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Form 2213
PRELIMINARY FORM FOR DECLARATION OF INTENTION TO BECOME A CITIZEN
5102
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
I desire to file my Declaration of Intention (first paper) to become a citizen.
Mrz
My name is
Mrs.
Mary Halloran
51
; age,
years.
Miss
(Alien should print or typewrite here true, original, and correct name)
(Give age last birthday)
My present occupation is
Houseworker
My personal description is: Color, white
; complexion,
dark
; height,
5
feet 1/2 inches;
weight, 153
pounds; color of hair, grey
; color of eyes,
brown
;
other visible distinctive marks:
none
I was born in
Mo unt Shannon
Ireland
(City or town)
(Country)
on the
15th
day of
August
, 876
My present residence is
#597 Pequot Avenue
New London New London Connecticut
(Number and street)
(City or town)
(County)
(State)
The place where I took the ship or train which landed me in the United States was
Queenstown
Ireland
,on
May
2
1895
(Month)
(Day)
(Year)
The name of the ship or railroad on which I came was Brittanic White Starzinal
sand
My last place of foreign residence was
Mount Shannon
- Ireland
A
(City or town)
(Country)
I am not married. The name of my
{
wife
}
She
is
was born at
husband
He
and now resides at
,
I am now a subject of and intend to renounce allegiance to
King George of Great Britain
(Write name and title of sovereign and country of which now a subject;
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)
New York
, on
May 11, 1895
(State or territory)
14-8
(Give exact month, day, and year)
(OVER)
Page data
- Page
- 456
- Source index
- 0
- Type
- photo
- Media ID
- 94779694858ce293
- Size
- unknown
Document data
- ID
- 159596813
- Core
- doc
- Type
- document
DTO data
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Context sent to Scholar
Document identity
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Document source metadata
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Document source extras
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Page context
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"ocrText": "Form 2213\nPRELIMINARY FORM FOR DECLARATION OF INTENTION TO BECOME A CITIZEN\n5102\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\nI desire to file my Declaration of Intention (first paper) to become a citizen.\nMrz\nMy name is\nMrs.\nMary Halloran\n51\n; age,\nyears.\nMiss\n(Alien should print or typewrite here true, original, and correct name)\n(Give age last birthday)\nMy present occupation is\nHouseworker\nMy personal description is: Color, white\n; complexion,\ndark\n; height,\n5\nfeet 1/2 inches;\nweight, 153\npounds; color of hair, grey\n; color of eyes,\nbrown\n;\nother visible distinctive marks:\nnone\nI was born in\nMo unt Shannon\nIreland\n(City or town)\n(Country)\non the\n15th\nday of\nAugust\n, 876\nMy present residence is\n#597 Pequot Avenue\nNew London New London Connecticut\n(Number and street)\n(City or town)\n(County)\n(State)\nThe place where I took the ship or train which landed me in the United States was\nQueenstown\nIreland\n,on\nMay\n2\n1895\n(Month)\n(Day)\n(Year)\nThe name of the ship or railroad on which I came was Brittanic White Starzinal\nsand\nMy last place of foreign residence was\nMount Shannon\n- Ireland\nA\n(City or town)\n(Country)\nI am not married. The name of my\n{\nwife\n}\nShe\nis\nwas born at\nhusband\nHe\nand now resides at\n,\nI am now a subject of and intend to renounce allegiance to\nKing George of Great Britain\n(Write name and title of sovereign and country of which now a subject;\nor, if citizen of a republic, write name of republic only)\nI arrived at the United States immigration port of\nNew York\n(City or town)\nNew York\n, on\nMay 11, 1895\n(State or territory)\n14-8\n(Give exact month, day, and year)\n(OVER)"
}