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Form 2213
PRELIMINARY FORM FOR DECLARATION OF INTENTION TO BECOME A CITIZEN
5032
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
NATURALIZATION SERVICE
30901
RECEIVED
Place number
In
CARD INDEX
upper left-hand corner of all copies of
INDEX BOOKS
JAN 18 1927
declaration, immediately under your
declaration number.
OFFICE of EXAMINER
NEW HAVEN, CONN.
DISTRICT DIRECTOR OF NATURALIZATION.
MANIFESTS
DEPARTMENT us MABUH
(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 citizen.
My name is
Mrs.
Friedor Franriska Niemann
to c2.
Mr.
Name
; age,
years.
Miss.
(Alien should print or typewrite here true, original, and correct name)
4.
Also known as
SAH 19, 1927 DC
(Give age last birthday)
(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
shown on my steamship ticket was Frieda Franriskr Niemann
My mother's maiden name was Sertruide Skinpsch
My maiden name was (if woman) Friela Fransisker Schmaginski
My present occcupation is
alressmater
5-1/2
My personal description is: Color, white ; complexion, fair
; height, 5 feet
X
inches;
weight, 160 pounds; color of hair, lark travers brown ; color of eyes, brown
;
other visible distinctive marks: None
I Bremen
was born in
(City or town)
bermany
(Country)
on the
11 day of Obsoler
,9 1895
My present residence is 310 Mainstreet Narmich New handan bans.
(Number and street)
(City or town)
(County)
(State)
My post office address is 310 Mainstreed
The place where I took the ship or train which landed me in the United States was
Bremen
bermany
, on Fuly
30,
1925
(Month)
(Day)
(Year)
The ticket on which I came to this country was bought at
Bremen
Polum (City) bus
Bermany
(Country)
The name of the ship or railroad on which I came was
(OVER) Columbus "
O/A ISSTIED
FEB 16 1927
Page data
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- Source index
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- Type
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Document data
- ID
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- Core
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- Type
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"ocrText": "Form 2213\nPRELIMINARY FORM FOR DECLARATION OF INTENTION TO BECOME A CITIZEN\n5032\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\nNATURALIZATION SERVICE\n30901\nRECEIVED\nPlace number\nIn\nCARD INDEX\nupper left-hand corner of all copies of\nINDEX BOOKS\nJAN 18 1927\ndeclaration, immediately under your\ndeclaration number.\nOFFICE of EXAMINER\nNEW HAVEN, CONN.\nDISTRICT DIRECTOR OF NATURALIZATION.\nMANIFESTS\nDEPARTMENT us MABUH\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 citizen.\nMy name is\nMrs.\nFriedor Franriska Niemann\nto c2.\nMr.\nName\n; age,\nyears.\nMiss.\n(Alien should print or typewrite here true, original, and correct name)\n4.\nAlso known as\nSAH 19, 1927 DC\n(Give age last birthday)\n(If alien has used any other name in this country, that name should be shown here)\nI used that name because\nThe\nfull\nname\nof\nthe\nperson\nshown on my steamship ticket was Frieda Franriskr Niemann\nMy mother's maiden name was Sertruide Skinpsch\nMy maiden name was (if woman) Friela Fransisker Schmaginski\nMy present occcupation is\nalressmater\n5-1/2\nMy personal description is: Color, white ; complexion, fair\n; height, 5 feet\nX\ninches;\nweight, 160 pounds; color of hair, lark travers brown ; color of eyes, brown\n;\nother visible distinctive marks: None\nI Bremen\nwas born in\n(City or town)\nbermany\n(Country)\non the\n11 day of Obsoler\n,9 1895\nMy present residence is 310 Mainstreet Narmich New handan bans.\n(Number and street)\n(City or town)\n(County)\n(State)\nMy post office address is 310 Mainstreed\nThe place where I took the ship or train which landed me in the United States was\nBremen\nbermany\n, on Fuly\n30,\n1925\n(Month)\n(Day)\n(Year)\nThe ticket on which I came to this country was bought at\nBremen\nPolum (City) bus\nBermany\n(Country)\nThe name of the ship or railroad on which I came was\n(OVER) Columbus \"\nO/A ISSTIED\nFEB 16 1927"
}