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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 No. 4913 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. 37 Mr. My name is Mrs. Michal (Alen should here fill ; age, Hov. 12, 1889years. Miss print or typewrite 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 namo of the person shown on my steamship ticket was, My mother S maiden name was My maiden name was (if woman) My tight white ; height, 5 feet & 7 inches; My present occcupation is Farming personal description is: Color, weight, 155 light brown the other visible distinctive pounds; marks: color Scarutar of hair, rightcooner color of eyes, femanthy I was born in Podrosnow, austria know Galicia Toland (City or town) (Country) on the 12 day of november 1889 My present residence is yantic Lebanon Cox new London Corn Number and street) (City or town) (County) (State) My post office address is yantic RFD The place I took landed the United States Blicker where the ship or train which me in was Hamburg Germany , on February (Month) 6 (Day) (Year) 1906 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 Blicher, Steam they (OVER) Bhicker 014-8

Page data

Page
79
Source index
0
Type
photo
Media ID
926b675bb3889744
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\nNo. 4913\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.\n37\nMr.\nMy name is\nMrs.\nMichal (Alen should here fill\n; age, Hov. 12, 1889years.\nMiss\nprint or typewrite 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)\n.I used that name because\nThe full namo of the person shown on my steamship ticket was,\nMy mother S maiden name was\nMy maiden name was (if woman)\nMy tight white ; height, 5 feet & 7 inches;\nMy present occcupation is Farming\npersonal description is: Color,\nweight, 155 light brown the\nother visible distinctive pounds; marks: color Scarutar of hair, rightcooner color of eyes, femanthy\nI was born in\nPodrosnow, austria know Galicia Toland\n(City or town)\n(Country)\non the\n12\nday of november\n1889\nMy present residence is\nyantic\nLebanon Cox new London Corn\nNumber and street)\n(City or town)\n(County)\n(State)\nMy post office address is\nyantic RFD\nThe place I took landed the United States Blicker\nwhere the ship or train which me in was\nHamburg Germany\n, on\nFebruary (Month) 6 (Day) (Year) 1906\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\nBlicher, Steam they\n(OVER) Bhicker\n014-8"
}