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Form 2213
PRELIMINARY FORM FOR DECLARATION OF INTENTION TO BECOME A CITIZEN
5173
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
Mro.
ANDERS EDWIN LUNDWALL
29
; age,
years.
Miss
(Alien should print or typewrite here true, original, and correct name)
(Give age last birthday)
My
My personal description is: Color, White ; complexion, Light fair ; height, 5 10
present occupation is assistant Sugarintend
3/4
feet inches;
weight,
152 pounds; color light of hair, Brown
; color of eyes,
other visible distinctive marks:
Ostra was born in Astra Holmakia ra, Swiden (Country)
fingers
Blue gray
I
Hoby
(City or town)
on the 13
day of
nebruary
1998
My present residence is 10 Dell Avenue new London new London Connectient
(Number and street)
(City or town)
(County)
(State)
The place where I took the ship train which landed in the United States Copentragin
or me was
Denmark
, on
Jarik (Month) 19 02 20 (Day) 1917 (Year)
The name of the ship or railroad on which I came was
United States
My last place of foreign residence said Cata was wife (City Holog town) Holmapra Swedenor (Country)
or
I am
married. The name of my
is
with She
was born at
husband
He
mo Haven Commitient U.S.A, and now resides said at 10 Dell Avenue Corn.
I am now a subject of and intend to renounce allegiance to
Bustar (Write name and title V of sovereign and King country of
which now a subject;
of Smden
or, if citizen of a republic, write name of republic only)
how back
I arrived at the United States immigration port of
(City or town)
mw York
,
(State or territory)
on may 14/8 (Give 4th exact month, 1917 day, and
year)
(OVER)
Page data
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- Source index
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- Type
- photo
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- 31f2f0b93bfd84ec
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Document data
- ID
- 159596813
- Core
- doc
- Type
- document
DTO data
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Context sent to Scholar
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Document source metadata
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"ocrText": "Form 2213\nPRELIMINARY FORM FOR DECLARATION OF INTENTION TO BECOME A CITIZEN\n5173\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\nMro.\nANDERS EDWIN LUNDWALL\n29\n; age,\nyears.\nMiss\n(Alien should print or typewrite here true, original, and correct name)\n(Give age last birthday)\nMy\nMy personal description is: Color, White ; complexion, Light fair ; height, 5 10\npresent occupation is assistant Sugarintend\n3/4\nfeet inches;\nweight,\n152 pounds; color light of hair, Brown\n; color of eyes,\nother visible distinctive marks:\nOstra was born in Astra Holmakia ra, Swiden (Country)\nfingers\nBlue gray\nI\nHoby\n(City or town)\non the 13\nday of\nnebruary\n1998\nMy present residence is 10 Dell Avenue new London new London Connectient\n(Number and street)\n(City or town)\n(County)\n(State)\nThe place where I took the ship train which landed in the United States Copentragin\nor me was\nDenmark\n, on\nJarik (Month) 19 02 20 (Day) 1917 (Year)\nThe name of the ship or railroad on which I came was\nUnited States\nMy last place of foreign residence said Cata was wife (City Holog town) Holmapra Swedenor (Country)\nor\nI am\nmarried. The name of my\nis\nwith She\nwas born at\nhusband\nHe\nmo Haven Commitient U.S.A, and now resides said at 10 Dell Avenue Corn.\nI am now a subject of and intend to renounce allegiance to\nBustar (Write name and title V of sovereign and King country of\nwhich now a subject;\nof Smden\nor, if citizen of a republic, write name of republic only)\nhow back\nI arrived at the United States immigration port of\n(City or town)\nmw York\n,\n(State or territory)\non may 14/8 (Give 4th exact month, 1917 day, and\nyear)\n(OVER)"
}