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Form 2213
PRELIMINARY FORM FOR DECLARATION OF INTENTION TO BECOME A CITIZEN
5346
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
46020
Place number
in
SBB
CARD INDEX
upper left-hand corner of all copies of
declaration, immediately under your
INDEX BOOKS
declaration number.
1928
APR 23 3
to
DISTRICT DIRECTOR OF NATURALIZATION
MANIFESTS
DISTRICT
BOSION
NEASS HECITON
on
NATURALIZANION CEIVED MANT
AARR
ki
I desire to file my Declaration of Intention (first paper) to become a citizen. OF EXAMT*
Mr.
Ar
My name is
Mrs.
/
MR KNut ERNFRId Samuelstan age, Has
22
years.
Miss
(Alien should print or typewrite here true, original, and correct name)
(Giverage last birthday)
CEND
and
My My present personal occupation description is is: Pressuring Color, light ; complexion, medicalark Ruddy ; height, 5 feet inches;
1714
weight, 138 pounds; color of hair,
other visible distinctive marks:
Brown none ; color of eyes,
;
X
I
was born in Stora Funa
Sweden
(City or town)
(Country)
on the 25Th day of October
styagington,
My present residence is 17 (Number and street) City town) (County) (State)
or
The
Sweden. place where I took the ship or train which landed me in the United States was gotherling
AnonySturt
on
august (Month) 28Th (Day)
1926
(Year)
The name on came was
last place of foreign residence Dometomate
of the ship or railroad sand which I gripation
My was
Sweden
(City or town)
(Country)
I am notmarried. The name of my
wife
She
is
husband
x
}
was born at
He
, and now resides at
X
I subject of and intend allegiance to (Write and title of sovereign tho Fifth and country of which subject;
am now a to renounce
name now a
of clue
Gustavus V, 2 King of
or, if citizen of /a republic, write name of republic only)
I arrived at the United States immigration port of
New (City town)
New (State or territory)
gland
your
7th
or
, on
September
14-8 6th 1926
(Give exact month, day, and year)
(OVER)
of A IBBUED
MAY 1 1928
Page data
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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
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\n5346\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\n46020\nPlace number\nin\nSBB\nCARD INDEX\nupper left-hand corner of all copies of\ndeclaration, immediately under your\nINDEX BOOKS\ndeclaration number.\n1928\nAPR 23 3\nto\nDISTRICT DIRECTOR OF NATURALIZATION\nMANIFESTS\nDISTRICT\nBOSION\nNEASS HECITON\non\nNATURALIZANION CEIVED MANT\nAARR\nki\nI desire to file my Declaration of Intention (first paper) to become a citizen. OF EXAMT*\nMr.\nAr\nMy name is\nMrs.\n/\nMR KNut ERNFRId Samuelstan age, Has\n22\nyears.\nMiss\n(Alien should print or typewrite here true, original, and correct name)\n(Giverage last birthday)\nCEND\nand\nMy My present personal occupation description is is: Pressuring Color, light ; complexion, medicalark Ruddy ; height, 5 feet inches;\n1714\nweight, 138 pounds; color of hair,\nother visible distinctive marks:\nBrown none ; color of eyes,\n;\nX\nI\nwas born in Stora Funa\nSweden\n(City or town)\n(Country)\non the 25Th day of October\nstyagington,\nMy present residence is 17 (Number and street) City town) (County) (State)\nor\nThe\nSweden. place where I took the ship or train which landed me in the United States was gotherling\nAnonySturt\non\naugust (Month) 28Th (Day)\n1926\n(Year)\nThe name on came was\nlast place of foreign residence Dometomate\nof the ship or railroad sand which I gripation\nMy was\nSweden\n(City or town)\n(Country)\nI am notmarried. The name of my\nwife\nShe\nis\nhusband\nx\n}\nwas born at\nHe\n, and now resides at\nX\nI subject of and intend allegiance to (Write and title of sovereign tho Fifth and country of which subject;\nam now a to renounce\nname now a\nof clue\nGustavus V, 2 King of\nor, if citizen of /a republic, write name of republic only)\nI arrived at the United States immigration port of\nNew (City town)\nNew (State or territory)\ngland\nyour\n7th\nor\n, on\nSeptember\n14-8 6th 1926\n(Give exact month, day, and year)\n(OVER)\nof A IBBUED\nMAY 1 1928"
}