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Form 2213
PRELIMINARY FORM FOR DECLARATION OF INTENTION TO BECOME A CITIZEN
5016
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
upper left-hand corner of all copies of
CARD INDEX
declaration, immediately under your
INDEX BOOKS
declaration number.
DISTRICT DIRECTOR OF NATURALIZATION
MANIFESTS
Andrea
I desire to file my Declaration of Intention (first paper) to become a citizen.
Mr.
My name is
Mrs.
fude Buylson
; age,
37
years.
Miss
(Alien should print or typewrite here true, original, and correct name)
(Give age last birthday)
My present occupation is
Housekeering
My personal description is: Color, White ; complexion,
light
; height,
5
feet 1/9 inches;
weight, 115
pounds; color of hair,
light
; color of eyes, Blue
;
other visible distinctive marks:
I was born in
Wallda ,
Sweden
(City or town)
(Country)
on the 25th
day of
Anril
, 1 889
My present residence is
179 Hickory street, Norwich, New Jondon, Connecticut
(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 Tiverpool, Eneland
, on
May
10th
1910
(Month)
(Day)
(Year)
The name of the ship or railroad on which I came was
Saxonia
My last place of foreign residence was
part Wallda
not
(City or town)
(Country)
wife
She
I am on married. The name or my
1S
was born at
husband
He
, and now resides at
,
I am now a subject of and intend to renounce allegiance to
custamus II, King of Sweden
(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)
Mass.
, on
May 19, 1910
(State or territory)
14-8
(Give exact month, day, and year)
(OVER)
Page data
- Page
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- Source index
- 0
- Type
- photo
- Media ID
- a6cddd8d9e42c8eb
- 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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"ocrText": "Form 2213\nPRELIMINARY FORM FOR DECLARATION OF INTENTION TO BECOME A CITIZEN\n5016\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\nupper left-hand corner of all copies of\nCARD INDEX\ndeclaration, immediately under your\nINDEX BOOKS\ndeclaration number.\nDISTRICT DIRECTOR OF NATURALIZATION\nMANIFESTS\nAndrea\nI desire to file my Declaration of Intention (first paper) to become a citizen.\nMr.\nMy name is\nMrs.\nfude Buylson\n; age,\n37\nyears.\nMiss\n(Alien should print or typewrite here true, original, and correct name)\n(Give age last birthday)\nMy present occupation is\nHousekeering\nMy personal description is: Color, White ; complexion,\nlight\n; height,\n5\nfeet 1/9 inches;\nweight, 115\npounds; color of hair,\nlight\n; color of eyes, Blue\n;\nother visible distinctive marks:\nI was born in\nWallda ,\nSweden\n(City or town)\n(Country)\non the 25th\nday of\nAnril\n, 1 889\nMy present residence is\n179 Hickory street, Norwich, New Jondon, Connecticut\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 Tiverpool, Eneland\n, on\nMay\n10th\n1910\n(Month)\n(Day)\n(Year)\nThe name of the ship or railroad on which I came was\nSaxonia\nMy last place of foreign residence was\npart Wallda\nnot\n(City or town)\n(Country)\nwife\nShe\nI am on married. The name or my\n1S\nwas born at\nhusband\nHe\n, and now resides at\n,\nI am now a subject of and intend to renounce allegiance to\ncustamus II, King of Sweden\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)\nMass.\n, on\nMay 19, 1910\n(State or territory)\n14-8\n(Give exact month, day, and year)\n(OVER)"
}