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Form 2213
PRELIMINARY FORM FOR DECLARATION OF INTENTION TO BECOME A CITIZEN
5330
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 citizen.
Mr.
My name is
Mrs.
Miss
/
Morris (Alien should print typewrite markoff here true, original, and name)
; age,
5%
years.
or correct
(Give age last birthday)
My My present personal occupation description is is: garage bolor, ;
complexion,
dark
; height, 5 feet 3314 inches;
weight, 148 pounds; color of hair, darkbown color of eyes, brown
;
left other therma vieible distinctive marks: Russia
I was born in
Koons,
(City or town)
(Country)
on the
15 day of may
1877
My present residence is
319 WestMain Norwich, Come.
(Number and street)
(Oity or town)
(County)
(State)
The
place)where I took the ship or train which landed me in the United States was Hamburg
Hermany
, on
(Month)
(Day)
(Year)
The name
of the ship or railroad on which (came was Burants
My last place of foreign residence
was said Kovno
(City or town)
(Country)
wife
I am
married. The name of my
is Juria
She
was born at
husband
He
said Koons
, and now resides at said 319N2st mainst.
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
new (State/or territory)
York
City or town)
,
on 14-8 (Give exact month,
august
9
1896
day, and year)
(OVER)
Page data
- Page
- 911
- Source index
- 0
- Type
- photo
- Media ID
- 14be3251ed724df3
- 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\n5330\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 citizen.\nMr.\nMy name is\nMrs.\nMiss\n/\nMorris (Alien should print typewrite markoff here true, original, and name)\n; age,\n5%\nyears.\nor correct\n(Give age last birthday)\nMy My present personal occupation description is is: garage bolor, ;\ncomplexion,\ndark\n; height, 5 feet 3314 inches;\nweight, 148 pounds; color of hair, darkbown color of eyes, brown\n;\nleft other therma vieible distinctive marks: Russia\nI was born in\nKoons,\n(City or town)\n(Country)\non the\n15 day of may\n1877\nMy present residence is\n319 WestMain Norwich, Come.\n(Number and street)\n(Oity or town)\n(County)\n(State)\nThe\nplace)where I took the ship or train which landed me in the United States was Hamburg\nHermany\n, on\n(Month)\n(Day)\n(Year)\nThe name\nof the ship or railroad on which (came was Burants\nMy last place of foreign residence\nwas said Kovno\n(City or town)\n(Country)\nwife\nI am\nmarried. The name of my\nis Juria\nShe\nwas born at\nhusband\nHe\nsaid Koons\n, and now resides at said 319N2st mainst.\nI am now a subject of and intend to renounce allegiance to\nRussia\nWrite 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\nnew (State/or territory)\nYork\nCity or town)\n,\non 14-8 (Give exact month,\naugust\n9\n1896\nday, and year)\n(OVER)"
}