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Form 2218
PRELIMINARY FORM FOR DECLARATION OF INTENTION TO BECOME A CITIZEN
5039
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 32065
in
CARD INDEX
upper left-hand corner of all copies of
declaration, immediately under your
INDEX BOOKS
MAR 1 1927
declaration number.
OFFICE OF EXAMINER
DISTRICT DIRECTOR OF NATURALIZATION.
MANIFESTS
DEPAKING of LABOB
NEW HAYEN CONN.
ALIZAIL.N
RECEIVED
(NOTE TO CLERK OF COURT.-To guide you in preparing the Declaration: The black facelines on this form contain statements
in the regular order as they are to appear on the Declaration of Intention.)
man
M
I desire to file my Declaration of Intention (first paper) to become a citizen.
Mr.
My name is
Mrg.
Enst Fritr Wilhelm Plath ; age, twenty 22
Migo
(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 of the shown ticket Ernst Plath
name person on my steamship was
My mother's maiden name was
Anna Paschkey
My maiden name was (if woman)
My present occcupation is Topper at American Thermos Bottle longs t Norwial Comen
laborco
My personal description is: Color, white ; complexion, fair ; height, 5 feet 55 inches;
weight, 140 pounds; color Lightlin of hair, blowd blokansh , color of eyes, blue
;
other visible distinctive marks:
nont
I was born in
Berlin
(Sity or town)
Germany
12th day of March
(Country)
on the
1905
My present residence is 75 Oneco Hr.
Norwich
Conn.
(Number and street)
(City or town)
(County)
(State)
M post office address is Norwich Conn.
The place where I took the ship ontrain which landed me in the United States was
Hamburg, Germany
may
107th 1926
, on
(Month
(Day)
(Year)
The on came to was
ticket which I this country bought at Hamburg
reilroad on which I came was Deutschland (City)
Germany
(Country)
The name of the ship
(OVER)
e14-8
O/A ISSU ED
APF 11 1927
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"ocrText": "Form 2218\nPRELIMINARY FORM FOR DECLARATION OF INTENTION TO BECOME A CITIZEN\n5039\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 32065\nin\nCARD INDEX\nupper left-hand corner of all copies of\ndeclaration, immediately under your\nINDEX BOOKS\nMAR 1 1927\ndeclaration number.\nOFFICE OF EXAMINER\nDISTRICT DIRECTOR OF NATURALIZATION.\nMANIFESTS\nDEPAKING of LABOB\nNEW HAYEN CONN.\nALIZAIL.N\nRECEIVED\n(NOTE TO CLERK OF COURT.-To guide you in preparing the Declaration: The black facelines on this form contain statements\nin the regular order as they are to appear on the Declaration of Intention.)\nman\nM\nI desire to file my Declaration of Intention (first paper) to become a citizen.\nMr.\nMy name is\nMrg.\nEnst Fritr Wilhelm Plath ; age, twenty 22\nMigo\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 of the shown ticket Ernst Plath\nname person on my steamship was\nMy mother's maiden name was\nAnna Paschkey\nMy maiden name was (if woman)\nMy present occcupation is Topper at American Thermos Bottle longs t Norwial Comen\nlaborco\nMy personal description is: Color, white ; complexion, fair ; height, 5 feet 55 inches;\nweight, 140 pounds; color Lightlin of hair, blowd blokansh , color of eyes, blue\n;\nother visible distinctive marks:\nnont\nI was born in\nBerlin\n(Sity or town)\nGermany\n12th day of March\n(Country)\non the\n1905\nMy present residence is 75 Oneco Hr.\nNorwich\nConn.\n(Number and street)\n(City or town)\n(County)\n(State)\nM post office address is Norwich Conn.\nThe place where I took the ship ontrain which landed me in the United States was\nHamburg, Germany\nmay\n107th 1926\n, on\n(Month\n(Day)\n(Year)\nThe on came to was\nticket which I this country bought at Hamburg\nreilroad on which I came was Deutschland (City)\nGermany\n(Country)\nThe name of the ship\n(OVER)\ne14-8\nO/A ISSU ED\nAPF 11 1927"
}