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Form 2213
PRELIMINARY FORM FOR DECLARATION OF INTENTION TO BECOME A CITIZEN
5157
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:
35891
RECORDS EXAMINED
Place number
in
NATURALIZATTOIN SERVICE
CARD INDEX
RECEIVED
upper left-hand corner of all copies of
declaration, immediately under your
INDEX BOOKS
declaration number.
APR 1.9 1927
DISTRICT DIRECTOR OF NATURALIZATION
MANIFESTS
OFFICE OF EXAMINER
NEW HAVEN, CONN.
DEPARTMENT OF LABOR
nelgh Gashem
I desire to file my Declaration of Intention (first paper) to become a citizen.
Mr.
My name is
Mrs.
}
Kils Wilsen Mils Hilsen) ; age, 24
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, Watch rigger ; complexion, fazi blond height, 6/10/16 feet to inches;
weight, 160 pounds; color of bair, broyon Bland. color of Blue
; eyes,
;
other visible distinctive marks: mont
Hos
2
I was born in
(City or town)
(Country)
on
the 19V
day of
March.
, 1903
My present residence is
Papence
Pogrounde Road. groton bonn
(Mumber and street)
(City or town)
(County)
(State)
The place where I took the ship or train which landed me in the United States was
Bengen Morwy
on October 24 1925
,
(Month)
(Day)
(Year)
The name or on came
of the ship railroad which I was
My
last place of foreign saed residence was
HausBergen
Norway
(City or town)
(Country)
I am notmarried. The name of my f
wife
She
IS
was born at
husband
He
,
and
now resides at Deckanged
am now a subject of and intend to to
renounice allegiance
Hts
(Write name and title of sovereign and country of which now a subject;
Haakon VII, King of Norway
or, if citizen of a republic, write name of republic only)
I
arrived the United States immigration so port of 193 New (City or
at
newyork
(State territory) to
town)
4
,on
2, 1925
or
(Give exact month, day, and year)
(OVER)
O/A ISSUED
AUG 27 1927
Page data
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- Source index
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- Type
- photo
- Media ID
- 9171c586e8675e95
- 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\n5157\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:\n35891\nRECORDS EXAMINED\nPlace number\nin\nNATURALIZATTOIN SERVICE\nCARD INDEX\nRECEIVED\nupper left-hand corner of all copies of\ndeclaration, immediately under your\nINDEX BOOKS\ndeclaration number.\nAPR 1.9 1927\nDISTRICT DIRECTOR OF NATURALIZATION\nMANIFESTS\nOFFICE OF EXAMINER\nNEW HAVEN, CONN.\nDEPARTMENT OF LABOR\nnelgh Gashem\nI desire to file my Declaration of Intention (first paper) to become a citizen.\nMr.\nMy name is\nMrs.\n}\nKils Wilsen Mils Hilsen) ; age, 24\nyears.\nMiss\n(Alien should print or typewrite here true, original, and correct name)\n(Give age last birthday)\nMy My present personal occupation description is is: Color, Watch rigger ; complexion, fazi blond height, 6/10/16 feet to inches;\nweight, 160 pounds; color of bair, broyon Bland. color of Blue\n; eyes,\n;\nother visible distinctive marks: mont\nHos\n2\nI was born in\n(City or town)\n(Country)\non\nthe 19V\nday of\nMarch.\n, 1903\nMy present residence is\nPapence\nPogrounde Road. groton bonn\n(Mumber and street)\n(City or town)\n(County)\n(State)\nThe place where I took the ship or train which landed me in the United States was\nBengen Morwy\non October 24 1925\n,\n(Month)\n(Day)\n(Year)\nThe name or on came\nof the ship railroad which I was\nMy\nlast place of foreign saed residence was\nHausBergen\nNorway\n(City or town)\n(Country)\nI am notmarried. The name of my f\nwife\nShe\nIS\nwas born at\nhusband\nHe\n,\nand\nnow resides at Deckanged\nam now a subject of and intend to to\nrenounice allegiance\nHts\n(Write name and title of sovereign and country of which now a subject;\nHaakon VII, King of Norway\nor, if citizen of a republic, write name of republic only)\nI\narrived the United States immigration so port of 193 New (City or\nat\nnewyork\n(State territory) to\ntown)\n4\n,on\n2, 1925\nor\n(Give exact month, day, and year)\n(OVER)\nO/A ISSUED\nAUG 27 1927"
}