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Form 2213
PRELIMINARY FORM FOR DECLARATION OF INTENTION TO BECOME A CITIZEN
5214
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.
Mr.
My name is
Mrs.
-
joomenies salema
; age,
5th 54 years.
(Alien should print or typewrite here true, original, and correct name)
(Give age last birthday)
Miss
My present occupation is trake 3 1/4
My personal description is: Color, fair sight ; height, 5 feet Bin m
inches;
weight, 145 pounds; color of hair, bank Brew color of eyes, Blue
;
other visible distinctive marks:
no marks none
I was born in
sandagals (City or town) (Country) Italy
the l
day of
1873
My present on residence is Dail
Baltin come
(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
enapled
Italy
, on
april
9
1894
(Month)
(Day)
(Year)
The name of the ship railroad which I came was Survice Suevie
or on
My
last place of foreign said residence was Enformid (Country) Utahy
sandage
(City or town)
sand
I am
married. The name of my
{
wife
is
Spissa salemna
She
was born at
husband
He
Sandageli Enfarmity and now resides at Baltrsaid Raitradstreet
I
am now a subject of and intend to renounce allegiance to Italy
Cite name and ti 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
New York
(City or town)
overtork
on april 27
1894
,
(State or territory)
14-8
(Give exact month, day, and year)
(OVER)
Page data
- Page
- 679
- Source index
- 0
- Type
- photo
- Media ID
- 84c794fbed94c007
- 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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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\n5214\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.\nMr.\nMy name is\nMrs.\n-\njoomenies salema\n; age,\n5th 54 years.\n(Alien should print or typewrite here true, original, and correct name)\n(Give age last birthday)\nMiss\nMy present occupation is trake 3 1/4\nMy personal description is: Color, fair sight ; height, 5 feet Bin m\ninches;\nweight, 145 pounds; color of hair, bank Brew color of eyes, Blue\n;\nother visible distinctive marks:\nno marks none\nI was born in\nsandagals (City or town) (Country) Italy\nthe l\nday of\n1873\nMy present on residence is Dail\nBaltin come\n(Number and 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\nenapled\nItaly\n, on\napril\n9\n1894\n(Month)\n(Day)\n(Year)\nThe name of the ship railroad which I came was Survice Suevie\nor on\nMy\nlast place of foreign said residence was Enformid (Country) Utahy\nsandage\n(City or town)\nsand\nI am\nmarried. The name of my\n{\nwife\nis\nSpissa salemna\nShe\nwas born at\nhusband\nHe\nSandageli Enfarmity and now resides at Baltrsaid Raitradstreet\nI\nam now a subject of and intend to renounce allegiance to Italy\nCite name and ti 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\nNew York\n(City or town)\novertork\non april 27\n1894\n,\n(State or territory)\n14-8\n(Give exact month, day, and year)\n(OVER)"
}