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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 4951 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 (NOTE TO CLERK OF COURT.- To guide you in preparing the Declaration: The black face lines on this form contain statements in the regular order as they are to appear on the Declaration of Intention.) I desire to file my Declaration of Intention (first paper) to become a citieen. Mr. Miss Romytea (Alien should print or typewrite Krop here true, original, Dmytro and corredt name) ; krop 43 My name is Mrs. age, 44 years. (Give age last birthday) Also known as (If alien has used any other name in this country, that name should be shown here) I used that name because The full name of the person showir my steamship ticket was My mother's maiden name was My maiden namo vas (II My present occcupation is Farming My personal description is: Color, white ; complexion, fair ; height, 5 feet 5/2 inches; weight, 170 pounds; color of hair, black ; color of eyes, blue ; other visible distinctive marks: none I was born in Tadaen pachsosman East Galicia, now (City or town) (Country) on the - day of Puckmber , 1883 Poland My present residence is Rx Du2 Calchen Ro hulondon Commisticity (Number and street) (City or town) (County) (State) My post office address is Calchents Commitant The place where I took the ship or train which landed me in the United States was clant Knana Hanburgo Surmany , on Jan (Month) 10 (Day) -1808 (Year) The ticket on which I eamo to this country was bought at (City) (Country) The name of the ship or railroad on which I came was Batavia (OVER) 014-8

Page data

Page
153
Source index
0
Type
photo
Media ID
ba803a77ca6c0039
Size
unknown

Document data

ID
159596813
Core
doc
Type
document
DTO data 
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Context sent to Scholar

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    "ocrText": "Form 2213\nPRELIMINARY FORM FOR DECLARATION OF INTENTION TO BECOME A CITIZEN\n4951\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\n(NOTE TO CLERK OF COURT.- To guide you in preparing the Declaration: The black face lines on this form contain statements\nin the regular order as they are to appear on the Declaration of Intention.)\nI desire to file my Declaration of Intention (first paper) to become a citieen.\nMr.\nMiss\nRomytea (Alien should print or typewrite Krop here true, original, Dmytro and corredt name) ;\nkrop\n43\nMy name is\nMrs.\nage, 44\nyears.\n(Give age last birthday)\nAlso known as\n(If alien has used any other name in this country, that name should be shown here)\nI used that name because\nThe full name of the person showir my steamship ticket was\nMy mother's maiden name was\nMy maiden namo vas (II\nMy present occcupation is\nFarming\nMy personal description is: Color, white ; complexion, fair\n; height, 5 feet 5/2 inches;\nweight, 170 pounds; color of hair, black ;\ncolor of eyes, blue\n;\nother visible distinctive marks:\nnone\nI was\nborn in Tadaen pachsosman East Galicia, now\n(City or town)\n(Country)\non the\n- day of Puckmber\n, 1883\nPoland\nMy present\nresidence is Rx Du2\nCalchen Ro hulondon Commisticity\n(Number and street)\n(City or town)\n(County)\n(State)\nMy post office address is Calchents\nCommitant\nThe place where I took the ship or train which landed me in the United States was\nclant Knana\nHanburgo\nSurmany\n,\non Jan (Month) 10 (Day) -1808\n(Year)\nThe ticket on which I eamo to this country was bought at\n(City)\n(Country)\nThe name of the ship or railroad on which I came was\nBatavia\n(OVER)\n014-8"
}