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File numbers 4874 - 5509, 1926-1930

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Form 2213 PRELIMINARY FORM FOR DECLARATION OF INTENTION TO BECOME A CITIZEN 5435 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. Rose Dorothy Wyczauski ; age, 26 years. Miss (Alien should print or typewrite here true, original, and correct name) (Give age last birthday) My present occupation is Bookkeeper My personal description is: Color, White ; complexion, Fair ; height, 5 feet 5/2 inches; weight, 157 pounds; color of hair, Dark Brown ; color of eyes, Brown ; other visible distinctive marks: I was born in Tarashta, Russia (City or town) (Country) on the 5th day of December 1901 My present residence is 17 Grand Street, New London, Conn. New London County (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 Antwerp, Belgium , on or abuut the and day of April, 1910 (Month) (Day) (Year) The name of the ship or railroad on which I came was Finland My last place of foreign residence was Bosloff, Russia (City or town) (Country) I am not married. The name of my wife She is was born at husband He , and now resides at , I am now a subject of and intend to renounce allegiance to Russia (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 or town) on Wednesday April 2nd, 19/0 , (State or territory) 14-8 (Give exact month, day, and year) (OVER)

Page data

Page
1133
Source index
0
Type
photo
Media ID
e606d4d8746ce427
Size
unknown

Document data

ID
159596813
Core
doc
Type
document
DTO data 
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Context sent to Scholar

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    "ocrText": "Form 2213\nPRELIMINARY FORM FOR DECLARATION OF INTENTION TO BECOME A CITIZEN\n5435\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.\nRose Dorothy Wyczauski\n; age,\n26\nyears.\nMiss\n(Alien should print or typewrite here true, original, and correct name)\n(Give age last birthday)\nMy present occupation is Bookkeeper\nMy personal description is: Color, White ; complexion, Fair\n; height,\n5\nfeet 5/2 inches;\nweight, 157\npounds; color of hair, Dark Brown\n; color of eyes,\nBrown\n;\nother visible distinctive marks:\nI was born in Tarashta, Russia\n(City or town)\n(Country)\non the 5th\nday of December\n1901\nMy present residence is\n17 Grand Street,\nNew London, Conn. New London County\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 Antwerp, Belgium\n, on or abuut the and day of April, 1910\n(Month)\n(Day)\n(Year)\nThe name of the ship or railroad on which I came was\nFinland\nMy last place of foreign residence was\nBosloff, Russia\n(City or town)\n(Country)\nI am not married. The name of my\nwife\nShe\nis\nwas born at\nhusband\nHe\n, and now resides at\n,\nI am now a subject of and intend to renounce allegiance to\nRussia\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\nEllis Island\n(City or town)\non Wednesday April 2nd, 19/0\n,\n(State or territory)\n14-8\n(Give exact month, day, and year)\n(OVER)"
}