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Form 2213
PRELIMINARY FORM FOR DECLARATION OF INTENTION TO BECOME A CITIZEN
5185
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
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.
Filcyean
Mr.
My name is
Mrs.
Felix (Alien should Anthowating print or typewrite here true, original, and
; age,
36
years.
Miss
correct name)
(Give age last birthday)
My present occupation is
barber
71/2
My personal description is: Color, white
; complexion,
fair
; height, 5 feet inches;
weight, 220 pounds; color of hair.
brown
; color of eyes,
blue
;
marks: scar on forrhead andatens rright Russia
I was born in
(City or town)
(Country)
on
the 18
day of
april
1891
My present residence is
Uncasville, montville Naolmnom 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 Liverpool ingland
, on
may (Month) 25 3P. (Day) (Year) 1913
The name of the ship or railroad on which I came was
Caronia
My last place of foreign residence was
Belykamen
Russia
(City or town)
wife
I am
married. The name of my
is
(Country) lia He She
was born at
husband
Russia
, and now resides at
mensville
Come
,
I am now a subject of and intend to renounce allegiance to
Russia
(Write name and title of sovereign and country of which now a subject;
or, if citizen of a republic, write name of republic only)
I arrived at the United States immigration port of
Newyork
(City or town)
N.Y.
, on
(State or territory)
14-8 may Give 31.1913 exact month, day, and
year)
(OVER)
Page data
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- Source index
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- Type
- photo
- Media ID
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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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Document source extras
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Page context
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"ocrText": "Form 2213\nPRELIMINARY FORM FOR DECLARATION OF INTENTION TO BECOME A CITIZEN\n5185\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\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.\nFilcyean\nMr.\nMy name is\nMrs.\nFelix (Alien should Anthowating print or typewrite here true, original, and\n; age,\n36\nyears.\nMiss\ncorrect name)\n(Give age last birthday)\nMy present occupation is\nbarber\n71/2\nMy personal description is: Color, white\n; complexion,\nfair\n; height, 5 feet inches;\nweight, 220 pounds; color of hair.\nbrown\n; color of eyes,\nblue\n;\nmarks: scar on forrhead andatens rright Russia\nI was born in\n(City or town)\n(Country)\non\nthe 18\nday of\napril\n1891\nMy present residence is\nUncasville, montville Naolmnom 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 Liverpool ingland\n, on\nmay (Month) 25 3P. (Day) (Year) 1913\nThe name of the ship or railroad on which I came was\nCaronia\nMy last place of foreign residence was\nBelykamen\nRussia\n(City or town)\nwife\nI am\nmarried. The name of my\nis\n(Country) lia He She\nwas born at\nhusband\nRussia\n, and now resides at\nmensville\nCome\n,\nI am now a subject of and intend to renounce allegiance to\nRussia\n(Write name and title of sovereign and country of which now a subject;\nor, if citizen of a republic, write name of republic only)\nI arrived at the United States immigration port of\nNewyork\n(City or town)\nN.Y.\n, on\n(State or territory)\n14-8 may Give 31.1913 exact month, day, and\nyear)\n(OVER)"
}