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Form 2213
PRELIMINARY FORM FOR DECLARATION OF INTENTION TO BECOME A CITIZEN
5480
U. S. DEPARTMENT OF LABOR
NOT TO BE FILLED IN BY ALIEN
NATURALIZATION SERVICE
FOR USE OF OFFICIALS SEARCHING IMMI-
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.
Miss
/
albertine marc- Gurele
; age,
45
years.
(Alien should print or typewrite here true, original, and correct name)
(Give age last birthday)
My present occupation is
m ill hand
My personal description is: Color, White complexion, fair
; height, 5 feet 2 inches;
weight,
130 pounds; color of hair, Light brown color of eyes, blue
;
other visible distinctive marks:
none
I was born in
St. Valerien milton
P. 2
(City or town)
(Country)
on
the 12
day of
October
1.1883
,
My present residence is
47 Providenci t Faltrille (County)
Conn
(Number and street)
(City or town)
(State)
The where I took the or train was
place ship which landed me.in, the United States upton P.de,
,on
Oct,
12
1892
(Month)
(Day)
(Year)
The
name of the ship or Tailroad on which I came was
My last place of foreign residence was
St L
(City or town)
(Country)
I am not 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
GEORGE V. RY THE GRACE OF GOD. or GRFAT DBIT 1TN, TRELAND, (Writsmine and'titPe'of sovereign and country of which now a subject;
DOMINIONS BEYOND THE SEAS LING. OSPENDER OFTGE FAITH ENDEROS OF INDIA.
or, if citizen of a republic, write name of republic only)
I arrived at the United States immigration port of
St.albans Nermont
(City for town)
on 1892
Catrolor,
,
(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
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- Size
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Document data
- ID
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- Core
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- Type
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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\n5480\nU. S. DEPARTMENT OF LABOR\nNOT TO BE FILLED IN BY ALIEN\nNATURALIZATION SERVICE\nFOR USE OF OFFICIALS SEARCHING IMMI-\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.\nMiss\n/\nalbertine marc- Gurele\n; age,\n45\nyears.\n(Alien should print or typewrite here true, original, and correct name)\n(Give age last birthday)\nMy present occupation is\nm ill hand\nMy personal description is: Color, White complexion, fair\n; height, 5 feet 2 inches;\nweight,\n130 pounds; color of hair, Light brown color of eyes, blue\n;\nother visible distinctive marks:\nnone\nI was born in\nSt. Valerien milton\nP. 2\n(City or town)\n(Country)\non\nthe 12\nday of\nOctober\n1.1883\n,\nMy present residence is\n47 Providenci t Faltrille (County)\nConn\n(Number and street)\n(City or town)\n(State)\nThe where I took the or train was\nplace ship which landed me.in, the United States upton P.de,\n,on\nOct,\n12\n1892\n(Month)\n(Day)\n(Year)\nThe\nname of the ship or Tailroad on which I came was\nMy last place of foreign residence was\nSt L\n(City or town)\n(Country)\nI am not The name of my\n{\nwife\n}\nShe\nis\nwas born at\nhusband\nHe\nand now resides at\n,\nI am now a subject of and intend to renounce allegiance\nto\nGEORGE V. RY THE GRACE OF GOD. or GRFAT DBIT 1TN, TRELAND, (Writsmine and'titPe'of sovereign and country of which now a subject;\nDOMINIONS BEYOND THE SEAS LING. OSPENDER OFTGE FAITH ENDEROS OF INDIA.\nor, if citizen of a republic, write name of republic only)\nI arrived at the United States immigration port of\nSt.albans Nermont\n(City for town)\non 1892\nCatrolor,\n,\n(State or territory)\n14-8\n(Give exact month, day, and year)\n(OVER)"
}