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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 5008 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 Mis. Bronislaw lasowski ; age, 34 years. (Alien should print or typewrite here'true, original, and correct name) (Give age last birthday) My present occupation is Farming My personal description is: Color, White ; complexion, Farr ; height, 5 feet 8 1/4 inches; weight, 165 pounds; color of hair. Brown ; color of eyes, Brown ; other visible distinctive marks: mont I was born in Dykocin Poland (City or town) (Country) on the / 15th day of august , 189X2 My present residence is Cast (Number Lyme, mew London Conn. and street (City or town) (County) (State) The place where I took the ship or train which landed me in the United States was Hamburg germany on may 1st 1910 , (Month) (Day) (Year) The name of the ship or railroad on which I came was Dentschland My last place of foreign residence was sykocin Polund (City or town) (Country) I am { wife is anna Lazowski She married. The name of my } was born at husband , and now resides said at East hyme, tonn Ho I am now a subject of and intend to renounce allegiance to poland (Write name and title of sovereign and country of which now a subject; or, if citizen of a republic, name Republic write of republic MPland only) I arrived at the United States immigration port of Mew York (City or town) min York , on 18th 14-8 dayof May 1910 State or territory) (Give exact month, day, and year) (OVER)

Page data

Page
267
Source index
0
Type
photo
Media ID
bf1c19b0410762eb
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\n5008\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\nMis.\nBronislaw lasowski\n; age,\n34\nyears.\n(Alien should print or typewrite here'true, original, and correct name)\n(Give age last birthday)\nMy present occupation is Farming\nMy personal description is: Color, White ; complexion, Farr\n; height, 5 feet\n8 1/4 inches;\nweight, 165 pounds; color of hair. Brown\n; color of eyes, Brown\n;\nother visible distinctive marks: mont\nI\nwas born in Dykocin Poland\n(City or town)\n(Country)\non the / 15th\nday of\naugust\n, 189X2\nMy present residence is Cast (Number\nLyme,\nmew London\nConn.\nand 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 Hamburg germany\non may\n1st 1910\n,\n(Month)\n(Day)\n(Year)\nThe name of the ship or railroad on which I came was Dentschland\nMy last place of foreign residence was\nsykocin\nPolund\n(City or town)\n(Country)\nI am\n{\nwife\nis anna Lazowski\nShe\nmarried. The name of my\n}\nwas born at\nhusband , and now resides said at East hyme, tonn Ho\nI am now a subject of and intend to renounce allegiance to\npoland\n(Write name and title of sovereign and country of which now a subject;\nor, if citizen of a republic, name\nRepublic write of republic MPland only)\nI arrived at the United States immigration port of\nMew York\n(City or town)\nmin York\n, on 18th 14-8 dayof May 1910\nState or territory)\n(Give exact month, day, and year)\n(OVER)"
}