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Form 2213
PRELIMINARY FORM FOR DECLARATION OF INTENTION TO BECOME A CITIZEN
5272
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.
/ Give - (Alien should Giovanni print here original, Viscione and correct name) ;
age,
36
years.
or typewrite true,
(Give age last birthday)
Miss
My
present occupation is MERCHANT,
My personal description
is: bark
101/2
;
height, 5
feet " inches;
weight, 225 pounds; color of hair, Dark-Gray ; color dark of eyes, Brown
;
other visible distinctive marks:
none
I
was born in RoccaBascerar Provincia Avellino
Italy
(City or town)
(Country)
on the 27
day of September
, 891.
My
present
residence is 5 Richards. st. new London. conn
place where I took the ship (Number train which and street) landed in the (City United town) States hapoti [County) use (State) Italy
or
The or me was
on October 16.1909.
(Day)
(Year)
The
name of the ship or sand on which I came was SS. Virginia (Month)
My last
place of foreign residence was Roccakasceron Provincia Avellino
(City or town)
(Country)
wife
I am
married. The name of my
is Augusta discions She
was born at
husband
Fano Provincia now staly resides at
I am now a subject of and intend to renounce allegiance to Vittorio (Write name Emanuel and title of sovereign and country III of which King subject;
now a
or, if mame-of-republio-enly
citizen of of a republic, Italy write
I arrived at the United States immigration port of new york (City town) n.y
or
on october 30-1909.
,
(State or territory)
14-8
(Give exact month, day, and year)
(OVER)
Page data
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- Source index
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- Type
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Document data
- ID
- 159596813
- Core
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- Type
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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\n5272\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/ Give - (Alien should Giovanni print here original, Viscione and correct name) ;\nage,\n36\nyears.\nor typewrite true,\n(Give age last birthday)\nMiss\nMy\npresent occupation is MERCHANT,\nMy personal description\nis: bark\n101/2\n;\nheight, 5\nfeet \" inches;\nweight, 225 pounds; color of hair, Dark-Gray ; color dark of eyes, Brown\n;\nother visible distinctive marks:\nnone\nI\nwas born in RoccaBascerar Provincia Avellino\nItaly\n(City or town)\n(Country)\non the 27\nday of September\n, 891.\nMy\npresent\nresidence is 5 Richards. st. new London. conn\nplace where I took the ship (Number train which and street) landed in the (City United town) States hapoti [County) use (State) Italy\nor\nThe or me was\non October 16.1909.\n(Day)\n(Year)\nThe\nname of the ship or sand on which I came was SS. Virginia (Month)\nMy last\nplace of foreign residence was Roccakasceron Provincia Avellino\n(City or town)\n(Country)\nwife\nI am\nmarried. The name of my\nis Augusta discions She\nwas born at\nhusband\nFano Provincia now staly resides at\nI am now a subject of and intend to renounce allegiance to Vittorio (Write name Emanuel and title of sovereign and country III of which King subject;\nnow a\nor, if mame-of-republio-enly\ncitizen of of a republic, Italy write\nI arrived at the United States immigration port of new york (City town) n.y\nor\non october 30-1909.\n,\n(State or territory)\n14-8\n(Give exact month, day, and year)\n(OVER)"
}