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File numbers 4874 - 5509, 1926-1930

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Form 2213 PRELIMINARY FORM FOR DECLARATION OF INTENTION TO BECOME A CITIZEN 5177 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: 37797 RECORDS EXAMINED Place number in CARD INDEX NATURALIZATION SERVICE upper left-hand corner of all copies of RECEIVED declaration, immediately under your INDEX BOOKS declaration number. SED DISTRICT DIRECTOR OF NATURALIZATION MANIFESTS OFFICE OF EXAMINER NEW HAVEN, CONN. DEPAKINAN on LABOR I desire to file my Declaration of Intention (first paper) to become a citizen. Mr. My name is Mrs. JOHN ROBERT KILROY BURNS ; age, 28 years. Miss (Alien should print or typewrite here true, original, and correct name) (Give age last birthday) My present occupation is Carpenter My personal description is: Color, White ; complexion, Fair ; height, 5 feet 10 inches; weight, 152 pounds; color of hair, light Brown; color of eyes, Blue ; other visible distinctive Newrostle Walker, marks. synemouth None Scars Northumberland left England this finger I was born in (City or town) (Country) on the 3rd day of july 1899 Eng land. My present residence is 11 Deane Street Groton Newsbandon bonn. (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 diverpool England ,on April 23rd 1924 (Month) (Day) (Year) The name of the ship or railroad on which I came was bedric My last place of foreign residence was wate Wakefield (City or town) Enyland (Country) I am single married. The name of { wife She my is was born at husband He , and now resides at George V; ty the Grace of God, of Great Britain, , I am now a subject of and intend to renounce allegiance to George't Write Irelang, Det thing and the British Dominions.beyond the Britain name and title6f soverei and country of which now a subject; 'e reland. British only) Deminions & Emperies Beorge the on Grace sh beyond Britain, the V, by the offed, of Great *or, if citizen of a republic, write name of republic Dommons "Seas Boston King, Defender of the Faith, Emperor of India. I arrived at the United States immigration port of t (City or town) Marsachusetts (State or territory) SEP typ 1927 , on May 120 1924 (Give exact month, day, and year) OVER) OCT 28 1927

Page data

Page
607
Source index
0
Type
photo
Media ID
0a19000ce124423a
Size
unknown

Document data

ID
159596813
Core
doc
Type
document
DTO data 
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Context sent to Scholar

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    "ocrText": "Form 2213\nPRELIMINARY FORM FOR DECLARATION OF INTENTION TO BECOME A CITIZEN\n5177\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:\n37797\nRECORDS EXAMINED\nPlace number\nin\nCARD INDEX\nNATURALIZATION SERVICE\nupper left-hand corner of all copies of\nRECEIVED\ndeclaration, immediately under your\nINDEX BOOKS\ndeclaration number.\nSED\nDISTRICT DIRECTOR OF NATURALIZATION\nMANIFESTS\nOFFICE OF EXAMINER\nNEW HAVEN, CONN.\nDEPAKINAN on LABOR\nI desire to file my Declaration of Intention (first paper) to become a citizen.\nMr.\nMy name is\nMrs.\nJOHN ROBERT KILROY BURNS\n; age,\n28\nyears.\nMiss\n(Alien should print or typewrite here true, original, and correct name)\n(Give age last birthday)\nMy present occupation is Carpenter\nMy personal description is: Color, White ;\ncomplexion,\nFair\n; height, 5 feet 10 inches;\nweight,\n152 pounds; color of hair, light Brown; color of eyes, Blue\n;\nother visible distinctive\nNewrostle Walker, marks. synemouth None Scars Northumberland left England this finger\nI was born in\n(City or town)\n(Country)\non the\n3rd day of july\n1899\nEng land.\nMy\npresent residence is 11 Deane Street Groton Newsbandon bonn.\n(Number and street)\n(City or town)\n(County)\n(State)\nThe\nplace where I took the ship or train which landed me in the United States was diverpool\nEngland\n,on\nApril\n23rd 1924\n(Month)\n(Day)\n(Year)\nThe name of the ship or railroad on which I came was\nbedric\nMy last place of foreign residence was\nwate\nWakefield\n(City or town)\nEnyland\n(Country)\nI am single married. The name of\n{\nwife\nShe\nmy\nis\nwas born at\nhusband\nHe\n, and now resides at\nGeorge V; ty the Grace of God, of Great Britain, ,\nI am now a subject of and intend to renounce allegiance\nto George't Write Irelang, Det thing and the British Dominions.beyond the Britain\nname and title6f soverei and country of which now a subject;\n'e reland. British only) Deminions & Emperies Beorge the on Grace sh beyond Britain, the\nV, by the offed, of Great\n*or, if citizen of a republic, write name of republic\nDommons \"Seas\nBoston\nKing, Defender of the Faith, Emperor of India.\nI arrived at the United States immigration\nport of t\n(City or town)\nMarsachusetts\n(State or territory)\nSEP typ 1927\n,\non May 120 1924\n(Give exact month, day, and year)\nOVER)\nOCT 28 1927"
}