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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 4915 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 (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 Litention.) I desire to file my Declaration of Intention (first paper) to become a citizen. Mr. My name is Mrs. JULIUS 33 , age, years. Miss (Alien should print or typewrite here true, original, and correct name) (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 namo of the person shown on my steamship ticket was My mother' s maiden name was My maiden name was (if woman) My present occcupation is Harming My personal description is: Color, white ; complexion, fair weight, 175 pounds; color of hair, darkbourns color of eyes, ; height, 5 feet 414 inches; other visible distinctive marks: Scar on backof (lift middefinges middley ; I was born in Russiannandria (Country) Schoenberg, (City or town) My present residence is Box 9 bolchester new Sondom, bann. on the may day of 19 , 1893 (autbler and street) (City or town) (County) (State) My post office address is Box 9 " " " The place where I took the ship or traim which landed me in the United States was Botterdam Holland , on July (Montly 3, 1901 (Day) (Year) The ticket on which I came to this country was bought at (City) (Country) The name of the ship or railroad on which I came was Massdam, (OVER) e14-8

Page data

Page
83
Source index
0
Type
photo
Media ID
6f4108a51d7c9998
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\n4915\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\n(NOTE TO CLERK 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 Litention.)\nI desire to file my Declaration of Intention (first paper) to become a citizen.\nMr.\nMy name is\nMrs.\nJULIUS\n33\n,\nage,\nyears.\nMiss\n(Alien should print or typewrite here true, original, and correct name)\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 namo of the person shown on my steamship ticket was\nMy mother' s maiden name was\nMy maiden name was (if woman)\nMy present occcupation is\nHarming\nMy personal description is: Color, white ; complexion, fair\nweight, 175 pounds; color of hair, darkbourns color of eyes,\n; height, 5 feet 414 inches;\nother visible distinctive marks: Scar on backof (lift middefinges middley\n;\nI was born\nin Russiannandria (Country)\nSchoenberg,\n(City or town)\nMy present residence is Box 9 bolchester new Sondom, bann.\non the may day of\n19\n, 1893\n(autbler and street)\n(City or town)\n(County)\n(State)\nMy post office address is Box 9\n\"\n\"\n\"\nThe\nplace where I took the ship or traim which landed me in the United States was Botterdam\nHolland\n, on\nJuly (Montly 3,\n1901\n(Day)\n(Year)\nThe ticket on which I came to this country was bought at\n(City)\n(Country)\nThe name of the ship or railroad on which I came was\nMassdam,\n(OVER)\ne14-8"
}