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Form 2213
PRELIMINARY FORM FOR DECLARATION OF INTENTION TO BECOME A CITIZEN
5051
U. S. DEPARTMENT OF LABOR
NOT TO BE FILLED IN BY ALIEN
FOR USE OF OFFICIALS SEARCHING IMMI-
NATURALIZATION SERVICE
GRATION RECORDS
NATURALIZATION SERVICE
CLERK OF COURT:
RECEIVED
RECORDS EXAMINED
Place number
31616
In
CARD INDEX
FEB 7 1927
upper left-hand corner of all copies of
declaration, immediately under your
INDEX BOOKS
OFFICE OF EXAMINER
declaration number.
NEW HAVEN, CONN.
DEPARTMENT up' LABOR
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.
A. arah Betts
My name is
Mrs.
Dure a n, Ms skeNZ IF Bee tts age,
38
years.
Miss
(Alien should print or typewrite bere true, original, and correct name)
Also known as
Sarah Bette
(Give age last birthday)
(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 mrs D, Ina Betas
SUREAUS
My mother's maiden name was matieda Fraser,
RECEIVED
My maiden name was (if woman)
Sarah Oliver,
P,
FEB IS 1927,
My present occcupation is housewife
ACKND
M
My personal description is: Color, white ; complexion, Lair
; height,
5 feet x5-V4 inches;
weight, of
160 pounds; color hair, Auburn attproomentarn None ; color of eyes,
other visible distinctive marks:
I was
born in Restrille hova Scotia Canada
(City or town)
(Country)
on
the 9 day of sept,
11888
,
My present residence is Croton, com 576 Jhames
(Number and street)
(City or town)
(County)
(State)
My post office address is Groton,
The place where I took the ship or train which landed me in the United States was garmouth
hova scotia, Canada , on
may
18
1926
Month)
(Day)
(Year)
The ticket on which I came to this country was bought at
new (City) Glasgow (Country) hova Scotta
The of the ship or railroad which I Prince George
name on came was
(OVER)
014-8
O/A ISSUED
MAR 14 1927
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- Core
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"ocrText": "Form 2213\nPRELIMINARY FORM FOR DECLARATION OF INTENTION TO BECOME A CITIZEN\n5051\nU. S. DEPARTMENT OF LABOR\nNOT TO BE FILLED IN BY ALIEN\nFOR USE OF OFFICIALS SEARCHING IMMI-\nNATURALIZATION SERVICE\nGRATION RECORDS\nNATURALIZATION SERVICE\nCLERK OF COURT:\nRECEIVED\nRECORDS EXAMINED\nPlace number\n31616\nIn\nCARD INDEX\nFEB 7 1927\nupper left-hand corner of all copies of\ndeclaration, immediately under your\nINDEX BOOKS\nOFFICE OF EXAMINER\ndeclaration number.\nNEW HAVEN, CONN.\nDEPARTMENT up' LABOR\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.\nA. arah Betts\nMy name is\nMrs.\nDure a n, Ms skeNZ IF Bee tts age,\n38\nyears.\nMiss\n(Alien should print or typewrite bere true, original, and correct name)\nAlso known as\nSarah Bette\n(Give age last birthday)\n(If\nalien 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 mrs D, Ina Betas\nSUREAUS\nMy mother's maiden name was matieda Fraser,\nRECEIVED\nMy maiden name was (if woman)\nSarah Oliver,\nP,\nFEB IS 1927,\nMy present occcupation is housewife\nACKND\nM\nMy personal description is: Color, white ; complexion, Lair\n; height,\n5 feet x5-V4 inches;\nweight, of\n160 pounds; color hair, Auburn attproomentarn None ; color of eyes,\nother visible distinctive marks:\nI was\nborn in Restrille hova Scotia Canada\n(City or town)\n(Country)\non\nthe 9 day of sept,\n11888\n,\nMy present residence is Croton, com 576 Jhames\n(Number and street)\n(City or town)\n(County)\n(State)\nMy post office address is Groton,\nThe place where I took the ship or train which landed me in the United States was garmouth\nhova scotia, Canada , on\nmay\n18\n1926\nMonth)\n(Day)\n(Year)\nThe ticket on which I came to this country was bought at\nnew (City) Glasgow (Country) hova Scotta\nThe of the ship or railroad which I Prince George\nname on came was\n(OVER)\n014-8\nO/A ISSUED\nMAR 14 1927"
}