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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
Page data
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- Source index
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- Type
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- Media ID
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- Size
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Document data
- ID
- 159596813
- Core
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- Type
- document
DTO data
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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"
}