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Form 2213
PRELIMINARY TO BECOME A CITIZEN
June FORM FOR DECLARATION 30 at OF INTENTION 30AM.-Laylight
5351
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
I desire to file my Declaration of Intention (first paper) to become a citizen.
Mr.
My name is
Mrs.
}
Hany Elion
; age,
3333 years.
Miss
(Alien should print or typewrite here true, original, and correct name)
(Give age last birthday)
My present occupation is
Coal merchant
My personal
description is: Color, white ; complexion, ; height, 5 feet 6 inches;
weight, 173 pounds; color of hair,
Brown
; color of eyes, gray
;
other visible distinctive marks:
anound molemright check
I was born in
Zezemory
(City or town)
Russia (Country) now Paland
on the of
12 day april
1895
My present residence is 107 new London Conn
Squirent
(Number and street)
(City or town)
(County)
(State)
The place where I took the ship or train which landed me in the United States was
Bremen
germaney
, on September 15 1903
(Month)
(Day)
(Year)
The name of the ship or railroad on which I came was
2 aterland
sand
My last place of foreign residence was
t
Sezemony
Russia
(City or town)
wife
I am yes married. The name of my
I da
(Country)
She
is
was born at
husband
Westerly R.J.
said
He
, and now resides at
107 Squirent new
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 new city
york
(City or town)
new york
, on 29th Sept. 1903
(State or territory)
14-8
(Give exact month, day, and year)
(OVER)
Page data
- Page
- 953
- Source index
- 0
- Type
- photo
- Media ID
- 08de4cc1499449dc
- 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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Document source metadata
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Document source extras
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Page context
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"ocrText": "Form 2213\nPRELIMINARY TO BECOME A CITIZEN\nJune FORM FOR DECLARATION 30 at OF INTENTION 30AM.-Laylight\n5351\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\nI desire to file my Declaration of Intention (first paper) to become a citizen.\nMr.\nMy name is\nMrs.\n}\nHany Elion\n; age,\n3333 years.\nMiss\n(Alien should print or typewrite here true, original, and correct name)\n(Give age last birthday)\nMy present occupation is\nCoal merchant\nMy personal\ndescription is: Color, white ; complexion, ; height, 5 feet 6 inches;\nweight, 173 pounds; color of hair,\nBrown\n; color of eyes, gray\n;\nother visible distinctive marks:\nanound molemright check\nI was born in\nZezemory\n(City or town)\nRussia (Country) now Paland\non the of\n12 day april\n1895\nMy present residence is 107 new London Conn\nSquirent\n(Number and street)\n(City or town)\n(County)\n(State)\nThe place where I took the ship or train which landed me in the United States was\nBremen\ngermaney\n, on September 15 1903\n(Month)\n(Day)\n(Year)\nThe name of the ship or railroad on which I came was\n2 aterland\nsand\nMy last place of foreign residence was\nt\nSezemony\nRussia\n(City or town)\nwife\nI am yes married. The name of my\nI da\n(Country)\nShe\nis\nwas born at\nhusband\nWesterly R.J.\nsaid\nHe\n, and now resides at\n107 Squirent new\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\nof new city\nyork\n(City or town)\nnew york\n, on 29th Sept. 1903\n(State or territory)\n14-8\n(Give exact month, day, and year)\n(OVER)"
}