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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
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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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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\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)"
}