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Form 2213
PRELIMINARY FORM FOR DECLARATION OF INTENTION TO BECOME A CITIZEN
5478
54,8
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
INDEX BOOKS
NOV 7 1928
declaration, immediately under your
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.
Victorine Ernests Gaviaho
; age,
28.
years.
Miss
(Alien should print or typewrite here true, original, and correct name)
(Give age last birthday)
My present occupation is baborer
My personal description is: Color, White ; complexion, Park Fare
1/3/4
; height, 5 feet 8 inches;
weight, 135 pounds; color of hair, Dark Brown ;
color of eyes,
noun
other visible distinctive marks: Scar at Bottom of
I was born in Villa France, (City or town) mignel
day of Heb.
Patugal
(Country)
on
the 3
1900
My
present residence is 19. Elm St.
(Number and street)
Strington
(City new fandar, (County) (State) Come.
or town)
The place
where I took the ship or train which landed me in the United States was Ponta Delgada
3
1920
on June (Month) 23 (Day) 1920 (Year)
The name of the ship or railroad on which I came was
Roma
My last place of foreign residence was villa Tranca
(City or town)
Portugal
(Country)
married. The name of my
{
wife
I am
}
is gilda Gavinho
She
was born at
husband
He
villa Strauea
, and now resides at 39 Elm Street
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;
Portugal
or, if citizen of a republic, write name of republic only)
I arrived at the United States immigration port of
Providence
(City or town)
R R.
(State or territory)
, on 30, 14-8 June (Give exact month, day, 1920 and year)
(OVER)
Page data
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- Source index
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- Type
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- Size
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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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"ocrText": "Form 2213\nPRELIMINARY FORM FOR DECLARATION OF INTENTION TO BECOME A CITIZEN\n5478\n54,8\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\nINDEX BOOKS\nNOV 7 1928\ndeclaration, immediately under your\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.\nVictorine Ernests Gaviaho\n; age,\n28.\nyears.\nMiss\n(Alien should print or typewrite here true, original, and correct name)\n(Give age last birthday)\nMy present occupation is baborer\nMy personal description is: Color, White ; complexion, Park Fare\n1/3/4\n; height, 5 feet 8 inches;\nweight, 135 pounds; color of hair, Dark Brown ;\ncolor of eyes,\nnoun\nother visible distinctive marks: Scar at Bottom of\nI was born in Villa France, (City or town) mignel\nday of Heb.\nPatugal\n(Country)\non\nthe 3\n1900\nMy\npresent residence is 19. Elm St.\n(Number and street)\nStrington\n(City new fandar, (County) (State) Come.\nor town)\nThe place\nwhere I took the ship or train which landed me in the United States was Ponta Delgada\n3\n1920\non June (Month) 23 (Day) 1920 (Year)\nThe name of the ship or railroad on which I came was\nRoma\nMy last place of foreign residence was villa Tranca\n(City or town)\nPortugal\n(Country)\nmarried. The name of my\n{\nwife\nI am\n}\nis gilda Gavinho\nShe\nwas born at\nhusband\nHe\nvilla Strauea\n, and now resides at 39 Elm Street\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;\nPortugal\nor, if citizen of a republic, write name of republic only)\nI arrived at the United States immigration port of\nProvidence\n(City or town)\nR R.\n(State or territory)\n, on 30, 14-8 June (Give exact month, day, 1920 and year)\n(OVER)"
}