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Form 2213
PRELIMINARY FORM FOR DECLARATION OF INTENTION TO BECOME A CITIZEN
5217
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
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.-
present occupation is Aona student
Miss
/
mary Winitred Austin and
;
age, nineteen
years.
(Alien should print or typewrite herg true, original, correct name)
(Give age last birthday)
My
My personal description is: Color, White ; complexion, substair ; height, 5 feet
6
*
inches;
weight, 114
pounds; color of hair, Blande light color of eyes, gray
;
other visible distinctive marks:
none
I was born in
Edinburgh
Scotland
(Oity or town)
(Country)
on the
13th
day of
October
1908
My present residence is Versailles
(Number and street)
Spraque,
new London , Connecticut (State)
(City or/town)
(County)
The place where I took the ship or train which landed me in the United States was new Castle,
Canada
new Bruns wic K, SEJohns, on December 12th 1912
(Month),
(Day)
(Year)
The name of the ship or railroad on which I came was
Canadian Pacific Railroad
My last place of foreign residence was
Millertown, new Brunswick Canada
(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
George allegiance V to Kimargreat (Write name and title of sovereign Britian 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
Vanceboro ,
(City or town)
Maine
, on
December
13th 1912
(State or territory)
14-8
(Give exact month, day, and year)
(OVER)
Page data
- Page
- 685
- Source index
- 0
- Type
- photo
- Media ID
- 17dbf4ff41bdfa47
- 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\n5217\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\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.-\npresent occupation is Aona student\nMiss\n/\nmary Winitred Austin and\n;\nage, nineteen\nyears.\n(Alien should print or typewrite herg true, original, correct name)\n(Give age last birthday)\nMy\nMy personal description is: Color, White ; complexion, substair ; height, 5 feet\n6\n*\ninches;\nweight, 114\npounds; color of hair, Blande light color of eyes, gray\n;\nother visible distinctive marks:\nnone\nI was born in\nEdinburgh\nScotland\n(Oity or town)\n(Country)\non the\n13th\nday of\nOctober\n1908\nMy present residence is Versailles\n(Number and street)\nSpraque,\nnew London , Connecticut (State)\n(City or/town)\n(County)\nThe place where I took the ship or train which landed me in the United States was new Castle,\nCanada\nnew Bruns wic K, SEJohns, on December 12th 1912\n(Month),\n(Day)\n(Year)\nThe name of the ship or railroad on which I came was\nCanadian Pacific Railroad\nMy last place of foreign residence was\nMillertown, new Brunswick Canada\n(City or town)\n(Country)\nI am not married. The name of my {\nwife\nShe\nis\nwas born-at\nhusband\nHe\nand now resides at\nI am now a subject of and intend to renounce\nGeorge allegiance V to Kimargreat (Write name and title of sovereign Britian and country of\nwhich now a subject;\nor, if citizen of a republic, write name of republic only)\nI arrived at the United States immigration port of\nVanceboro ,\n(City or town)\nMaine\n, on\nDecember\n13th 1912\n(State or territory)\n14-8\n(Give exact month, day, and year)\n(OVER)"
}