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Form 2213
PRELIMINARY FORM FOR DECLARATION OF INTENTION TO BECOME A CITIZEN
5274
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
Carmo
I desire to file my Declaration of Intention (first paper) to become a citizen.
Mr.
My name is
Mrs.
/
Kincenz. (Alien should print typewrite Carino here true, original, and
; age, 32
years.
or correct name)
(Give age last birthday)
Miss
My present occupation is Cleaning
My personal description is: Color, white Daynethark complexion,
;
height, 5 feet 3 1/2 inches;
weight, 131 pounds; color of hair, darkbrown ; color of eyes, brown
;
other visible distinctive marks: of nose
I was born in
the 18th day of
(City ontown) (Country)
september
stally
on
, 1890
My present residence is
63 Belder it newLorder n.L. Canne
(Number and street)
(City or town)
(County)
les
(State)
The place I took ship which landed in the United States napot Staby
where the or train me was
,
The name of the ship or railroad on which I came was Jeuiciatenncia
on dignide (Month) 15 (Day) 1902 (Year)
My last place of foreign was
residence sand Avelino (Country)
management
(City or town)
wife
is many Coning
She
I am
married. The name of my
}
was born at
paymana
husband
He
sapins
, and now sand resides at 63 Belders st
I am now a of and to renounce to
subject intend allegiance King Write amand title of sovereign and country
name and of which now a subject;
or, a name only)
Staley if citizen of republic, write of republic
I
arrived at the United States immigration port of (City or town)
new york
newyounch
,
(State or territory)
on may 14-8 (Give exact 5th month, day, and year) 1909
(OVER)
Page data
- Page
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- Source index
- 0
- Type
- photo
- Media ID
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- Size
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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\n5274\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\nCarmo\nI desire to file my Declaration of Intention (first paper) to become a citizen.\nMr.\nMy name is\nMrs.\n/\nKincenz. (Alien should print typewrite Carino here true, original, and\n; age, 32\nyears.\nor correct name)\n(Give age last birthday)\nMiss\nMy present occupation is Cleaning\nMy personal description is: Color, white Daynethark complexion,\n;\nheight, 5 feet 3 1/2 inches;\nweight, 131 pounds; color of hair, darkbrown ; color of eyes, brown\n;\nother visible distinctive marks: of nose\nI was born in\nthe 18th day of\n(City ontown) (Country)\nseptember\nstally\non\n, 1890\nMy present residence is\n63 Belder it newLorder n.L. Canne\n(Number and street)\n(City or town)\n(County)\nles\n(State)\nThe place I took ship which landed in the United States napot Staby\nwhere the or train me was\n,\nThe name of the ship or railroad on which I came was Jeuiciatenncia\non dignide (Month) 15 (Day) 1902 (Year)\nMy last place of foreign was\nresidence sand Avelino (Country)\nmanagement\n(City or town)\nwife\nis many Coning\nShe\nI am\nmarried. The name of my\n}\nwas born at\npaymana\nhusband\nHe\nsapins\n, and now sand resides at 63 Belders st\nI am now a of and to renounce to\nsubject intend allegiance King Write amand title of sovereign and country\nname and of which now a subject;\nor, a name only)\nStaley if citizen of republic, write of republic\nI\narrived at the United States immigration port of (City or town)\nnew york\nnewyounch\n,\n(State or territory)\non may 14-8 (Give exact 5th month, day, and year) 1909\n(OVER)"
}