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Form 2213
PRELIMINARY FORM FOR DECLARATION OF INTENTION TO BECOME A CITIZEN
5503
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.
Antone Paiva
; age,
40
years.
MIS
(Alien should print or typewrite here true, original, and correct name)
(Give age last birthday)
My present occupation is
Fisherman
My personal description is: Color, White dark
; complexion,
;
height,
5 feet 51/20 inches;
weight, 135 pounds; color of hair, black
; color of eyes,
brown
;
other visible distinctive marks: scar on end of right forefinger, scar under leftear
I was born in
St Michael (City or town) mignel
Azores
(Country)
on
the 18th day of
February
888
,
My present residence is n 4 Divina Street, NewLandon, Connecticut
(Number and street)
Stonington,
(City or town)
(County)
(State)
The place where I tooks the ship or train which landed me in the United States was
St. Michael Azoves
Angul
on January (Month)
5th
1905
(Day)
(Year)
The name of the ship or railroad on which I came was
Canopic
My last place of foreign residence was
Sk (City town) Azoves (Country)
or
I am
married. The name of my
{
wife
is Rosie
She
husband
Me
}
was born at
Stonington, Connecticut , and now resides at 24Diving Street, Stonington, Conn,
I am now a to renounce
subject of and intend allegiance to The Republic of Partuzal
(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
Boston
(City or town)
Massachusetts
, on
(State or territory)
January 14-8 (Giye exact 12th month, day, and 1905 year)
(OVER)
Page data
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- Source index
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- Type
- photo
- Media ID
- 63f0e6c7bbf07b47
- 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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"ocrText": "Form 2213\nPRELIMINARY FORM FOR DECLARATION OF INTENTION TO BECOME A CITIZEN\n5503\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.\nAntone Paiva\n; age,\n40\nyears.\nMIS\n(Alien should print or typewrite here true, original, and correct name)\n(Give age last birthday)\nMy present occupation is\nFisherman\nMy personal description is: Color, White dark\n; complexion,\n;\nheight,\n5 feet 51/20 inches;\nweight, 135 pounds; color of hair, black\n; color of eyes,\nbrown\n;\nother visible distinctive marks: scar on end of right forefinger, scar under leftear\nI was born in\nSt Michael (City or town) mignel\nAzores\n(Country)\non\nthe 18th day of\nFebruary\n888\n,\nMy present residence is n 4 Divina Street, NewLandon, Connecticut\n(Number and street)\nStonington,\n(City or town)\n(County)\n(State)\nThe place where I tooks the ship or train which landed me in the United States was\nSt. Michael Azoves\nAngul\non January (Month)\n5th\n1905\n(Day)\n(Year)\nThe name of the ship or railroad on which I came was\nCanopic\nMy last place of foreign residence was\nSk (City town) Azoves (Country)\nor\nI am\nmarried. The name of my\n{\nwife\nis Rosie\nShe\nhusband\nMe\n}\nwas born at\nStonington, Connecticut , and now resides at 24Diving Street, Stonington, Conn,\nI am now a to renounce\nsubject of and intend allegiance to The Republic of Partuzal\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\nBoston\n(City or town)\nMassachusetts\n, on\n(State or territory)\nJanuary 14-8 (Giye exact 12th month, day, and 1905 year)\n(OVER)"
}