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Form 2213
PRELIMINARY FORM FOR DECLARATION OF INTENTION TO BECOME A CITIZEN
5057
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 myl Declaration of Intention (first paper) to become a citizen.
Mr. nozera
My name is
Mrs.
Millett Joseph
; age,
3940 years.
(Alien should print or typewrite here true, original, and correct name)
(Give age last birthday)
Also known as
Nezera: Germanous
3
ILL alien has used any other name in this country, that name should be shown here)
I used
The full namo of the person shown on steamship ticket was,
that name because family name ow my fatherie ride
My mother S maiden name was,
My maiden name was (if woman)
My present occcupation is housein
My personal description is: Color, white ; complexion, dark
; height, 5 feet 234 inches;
weight, 175 pounds; color of hair, darkbrown ; color of eyes, darkbrown
;
other visible distinctive marks:
I
was born in Beth mere
(City or town)
on the 10th day of
april
1887 Syna (Country) Turbey
My present residence is Rim Road Sirlow new Sondow lonn.
.
(Number and street)
(City or town)
(County)
(State)
My post office address is R.H.d 4 normah for 52
The place where I took the ship or train which landed me in the United States was
A Harre Frame
,
on October
(Month)
(Day)
1909
(Year)
The
on which I camo to this country was bought art
The of the ship railroad which I La Jomaine (City)
(Country)
name or on came was
(OVER)
ol
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Document data
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- Core
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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\n5057\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 myl Declaration of Intention (first paper) to become a citizen.\nMr. nozera\nMy name is\nMrs.\nMillett Joseph\n; age,\n3940 years.\n(Alien should print or typewrite here true, original, and correct name)\n(Give age last birthday)\nAlso known as\nNezera: Germanous\n3\nILL alien has used any other name in this country, that name should be shown here)\nI used\nThe full namo of the person shown on steamship ticket was,\nthat name because family name ow my fatherie ride\nMy mother S maiden name was,\nMy maiden name was (if woman)\nMy present occcupation is housein\nMy personal description is: Color, white ; complexion, dark\n; height, 5 feet 234 inches;\nweight, 175 pounds; color of hair, darkbrown ; color of eyes, darkbrown\n;\nother visible distinctive marks:\nI\nwas born in Beth mere\n(City or town)\non the 10th day of\napril\n1887 Syna (Country) Turbey\nMy present residence is Rim Road Sirlow new Sondow lonn.\n.\n(Number and street)\n(City or town)\n(County)\n(State)\nMy post office address is R.H.d 4 normah for 52\nThe place where I took the ship or train which landed me in the United States was\nA Harre Frame\n,\non October\n(Month)\n(Day)\n1909\n(Year)\nThe\non which I camo to this country was bought art\nThe of the ship railroad which I La Jomaine (City)\n(Country)\nname or on came was\n(OVER)\nol"
}