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Form 2213 PRELIMINARY FORM FOR DECLARATION OF INTENTION TO BECOME A CITIZEN 5143 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 NATURALIZATION SERVICE 35369 RECEIVED Place number in CARD INDEX upper left-hand corner of all copies of MAY 6 1927 declaration, immediately under your INDEX BOOKS BUKEA declaration number. OFFICE OF DISTRICT DIRECTOR OF NATURALIZATION NE W HAVEN, MANIFESTS Details UE LABUL MAY 17 3 1927 ? I desire to file my Declaration of Intention (first paper) to become a citizen. Mr. My name is Mrs. JOHN TATE ; age, 30 years. Miss (Alien should print or typewrite here true, original, and correct name) (Give age last birthday) My present occupation is My personal description is: Color, Enginees White fair Fair medication 81/4 ; complexión, ; height, 5 feet of inches; weight, 165 pounds; of hair. Light Brown ; color of eyes, Grey color ; other visible distinctive Leeds marks: scarh on leftforfinger I was born in (City or town) England (Country) on 530 the 11 11th Phames day of January , 1897 My present residence is 39 Geanite It (Number and street) Groton NewLondon Conn (City or town) (County) (State) The or me was place where I took the ship train which landed in the United States Liverpool England , on april 18th Month) (Day) (Year) 1925 Ine name OI the ship or rauroad on which I came was Barac My last place of foreign residence was paid Leeds (City or town) Frances (Country) I am - married. The name of my { wife Francis Davis Fale Englank She is was born at Ho Wahefield England husband , and now said resides at A Trolon land Ilam now a subject of and intend to renounce allegiance to George V, King of the United Kingdon of Great ling name and George title of overeign and country England of which now a subject; or, if citizen of a republic, write name of republic only) Seas, Emperor of India. Ireland and of-the British Dominions beyonn Britam he I arrived at the United States immigration port of n.y (State or new york (City , on apout 14-8 (Give 28th month, day, and/year) 1925 or town) territory) exact Q (OVER) O/A ISSUED JUL 21 1927

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538
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    "ocrText": "Form 2213\nPRELIMINARY FORM FOR DECLARATION OF INTENTION TO BECOME A CITIZEN\n5143\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\nNATURALIZATION SERVICE\n35369\nRECEIVED\nPlace number\nin\nCARD INDEX\nupper left-hand corner of all copies of\nMAY 6 1927\ndeclaration, immediately under your\nINDEX BOOKS\nBUKEA\ndeclaration number.\nOFFICE OF\nDISTRICT DIRECTOR OF NATURALIZATION\nNE W HAVEN,\nMANIFESTS\nDetails UE LABUL\nMAY 17 3 1927\n?\nI desire to file my Declaration of Intention (first paper) to become a citizen.\nMr.\nMy name is\nMrs.\nJOHN TATE\n; age,\n30\nyears.\nMiss\n(Alien should print or typewrite here true, original, and correct name)\n(Give age last birthday)\nMy present occupation is\nMy personal description is: Color, Enginees White fair Fair medication\n81/4\n; complexión,\n; height, 5 feet of inches;\nweight, 165 pounds; of hair. Light Brown ; color of eyes, Grey\ncolor\n;\nother visible distinctive Leeds marks: scarh on leftforfinger\nI was born in\n(City or town)\nEngland\n(Country)\non\n530 the 11 11th Phames day of January\n, 1897\nMy present residence is 39 Geanite It (Number and street)\nGroton NewLondon Conn\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 Liverpool\nEngland\n, on\napril\n18th\nMonth)\n(Day)\n(Year)\n1925\nIne name OI the ship or rauroad on which I came was\nBarac\nMy last place of foreign residence was paid Leeds\n(City or town) Frances\n(Country)\nI am\n-\nmarried. The name of my\n{\nwife\nFrancis Davis Fale\nEnglank\nShe\nis\nwas born at\nHo\nWahefield England husband , and now said resides at A Trolon land\nIlam now a subject of and intend to renounce allegiance to\nGeorge V, King of the United Kingdon of Great\nling name and George title of overeign and country England of which now a subject;\nor, if citizen of a republic, write name of republic only) Seas, Emperor of India.\nIreland and of-the British Dominions beyonn Britam\nhe\nI arrived at the United States immigration port of\nn.y (State or\nnew york (City\n, on\napout 14-8 (Give 28th month, day, and/year) 1925\nor town)\nterritory)\nexact\nQ\n(OVER)\nO/A ISSUED\nJUL 21 1927"
}