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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 5128 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 Mrs. morris Caroline ; age, 50 years. Migs (Alien should print or typewrite here true, original, and correct name) (Give age last birthday) My present occupation is Farmer My personal description is: Color, White ; complexion, fair ; height, 5 feet 33/4 inches; weight, 145 pounds; color of hair, dark brown color of eyes, blue ; other visible distinctive marks: I was born in Zelva Russia (City or town) (Country) on the 4th day of July 1877 Bograh at My present residence is (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 antwripon Briginm , on Oct (Month) (Day) 15th 1907 (Year) The name of the ship or railroad on which I came was Curland said My last place of foreign residence A (City or town) was zelva Russia (Country) { wife I am is Ida Blumberg She married. The name of my was born at Swinsany Russia husband and now resides said at Boyrah , He of I am now a subject of and intend to renounce allegiance to (Write name and title of sovereign and country of which now a subject; State of Russia or, if citizen of a republic, write name of republic only) I arrived at the United States immigration port of new (City or town) City york n.y. , (State or territory) on Oct 14-8 (Give 28th exact month, day, 1907 nd/year) (OVER)

Page data

Page
508
Source index
0
Type
photo
Media ID
e4ab607010e6e99c
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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    "ocrText": "Form 2213\nPRELIMINARY FORM FOR DECLARATION OF INTENTION TO BECOME A CITIZEN\n5128\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\nMrs.\nmorris Caroline\n; age,\n50\nyears.\nMigs\n(Alien should print or typewrite here true, original, and correct name)\n(Give age last birthday)\nMy present occupation is\nFarmer\nMy personal description is: Color, White ; complexion, fair\n; height, 5 feet 33/4\ninches;\nweight, 145 pounds; color of hair, dark brown color of eyes, blue\n;\nother visible distinctive marks:\nI was born in\nZelva\nRussia\n(City or town)\n(Country)\non the 4th day of July\n1877\nBograh\nat\nMy present residence is\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\nantwripon Briginm , on Oct (Month)\n(Day) 15th 1907 (Year)\nThe name of the ship or railroad on which I came was Curland\nsaid\nMy last place of foreign residence A (City or town)\nwas\nzelva\nRussia\n(Country)\n{\nwife\nI am\nis Ida Blumberg\nShe\nmarried. The name of my\nwas born at\nSwinsany Russia husband and now resides said at Boyrah , He of\nI am now a subject of and intend to renounce allegiance to\n(Write name and title of sovereign and country of which now a subject;\nState of Russia\nor, if citizen of a republic, write name of republic only)\nI arrived at the United States immigration port of\nnew (City or town) City\nyork\nn.y.\n,\n(State or territory)\non Oct 14-8 (Give 28th exact month, day, 1907 nd/year)\n(OVER)"
}