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Form 2213
PRELIMINARY FORM FOR DECLARATION OF INTENTION TO BECOME A CITIZEN
5341
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.
Mr.
My name is
Mrs.
Uladyslaw Poplaurki
; age,
52
years.
Miss
(Alien should/print or typewrite here true, original, and correct name)
(Give age last birthday)
My present occupation is
Blaksmith
My personal description is: Color, white ; complexion, dark
; height, 5 feet 7 inches;
weight, 160
pounds; color of hair, dark brown ;
color of eyes,
dark brown
;
other visible distinctive marks: Scar on left foretinger now
I was born in
Aniadowo (City or town) (Sunsay Poland. (Country)
on the
29
day of 106 January montville, Couni
1876
My present residence is
uncarville.tome.
(Number and street)
(City or town)
(County)
(State)
The place or me was
where I took the ship train which landed in the United States Bremen Jeroney
arrivet port of New York 26
on october 1919
,
(Month)
(Day)
(Year)
The name of the ship or railroad on which I came was Frydry h der Grosse
My last place of foreign residence was
Bratown (City or town) stare, Pholana (Country)
wife
is wladyolaura Poplacace
She
I am
married. The name of my
husband
}
was born at
chrostoyr goland
said
He
20 dua of march.,896
, and now resides at
Uncaserille Comes
I am now a subject of and intend to renounce allegiance to
Paland
(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-Lork 25 day of October1912
(City or town)
n.y
, on October 26,1912
(State or territory)
14-8
(Give exact month, day, and year)
(OVER)
Page data
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- Type
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Document data
- ID
- 159596813
- Core
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- Type
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DTO data
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Context sent to Scholar
Document identity
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Document source metadata
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"ocrText": "Form 2213\nPRELIMINARY FORM FOR DECLARATION OF INTENTION TO BECOME A CITIZEN\n5341\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.\nMr.\nMy name is\nMrs.\nUladyslaw Poplaurki\n; age,\n52\nyears.\nMiss\n(Alien should/print or typewrite here true, original, and correct name)\n(Give age last birthday)\nMy present occupation is\nBlaksmith\nMy personal description is: Color, white ; complexion, dark\n; height, 5 feet 7 inches;\nweight, 160\npounds; color of hair, dark brown ;\ncolor of eyes,\ndark brown\n;\nother visible distinctive marks: Scar on left foretinger now\nI was born in\nAniadowo (City or town) (Sunsay Poland. (Country)\non the\n29\nday of 106 January montville, Couni\n1876\nMy present residence is\nuncarville.tome.\n(Number and street)\n(City or town)\n(County)\n(State)\nThe place or me was\nwhere I took the ship train which landed in the United States Bremen Jeroney\narrivet port of New York 26\non october 1919\n,\n(Month)\n(Day)\n(Year)\nThe name of the ship or railroad on which I came was Frydry h der Grosse\nMy last place of foreign residence was\nBratown (City or town) stare, Pholana (Country)\nwife\nis wladyolaura Poplacace\nShe\nI am\nmarried. The name of my\nhusband\n}\nwas born at\nchrostoyr goland\nsaid\nHe\n20 dua of march.,896\n, and now resides at\nUncaserille Comes\nI am now a subject of and intend to renounce allegiance to\nPaland\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-Lork 25 day of October1912\n(City or town)\nn.y\n, on October 26,1912\n(State or territory)\n14-8\n(Give exact month, day, and year)\n(OVER)"
}