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Form 2213 PRELIMINARY FORM FOR DECLARATION OF INTENTION TO BECOME A CITIZEN 5060 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 33355 in NATURALIZATION SERVICE CARD INDEX RECEIVED upper left-hand corner of all copies of declaration, immediately under your INDEX BOOKS MAY 5 1927 7184 declaration number. EXAMINTR scen DISTRICT DIRECTOR OF NATURALIZATION OFFICE OF MANIFESTS Person pits DE W HAVEN, MARK OF CONT. LABOR Ne ORALIZATION SENYAUM BOEIVER I desire to file my Declaration of Intention (first paper) to become a citizen. Mr. MAY Nils Sigfrid Pehrsson Q My name is Mrs. ; age, 40 years. Miss (Alien should print or typewrite here true, original, and correct name) age last birthdayd My present occupation is Tailor HIAMI, N. v. dark My personal description is: Color, white ; complexion, liht brown ; height, --5 feet 5- s inches; weight, I35 pounds; color of hair. nark brown ; color of eyes, blow blue ; other visible distinctive marks: none I was born in Kriinge Sweden (City or town) (Country) on the 29 day of November , .8.86 My present residence is 6I Maple Ave. New London, NewLondon, conn. (Number and street) (City or town) (County) (State) The or me was place where I took the ship train which landed in the United States Copenhagen Gponhekon Dinmark , on July I3, 1922 (Day) (Year) The name of the ship or railroad on which I came was Enedrick (Month) the 8th VIII Hassletator Hassleholm, swaden My last place of foreign residence was Swodon (City or town) wife maria (Country) She I am married. The name of my is Kristianstad, husband Anna Pehrsson He } was born at Swodon , and now resides at Swoden paid Hassleholm I am now a subject of and intend to renounce allegiance to Gustav (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 [New York (City or town) newyork , on 24 July I922 (State or territory) 14-8 (Give exact month, day, and year) (OVER)

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    "ocrText": "Form 2213\nPRELIMINARY FORM FOR DECLARATION OF INTENTION TO BECOME A CITIZEN\n5060\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\n33355 in\nNATURALIZATION SERVICE\nCARD INDEX\nRECEIVED\nupper left-hand corner of all copies of\ndeclaration, immediately under your\nINDEX BOOKS\nMAY 5 1927\n7184\ndeclaration number.\nEXAMINTR scen\nDISTRICT DIRECTOR OF NATURALIZATION\nOFFICE OF\nMANIFESTS Person pits DE W HAVEN, MARK OF CONT.\nLABOR\nNe ORALIZATION SENYAUM\nBOEIVER\nI desire to file my Declaration of Intention (first paper) to become a citizen.\nMr.\nMAY\nNils Sigfrid Pehrsson\nQ\nMy name is\nMrs.\n; age,\n40\nyears.\nMiss\n(Alien should print or typewrite here true, original, and correct name)\nage last birthdayd\nMy present occupation is\nTailor\nHIAMI, N. v.\ndark\nMy personal description is: Color, white ; complexion, liht brown\n; height, --5\nfeet 5- s inches;\nweight, I35\npounds; color of hair.\nnark brown\n; color of eyes, blow blue\n;\nother visible distinctive marks:\nnone\nI was born in\nKriinge\nSweden\n(City or town)\n(Country)\non the\n29\nday of November\n, .8.86\nMy present residence is\n6I Maple Ave.\nNew London, NewLondon, conn.\n(Number and street)\n(City or town)\n(County)\n(State)\nThe or me was\nplace where I took the ship train which landed in the United States Copenhagen\nGponhekon Dinmark\n, on\nJuly\nI3,\n1922\n(Day)\n(Year)\nThe name of the ship or railroad on which I came was\nEnedrick\n(Month) the 8th VIII\nHassletator Hassleholm, swaden\nMy last place of foreign residence was\nSwodon\n(City or town)\nwife\nmaria\n(Country)\nShe\nI am\nmarried. The name of my\nis\nKristianstad,\nhusband\nAnna Pehrsson\nHe\n}\nwas born at\nSwodon\n, and now resides at\nSwoden paid Hassleholm\nI am now a subject of and intend to renounce allegiance to\nGustav (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 of\n[New York\n(City or town)\nnewyork\n, on 24 July I922\n(State or territory)\n14-8\n(Give exact month, day, and year)\n(OVER)"
}