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Form 2213
PRELIMINARY FORM FOR DECLARATION OF INTENTION TO BECOME A CITIZEN
5431
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.
My name is
Mrs.
mrs
; age,
51
years.
Miss
(Alien should print or typewrike here true, original, and correct name)
(Give age last birthday)
My present occupation is
cook
My personal description is: Color,
Fair
; height, 5 feet 8 inches;
weight, 170 pounds; color of hair, color of eyes, Gray
;
other
visible distinctive marks:
I was born in
Edovalla Breek
Smeden
(City or town)
(Country)
on the 19 yuly day of
1877
, ,1
My present residence is
285 Broad st
Graten leann
(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
Gutten on
July
93
1893
(Month)
(Day)
(Year)
The
name of the ship or on which I came was etcery
My last place of foreign residence was
Edsuacia Bruck (Country swedted
(City or town)
wife
She
I am
married. The name of my
is
T
was born at
husband and now resides at (fresent He unknown)
I am now a subject of and intend to renounce allegiance to
(Write name and title of sovereign and country of which now a subject;
I or, arrived citizen at of the republic, United write States of republic immigration only) port of anyunt 311893 (City or town) new York
if a name
, on
(State or territory)
14-8
(Give exact month, day, and year)
(OVER)
Page data
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- Source index
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- Type
- photo
- Media ID
- 5afb0ba6e9536429
- Size
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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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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\n5431\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.\nMy name is\nMrs.\nmrs\n; age,\n51\nyears.\nMiss\n(Alien should print or typewrike here true, original, and correct name)\n(Give age last birthday)\nMy present occupation is\ncook\nMy personal description is: Color,\nFair\n; height, 5 feet 8 inches;\nweight, 170 pounds; color of hair, color of eyes, Gray\n;\nother\nvisible distinctive marks:\nI was born in\nEdovalla Breek\nSmeden\n(City or town)\n(Country)\non the 19 yuly day of\n1877\n, ,1\nMy present residence is\n285 Broad st\nGraten leann\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\nGutten on\nJuly\n93\n1893\n(Month)\n(Day)\n(Year)\nThe\nname of the ship or on which I came was etcery\nMy last place of foreign residence was\nEdsuacia Bruck (Country swedted\n(City or town)\nwife\nShe\nI am\nmarried. The name of my\nis\nT\nwas born at\nhusband and now resides at (fresent He unknown)\nI am now a subject of and intend to renounce allegiance to\n(Write name and title of sovereign and country of which now a subject;\nI or, arrived citizen at of the republic, United write States of republic immigration only) port of anyunt 311893 (City or town) new York\nif a name\n, on\n(State or territory)\n14-8\n(Give exact month, day, and year)\n(OVER)"
}