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Form 2213 PRELIMINARY FORM FOR DECLARATION OF INTENTION TO BECOME A CITIZEN 5049 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> ARMAND LEFEBVARE ; age, 203 years. Miss (Alien should print or typewrite here true, original, and correct name) (Give age last birthday) My present occupation is Clerk My personal description is: Color, while ; complexion, farlight ; height, 5 feet 7/1/2 inches; weight, 142 pounds; color of hair, light nown color of eyes, thing ; other visible distinctive marks: unn I was born in (City or town) thorince af (Country) Camade Rafhaill on the 22 day of august 1903 Praft My present avenue, residence is (Number and street) norwich (City town) N.L. (County) Corn (State) Tafkinle or The place where I took the ship or train which landed me in the United States was Montinal Canada on Jan (Month) 13. 1904 The name of the ship railroad which I was Central (Day) (Year) or on came My last place of foreign residence said was It (City town) Conte (Country) Bellikan Rophael or marianna I am nes married. The name of my { wife } She is was born at husband H. , and now resides at I am now a subject of and intend to renounce allegiance to (Write and title of sovereign and country of which subject; name now a or, if citizen of a republic, write name of republic only) I arrived at the United States immigration port of At allanso aft (City or town) , on Jan 14-8 15,1904. (Give exact month, day, and year) (State or territory) (OVER)

Page data

Page
351
Source index
0
Type
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Media ID
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Size
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Document data

ID
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Core
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Type
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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\n5049\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>\nARMAND LEFEBVARE\n; age,\n203\nyears.\nMiss\n(Alien should print or typewrite here true, original, and correct name)\n(Give age last birthday)\nMy present occupation is\nClerk\nMy personal description is: Color, while ; complexion, farlight ; height, 5 feet 7/1/2 inches;\nweight, 142 pounds; color of hair, light nown color of eyes, thing\n;\nother visible\ndistinctive marks: unn\nI was\nborn in (City or town) thorince af (Country) Camade\nRafhaill\non the 22 day of august\n1903\nPraft\nMy\npresent avenue, residence is (Number and street) norwich (City town) N.L. (County) Corn (State)\nTafkinle\nor\nThe place where I took the ship or train which landed me in the United States was\nMontinal\nCanada\non Jan (Month) 13.\n1904\nThe name of the ship railroad which I was Central (Day) (Year)\nor on came\nMy last place of foreign\nresidence said was It (City town) Conte (Country) Bellikan\nRophael\nor\nmarianna\nI am nes married. The name of my\n{\nwife\n}\nShe\nis\nwas born at\nhusband\nH.\n, and now resides at\nI am now a subject of and intend to renounce allegiance to\n(Write and title of sovereign and country of which subject;\nname now a\nor, if citizen of a republic, write name of republic only)\nI arrived at the United States immigration port\nof At allanso aft\n(City or town)\n, on Jan 14-8 15,1904. (Give exact month, day, and year)\n(State or territory)\n(OVER)"
}