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Form 2213
PRELIMINARY FORM FOR DECLARATION OF INTENTION TO BECOME A CITIZEN
5398
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.
Michael (Alien should print michaliszyn typewrite here true, original, and correct name)
; age, 26
years.
Miss
or
(Give age last birthday)
My present occupation is
Farmer
My personal description is: Color, white complexion, Fair
; height, 5 feet 114 inches;
weight, 177 pounds; color of hair, Blonde ; color of eyes, Blue
;
other
visible distinctive marks: mole on rightside Austria of uppers lip
I was born
in (City town)
Horopatinitory
or
(Country)
on the t 7
day
of may
, 1 902
My present residence is
1. F. hl. Colchester New Londer 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
Germany
on may (Montin)
Hamburg
6-20 1906,
(Day)
(Year)
The name of the ship or railroad on which I came was Kaiserin Victoria
My last place of foreign residence was
wife
Horopating
austria
(City or town)
(Country)
I am not married. The name of my
She
is
was born at
busband
He
, and now resides at
I am now a subject of and intend to renounce allegiance to
Austria
(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
New (City town) York
or
new (State or territory) York
, on
may 14-8 Give exact 200 month, day, and 1906 year)
(OVER)
Page data
- Page
- 1047
- Source index
- 0
- Type
- photo
- Media ID
- 48d4b3ff4cb41977
- Size
- unknown
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\n5398\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.\nMichael (Alien should print michaliszyn typewrite here true, original, and correct name)\n; age, 26\nyears.\nMiss\nor\n(Give age last birthday)\nMy present occupation is\nFarmer\nMy personal description is: Color, white complexion, Fair\n; height, 5 feet 114 inches;\nweight, 177 pounds; color of hair, Blonde ; color of eyes, Blue\n;\nother\nvisible distinctive marks: mole on rightside Austria of uppers lip\nI was born\nin (City town)\nHoropatinitory\nor\n(Country)\non the t 7\nday\nof may\n, 1 902\nMy present residence is\n1. F. hl. Colchester New Londer 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\nGermany\non may (Montin)\nHamburg\n6-20 1906,\n(Day)\n(Year)\nThe name of the ship or railroad on which I came was Kaiserin Victoria\nMy last place of foreign residence was\nwife\nHoropating\naustria\n(City or town)\n(Country)\nI am not married. The name of my\nShe\nis\nwas born at\nbusband\nHe\n, and now resides at\nI am now a subject of and intend to renounce allegiance to\nAustria\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\nNew (City town) York\nor\nnew (State or territory) York\n, on\nmay 14-8 Give exact 200 month, day, and 1906 year)\n(OVER)"
}