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Form 2213
PRELIMINARY FORM FOR DECLARATION OF INTENTION TO BECOME A CITIZEN
5161
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
(NOTE TO CLERK OF COURT.-To guide you in preparing Tho black face lines on this form contain statements
nikolitsa the Declaration: Georgest
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.
My.
My name is
Ms.
miss (Alien should Nicholitsan typewrite here true, g original, Padelopoulan and name) age, 2 (Give H. last/oirthday)
Miss
print or correct
age
Also known as
(If alien has used any other name in this country, that name should be shown here)
I used that name because
The full name of the person shown on my steamship ticket was Nikalitsa Padelapoulou
My mother's maiden name was aristea Karapipety
My maiden name was (if woman) Weaver Scan
My present occcupation is
My personal description is: Color, white ; complexion,
witair
; height, 5. of 14 inches;
feet
other visible distinctive marks: Scarnrighteide
weight, 114 pounds; color of hair, Dark Brown : color of eyes, Blue standay
I was born in
agoulinitsa,
(City or town) olymbhas,
Greece
(Country)
on the
19
day of may
, 1903
My is
present residence 24 Elm St norwich, new London County Conn
(Number and street)
(City or town)
(County)
(State)
My post
office address is 69 P.O Box norwich, Conn.
The place where I took the ship or train which landed me in the United States was
Peramu Greece
piracus.
, on
nove
8
1920
(Month)
(Day)
(Year)
The ticket on came to country was
which I this bought at Peraeus
Greece
(City)
(Country)
The of the ship railroad which I ME Gacci HELCAS
name or on came was
(OVER)
c14-8
Page data
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- Source index
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- Type
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- Size
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Document data
- ID
- 159596813
- Core
- doc
- Type
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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\n5161\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\n(NOTE TO CLERK OF COURT.-To guide you in preparing Tho black face lines on this form contain statements\nnikolitsa the Declaration: Georgest\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.\nMy.\nMy name is\nMs.\nmiss (Alien should Nicholitsan typewrite here true, g original, Padelopoulan and name) age, 2 (Give H. last/oirthday)\nMiss\nprint or correct\nage\nAlso known as\n(If alien has used any other name in this country, that name should be shown here)\nI used that name because\nThe full name of the person shown on my steamship ticket was Nikalitsa Padelapoulou\nMy mother's maiden name was aristea Karapipety\nMy maiden name was (if woman) Weaver Scan\nMy present occcupation is\nMy personal description is: Color, white ; complexion,\nwitair\n; height, 5. of 14 inches;\nfeet\nother visible distinctive marks: Scarnrighteide\nweight, 114 pounds; color of hair, Dark Brown : color of eyes, Blue standay\nI was born in\nagoulinitsa,\n(City or town) olymbhas,\nGreece\n(Country)\non the\n19\nday of may\n, 1903\nMy is\npresent residence 24 Elm St norwich, new London County Conn\n(Number and street)\n(City or town)\n(County)\n(State)\nMy post\noffice address is 69 P.O Box norwich, Conn.\nThe place where I took the ship or train which landed me in the United States was\nPeramu Greece\npiracus.\n, on\nnove\n8\n1920\n(Month)\n(Day)\n(Year)\nThe ticket on came to country was\nwhich I this bought at Peraeus\nGreece\n(City)\n(Country)\nThe of the ship railroad which I ME Gacci HELCAS\nname or on came was\n(OVER)\nc14-8"
}