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Form 2213 PRELIMINARY FORM FOR DECLARATION OF INTENTION TO BECOME A CITIZEN 5056 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. } Dymityn Hotowinski ; age, . 45. 44 years. Miss Alien should print or typewrite here true, original, and correct name) (Give age last birthday) My My present personal occupation description is is: Color, farmer white: complexion, light fair ; height, 5 feet g 8 1/4 inches; weight, 150 pounds; color of hair, brown light brown none ; color of eyes, gray other visible distinctive marks: Rodhojce Austria now Poland I was born in or town) Nowembea (Country) x galinya on the 12 day of 1882 My present residence is Salem Conn New London (Number and street) (City or town) (County) (State) The place where I took the ship or train which me was germany landed in the United States Hamburg in , on Sept. 18. 1903 (Month) (Day) (Year) The of the ship railroad which I Palatia name or on came was My last place of foreign residence said was Podhajee a Jodhijer (City or town) wife I Frances (Country) was born at am yes Austria married. The galveya name of my husband andtica and now is resides at paityakem He' , I am now a to renounce subject of and intend allegiance to Polish (Write and Repoblic title of sovereign and country of which name now a subject; or, if citizen of a republic, write name of republic only) I arrived at the United States immigration port of New york. (City or town) N.Y. , on dept 14-8 18. 1903 (State or territory) (Give exact month, day, and year) (OVER)

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Document data

ID
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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\n5056\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}\nDymityn Hotowinski ; age, . 45. 44 years.\nMiss\nAlien should print or typewrite here true, original, and correct name)\n(Give age last birthday)\nMy My present personal occupation description is is: Color, farmer white: complexion, light fair ; height, 5 feet g 8 1/4 inches;\nweight, 150 pounds; color of hair, brown\nlight brown\nnone\n; color of eyes, gray\nother visible distinctive marks:\nRodhojce\nAustria now Poland\nI was born in\nor town)\nNowembea\n(Country) x galinya\non the 12\nday of\n1882\nMy present residence is\nSalem Conn New London\n(Number and street)\n(City or town)\n(County)\n(State)\nThe place where I took the ship or train which me was\ngermany\nlanded in the United States Hamburg in\n, on Sept. 18. 1903\n(Month)\n(Day)\n(Year)\nThe of the ship railroad which I Palatia\nname or on came was\nMy last place of foreign residence\nsaid was\nPodhajee\na\nJodhijer\n(City or town)\nwife\nI\nFrances (Country)\nwas born at\nam yes Austria married. The galveya name of my husband andtica and now is resides at paityakem\nHe'\n,\nI am now a to renounce\nsubject of and intend allegiance to Polish (Write and Repoblic title of sovereign and country of which\nname now a subject;\nor, if citizen of a republic, write name of republic only)\nI arrived at the United States immigration port of\nNew york. (City or town) N.Y.\n,\non dept 14-8 18.\n1903\n(State or territory)\n(Give exact month, day, and year)\n(OVER)"
}