Isadore Type Specimen

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Family Tree

William Goldberg Albert Olick Nathan Bein Ruth Blaustein Frank Abramson Roberta Olick Alice Olick Marvin Olick Eleanor Olick Shirley Alkin Senna Olick

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Noah Gold Rachel OlickGibson

STATE OF NEW YORK

UNITED STATES OF AMERICA

nya-wn

DECLARATION OF INTENTION

(Invalid for all purposes seven years after the date hereof)

SOUTHERN DISTRICT OF NEW YORK DISTRICT UNITED STATES NEW YORK, N Y

ISIE OLICK 623 East 139th Street, Bronx, NY tailor male white gray Hebrew Estrow, Russia August 1898

Russian

May 13, 1876 Gussie

5 5 150 fair blue 63 623 East 139th Street, Bronx, NY

4 Betty, born March 14, 1904; Alex, born July 20, 1900; Herman, born April 7, 1907; Julius, born March 14, 1904; Betty and Alex born in Russia. Herman and Julius born in New York, NY. Betty and Julius reside in New York, NY; Herman at Bronx, NY; and Alex at Long Island City, NY.

ORIGINAL (To be retained by clerk) In the_______________________________ Court of _________________ at ________________ ) ss: I, _________________________________________________________________ now residing at ____________________________________________________________ occupation _____________________, aged _______ years, do declare on oath that my personal description is: Sex __________, color ____________, complexion ______________, color of eyes ____________ color of hair _____________, height _____ feet _____ inches; weight _____ pounds; visible distinctive marks ____________________________________________________________________, race ________________________; nationality ___________________________________ I was born in ______________________________, on ____________________________ I am _____ married. The name of my wife xxxxxxxxxxx is __________________________________ we were married on ______________________, at _________________________; she or he was born at _______________________, on ________________________, entered the United States at ______________________, on ___________________, for permanent residence therein, and now resides at __________________________. I have ______ children, and the name, date and place of birth, and place of residence of each of said children are as follows: ___________________________________ I have __________ heretofore made a declaration of intention: Number ____________, on ________________ at ___________________________________________________________________ my last foreign residence was _____________________________________________________ I emigrated to the United Stated of America from __________________________________________ my lawful entry for permanent residence in the United States was at _______________________________ under the name of _____________________________________, on ___________________ on the vessel _____________________________________________________________

Skevrer, Russia Skevrer, Russia New York, NY 1906 1923 Brooklyn, NY Eastern District Estrow, Russia Liverpool, England Philadelphia, Pennsylvania Itzig Oleik October 17, 1904 Haverford

October 14, 1877

I will, before being admitted to citizenship, renounce forever all allegiance and fidelity to any foreign, prince, potentiate, state, or sovereignty, and particularly, by name, to the prince, potentiate, state or sovereignty of which I may be at the time of admission a citizen or subject; I am not an anarchist; I am not a polygamist or a believer in the practice of polygamy; and it is my intention in good faith to become a citizen of the United States of America and to reside permanently therein; and I certify that the photograph affixed to the duplicate and triplicate hereof is a likeness of me.

I swear (affirm) that the statements I have made and the intentions I have expressed in this declaration of intention subscribed by me are true to the best of my knowledge and belief: So help me God.

(DO NOT ATTACH PHOTOGRAPH TO THIS COPY OF DECLARATION)

(SEAL)

Subscrived and sworn to before me in the form of oath shown above in the office of the Clerk of said Court, at _________________________ this ______ day of _____________, anno Domini, 19__, Certification No. ______ from the Commissioner of Immigration and Naturalization showing the lawful entry of the declarand for permanent residence on the date stated above, has been received by me. The photograph affixed to the duplicate and triplicate hereof is a likeness of the declarant.

New York, NY June 2nd 2X-80413

39 U. S. DISTRICT

Clerk of the __________________ Court,

By _______________________, Deputy Clerk,

Form 202-A U. S. DEPARTMENT OF LABOR IMMIGRATION AND NATURALIZATION SERVICE

Designed by Sarah Olick Spring 2022 Boston University