Ask the Scholar
Page 1041 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
5395
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.
Miss
/
Stella Kupidlanskay
; age,
38
years.
(Alien should print or type rite here true, original, and correct
name)
(Give age last birthday)
My present occupation is
pressmaker
My personal description is: Color, White
;
complexion, fair light ;
height,
5 feet # 2 inches;
weight, 164
pounds; color of hair,
brown
;
none
color of eyes, gray
;
other visible distinctive marks:
I was born
in Ostroticka, Russignation
(City or town)
(Country)
on the
8th day of may
,
My present residence is 65 mountain Ave new London Come
(Number and street)
(City or town)
(County)
(State)
The place where I took the ship or train which landed me in the United States was Hamburg -germany
, on
april
1904
(Month)
(Day)
(Year)
The
name of the ship or railroad on which I came was Olympia
My last place of foreign residence was
said Ostroliena - Paland
(City or town)
(Country)
I am married married. The name of my
{
wife
husband
Lomza - Poland
is pegory Kupidlow SKK
She
was born at
He
, and now resides at 65mountain ave. New fondon, Conn
I am now a subject of and intend to renounce allegiance to
r aland
(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 Ellis Island (City town) new york City
or
new (State
york
or territory)
, on april 14-8
1904
(Give exact month, day, and year)
(OVER)
Page data
- Page
- 1041
- Source index
- 0
- Type
- photo
- Media ID
- ffcd8ca3aa62208f
- 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": 1041,
"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_01041.jpg",
"mediaId": "ffcd8ca3aa62208f",
"ocrText": "Form 2213\nPRELIMINARY FORM FOR DECLARATION OF INTENTION TO BECOME A CITIZEN\n5395\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.\nMiss\n/\nStella Kupidlanskay\n; age,\n38\nyears.\n(Alien should print or type rite here true, original, and correct\nname)\n(Give age last birthday)\nMy present occupation is\npressmaker\nMy personal description is: Color, White\n;\ncomplexion, fair light ;\nheight,\n5 feet # 2 inches;\nweight, 164\npounds; color of hair,\nbrown\n;\nnone\ncolor of eyes, gray\n;\nother visible distinctive marks:\nI was born\nin Ostroticka, Russignation\n(City or town)\n(Country)\non the\n8th day of may\n,\nMy present residence is 65 mountain Ave new London Come\n(Number and street)\n(City or town)\n(County)\n(State)\nThe place where I took the ship or train which landed me in the United States was Hamburg -germany\n, on\napril\n1904\n(Month)\n(Day)\n(Year)\nThe\nname of the ship or railroad on which I came was Olympia\nMy last place of foreign residence was\nsaid Ostroliena - Paland\n(City or town)\n(Country)\nI am married married. The name of my\n{\nwife\nhusband\nLomza - Poland\nis pegory Kupidlow SKK\nShe\nwas born at\nHe\n, and now resides at 65mountain ave. New fondon, Conn\nI am now a subject of and intend to renounce allegiance to\nr aland\n(Write 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 Ellis Island (City town) new york City\nor\nnew (State\nyork\nor territory)\n, on april 14-8\n1904\n(Give exact month, day, and year)\n(OVER)"
}