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Form 2213
PRELIMINARY FORM FOR DECLARATION OF INTENTION TO BECOME A CITIZEN
5257
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
Mrs.
Miss
/
Ioaguis Revenidas ;
age,
44
years.
(Alien/should print or typewrite here true, original, and correct name)
(Give age last birthday)
My present occupation is
farmer dark 5 feet 2 1/4 inches;
My
personal
description
is:
Zolor,
;
complexion,
;
height,
weight, 168 pounds; color of hair, black
;
color of eyes, darkrown
different
other
visible distinctive matks: Molsonrightchekandscarson
I was
born in nicopolis middle (City town) truck ffrgger now Turkey (Country)
or
present on the residence 7th is day of January (Number and street) (City or town) (County) Connecticut (State)
1884
My
Stonington
The place where I took the ship or train which landed me in the United States was
naples,
The name Italy of the ship or railroad on which I came was Taormina (Month)
on
(Day)
(Year)
My last place of foreign residence was said (City OF town) Nicopolis
(Country)
wife husband wife Cmala
She
I am
married.
The name of my
was born at
He
said thicopolis , and now resides at said Norths Company
I
am
now a subject;
or, if citizen of a republic, of republic only)
I arrived at the United States immigration port of
Turkey
now a subject of and intend to renounce allegiance to the R (Write ippublicof name and title of sovereign and commtry of which
new (City or town)
new (State territory)
force
York ,
, on
10, 1907
or
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\n5257\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\nMrs.\nMiss\n/\nIoaguis Revenidas ;\nage,\n44\nyears.\n(Alien/should print or typewrite here true, original, and correct name)\n(Give age last birthday)\nMy present occupation is\nfarmer dark 5 feet 2 1/4 inches;\nMy\npersonal\ndescription\nis:\nZolor,\n;\ncomplexion,\n;\nheight,\nweight, 168 pounds; color of hair, black\n;\ncolor of eyes, darkrown\ndifferent\nother\nvisible distinctive matks: Molsonrightchekandscarson\nI was\nborn in nicopolis middle (City town) truck ffrgger now Turkey (Country)\nor\npresent on the residence 7th is day of January (Number and street) (City or town) (County) Connecticut (State)\n1884\nMy\nStonington\nThe place where I took the ship or train which landed me in the United States was\nnaples,\nThe name Italy of the ship or railroad on which I came was Taormina (Month)\non\n(Day)\n(Year)\nMy last place of foreign residence was said (City OF town) Nicopolis\n(Country)\nwife husband wife Cmala\nShe\nI am\nmarried.\nThe name of my\nwas born at\nHe\nsaid thicopolis , and now resides at said Norths Company\nI\nam\nnow a subject;\nor, if citizen of a republic, of republic only)\nI arrived at the United States immigration port of\nTurkey\nnow a subject of and intend to renounce allegiance to the R (Write ippublicof name and title of sovereign and commtry of which\nnew (City or town)\nnew (State territory)\nforce\nYork ,\n, on\n10, 1907\nor\n14-8\n(Give exact month, day, and year)\n(OVER)"
}