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Form 2213 PRELIMINARY FORM FOR DECLARATION OF INTENTION TO BECOME A CITIZEN 5310 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: 41397 RECORDS EXAMINED Place number in CARD INDEX DEC 16 1927 upper left-hand corner of all copies of declaration, immediately under your INDEX BOOKS OFFICE OF EXAMYNER CONN. declaration number. DEPARTMENT NEW us LABOR HAVEN, DISTRICT DIRECTOR OF NATURALIZATION MANIFESTS 7009 I desire to file my Declaration of Intention arkays (first paper) to become a citizen. Mr. My name is Mrs. William/ here STURRT original, and William. name) ; age, 20 years. Miss (Alien should print or true, gorrect typewrite statistician (Give age last birthday) My present occupation is 61/22 My personal description is: Color, WHITE ; complexion, FAIR light ; height, 5 feet 7th inches; 127 weight, 120 pounds; color of hair, EAIR light ; color of eyes, BLUE ; other visible distinctive marks: NONE I was born in GREENOCK SCOTlAND (City or town) (Country) on the 20 day of smitchells.c.c. OCTOBER 1907 My present residence is 41 BENHAM Rd GROTON NEWLONDON CONNECTICUT (Number and street) (City or town) (County Kinsoow (State) The place where I took the ship or train which landed me in the United States was Scot lAND , on JANUARY 14 1922 (Month) (Day) (Year) The name of the ship or railroad on which I came was S.S. ASSYRIA said My last place of foreign residence was GREENOCK (City or town) (Country) thing 1 SCOTlAND wife She I am NOT married. The name of my is - - was born at husband He - - and now resides at - , I am now a subject of and intend to renounce allegiance to Galr GREAT BRITAIN itlerof 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 NE YORK (City or town) NEY YORK , on JANUARY 30 19221 (State or territory) 14-8 (Give exact month, day, and year) (OVER)

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871
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Type
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    "ocrText": "Form 2213\nPRELIMINARY FORM FOR DECLARATION OF INTENTION TO BECOME A CITIZEN\n5310\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:\n41397\nRECORDS EXAMINED\nPlace number\nin\nCARD INDEX\nDEC 16 1927\nupper left-hand corner of all copies of\ndeclaration, immediately under your\nINDEX BOOKS\nOFFICE OF EXAMYNER CONN.\ndeclaration number.\nDEPARTMENT NEW us LABOR\nHAVEN,\nDISTRICT DIRECTOR OF NATURALIZATION\nMANIFESTS\n7009\nI desire to file my Declaration of Intention arkays (first paper) to become a citizen.\nMr.\nMy name is\nMrs.\nWilliam/ here STURRT original, and William. name) ; age,\n20\nyears.\nMiss\n(Alien should print or true, gorrect\ntypewrite statistician\n(Give age last birthday)\nMy present occupation is\n61/22\nMy personal description is: Color, WHITE ; complexion,\nFAIR light ;\nheight, 5\nfeet 7th inches;\n127\nweight, 120\npounds; color of hair,\nEAIR light ;\ncolor of eyes,\nBLUE\n;\nother visible distinctive marks:\nNONE\nI was born in\nGREENOCK\nSCOTlAND\n(City or town)\n(Country)\non the\n20\nday of\nsmitchells.c.c. OCTOBER 1907\nMy present residence is\n41 BENHAM Rd\nGROTON NEWLONDON\nCONNECTICUT\n(Number and street)\n(City or town)\n(County\nKinsoow\n(State)\nThe place where I took the ship or train which landed me in the United States was\nScot lAND\n, on JANUARY\n14\n1922\n(Month)\n(Day)\n(Year)\nThe name of the ship or railroad on which I came was S.S. ASSYRIA\nsaid\nMy last place of foreign residence was GREENOCK\n(City or town)\n(Country)\nthing\n1\nSCOTlAND\nwife\nShe\nI am NOT married. The name of my\nis\n-\n-\nwas born at\nhusband\nHe\n-\n-\nand now resides at\n-\n,\nI am now a subject of and intend to renounce allegiance to\nGalr\nGREAT BRITAIN\nitlerof 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\nNE\nYORK\n(City or town)\nNEY YORK\n,\non JANUARY 30 19221\n(State or territory)\n14-8\n(Give exact month, day, and year)\n(OVER)"
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