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Form 2213
PRELIMINARY FORM FOR DECLARATION OF INTENTION TO BECOME A CITIZEN
5097
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
upper left-hand corner of all copies of
CARD INDEX
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
VIRGINIA (Alien should DALO print typewrite Buigia here true, original, and correct name) ; age,
mariasala
Mrs.
years.
Miss
or
(Give age last birthday)
My present occupation is Housewife
My personal description is: Color, White ; complexion, Dark
#4 13/4
; height, 5 feet inches;
weight, 175 pounds; color of hair, Black
;
color dark of eyes, Brown
;
other visible distinctive marks:
None
I was born in
Limone
(City or town)
Italy
(Country)
on the
4th
day of
October
1866
My present residence is
Buell It Groton New Leondon Couns
(Number and street)
(City or town)
(County)
(State)
The place where I the ship or train me was
took which landed in the United States Loa Have Prance
November
La Lavoie , on
18
1911
(Month)
(Day)
(Year)
The name of the ship or railroad on which I came was
My last place of foreign residence was
Sernerio
(City or town)
Italy
(Country)
participants
I am
married. The name of my
{
wife
is
Edoardo Dato
She
was born at
husband
He
ful garda , and now said resides at Buell It gooton lown
I am now a subject of and intend to renounce allegiance to Italy and (Write name King and title of sovereign Vittorio and country Emanuelezal of which now a subject;
or, if citizen of a republic, write name of republic only)
I arrived at the United States immigration port of
Stev yore
(City town)
or
N.Y.
on November 25th. 1911
,
(State or territory)
14-8
(Give exact month, day, and year)
(OVER)
Page data
- Page
- 446
- Source index
- 0
- Type
- photo
- Media ID
- a3f68deeb7af73f3
- Size
- unknown
Document data
- ID
- 159596813
- Core
- doc
- Type
- document
DTO data
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Context sent to Scholar
Document identity
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Document source metadata
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Page context
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"ocrText": "Form 2213\nPRELIMINARY FORM FOR DECLARATION OF INTENTION TO BECOME A CITIZEN\n5097\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\nupper left-hand corner of all copies of\nCARD INDEX\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\nVIRGINIA (Alien should DALO print typewrite Buigia here true, original, and correct name) ; age,\nmariasala\nMrs.\nyears.\nMiss\nor\n(Give age last birthday)\nMy present occupation is Housewife\nMy personal description is: Color, White ; complexion, Dark\n#4 13/4\n; height, 5 feet inches;\nweight, 175 pounds; color of hair, Black\n;\ncolor dark of eyes, Brown\n;\nother visible distinctive marks:\nNone\nI was born in\nLimone\n(City or town)\nItaly\n(Country)\non the\n4th\nday of\nOctober\n1866\nMy present residence is\nBuell It Groton New Leondon Couns\n(Number and street)\n(City or town)\n(County)\n(State)\nThe place where I the ship or train me was\ntook which landed in the United States Loa Have Prance\nNovember\nLa Lavoie , on\n18\n1911\n(Month)\n(Day)\n(Year)\nThe name of the ship or railroad on which I came was\nMy last place of foreign residence was\nSernerio\n(City or town)\nItaly\n(Country)\nparticipants\nI am\nmarried. The name of my\n{\nwife\nis\nEdoardo Dato\nShe\nwas born at\nhusband\nHe\nful garda , and now said resides at Buell It gooton lown\nI am now a subject of and intend to renounce allegiance to Italy and (Write name King and title of sovereign Vittorio and country Emanuelezal of which now a subject;\nor, if citizen of a republic, write name of republic only)\nI arrived at the United States immigration port of\nStev yore\n(City town)\nor\nN.Y.\non November 25th. 1911\n,\n(State or territory)\n14-8\n(Give exact month, day, and year)\n(OVER)"
}