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Form 2213
PRELIMINARY FORM FOR DECLARATION OF INTENTION TO BÉCOME A CITIZEN
5188
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:
INDEX BOOKS
. The
37194
RECORDS EXAMINED
Place number
in
CARD INDEX
upper left-hand corner of all copies of
declaration, immediately undor your
401
declaration number.
W off
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 Declaration Gustal of Intention mehiginet (first paper) become
my to a citizen.
Mr.
My name is
Mrs.
austaudaon Leona rd Mehiqvist; age, 2kk
6
Miss
(Alien should print or typewrite here true, original, and correct namé)
(Give age last birthday)
Also known as
(If alien has used any other name in this country, that name should be shown here)
I used that name because
The full name of the person shown on my steamship ticket was Gullar Mehlini
My mother's maiden name was Mathilda Anderson
My maiden name was (if woman)
My personal description is: Color, white ; complexion, blond fay 5 feet 1/2
My present occupation is
Gardenes
; height,
inches;
weight, 140 140 pounds; color of brow hair, darkbloyd ; color of eyes,
blue
;
other visible distinctive marks:
I was
born in Hujala, (City town) Lan (Country) Liveden
Sodermandslamyd,
or
on the 13th day of Amil
,
1 106, ity Griswold com
My
present residence is (Number and street) (City or town) (County) (State)
o
1 My Drawerl post office address is Harford bann
The place where I took the ship or train which landed me in the United States was of othenburg
Lueden
, on May (Mouth) 13th (Day) 19207 (Year)
The ticket which I this country bought Cofinhagin (Çity) (Country) Denmart.
on came to was at
The name of the ship or railroad on which I came was (OVER)
c14-8
there
Page data
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Document data
- ID
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- Core
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- Type
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DTO data
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Context sent to Scholar
Document identity
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"ocrText": "Form 2213\nPRELIMINARY FORM FOR DECLARATION OF INTENTION TO BÉCOME A CITIZEN\n5188\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:\nINDEX BOOKS\n. The\n37194\nRECORDS EXAMINED\nPlace number\nin\nCARD INDEX\nupper left-hand corner of all copies of\ndeclaration, immediately undor your\n401\ndeclaration number.\nW off\nDISTRICT DIRECTOR OF NATURALIZATION.\nMANIFESTS\n(NOTE\nTO\nCLERK 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 Declaration Gustal of Intention mehiginet (first paper) become\nmy to a citizen.\nMr.\nMy name is\nMrs.\naustaudaon Leona rd Mehiqvist; age, 2kk\n6\nMiss\n(Alien should print or typewrite here true, original, and correct namé)\n(Give age last birthday)\nAlso known as\n(If alien has used any other name in this country, that name should be shown here)\nI used that name because\nThe full name of the person shown on my steamship ticket was Gullar Mehlini\nMy mother's maiden name was Mathilda Anderson\nMy maiden name was (if woman)\nMy personal description is: Color, white ; complexion, blond fay 5 feet 1/2\nMy present occupation is\nGardenes\n; height,\ninches;\nweight, 140 140 pounds; color of brow hair, darkbloyd ; color of eyes,\nblue\n;\nother visible distinctive marks:\nI was\nborn in Hujala, (City town) Lan (Country) Liveden\nSodermandslamyd,\nor\non the 13th day of Amil\n,\n1 106, ity Griswold com\nMy\npresent residence is (Number and street) (City or town) (County) (State)\no\n1 My Drawerl post office address is Harford bann\nThe place where I took the ship or train which landed me in the United States was of othenburg\nLueden\n, on May (Mouth) 13th (Day) 19207 (Year)\nThe ticket which I this country bought Cofinhagin (Çity) (Country) Denmart.\non came to was at\nThe name of the ship or railroad on which I came was (OVER)\nc14-8\nthere"
}