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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 5141 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. Miss Wasyl Umrylh ; age, 36 years. (Alien should print or typewrite here true, origigal, and correct name) (Give age last birthday) My present occupation is My personal description is: Color, white ; complexion, fair farmet ; height, 5 feet 1034 inches; weight, 160 pounds; color of hair, light come ; color of eyes, graybille other visible distinctive marks: I was born in Gerigowica (City or towa) yalicia Austria, now (Country) Poland on the 20 day of September , 1 891 My present residence is gales (Number and street) Ferry (City or growton toon) (County) Conn (State) The place where I took the ship or train which landed me in the United States was Hamberg germany on January Tel (Month) 844 (Day) - (Year) 1908 The name of the ship or railroad on which I came was latricia My last place said of foreign Berezowica résidence was (City Julicia austrial (Country) or town) I am married. The name of my { wife is Fillio auton She was born at husband He Dinary I am now a subject of and Galicia intend to renounce allegiance to , and now resides at Poland said Galisterry (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 14 New (City town) york or h.y. (State , on 14-8 (Give exact month, day, 14,1908 and year) or territory) February (OVER)

Page data

Page
534
Source index
0
Type
photo
Media ID
6b0d3f9c3942704e
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": "Form 2213\nPRELIMINARY FORM FOR DECLARATION OF INTENTION TO BECOME A CITIZEN\n5141\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.\nMiss\nWasyl Umrylh\n; age,\n36\nyears.\n(Alien should print or typewrite here true, origigal, and correct\nname)\n(Give age last birthday)\nMy present occupation is\nMy personal description is: Color, white ; complexion, fair\nfarmet\n; height, 5 feet 1034 inches;\nweight, 160 pounds; color of hair, light come ; color of eyes, graybille\nother visible distinctive marks:\nI was born in Gerigowica (City or towa) yalicia Austria, now (Country) Poland\non the\n20\nday of\nSeptember , 1\n891\nMy present residence is\ngales\n(Number and street) Ferry (City or growton toon) (County)\nConn\n(State)\nThe place where I took the ship or train which landed\nme in the United States was Hamberg germany\non\nJanuary Tel (Month) 844 (Day) - (Year) 1908\nThe name of the ship or railroad on which I came was\nlatricia\nMy last\nplace said of foreign Berezowica résidence was (City Julicia austrial (Country)\nor town)\nI am\nmarried. The name of my\n{\nwife\nis Fillio\nauton\nShe\nwas born at\nhusband\nHe\nDinary I am now a subject of and Galicia intend to\nrenounce allegiance to\n, and now resides at Poland said Galisterry\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\n14\nNew (City town) york\nor\nh.y. (State\n,\non 14-8 (Give exact month, day, 14,1908 and year)\nor territory)\nFebruary\n(OVER)"
}