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File numbers 4874 - 5509, 1926-1930

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Form 2213 PRELIMINARY FORM FOR DECLARATION OF INTENTION TO BECOME A CITIZEN 5259 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 CARD INDEX upper left-hand corner of all copies of declaration, immediately under your INDEX BOOKS declaration number. DISTRICT DIRECTOR OF NATURALIZATION MANIFESTS antoni I desire to file my Declaration of Intention (first paper) to become a citizen. 37 Mr. My name is Mrs. Mx Anthony Las Kowski 38 ; age, years. Miss (Alien should print ortypgwrite here true, original, and correct name) (Give age last birthday) My present occupation is coremaker fair My personal description is: Color, white ; complexion, fight ; height, 5 feet 5- inches; weight, 145 pounds; color of hair, ; color of eyes, therbrown other visible distinctive marks: I was born in Jedvabna, Poland Russia, (Country) now Poland (City or town) on the 5th day of august , 1890 My present residence is 25 york (Number and street) Are Horwich, (Oity or town) Coun. (County) (State) The place where I took the ship or train which landed me in the United States was Hamburg Germany on August Month) 9, 1906 (Day) (Year) The name of the ship or railroad on which I came was Main main My last place of foreign residence was (City Poland town) said Gedvabna (Country) or wife is W caleria Lackhushi She I am married. The name of my husband } was born at He Lithuania , and now resides said at A 25 York Ave I am now a subject of and intend to renounce allegiance to (Write name severeign country now a subject; the and Republic title of and of which or, a name of if citizen Poland of republic, write of republic only) I arrived at the United States immigration port of new (City or town) York new (State or territory) York , on August 14-8 (Give exact 22,1906 month, day, and year) (OVER)

Page data

Page
768
Source index
0
Type
photo
Media ID
d58da8b8c00a2806
Size
unknown

Document data

ID
159596813
Core
doc
Type
document
DTO data 
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Context sent to Scholar

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    "ocrText": "Form 2213\nPRELIMINARY FORM FOR DECLARATION OF INTENTION TO BECOME A CITIZEN\n5259\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\nCARD INDEX\nupper left-hand corner of all copies of\ndeclaration, immediately under your\nINDEX BOOKS\ndeclaration number.\nDISTRICT DIRECTOR OF NATURALIZATION\nMANIFESTS\nantoni\nI desire to file my Declaration of Intention (first paper) to become a citizen.\n37\nMr.\nMy name is\nMrs.\nMx Anthony Las Kowski\n38\n; age,\nyears.\nMiss\n(Alien should print ortypgwrite here true, original, and correct name)\n(Give age last birthday)\nMy present occupation is coremaker fair\nMy personal description is: Color, white ; complexion, fight ; height, 5 feet 5- inches;\nweight, 145 pounds; color of hair, ; color of eyes, therbrown\nother visible distinctive marks:\nI was born in\nJedvabna,\nPoland Russia, (Country) now Poland\n(City or town)\non the\n5th day of august\n,\n1890\nMy present residence is\n25 york\n(Number and street) Are Horwich, (Oity or town)\nCoun.\n(County)\n(State)\nThe place where I took the ship or train which landed me in the United States was Hamburg\nGermany\non August Month)\n9, 1906\n(Day)\n(Year)\nThe name of the ship or railroad on which I came was Main main\nMy last place of foreign residence\nwas (City Poland town) said Gedvabna (Country)\nor\nwife\nis W caleria Lackhushi\nShe\nI am\nmarried. The name of my\nhusband\n}\nwas born at\nHe\nLithuania\n, and now resides\nsaid at A 25 York Ave\nI am now a subject of and intend to renounce allegiance to\n(Write name severeign country now a subject;\nthe and Republic title of and of which\nor, a name\nof if citizen Poland of republic, write of republic only)\nI arrived at the United States immigration port of\nnew (City or town)\nYork\nnew (State or territory)\nYork\n, on\nAugust 14-8 (Give exact 22,1906 month, day, and year)\n(OVER)"
}