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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 5152 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. Miss Ida (Alien Felgansky should print or typewrite here true, original, ; age, 43 years. My present occupation is My personal description is: Color, white complexion, darkkat housewife and correct name) (Give age last birthday) 4 3/4 ; height, 5 feet 6 inches; weight, 165 pounds; color of hair, brown ; color of eyes, brown ; other visible distinctive marks: none Moles on face I was born in 12 (City or Russia, town) now Poland (Country) seny Russia on the day of april 1884 My present residence is 33 Pearl SL. norwich newLondan Conn (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 Hamburg 6 1906 The name of the ship or railroad en which I came was Batovia Hermany , on Sept. (Month) (Day) (Year) said My last place of foreign residence was (City or town) I am married. The name of my husband wife is max Thank (Country) sejmy She was born at Poland and now resides at Newalla He I subject of and intend allegiance Rusin Polaud am now a to renounce to (Write name and title of sovereign and country of which now a subject; I or, arrived if citizen at of the republic, United write States republic immigration only) port of Island a name of m.c.c. (State Ellis (City or town) Men Yark or territory) , on Sept. 14-8 20, (Give exact month, 1900 day, and yyear) (OVER)

Page data

Page
556
Source index
0
Type
photo
Media ID
a6756a08cdf3594f
Size
unknown

Document data

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

Document identity 
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    "ocrText": "Form 2213\nPRELIMINARY FORM FOR DECLARATION OF INTENTION TO BECOME A CITIZEN\n5152\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.\nMiss\nIda (Alien Felgansky should print or typewrite here true, original,\n; age,\n43\nyears.\nMy present occupation is\nMy personal description is: Color, white complexion, darkkat\nhousewife\nand correct name)\n(Give age last birthday)\n4 3/4\n; height,\n5 feet 6 inches;\nweight, 165 pounds; color of hair, brown ; color of eyes, brown\n;\nother visible distinctive marks:\nnone Moles on face\nI was born in\n12 (City or Russia, town) now Poland (Country)\nseny\nRussia\non the\nday of\napril\n1884\nMy present residence is\n33 Pearl SL.\nnorwich\nnewLondan Conn\n(Number and street)\n(City or town)\n(County)\n(State)\nThe\nplace) where I took the ship or train which landed me in the United States was Hamburg 6 1906\nThe name of the ship or railroad en which I came was Batovia\nHermany\n, on Sept. (Month)\n(Day)\n(Year)\nsaid\nMy\nlast place of foreign residence was (City or town)\nI am married. The name of my husband wife is max Thank (Country)\nsejmy\nShe\nwas born at\nPoland and now resides at Newalla He\nI subject of and intend allegiance Rusin Polaud\nam now a to renounce to\n(Write name and title of sovereign and country of which now a subject;\nI or, arrived if citizen at of the republic, United write States republic immigration only) port of Island\na name of\nm.c.c. (State\nEllis (City or town) Men Yark\nor territory)\n, on Sept. 14-8 20, (Give exact month, 1900 day, and\nyyear)\n(OVER)"
}