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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 5263 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. / 52 (Alien should print or typoprite here true, original, and correct name) ; age, years. (Give age last birthday) My present occupation Miss is My personal description is: Color, white ; complexion, fair ; height, 5 feet 144 inches; weight, 146 pounds; color of hair, brown ; color of eyes, blue ; other visible distinctive marks: none I was born in (City Groduce or town) Russia, now (Country) Paland grima, on the 13 day of Wridanly 1875 My present residence is Montville Connecticut (Number and street) (City or town) (County) (State) The place where I took the ship train which landed in the United States Hamburg or me was Germany on The name of the ship or railroad on which I came was Patricia (Month) (Day) (Year) My last place of foreign residence was said wife (City town) or giema (Country) I am married. The name of my is anna She was born at Paland husband and now resides at said Wuccssille He I am now a subject of and intend to renounce allegiance to Paland (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 (City or town) New State or territory) York newyork , on F 14-8 (Give exact month, day, 9, and year) 1904 attorary (OVER)

Page data

Page
776
Source index
0
Type
photo
Media ID
20b1400661406e16
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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    "ocrText": "Form 2213\nPRELIMINARY FORM FOR DECLARATION OF INTENTION TO BECOME A CITIZEN\n5263\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.\n/\n52\n(Alien should print or typoprite here true, original, and correct\nname) ; age,\nyears.\n(Give age last birthday)\nMy present\noccupation Miss is\nMy personal description is: Color, white ; complexion, fair\n; height, 5 feet 144 inches;\nweight, 146 pounds; color of hair, brown ; color of eyes, blue\n;\nother visible distinctive marks:\nnone\nI was\nborn in (City Groduce or town) Russia, now (Country) Paland\ngrima,\non the\n13 day of\nWridanly\n1875\nMy present residence is\nMontville Connecticut\n(Number and street)\n(City or town)\n(County)\n(State)\nThe place where I took the ship train which landed in the United States Hamburg\nor me was\nGermany\non\nThe name of the ship or railroad on which I came was\nPatricia\n(Month)\n(Day)\n(Year)\nMy\nlast place of foreign residence was said wife (City town)\nor\ngiema\n(Country)\nI am\nmarried. The name of my\nis\nanna\nShe\nwas born at\nPaland\nhusband and now resides at said Wuccssille He\nI am now a subject of and intend to renounce allegiance to\nPaland\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\n(City or town)\nNew State or territory)\nYork\nnewyork\n,\non F 14-8 (Give exact month, day, 9, and year) 1904\nattorary\n(OVER)"
}