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Form 2213
PRELIMINARY FORM FOR DECLARATION OF INTENTION TO BECOME A CITIZEN
5332
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 of Intention (first paper) to become a citizen.
Mr.
My name is
Mrs.
Mr
Luigi mergiotti
; age,
45
years.
Miss
(Alien should print or typewrite hero true, original, and correct name)
(Give age last birthday)
My present occupation is
LaboRER
My personal description is: Color, White
; complexion, dark
; height, l 5 feet
inches;
weight, 120 pounds; color of hair, black ;
darkbounderk
color of eyes, BROWN
;
other visible distinctive marks:
I
was born in Penne Cvirtella cisirtillictory (Country)
(City or town)
on the
4
day of april
, 1883
My present residence
is 310 (Number mitchell and street) Street, (City groton town) Newhondon, (County) Conn (State)
or
The place where I took the ship train which landed in the United States Maples, cltaly
or me was
,on
June
29
1913
(Month)
(Day)
(Year)
The name of the ship or railroad on which I came was
My last place of foreign residence was acisirtella, Casanova (Country) Italy
sand
Canoper of the whats Star dinecs
(City or town)
I am
{
wife
married. The name of my
is maria tonangof
She
was born at
husband
He
Capua etaly
and now resides at
Grotm
A
,
I am now a subject of and intend to renounce allegiance to
Victor Emanuel and III, clary
(Write name and title of sovereign 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 Charlestown, Boston, mass
(City or town)
Mass.
(State or territory)
, on July 14-8 (Give 14, exact month, 1913 day, and year)
(OVER)
Page data
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- Source index
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- Type
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- Media ID
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- Size
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Document data
- ID
- 159596813
- Core
- doc
- Type
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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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"ocrText": "Form 2213\nPRELIMINARY FORM FOR DECLARATION OF INTENTION TO BECOME A CITIZEN\n5332\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 of Intention (first paper) to become a citizen.\nMr.\nMy name is\nMrs.\nMr\nLuigi mergiotti\n; age,\n45\nyears.\nMiss\n(Alien should print or typewrite hero true, original, and correct name)\n(Give age last birthday)\nMy present occupation is\nLaboRER\nMy personal description is: Color, White\n; complexion, dark\n; height, l 5 feet\ninches;\nweight, 120 pounds; color of hair, black ;\ndarkbounderk\ncolor of eyes, BROWN\n;\nother visible distinctive marks:\nI\nwas born in Penne Cvirtella cisirtillictory (Country)\n(City or town)\non the\n4\nday of april\n, 1883\nMy present residence\nis 310 (Number mitchell and street) Street, (City groton town) Newhondon, (County) Conn (State)\nor\nThe place where I took the ship train which landed in the United States Maples, cltaly\nor me was\n,on\nJune\n29\n1913\n(Month)\n(Day)\n(Year)\nThe name of the ship or railroad on which I came was\nMy last place of foreign residence was acisirtella, Casanova (Country) Italy\nsand\nCanoper of the whats Star dinecs\n(City or town)\nI am\n{\nwife\nmarried. The name of my\nis maria tonangof\nShe\nwas born at\nhusband\nHe\nCapua etaly\nand now resides at\nGrotm\nA\n,\nI am now a subject of and intend to renounce allegiance to\nVictor Emanuel and III, clary\n(Write name and title of sovereign country of which now a subject;\nor, if citizen of a republic, write name of republic only)\nI arrived\nat the United States immigration port of Charlestown, Boston, mass\n(City or town)\nMass.\n(State or territory)\n, on July 14-8 (Give 14, exact month, 1913 day, and year)\n(OVER)"
}