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Form 2213
PRELIMINARY FORM FOR DECLARATION OF INTENTION TO BECOME A CITIZEN
5133
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
panna
anna
I desire to file my Declaration of Intention (first paper) to become a citizen.
Mr.
My name is
Mrs.
Miss
Alas (Alien should Helena print or typewrite here true, F original gelegnicky and correct name) age, 50 (Give age last 49 birthday)
years.
My present occupation is
Farming
My personal description is: Color, white ; complexion, fair
house-wife
; height, 5 feet 13/4/19
weight, color of hair, ; color writty of eyes,
darkbown
;
other visible distinctive marks: Scaron right
I was born in
zidnies (City or-town) City Vienna austriststryja (Country)
on the 24
day of
24 Dec. , 18477
My present residence is
Salem, New London Conn
(Number and street)
(Clity or town)
(County)
The place where I took the ship or train which landed me in the United States was
Roterdam
(State)
Holland
March
on
1895
The name of the ship or railroad on which I came was
Mardam (Month) austria (Day) (Year)
My last place of foreign residence was
gassion
(City or town) town
Astryja
wife
I am
married. The name of my
}
is
the Felix Zelezniety (Country) He She
was born at
Kardeluvka, Russiana husband now resides said at Salem Corn
Anited State
I am now a subject of and intend to renounce allegiance to
(Write name and title of sovereign and country of which now a subject;
or, if citizen a name
the of republic, State of Tunsia write of republic only)
I arrived at the United States immigration port of
N. y.
on 25, 1895
march
(City
,
(State or termitory)
14-8
(Give exact month, day, and year)
(OVER)
Page data
- Page
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- Source index
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- Type
- photo
- Media ID
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- Size
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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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Document source extras
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Page context
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"ocrText": "Form 2213\nPRELIMINARY FORM FOR DECLARATION OF INTENTION TO BECOME A CITIZEN\n5133\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\npanna\nanna\nI desire to file my Declaration of Intention (first paper) to become a citizen.\nMr.\nMy name is\nMrs.\nMiss\nAlas (Alien should Helena print or typewrite here true, F original gelegnicky and correct name) age, 50 (Give age last 49 birthday)\nyears.\nMy present occupation is\nFarming\nMy personal description is: Color, white ; complexion, fair\nhouse-wife\n; height, 5 feet 13/4/19\nweight, color of hair, ; color writty of eyes,\ndarkbown\n;\nother visible distinctive marks: Scaron right\nI was born in\nzidnies (City or-town) City Vienna austriststryja (Country)\non the 24\nday of\n24 Dec. , 18477\nMy present residence is\nSalem, New London Conn\n(Number and street)\n(Clity or town)\n(County)\nThe place where I took the ship or train which landed me in the United States was\nRoterdam\n(State)\nHolland\nMarch\non\n1895\nThe name of the ship or railroad on which I came was\nMardam (Month) austria (Day) (Year)\nMy last place of foreign residence was\ngassion\n(City or town) town\nAstryja\nwife\nI am\nmarried. The name of my\n}\nis\nthe Felix Zelezniety (Country) He She\nwas born at\nKardeluvka, Russiana husband now resides said at Salem Corn\nAnited State\nI am now a subject of and intend to renounce allegiance to\n(Write name and title of sovereign and country of which now a subject;\nor, if citizen a name\nthe of republic, State of Tunsia write of republic only)\nI arrived at the United States immigration port of\nN. y.\non 25, 1895\nmarch\n(City\n,\n(State or termitory)\n14-8\n(Give exact month, day, and year)\n(OVER)"
}