5 feet to inches;\nweight, 175 pounds; color of hair, Black\n; color of eyes, Brown\n;\nother visible distinctive marks: Note Under leffeat none\nI was born in Anagni\n(City or town)\nItaly\n(Country)\non the 16\nday of October\n1903\nMy present is\nresidence 502 Thannes\nfroton\nNew London Conn\n(Number and street)\n(City or town)\nMy post office address is 502 Thames St. Groton\n(County)\n(State)\nConn\nThe place where I took the ship or train which landed me in the United States was\nFrance\n, on\nSeptember 9 1970\n(Month)\n(Day)\n(Year)\nThe ticket on which I came to this country was bought at\n(City)\n(Country)\nThe name of the ship or railroad on which I came was\nOzynpic\n(OVER)\n014-8"
}