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Form 2213 PRELIMINARY FORM FOR DECLARATION OF INTENTION TO BECOME A CITIZEN 5309 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. Mrs. lekla Skraba 58 My name is ; age, years. (Alien should print or typewrite here true, original,men correct name) (Give age last birthday) My present occupation Miss is house-wife My personal description is: Color, white ; complexion, light ; height, 5 feet fair y 112 inches; weight, 130 pounds; color of hair, brown ; color of eyes, gry ; other visible distinative marks: I was born in (City moneypland- town) (Country) frybow or on the 20 day of April 1870 My present residence is 5-m-Cliff, Norwich, Conn (County) (Number and street) (City or town) (State) The place where I took the ship or train which landed me in the United States was Ferruary on 28-funny Brewen 1910 The name of the ship or railroad on which L came was Raiself (Month), withelm. (Day) (Year) My last place of foreign residence said was (City town) Poland, grybow, or wire I am yes married, The name of my Frank Skrata is (Country manciscok She was born at pail He I am jiow grybow, a subject of and intend Poland to renounce husband allegiance , and now to said resides Rep; at 15 (Write of n. cliffSch Poland title of sovereign and country of name and which now a subject; I or, arrived citizen at the republic, United States republic immigration only) port of New york (Cityor City town) if of a write name of , on (Gire exact 1910- month, day, and (State or territory) year) (OVER)

Page data

Page
869
Source index
0
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

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    "ocrText": "Form 2213\nPRELIMINARY FORM FOR DECLARATION OF INTENTION TO BECOME A CITIZEN\n5309\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.\nMrs.\nlekla Skraba\n58\nMy name is\n; age,\nyears.\n(Alien should print or typewrite here true, original,men correct name)\n(Give age last birthday)\nMy\npresent occupation Miss is\nhouse-wife\nMy personal description is: Color, white ; complexion, light ; height, 5 feet\nfair\ny\n112\ninches;\nweight, 130 pounds; color of hair, brown\n; color of eyes, gry\n;\nother visible distinative marks:\nI was\nborn in (City moneypland- town) (Country)\nfrybow\nor\non the 20\nday\nof\nApril\n1870\nMy present residence is\n5-m-Cliff,\nNorwich, Conn (County)\n(Number and street)\n(City or town)\n(State)\nThe place where I took the ship or train which landed me in the United States was\nFerruary\non 28-funny\nBrewen\n1910\nThe name of the ship or railroad on which L came was Raiself (Month), withelm. (Day)\n(Year)\nMy last place of foreign residence said was (City town) Poland,\ngrybow,\nor\nwire\nI am yes married, The name of my\nFrank Skrata is (Country\nmanciscok\nShe\nwas born at\npail\nHe\nI am jiow grybow, a subject of and intend Poland to renounce husband allegiance , and now to said resides Rep; at 15 (Write of n. cliffSch Poland title of sovereign and country of\nname and which now a subject;\nI or, arrived citizen at the republic, United States republic immigration only) port of New york (Cityor City town)\nif of a write name of\n, on (Gire exact 1910- month, day, and\n(State or territory)\nyear)\n(OVER)"
}