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Form 2213
PRELIMINARY FORM FOR DECLARATION OF INTENTION TO BECOME A CITIZEN
5292
U. S. DEPARTMENT OF LABOR
NOT TO BE FILLED IN BY ALIEN
NATURALIZATION SERVICE
FOR USE OF OFFICIALS SEARCHING IMMI-
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.
Pasquale (Alien should print or typewrite Girasoli here true, original, and correct
25
My name is
Mrs.
; age,
years.
name)
(Give age last birthday)
My present occupation is Trimmer
Miss
My personal description is: Color, white ; complexion, fair
; height, 5 feet 3°4 inches;
weight, 161 pounds; color of hair, anburn
;
other visible distinctive marks: Scarsonright checkahideth thumb
color of eyes, gray
;
I was
born in Jerlizzi, (City Bare or town)
(Country)
Italy
on the
15
day of
march
1903
My present residence is 79 school st (Number and street) (City Norwich or town) (County) bom (State)
The place where I took the ship or train which landed me in the United States was
naples
The name of the or on came
My last place of foreign residence said was A (City or town Bari (Country) Staly
ship railroad which I was Dante allighieri
Italy
Feb
, on
26
1921
(Month)
(Day)
(Year)
Jerling
I am now married. The name of my {
wife
hushand
is Gragia
She
}
was born at
He
Bitonds, Basi, Italy and now resides at 79 school St Homich Come
I am now a renounce
subject of and intend to allegiance to Ruig (Write name Vict and title of Em sovereign and III country of
which now a subject;
or, if citizen of a republic, write name of republic
Kuig only) of Ibaly
I arrived at the United States immigration port of
new (City York
or town)
n.J. (State or territory)
, on mar 13, 1921
14-8
(Give exact month, 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
- 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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"ocrText": "Form 2213\nPRELIMINARY FORM FOR DECLARATION OF INTENTION TO BECOME A CITIZEN\n5292\nU. S. DEPARTMENT OF LABOR\nNOT TO BE FILLED IN BY ALIEN\nNATURALIZATION SERVICE\nFOR USE OF OFFICIALS SEARCHING IMMI-\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.\nPasquale (Alien should print or typewrite Girasoli here true, original, and correct\n25\nMy name is\nMrs.\n; age,\nyears.\nname)\n(Give age last birthday)\nMy present occupation is Trimmer\nMiss\nMy personal description is: Color, white ; complexion, fair\n; height, 5 feet 3°4 inches;\nweight, 161 pounds; color of hair, anburn\n;\nother visible distinctive marks: Scarsonright checkahideth thumb\ncolor of eyes, gray\n;\nI was\nborn in Jerlizzi, (City Bare or town)\n(Country)\nItaly\non the\n15\nday of\nmarch\n1903\nMy present residence is 79 school st (Number and street) (City Norwich or town) (County) bom (State)\nThe place where I took the ship or train which landed me in the United States was\nnaples\nThe name of the or on came\nMy last place of foreign residence said was A (City or town Bari (Country) Staly\nship railroad which I was Dante allighieri\nItaly\nFeb\n, on\n26\n1921\n(Month)\n(Day)\n(Year)\nJerling\nI am now married. The name of my {\nwife\nhushand\nis Gragia\nShe\n}\nwas born at\nHe\nBitonds, Basi, Italy and now resides at 79 school St Homich Come\nI am now a renounce\nsubject of and intend to allegiance to Ruig (Write name Vict and title of Em sovereign and III country of\nwhich now a subject;\nor, if citizen of a republic, write name of republic\nKuig only) of Ibaly\nI arrived at the United States immigration port of\nnew (City York\nor town)\nn.J. (State or territory)\n, on mar 13, 1921\n14-8\n(Give exact month, day, and year)\n(OVER)"
}