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Form 2213
PRELIMINARY FORM FOR DECLARATION OF INTENTION TO BECOME A CITIZEN
5268
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.
Julia (Alien/should Recanati print or typewrite here true, original, and
; age,
21
years.
correct
name)
(Give age last birthday)
My
present occupation Miss is Apprentice
31/2
My personal description is: Color, whiter complexion, ; height, 5.
feet
x
inches;
133 pounds; color of hair, submit ; of
darkbown Lown
weight,
color eyes,
;
other visible distinctive marks: Fano Firstjoint of left stumbmissing
I was born in
(City or town)
(Country)
the 2nd day of MAK
1986
My present on residence is 13
(Number and street)
(City or town)
(County) (State)
Come
The place where I took the ship or train which landed me in the United States was
on (Month)
5. 1910
(Day)
(Year)
The name of the ship or railroad on which I came
My last place of foreign residence was
(City was or town) Thank (Country) L said She Fano
wife
I am The name of my
IS
was born at
husband
He
, and now resides at
Itaba
,
I am now a subject of and intend to renounce allegiance to
(Write name and title of sovereign and country of which now a subject;
or, if citizen of a republic, write name of republic only)
I arrived at the United States immigration port of
Dew City or town)
Deve Gook (State
Eglie
,
on 19. 1910
or territory)
14-8
(Give exact month, day, and year)
(OVER)
Page data
- Page
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- Source index
- 0
- Type
- photo
- Media ID
- 22de8b66370cafba
- 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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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\n5268\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.\nJulia (Alien/should Recanati print or typewrite here true, original, and\n; age,\n21\nyears.\ncorrect\nname)\n(Give age last birthday)\nMy\npresent occupation Miss is Apprentice\n31/2\nMy personal description is: Color, whiter complexion, ; height, 5.\nfeet\nx\ninches;\n133 pounds; color of hair, submit ; of\ndarkbown Lown\nweight,\ncolor eyes,\n;\nother visible distinctive marks: Fano Firstjoint of left stumbmissing\nI was born in\n(City or town)\n(Country)\nthe 2nd day of MAK\n1986\nMy present on residence is 13\n(Number and street)\n(City or town)\n(County) (State)\nCome\nThe place where I took the ship or train which landed me in the United States was\non (Month)\n5. 1910\n(Day)\n(Year)\nThe name of the ship or railroad on which I came\nMy last place of foreign residence was\n(City was or town) Thank (Country) L said She Fano\nwife\nI am The name of my\nIS\nwas born at\nhusband\nHe\n, and now resides at\nItaba\n,\nI am now a subject of and intend to renounce allegiance to\n(Write name and title of sovereign and country of which now a subject;\nor, if citizen of a republic, write name of republic only)\nI arrived at the United States immigration port of\nDew City or town)\nDeve Gook (State\nEglie\n,\non 19. 1910\nor territory)\n14-8\n(Give exact month, day, and year)\n(OVER)"
}