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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 5322 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. 61 Mr. My name is Mrs. Miss- } STEFAN should print typewrite here Bogacha true, origital, and correct name) 62 ; age, years. (Alien or (Give age last birthday) My present occupation is My personal description is: Color, white complexion, DARK fair ; height, FARMER 5 feet 5 inches; weight, 202 pounds; color of hair, ; color of eyes, Blue ; other visible distinctive marks: I was born in Lecewbon Russic (City or town) (Country) on the 26 day of December 1866 , My present residence is MAIN colchester 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 Trieste Austria ,on gan (Month) 25 1708 (Day) (Year) The name of the ship or railroad on which I came was Marthawashmaton My last place of foreign residence was wife Postaboki (City town) (Country) or I am married. The name of my { is Agries She was born at Talisha Austria husband Edidmanist Colchesta He , and now resides at Conn , I am now a subject of and intend to renounce allegiance to soved Russie (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 new (City or york town) New State or York , on Fet 17 1908 territory) 14-8 (Give exact month, day, and year) (OVER)

Page data

Page
895
Source index
0
Type
photo
Media ID
6ea2742b0a694152
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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Page context 
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    "ocrText": "Form 2213\nPRELIMINARY FORM FOR DECLARATION OF INTENTION TO BECOME A CITIZEN\n5322\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.\n61\nMr.\nMy name is\nMrs.\nMiss-\n}\nSTEFAN should print typewrite here Bogacha true, origital, and correct name)\n62\n; age,\nyears.\n(Alien\nor\n(Give age last birthday)\nMy present occupation is\nMy personal description is: Color, white complexion, DARK fair ; height,\nFARMER\n5 feet 5 inches;\nweight, 202 pounds; color of hair,\n; color of eyes, Blue\n;\nother visible distinctive marks:\nI was born in\nLecewbon\nRussic\n(City or town)\n(Country)\non\nthe 26 day of\nDecember\n1866\n,\nMy present residence is\nMAIN\ncolchester\nCONN\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\nTrieste\nAustria\n,on\ngan (Month)\n25 1708\n(Day)\n(Year)\nThe name of the ship or railroad on which I came was Marthawashmaton\nMy last place of foreign residence was\nwife Postaboki (City town) (Country)\nor\nI am\nmarried. The name of my\n{\nis\nAgries\nShe\nwas born at\nTalisha Austria\nhusband Edidmanist Colchesta\nHe\n, and now resides at\nConn\n,\nI am now a subject of and intend to renounce allegiance to\nsoved Russie\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\nnew (City or york town)\nNew State or\nYork\n,\non Fet 17 1908\nterritory)\n14-8\n(Give exact month, day, and year)\n(OVER)"
}