Ask the Scholar
Page 855 of 1298
I can add historical knowledge about this page.
Page image
OCR
Form 2213
PRELIMINARY FORM FOR DECLARATION OF INTENTION TO BECOME A CITIZEN
5302
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
I desire to file my Declaration to a citizen.
My name is
Mrs.
yankel (Alien Hankel should print typewrite here true, original, and correct name)
of Intention (first Rubin paper) become
Mr.
/
Rubin
age,
39
years.
or
(Give age last birthday)
My present occupation Miss is 59 farmer
My personal description is: Color, white complexion, dark
; height, 5 feet 244 inches;
weight, 140 color of hair, black ; color of eyes, brown
pounds;
other visible distinctive marks: Scarswnder chin andon left thumb
I was born in
Uesoka
Russia (Country) (Now Belland
on the
5
(City or town)
day of
sember
1888
My present residence is
Letanor newford CL,
(Number and street)
(City or town)
The place where I took the ship or train which landed me in the United States was
Hamburg
(County)
(State)
sermany
on
about Due
16
1905
The name or on came
of the ship railroad said which I was Graf Waldeview (Month) (Day) (Year)
My last place of foreign residence was Venaka
(City or town)
I am
married. The name of my
{
wife
husband
}
is
10 , Doba Country)
She
was born at
said
Rust
1
, and now
said resides at Eugaron, 11, He
I am now a subject of and intend to renounce allegiance to Polland twas Person
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
new york
York
(City or town)
new territory)
, on
Dec 30 1905
(State or
14-8
(Give exact month, day, and year)
(OVER)
Page data
- Page
- 855
- Source index
- 0
- Type
- photo
- Media ID
- 53ac695736692c65
- Size
- unknown
Document data
- ID
- 159596813
- Core
- doc
- Type
- document
DTO data
{
"id": "159596813",
"sourceUrl": "https://catalog.archives.gov/id/159596813",
"contentType": "document",
"title": "File numbers 4874 - 5509, 1926-1930",
"citationUrl": "https://catalog.archives.gov/id/159596813",
"collections": [
"Naturalization Records of Non-Federal Courts in Connecticut",
"Applications for Declaration of Intention"
],
"iiifBase": "https://s3.amazonaws.com/NARAprodstorage/lz/partnerships-0002/18-0177_US-MA/18-0177_US-MA_21/18-0177_US-MA_-4526886-CTN-Applications-for-Declaration-of--1926-1930/18-0177_US-MA_-4526886-CTN-Applications-for-Declaration-of--1926-1930_00001.jpg",
"thumbnailUrl": "https://s3.amazonaws.com/NARAprodstorage/lz/partnerships-0002/18-0177_US-MA/18-0177_US-MA_21/18-0177_US-MA_-4526886-CTN-Applications-for-Declaration-of--1926-1930/18-0177_US-MA_-4526886-CTN-Applications-for-Declaration-of--1926-1930_00001.jpg",
"largeImageUrl": "https://s3.amazonaws.com/NARAprodstorage/lz/partnerships-0002/18-0177_US-MA/18-0177_US-MA_21/18-0177_US-MA_-4526886-CTN-Applications-for-Declaration-of--1926-1930/18-0177_US-MA_-4526886-CTN-Applications-for-Declaration-of--1926-1930_00001.jpg",
"imageCount": 1298,
"hasImages": true,
"source": "import",
"hasTranscription": false
}
Context sent to Scholar
Document identity
{
"localId": "159596813",
"label": "File numbers 4874 - 5509, 1926-1930",
"core": "doc",
"dtoType": "document",
"citationUrl": "https://catalog.archives.gov/id/159596813"
}
Document source metadata
{
"id": "159596813",
"sourceUrl": "https://catalog.archives.gov/id/159596813",
"contentType": "document",
"title": "File numbers 4874 - 5509, 1926-1930",
"citationUrl": "https://catalog.archives.gov/id/159596813",
"collections": [
"Naturalization Records of Non-Federal Courts in Connecticut",
"Applications for Declaration of Intention"
],
"iiifBase": "https://s3.amazonaws.com/NARAprodstorage/lz/partnerships-0002/18-0177_US-MA/18-0177_US-MA_21/18-0177_US-MA_-4526886-CTN-Applications-for-Declaration-of--1926-1930/18-0177_US-MA_-4526886-CTN-Applications-for-Declaration-of--1926-1930_00001.jpg",
"thumbnailUrl": "https://s3.amazonaws.com/NARAprodstorage/lz/partnerships-0002/18-0177_US-MA/18-0177_US-MA_21/18-0177_US-MA_-4526886-CTN-Applications-for-Declaration-of--1926-1930/18-0177_US-MA_-4526886-CTN-Applications-for-Declaration-of--1926-1930_00001.jpg",
"largeImageUrl": "https://s3.amazonaws.com/NARAprodstorage/lz/partnerships-0002/18-0177_US-MA/18-0177_US-MA_21/18-0177_US-MA_-4526886-CTN-Applications-for-Declaration-of--1926-1930/18-0177_US-MA_-4526886-CTN-Applications-for-Declaration-of--1926-1930_00001.jpg",
"imageCount": 1298,
"hasImages": true,
"source": "import",
"hasTranscription": false
}
Document source extras
{
"url": "https://catalog.archives.gov/id/159596813",
"naId": 159596813,
"levelOfDescription": "fileUnit",
"onlineResources": [
{
"description": "FamilySearch",
"note": "This file was scanned as part of a collaboration effort between FamilySearch and the National Archives.",
"url": "https://www.familysearch.org/search/catalog/results?count=20&query=%2Bkeywords%3A4526886%20%2Bkeywords%3ANational%20%2Bkeywords%3AArchives"
}
],
"recordType": "description",
"ocrSource": "nara-archive"
}
Page context
{
"seq": 855,
"pageIndex": 0,
"type": "photo",
"url": "https://s3.amazonaws.com/NARAprodstorage/lz/partnerships-0002/18-0177_US-MA/18-0177_US-MA_21/18-0177_US-MA_-4526886-CTN-Applications-for-Declaration-of--1926-1930/18-0177_US-MA_-4526886-CTN-Applications-for-Declaration-of--1926-1930_00855.jpg",
"mediaId": "53ac695736692c65",
"ocrText": "Form 2213\nPRELIMINARY FORM FOR DECLARATION OF INTENTION TO BECOME A CITIZEN\n5302\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\nI desire to file my Declaration to a citizen.\nMy name is\nMrs.\nyankel (Alien Hankel should print typewrite here true, original, and correct name)\nof Intention (first Rubin paper) become\nMr.\n/\nRubin\nage,\n39\nyears.\nor\n(Give age last birthday)\nMy present occupation Miss is 59 farmer\nMy personal description is: Color, white complexion, dark\n; height, 5 feet 244 inches;\nweight, 140 color of hair, black ; color of eyes, brown\npounds;\nother visible distinctive marks: Scarswnder chin andon left thumb\nI was born in\nUesoka\nRussia (Country) (Now Belland\non the\n5\n(City or town)\nday of\nsember\n1888\nMy present residence is\nLetanor newford CL,\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\nHamburg\n(County)\n(State)\nsermany\non\nabout Due\n16\n1905\nThe name or on came\nof the ship railroad said which I was Graf Waldeview (Month) (Day) (Year)\nMy last place of foreign residence was Venaka\n(City or town)\nI am\nmarried. The name of my\n{\nwife\nhusband\n}\nis\n10 , Doba Country)\nShe\nwas born at\nsaid\nRust\n1\n, and now\nsaid resides at Eugaron, 11, He\nI am now a subject of and intend to renounce allegiance to Polland twas Person\nWrite 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\nnew york\nYork\n(City or town)\nnew territory)\n, on\nDec 30 1905\n(State or\n14-8\n(Give exact month, day, and year)\n(OVER)"
}