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Form 2213
PRELIMINARY FORM FOR DECLARATION OF INTENTION TO BECOME A CITIZEN
4886,
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.
Jahann (Alien should print or typewrite Phaum Mere true, original, and
; age,
39
years.
Miss
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 was
My mother' maider name was
My maiden namo was (if woman)
My personal description is: Color, white complexion, dark
My present occcupation is carpenter
; height, 5 feet 9 inches;
weight, 185 pounds; color of hair, darkbrown ; color of eyes, blue
;
other visible distinctive marks:
I was
born in dosenburg
(City or town)
(Country)
Garmany
on the
30 day
of January Storington 1887 Road,
My present residence is
R. F. D.D
Cann
and street)
(City or town)
(County)
(State)
My post office address is
R F W. 1
The place or me
Germany
where I took the ship train which landed in the United States was Roemechappen,
, on
(Month)
(Day)
(Year)
The ticket on which I came to this country was bought at
The name of the ship or railroad on which I came was
Heamon Main (Country)
(Oity)
(OVER)
c14-8
Page data
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Document data
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- Core
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- Type
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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\n4886,\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.\nJahann (Alien should print or typewrite Phaum Mere true, original, and\n; age,\n39\nyears.\nMiss\ncorrect 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 was\nMy mother' maider name was\nMy maiden namo was (if woman)\nMy personal description is: Color, white complexion, dark\nMy present occcupation is carpenter\n; height, 5 feet 9 inches;\nweight, 185 pounds; color of hair, darkbrown ; color of eyes, blue\n;\nother visible distinctive marks:\nI was\nborn in dosenburg\n(City or town)\n(Country)\nGarmany\non the\n30 day\nof January Storington 1887 Road,\nMy present residence is\nR. F. D.D\nCann\nand street)\n(City or town)\n(County)\n(State)\nMy post office address is\nR F W. 1\nThe place or me\nGermany\nwhere I took the ship train which landed in the United States was Roemechappen,\n, on\n(Month)\n(Day)\n(Year)\nThe ticket on which I came to this country was bought at\nThe name of the ship or railroad on which I came was\nHeamon Main (Country)\n(Oity)\n(OVER)\nc14-8"
}