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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 5171 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. 39 / Mr. My name is Mrs. | Josnpa (Alien shone printor typewrite adaschik here true, original, and correct name) ; age, 49 years. Miss (Give age last birthday) My present occupation is personal description is: Coler, white; complexion, fair farmer My ; height, 5 feet 74/2 inches; weight, 149 pounds; color of hair, brown ; color of eyes, blue ; Notering I was born other visible in Minsk distinctive marks: Russia on the day 27 of January , Colchester Conn. 16th (City town) (Country) 18888 My present residence is The place ship or me was where I took the train which landed in the United States Liban (Qbunty) (State) and street) (City or town) Russia , on The name of the ship or railroad on which I came was (Month) Smolensk (Day) (Year) My last place of foreign residence was said wife (City or town) is andresky (Country) I am married. The name of my { She was born at husband He moldchan, Vilna, Russia and now resides at said27thorrich avenue I am now a subject of and intend to renounce allegiance to Russia (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 n.y. New , on (City or towa) your (State or territory) may 14-8 exact month, 1907 day, and year) (OVER)

Page data

Page
597
Source index
0
Type
photo
Media ID
537b609ccf6c8a96
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\n5171\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.\n39\n/\nMr.\nMy name is\nMrs.\n|\nJosnpa (Alien shone printor typewrite adaschik here true, original, and correct name)\n; age,\n49\nyears.\nMiss\n(Give age last birthday)\nMy present occupation is\npersonal description is: Coler, white; complexion, fair\nfarmer\nMy\n;\nheight, 5 feet 74/2 inches;\nweight, 149 pounds; color of hair, brown\n;\ncolor of eyes, blue\n;\nNotering\nI was born\nother visible in Minsk distinctive marks: Russia\non the day 27 of January , Colchester Conn.\n16th\n(City town)\n(Country)\n18888\nMy present residence is\nThe place ship or me was\nwhere I took the train which landed in the United States Liban (Qbunty) (State)\nand street)\n(City or town)\nRussia\n, on\nThe name of the ship or railroad on which I came was (Month)\nSmolensk\n(Day)\n(Year)\nMy\nlast place of foreign residence was said wife (City or town)\nis andresky\n(Country)\nI am\nmarried. The name of my\n{\nShe\nwas born at\nhusband\nHe\nmoldchan, Vilna, Russia and now resides at said27thorrich avenue\nI am now a subject of and intend to renounce allegiance to\nRussia\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\nn.y.\nNew , on (City or towa)\nyour\n(State or territory)\nmay 14-8 exact month, 1907 day, and year)\n(OVER)"
}