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File numbers 4874 - 5509, 1926-1930

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C5-10- 7646 Form 2213 PRELIMINARY FORM FOR DECLARATION OF INTENTION TO BECOME A CITIZEN 5045 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 31203 in NATURALIZATION SERVICE CARD INDEX upper left-hand corner of all copies of RECEIVED declaration, immediately under your INDEX BOOKS declaration number. MANIFESTS ax MAR 1 1927 DISTRICT DIRECTOR OF NATURALIZATION. OFFICE OF EXAMINER NEW HAVEN, CONN. UNPAKINANI OH' LABOR (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. Mr. My name is Mrs. mikotaj (Alien should print or typewrite here Doshoer true, original, and correct name) ; age, 332 years. Miss (Give age last birthdar) Also known as Doskors, (If alien has used any other name in this conntry Minotay that name should be shown here) I used that name because The full name of the person My mother's maiden name was maria yurhority shown on my steamship ticket was michat yurhcuity My maiden name was (if woman) maria Doskorr My occcupation is Farmer My personal description Color, White complexion, flank ; height, 5 feet 63/4 of inches; present is: weight, 168 pounds; color dark of hair, brown ; eyes, gray color of ; other visible distinctive marks: scar on finger on pland letthand I was born in alwas born (City or town) in Podhaje, gaticia (Country) austria on the 28 of november , 1894 My present residence is (Number and street) Com (City town). My post office address MANDAGE or BEH 96, Comm (State) (County) cablete R.O.D., The place where I or which French took France train landed me in the United States was Cherbourg , on July (Month) 28. 1923 (Day) (Year) The ticket which I this bought new London Come on came to country was at (City) (Country) The name of the ship or railroad on which I came was Monghaming aug 3,1923 (OVER) manitania 014-8

Page data

Page
343
Source index
0
Type
photo
Media ID
474d5201b051fb17
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": "C5-10- 7646\nForm 2213\nPRELIMINARY FORM FOR DECLARATION OF INTENTION TO BECOME A CITIZEN\n5045\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\n31203\nin\nNATURALIZATION SERVICE\nCARD INDEX\nupper left-hand corner of all copies of\nRECEIVED\ndeclaration, immediately under your\nINDEX BOOKS\ndeclaration number.\nMANIFESTS\nax\nMAR 1 1927\nDISTRICT DIRECTOR OF NATURALIZATION.\nOFFICE OF EXAMINER\nNEW HAVEN, CONN.\nUNPAKINANI OH' LABOR\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.\nMr.\nMy name is\nMrs.\nmikotaj (Alien should print or typewrite here Doshoer true, original, and correct name)\n; age,\n332\nyears.\nMiss\n(Give age last birthdar)\nAlso known as\nDoskors, (If alien has used any other name in this conntry Minotay that name should be\nshown here)\nI used that name because\nThe full name of the person\nMy mother's maiden name was maria yurhority\nshown on my steamship ticket was michat yurhcuity\nMy maiden name was (if woman) maria Doskorr\nMy occcupation is Farmer\nMy personal description Color, White complexion, flank ; height, 5 feet 63/4 of inches;\npresent\nis:\nweight, 168 pounds; color dark of hair, brown\n; eyes, gray\ncolor of\n;\nother visible\ndistinctive marks: scar on finger on pland letthand\nI was born in alwas born (City or town) in Podhaje, gaticia (Country) austria\non the 28 of\nnovember\n, 1894\nMy\npresent residence is (Number and street) Com (City town).\nMy post office address\nMANDAGE\nor\nBEH 96, Comm (State)\n(County) cablete\nR.O.D.,\nThe place where I or which\nFrench\ntook France train landed me in the United States was Cherbourg\n, on\nJuly (Month) 28. 1923 (Day)\n(Year)\nThe ticket which I this bought new London Come\non came to country was at\n(City)\n(Country)\nThe\nname of the ship or railroad on which I came was Monghaming\naug 3,1923\n(OVER) manitania 014-8"
}