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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 4876 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 (NOTE TO CLERK OF COURT.-T guide you in preparing the Declaration: The black face lines on this form contain statements in the regular order as they are to appear on the Declaration of Intention.) I desire to file my Declaration of Intention (first paper) to become a citizen. Mr. My name is Mrs. DAVID SCHLEIFER ; age, 54 years. Miss (Alien should print or typewrite here true, original, and correct name) (Give age last birthday) Also known as (If alien has used any other name in this country, that name should be shown here) I used that name because Tho full namo of the person shown on my steamship ticket was My mother' e maiden name was -My maiden name was (if woman) My present occcupation is FARMER My personal description is: Color, White ; complexion, light ; height, 5 feet X inches; fair 8 1/2 weight, 173 pounds; color of hair, Berdark ; color of eyes, dark brown, other visible distinctive marks: none I was born in Wokshish Russia, now white Patand Rissia (City or town) (Country) on the 24 steptenbe 1872 My present residence is day of Preston (Number and street) City (City town) newhondan , 1 (County) Cocar or My office address is nonoich Come (State) post R.Z.WL The place where I took the ship or train which landed me in the United States was Libant Liverpool England , on Detarker 1913 (Month) (Day) (Year) The ticket on which I eamo to this country was bought at The name of the ship or railroad on which I came was Marion (City) (Country) England (OVER) 014-8

Page data

Page
6
Source index
0
Type
photo
Media ID
86af87c6a4f0eaab
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\n4876\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\n(NOTE TO CLERK OF COURT.-T guide you in preparing the Declaration: The black face lines on this form contain statements\nin the regular order as they are to appear on the Declaration of Intention.)\nI desire to file my Declaration of Intention (first paper) to become a citizen.\nMr.\nMy name is\nMrs.\nDAVID SCHLEIFER\n; age,\n54\nyears.\nMiss\n(Alien should print or typewrite here true, original, and correct name)\n(Give age last birthday)\nAlso known as\n(If alien has used any other name in this country, that name should be shown here)\nI used that name because\nTho full namo of the person shown on my steamship ticket was\nMy mother' e maiden name was\n-My maiden name was (if woman)\nMy present occcupation is\nFARMER\nMy personal description is: Color, White ; complexion, light ; height, 5 feet X inches;\nfair\n8 1/2\nweight, 173 pounds; color of hair, Berdark ; color of eyes, dark brown,\nother visible distinctive marks:\nnone\nI was born in\nWokshish Russia, now white Patand Rissia\n(City or town)\n(Country)\non\nthe 24 steptenbe\n1872\nMy present\nresidence is day of Preston (Number and street) City (City town) newhondan , 1 (County)\nCocar\nor\nMy office address is nonoich Come (State)\npost\nR.Z.WL\nThe\nplace where I took the ship or train which landed me in the United States was Libant Liverpool\nEngland\n, on Detarker\n1913\n(Month)\n(Day)\n(Year)\nThe ticket on which I eamo to this country was bought at\nThe name of the ship or railroad on which I came was\nMarion\n(City)\n(Country)\nEngland\n(OVER)\n014-8"
}