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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 5006 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 I desire to file my Declaration of Intention (first paper) to become a citizen. Mr. My name is Mrs. / Stanislaw Mien should print or typewrite here Algrewshi truel original, and correct ; age, 33 years. name) (Give age last birthday) My present occupation Miss is butcher My personal description is: Color, white complexion, fair ; height, 5 feet 3/12 inches; weight, 150 pounds; color ot hair lighting ; color of eyes, blue ; and tor funger I was born in (City of town) Russia, (Country) Poland other visible distinctive marks: scarstacksfright car, onchin, left thumb 8th day of Ignatowhah now on the 1893 My present residence is Norwich , Comm (Number and street) (City or town) (County) (State) The or me was Hermany phace where I took the ship train which landed in the United States Hamburg on (Month) (Day) (Year) The name of the ship or railroad on which I came was Imperator My last place of foreign residence was yalono (City or town) Russia (Country) wife I am married. The name of my is mary She was born at He noowich, Coun. husband , and now resides at 5:5-Seventhstrut I am now a subject of and intend to renounce allegiance to the (Writemame and title of sovereign and country of which Paland Republicof now a subject; or, if citizen of a republic, write name of republic only) I arrived at the United States immigration port of new (City or town) M.Y. on 30. 1913 , Nootember York (State or territory) 14-8 (Give exact month, day, and year) (OVER)

Page data

Page
263
Source index
0
Type
photo
Media ID
0eeed5affa6f0af1
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\n5006\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\nI desire to file my Declaration of Intention (first paper) to become a citizen.\nMr.\nMy name is\nMrs.\n/\nStanislaw Mien should print or typewrite here Algrewshi truel original, and correct\n; age,\n33\nyears.\nname)\n(Give age last birthday)\nMy present occupation Miss is butcher\nMy personal description is: Color, white complexion, fair\n; height, 5 feet 3/12 inches;\nweight, 150 pounds; color ot hair lighting ; color of eyes,\nblue\n;\nand tor funger\nI was born in (City of town) Russia, (Country) Poland\nother visible distinctive marks: scarstacksfright car, onchin, left thumb\n8th day of\nIgnatowhah\nnow\non the\n1893\nMy present residence is Norwich , Comm\n(Number and street)\n(City or town)\n(County)\n(State)\nThe or me was\nHermany\nphace where I took the ship train which landed in the United States Hamburg\non\n(Month)\n(Day)\n(Year)\nThe\nname of the ship or railroad on which I came was Imperator\nMy last place of foreign residence was\nyalono (City or town)\nRussia\n(Country)\nwife\nI am\nmarried. The name of my\nis mary\nShe\nwas born at\nHe\nnoowich, Coun. husband , and now resides at 5:5-Seventhstrut\nI am now a subject of and intend to renounce allegiance to the (Writemame and title of sovereign and country of which\nPaland\nRepublicof\nnow a subject;\nor, if citizen of a republic, write name of republic only)\nI arrived at the United States immigration port of\nnew (City or town)\nM.Y.\non 30. 1913\n,\nNootember\nYork\n(State or territory)\n14-8\n(Give exact month, day, and year)\n(OVER)"
}