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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)

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Document data

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Core
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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)"
}