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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 4909 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 (NOTE TO CLERK OF COURT.-To guide you in preparing the Declaration: The black face lines on this form contain statements 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. Mr. My name is Mrs. PHILIP TASHMAN ; age, 42 years. Miss (Alien should print or typewrite here true, original, and correct name) (Give age last birthday) 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 shown PHILIP TASHMAN person on my steamship ticket was My mother S maiden name was My maiden namo was (if woman) My present occcupation FARMER is fair My personal description is: Color, WHITE ; complexion, MEDIUM ; height, 5 feet 10 inches; weight, 100 pounds; color of hair, DARK BROWN ; color of eyes, GREY blue ; Scaren other visible distinctive marks: Remember, NOOL JMALL MOLLARIANS 01 I was born in BIALYSTOK RUSSIA (City or town) (Country) on the 18th day of OCTOBER 1884 My present residence is LEBAMON - NEWLOND.NY CONY (Number and street) (City or town) (County) (State) My post office address is LEOMARD BRIDGE CONNI The place where I took the ship or train which landed me in the United States was ROTTERDAM. S.S. BOTTERDAN Holland , on JUNE 1903 (Month) (Day) (Year) The ticket on which I came to this country was bought at (City) (Country) The name of the ship or railroad on which I came was S.S. POTTERDAM (OVER) 014-8

Page data

Page
72
Source index
0
Type
photo
Media ID
6e556777219b312b
Size
unknown

Document data

ID
159596813
Core
doc
Type
document
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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\n4909\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\n(NOTE TO CLERK OF COURT.-To guide you in preparing the Declaration: The black face lines on this form contain statements\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.\nMr.\nMy name is\nMrs.\nPHILIP TASHMAN\n; age,\n42\nyears.\nMiss\n(Alien should print or typewrite here true, original, and correct name)\n(Give age last birthday)\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 shown PHILIP TASHMAN\nperson on my steamship ticket was\nMy mother S maiden name was\nMy maiden namo was (if woman)\nMy present occcupation FARMER\nis\nfair\nMy\npersonal description is: Color, WHITE ; complexion, MEDIUM ; height, 5 feet 10 inches;\nweight, 100 pounds; color of hair, DARK BROWN ; color of eyes, GREY blue\n;\nScaren\nother visible distinctive marks: Remember, NOOL JMALL MOLLARIANS 01\nI was born in\nBIALYSTOK\nRUSSIA\n(City or town)\n(Country)\non\nthe 18th day of OCTOBER\n1884\nMy present residence is\nLEBAMON - NEWLOND.NY CONY\n(Number and street)\n(City or town)\n(County)\n(State)\nMy post office address\nis LEOMARD BRIDGE\nCONNI\nThe\nplace where I took the ship or train which landed me in the United States was ROTTERDAM.\nS.S. BOTTERDAN Holland ,\non JUNE\n1903\n(Month)\n(Day)\n(Year)\nThe ticket on which I came to this country was bought at\n(City)\n(Country)\nThe name of the ship or railroad on which I came was S.S. POTTERDAM\n(OVER)\n014-8"
}