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Form 2213
PRELIMINARY FORM FOR DECLARATION OF INTENTION TO BECOME A CITIZEN
4882
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.
Mr.
Frances
My name is
Mrs.
Miss North Shea
; age,
43
years.
Miss
(Alien should print or typewrite here 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 name of the person shown on my steamship ticket was
My mothor's maider name was
My maiden name was (if woman)
My present occcupation is Houswork house-maid
41/2
My personal description is: Color, White complexion, fair ; height, 5
feet $ inches;
other weight, visible 165 distinctive pounds; marks: color of hair, gray Thone
; color of eyes,
brown
;
I
was born in b loon
of
behirciveen, Ireland
(City or towp)
(Country)
on the 29
day of
September
, 1883
My present residence is 154 Broad Street NewLondon Conn
(Number and street)
(City or town)
County)
(State)
My post office address is
The place where
Ireland
I took the ship or train which landed me in the United States was quenstown
, om September (Month) (Day) 4th 1907
(Year)
The tickot on which I camo to this country was bought at August 28 1907
The Saxonia (tty)
(Country)
name of the ship or railroad on which I came was
(OVER)
c14-8
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Document data
- ID
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- Core
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- Type
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DTO data
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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\n4882\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.\nMr.\nFrances\nMy name is\nMrs.\nMiss North Shea\n; age,\n43\nyears.\nMiss\n(Alien should print or typewrite here 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)\nI used that name because\nThe full name of the person shown on my steamship ticket was\nMy mothor's maider name was\nMy maiden name was (if woman)\nMy present occcupation is Houswork house-maid\n41/2\nMy personal description is: Color, White complexion, fair ; height, 5\nfeet $ inches;\nother weight, visible 165 distinctive pounds; marks: color of hair, gray Thone\n; color of eyes,\nbrown\n;\nI\nwas born in b loon\nof\nbehirciveen, Ireland\n(City or towp)\n(Country)\non the 29\nday of\nSeptember\n, 1883\nMy present residence is 154 Broad Street NewLondon Conn\n(Number and street)\n(City or town)\nCounty)\n(State)\nMy post office address is\nThe place where\nIreland\nI took the ship or train which landed me in the United States was quenstown\n, om September (Month) (Day) 4th 1907\n(Year)\nThe tickot on which I camo to this country was bought at August 28 1907\nThe Saxonia (tty)\n(Country)\nname of the ship or railroad on which I came was\n(OVER)\nc14-8"
}