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Form 2213
PRELIMINARY FORM FOR DECLARATION OF INTENTION TO BECOME A CITIZEN
5266
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
/
Domenico Quarto
; age,
41
years.
(AMen should, print ontypewrite here true, original, and correct name)
(Give age last birthday)
My personal description is: Color, White: complexion, light
My present occupation is pamel
fair
; height, 5 feet
$5
inches;
weight, 140 pounds; color of darkBrowthale hair,
; color of
other visible distinctive
marks: mould on left sattorionation
eyes, Gerary
I was born in
Jerlizzi (City or town) Heave
Feb
(Country)
Italy
on the
9
day of
1887
My
present residence is IT Orchard St Norwich New (County foudow, (State) born
(Number and street)
(City or town)
The place where I took the ship or train which landed me in the United States was
naples
Italy
, on
(Month)
(Day)
(Year)
The name or on came was
of the ship railroad which I San Georgio
My residence
last place of foreign said was (City town) Bari, (Country) Inaly
Jerlingi
or
I an now married. The name of my {
wife
is Lucia
She
was born at
pamp
husband
He
Cerligz
Hale
and now resides said at 18 orchardel Norid
,
I am now a subject of and intend to renounce
or, if citizen of a republic, write name of republic
Raid only) of Italy
allegiance to bug (Write name and Victor title of sovereign and Eun country III of which
been
now a subject;
I arrived at the United States immigration port of
new (City town) fork
or
n.y.
(State or territory)
, on mar 14-8 (Give 19 éxact month, 1909 day, and year)
(OVER)
Page data
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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
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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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Document source metadata
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"ocrText": "Form 2213\nPRELIMINARY FORM FOR DECLARATION OF INTENTION TO BECOME A CITIZEN\n5266\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/\nDomenico Quarto\n; age,\n41\nyears.\n(AMen should, print ontypewrite here true, original, and correct name)\n(Give age last birthday)\nMy personal description is: Color, White: complexion, light\nMy present occupation is pamel\nfair\n; height, 5 feet\n$5\ninches;\nweight, 140 pounds; color of darkBrowthale hair,\n; color of\nother visible distinctive\nmarks: mould on left sattorionation\neyes, Gerary\nI was born in\nJerlizzi (City or town) Heave\nFeb\n(Country)\nItaly\non the\n9\nday of\n1887\nMy\npresent residence is IT Orchard St Norwich New (County foudow, (State) born\n(Number and street)\n(City or town)\nThe place where I took the ship or train which landed me in the United States was\nnaples\nItaly\n, on\n(Month)\n(Day)\n(Year)\nThe name or on came was\nof the ship railroad which I San Georgio\nMy residence\nlast place of foreign said was (City town) Bari, (Country) Inaly\nJerlingi\nor\nI an now married. The name of my {\nwife\nis Lucia\nShe\nwas born at\npamp\nhusband\nHe\nCerligz\nHale\nand now resides said at 18 orchardel Norid\n,\nI am now a subject of and intend to renounce\nor, if citizen of a republic, write name of republic\nRaid only) of Italy\nallegiance to bug (Write name and Victor title of sovereign and Eun country III of which\nbeen\nnow a subject;\nI arrived at the United States immigration port of\nnew (City town) fork\nor\nn.y.\n(State or territory)\n, on mar 14-8 (Give 19 éxact month, 1909 day, and year)\n(OVER)"
}