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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 4884 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 IMDEX 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. famule Lubetoky Kushel ; age, 43 years. Miss (Alien should print or typewrite here true, original, 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 full name of the person shown on my steamship ticket wass My mother s maidon name was My maiden nanto was (If woman) My present occcupation is My personal description is: Color, white ; complexion, Fair Farming ; height, 5 feet inches; weight, 130 pounds; color of hair, ; color of eyes, Blue ; other visible distinctive marks: none I was born in kimine , Russia (City or town) (Country) on the 15 day of september 1 1 1883 , My present residence is maternand Lehonon com (Number and street) (City or town) (County) (State) My post office address is Leonardi Bridge com The place where I took the ship or train which landed me in the United States was Hamburgd@genary , on June (Month) 18 1900. (Day) (Year) The ticket on which I came to this country was bought at (City) (Country) The name or on came was of the ship railroad which I (OVER) Commistrania c14-8

Page data

Page
22
Source index
0
Type
photo
Media ID
f33b4e9569e1846c
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\n4884\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 IMDEX\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.\nfamule Lubetoky\nKushel\n; age,\n43\nyears.\nMiss\n(Alien should print or typewrite here true, original, and correct name)\n(Give age last birthday)\nAlso known as\n(If alien 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 wass\nMy mother s maidon name was\nMy maiden nanto was (If woman)\nMy present occcupation is\nMy personal description is: Color, white ; complexion, Fair\nFarming\n; height,\n5 feet\ninches;\nweight, 130 pounds; color of hair, ; color of eyes, Blue\n;\nother visible distinctive marks:\nnone\nI was born in\nkimine ,\nRussia\n(City or town)\n(Country)\non\nthe\n15\nday of\nseptember 1\n1 1883\n,\nMy present residence is maternand Lehonon com\n(Number and street)\n(City or town)\n(County)\n(State)\nMy post office address is Leonardi Bridge com\nThe place where I took the ship or train which\nlanded me in the United States was Hamburgd@genary\n, on\nJune (Month) 18\n1900.\n(Day)\n(Year)\nThe ticket on which I came to this country was bought at\n(City)\n(Country)\nThe name or on came was\nof the ship railroad which I (OVER) Commistrania\nc14-8"
}