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Form 2213
PRELIMINARY FORM FOR DECLARATION OF INTENTION TO BECOME A CITIZEN
5093
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
Mes.
antonino Indisca
; age,
40
years.
(Alien should print or typewrite here true, original, and correct name)
(Give age last birthday)
My present occupation Miss is Laborer
My personal description is: Color, White complexion, Brown
dark
; height, 5
feet
4 inches;
weight, 150 pounds; color of dark hair, Brown
; color of eyes,
Brown
;
other visible
distinctive marks: nonescareleft thumb
I was born
in Jusa, messina
(City or town)
(Country)
on the
18 day of april
1887
Italy
The Marles place where I took the ship or train which landed me in the United States was nables
My present residence is 66 High (Number and street) St (City Noreivah town) (County) new Loudow, (State) Born
or
The Palerager Italy
of the ship railroad which V was twice alberti
Prince
famory (Month) (Day) (Yeaf) 1906
March 6th
on
name or on came
My last place of foreign residence. said, Jusa, Mesenia Italy
was
(City or town)
I am The name of my /
wife
is
hushand and now. resides at Come
Rosa affieri (Country)
She
was born at
Jusas Itaby
,
I am now a subject of and intend to renounce allegiance to
or, if citizen of a republic, name
of write of republic Staly only)
Kuig (Write name and Vict title of sovereign and country Eun of which III now a subject;
I arrived at the United States immigration port of
new
Lork
n.J.
, on (City ortmwn
(State territory)
or
(OVER)
march 24-1906
(Give exact month, day, and year)
Page data
- Page
- 438
- Source index
- 0
- Type
- photo
- Media ID
- 655637b9744428f6
- Size
- unknown
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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Page context
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"ocrText": "Form 2213\nPRELIMINARY FORM FOR DECLARATION OF INTENTION TO BECOME A CITIZEN\n5093\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\nMes.\nantonino Indisca\n; age,\n40\nyears.\n(Alien should print or typewrite here true, original, and correct name)\n(Give age last birthday)\nMy present occupation Miss is Laborer\nMy personal description is: Color, White complexion, Brown\ndark\n; height, 5\nfeet\n4 inches;\nweight, 150 pounds; color of dark hair, Brown\n; color of eyes,\nBrown\n;\nother visible\ndistinctive marks: nonescareleft thumb\nI was born\nin Jusa, messina\n(City or town)\n(Country)\non the\n18 day of april\n1887\nItaly\nThe Marles place where I took the ship or train which landed me in the United States was nables\nMy present residence is 66 High (Number and street) St (City Noreivah town) (County) new Loudow, (State) Born\nor\nThe Palerager Italy\nof the ship railroad which V was twice alberti\nPrince\nfamory (Month) (Day) (Yeaf) 1906\nMarch 6th\non\nname or on came\nMy last place of foreign residence. said, Jusa, Mesenia Italy\nwas\n(City or town)\nI am The name of my /\nwife\nis\nhushand and now. resides at Come\nRosa affieri (Country)\nShe\nwas born at\nJusas Itaby\n,\nI am now a subject of and intend to renounce allegiance to\nor, if citizen of a republic, name\nof write of republic Staly only)\nKuig (Write name and Vict title of sovereign and country Eun of which III now a subject;\nI arrived at the United States immigration port of\nnew\nLork\nn.J.\n, on (City ortmwn\n(State territory)\nor\n(OVER)\nmarch 24-1906\n(Give exact month, day, and year)"
}