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Form 2213 PRELIMINARY FORM FOR DECLARATION OF INTENTION TO BECOME A CITIZEN 5216 U. S. DEPARTMENT OF LABOR NOT TO BE FILLED IN BY ALIEN NATURALIZATION SERVICE FOR USE OF OFFICIALS SEARCHING IMMI- GRATION RECORDS CLERK OF COURT: RECORDS EXAMINED Place number in upper left-hand corner of all copies of CARD INDEX 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. Mr. My name is Mrs. ALFRED BOLTON ; age, 23 years. (Alien should print or typewrite here true, original, and correct name) (Give age last birthday) Miss My present occupation is PLUMBER WHITE My personal description is: Color, ; complexion, RAIR ; height, 6 feet inches; weight, 150 pounds; color of hair, BROWN ; color of eyes, BLUE Blue other visible distinctive marks: none I was born in BRADFORD ENGLAND (City or town) (Country) the 13 day of DECEMBER , 1904 for on My present residence 5 is SWILCOX MANOR WESTERLY P CONN (Number and street) (City or town) (County) (State) The place where I took the ship or train which landed mein theUnited Stateswas LIVERPOOL England , on NOV. 16 1909 (Month) (Day) (Year) The name of the ship or railroad on which I came was SAXONIA My last place of foreign residence was party BRHDFORD TENGLAND (City or town) (Country) { wife She I am NOT married. The name of my is } was born at husband He , and now resides at , I of and intend to allegiance to KING bEORGE OFENGLAND am now a subject renounce (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 BOSTON (City or town) MASS , on NOV.25 1909 (State or territory) 14-8 (Give exact month, day, and year) (OVER)

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683
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Document data

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Core
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    "ocrText": "Form 2213\nPRELIMINARY FORM FOR DECLARATION OF INTENTION TO BECOME A CITIZEN\n5216\nU. S. DEPARTMENT OF LABOR\nNOT TO BE FILLED IN BY ALIEN\nNATURALIZATION SERVICE\nFOR USE OF OFFICIALS SEARCHING IMMI-\nGRATION RECORDS\nCLERK OF COURT:\nRECORDS EXAMINED\nPlace number\nin\nupper left-hand corner of all copies of\nCARD INDEX\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.\nMr.\nMy name is\nMrs.\nALFRED BOLTON\n; age,\n23\nyears.\n(Alien should print or typewrite here true, original, and correct name)\n(Give age last birthday)\nMiss\nMy present occupation is PLUMBER\nWHITE\nMy personal description is: Color, ; complexion, RAIR\n; height, 6 feet\ninches;\nweight, 150 pounds; color of hair, BROWN\n; color of eyes,\nBLUE Blue\nother visible distinctive marks:\nnone\nI was born in BRADFORD\nENGLAND\n(City or town)\n(Country)\nthe 13\nday of DECEMBER\n, 1904\nfor\non\nMy present residence 5 is SWILCOX MANOR WESTERLY P\nCONN\n(Number and street)\n(City or town)\n(County)\n(State)\nThe place where I took the ship or train which landed mein theUnited Stateswas LIVERPOOL\nEngland\n, on\nNOV.\n16\n1909\n(Month)\n(Day)\n(Year)\nThe name of the ship or railroad on which I came was SAXONIA\nMy last place of foreign residence was\nparty\nBRHDFORD\nTENGLAND\n(City or town)\n(Country)\n{\nwife\nShe\nI am NOT married. The name of my\nis\n}\nwas born at\nhusband\nHe\n, and now resides at\n,\nI of and intend to allegiance to KING bEORGE OFENGLAND\nam now a subject renounce\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\nBOSTON\n(City or town)\nMASS\n, on\nNOV.25 1909\n(State or territory)\n14-8\n(Give exact month, day, and year)\n(OVER)"
}