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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 5148 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 upper left-hand corner of all copies of CARD INDEX 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. Harry (Alien-should print or typent rite here true, hosoff or fginal, autornobile and correct name) ; age, 28 years. Miss (Give age last birthday) My present occupation is Prefirition sales My personal description is: Color, white ; complexion, dark ; height, 5 feet 6 agency inches; weight, 150 pounds; color of hair, black ; color of eyes, darkbrown other visible distinctive marks: none I was born in Dokns Russis (City or town) (Country) on the of may 1899 My present residence is 11 (Number and street) Lerking (City Rd town) Norwich (County) N.L. (State) Ct Joseph or The or me was Holland place where I took the ship train which landed in the United States Rotterdam , on april (Month) 1906 (Day) (Year) The name of the ship or railroad on which I came was My last place of foreign was residence said woksin (City or town) (Country) noordam TI am married. The name of my { wife is Ida She was born at husband He: Rousean , and now resides at I am now a subject of and intend to renounce allegiance to (Write name and title of sovereign and country of which now & subject: or, if citizen of a republic, write name of republic only) Receive I arrived at the United States immigration port of new York (City or town) My (State or , on territory) april 11-8 (Give exact month, day, 1906 and year) (OVER)

Page data

Page
548
Source index
0
Type
photo
Media ID
05ba0c98b80976d9
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\n5148\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\nupper left-hand corner of all copies of\nCARD INDEX\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.\nHarry (Alien-should print or typent rite here true, hosoff or fginal, autornobile and correct name) ;\nage,\n28\nyears.\nMiss\n(Give age last birthday)\nMy present occupation is\nPrefirition\nsales\nMy personal description is: Color, white ; complexion, dark ; height, 5 feet 6\nagency\ninches;\nweight, 150 pounds; color of hair, black\n; color of eyes, darkbrown\nother visible distinctive marks:\nnone\nI was born in\nDokns\nRussis\n(City or town)\n(Country)\non the of\nmay\n1899\nMy present residence is 11 (Number and street) Lerking (City Rd town) Norwich (County) N.L. (State) Ct\nJoseph\nor\nThe or me was\nHolland\nplace where I took the ship train which landed in the United States Rotterdam\n, on april (Month)\n1906\n(Day)\n(Year)\nThe name of the ship or railroad on which I came was\nMy last place of foreign was\nresidence said woksin (City or town) (Country)\nnoordam\nTI am married. The name of my {\nwife\nis Ida\nShe\nwas born at\nhusband\nHe:\nRousean , and now resides at\nI am now a subject of and intend to renounce allegiance to\n(Write name and title of sovereign and country of which now & subject:\nor, if citizen of a republic, write name of republic only)\nReceive\nI arrived at the United States immigration port of\nnew York\n(City or town)\nMy (State or\n, on\nterritory)\napril 11-8 (Give exact month, day, 1906 and year)\n(OVER)"
}