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Form 2213
PRELIMINARY FORM FOR DECLARATION OF INTENTION TO BECOME A CITIZEN
5168
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.
Advefts Fransin
; age,
27
years.
Miss
(Alien, should print or typewrite here true, original, and correct name)
My present occupation is
boller makes
(Give age last birthday)
My personal description is: Color, white ; complexion, dark
; height, 5 feet 1044 inches;
weight, 172 pounds; color of hair, brown ; color of eyes, darkbrown
left I was born little in fingle (City town) Fano I taly
other visible distinctive,
marks: Scarnu Scarsunderchinand
on the 8th
day of
march,
or 1900 489 (Country)
My
present residence is 7 Richards New London, Com.
(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 Genoa,
name of the Staly ship or railroad on which I came was Loragni (Month)
on
(Day)
(Year)
The
My last place of foreign residence was said Fand
(City or
I am
married. The name of my
{
}
is town) MBlauche
(Country)
wife
She
was born at
husband
He
norwich, Come , and now resides at said TRichards
I am now a subject of and intend to renounce
allegiance to Victor te.
(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
New (City or town)
N.Y.
, on
august
14-18 (Give exact month, 21, day, and , 1911 year)
York
(State 91 territory)
(OVER)
Page data
- Page
- 587
- Source index
- 0
- Type
- photo
- Media ID
- 1f15b34271d415c7
- 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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"ocrText": "Form 2213\nPRELIMINARY FORM FOR DECLARATION OF INTENTION TO BECOME A CITIZEN\n5168\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.\nAdvefts Fransin\n; age,\n27\nyears.\nMiss\n(Alien, should print or typewrite here true, original, and correct name)\nMy present occupation is\nboller makes\n(Give age last birthday)\nMy personal description is: Color, white ; complexion, dark\n; height, 5 feet 1044 inches;\nweight, 172 pounds; color of hair, brown ; color of eyes, darkbrown\nleft I was born little in fingle (City town) Fano I taly\nother visible distinctive,\nmarks: Scarnu Scarsunderchinand\non the 8th\nday of\nmarch,\nor 1900 489 (Country)\nMy\npresent residence is 7 Richards New London, Com.\n(Number and street)\n(City or town)\n(County)\n(State)\nThe\nplace where I took the ship or train which landed me in the United States was Genoa,\nname of the Staly ship or railroad on which I came was Loragni (Month)\non\n(Day)\n(Year)\nThe\nMy last place of foreign residence was said Fand\n(City or\nI am\nmarried. The name of my\n{\n}\nis town) MBlauche\n(Country)\nwife\nShe\nwas born at\nhusband\nHe\nnorwich, Come , and now resides at said TRichards\nI am now a subject of and intend to renounce\nallegiance to Victor te.\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\narrived at the United States immigration port of\nNew (City or town)\nN.Y.\n, on\naugust\n14-18 (Give exact month, 21, day, and , 1911 year)\nYork\n(State 91 territory)\n(OVER)"
}