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Form 2213 PRELIMINARY FORM FOR DECLARATION OF INTENTION TO BECOME A CITIZEN 5319 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 45358 in CARD INDEX 648 upper left-hand corner of all copies of declaration, immediately under your INDEX BOOKS declaration number. SERVIOE SERVIO DIRECTOR OF NATURALIZATION RECBIVEL MANIFESTS 9 APR 5 1928 I desire to file my Declaration of Intention (first paper) to become a citizen OF EXAMINER Mr. mr A OF RTMANS L, ABOR } J. APR 4 1928 DISTRIO DIRECTOR NEW BA LENT VEN, 28 CONN. mber My name is Mrs. age, years. Miss (Alien should print or typewrite here true, original, and correct name) (Give age last birthday) My present occupation is sailor My personal description is: Color, White ; complexion, Fair dark ; height, 5th feet 03/4 inches; weight, 148 pounds; color of hair, Black ; color of eyes, Grey brown ; other visible distinctive marks: small scar run right eye. I was born in Buslington (City or Hants town) County nova Scotia. (Country) Canada. on the 27 day of march 1200 My present residence is 22 Pearl St. new Lindon Cmn. (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 yarmouth nova Scotia ,on may About! 1922. (Month) (Day) (Year) The railroad which I was S.S. Prince authur. name of the ship or on came My last place of foreign residence was Chevine Nova Scotia. Canada. (City or town) (Country) I am not married. The of my wife She IS husband He 1 was born tat , and now resides at I am now a subject of and intend to renounce allegiance to King George rite name and title V of of vereign great and country Brittain 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 Biston Associates mass. , on About 14-8 exact 6th month, day, 1922 and year) May 21,1422 (State or territory) (Give 1/71/22 Buy (OVER)

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889
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Document data

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Core
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Type
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    "ocrText": "Form 2213\nPRELIMINARY FORM FOR DECLARATION OF INTENTION TO BECOME A CITIZEN\n5319\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\n45358\nin\nCARD INDEX\n648\nupper left-hand corner of all copies of\ndeclaration, immediately under your\nINDEX BOOKS\ndeclaration number.\nSERVIOE\nSERVIO\nDIRECTOR OF NATURALIZATION\nRECBIVEL\nMANIFESTS\n9\nAPR 5 1928\nI desire to file my Declaration of Intention (first paper) to become a citizen OF EXAMINER\nMr.\nmr\nA OF\nRTMANS L, ABOR\n}\nJ.\nAPR 4 1928\nDISTRIO DIRECTOR\nNEW BA LENT VEN, 28 CONN. mber\nMy name is\nMrs.\nage,\nyears.\nMiss\n(Alien should print or typewrite here true, original, and correct name)\n(Give age last birthday)\nMy present occupation is sailor\nMy personal description is: Color, White\n; complexion,\nFair dark ; height, 5th feet 03/4 inches;\nweight,\n148 pounds; color of hair, Black\n; color of eyes, Grey brown\n;\nother visible distinctive marks: small scar run right eye.\nI\nwas born in Buslington (City or Hants town) County nova Scotia. (Country) Canada.\non the 27\nday of\nmarch\n1200\nMy present residence is 22 Pearl St.\nnew Lindon\nCmn.\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 yarmouth\nnova Scotia\n,on may\nAbout!\n1922.\n(Month)\n(Day)\n(Year)\nThe railroad which I was S.S. Prince authur.\nname of the ship or on came\nMy last place of foreign residence was Chevine\nNova Scotia. Canada.\n(City or town)\n(Country)\nI am not married. The of my\nwife\nShe\nIS\nhusband\nHe\n1\nwas born tat\n, and now resides at\nI am\nnow a subject of and intend to renounce allegiance to King George rite name and title V of of vereign great and country Brittain of which now a\nsubject;\nor, if citizen of a republic, write name of republic only)\nI arrived at the United States immigration port of Biston\nAssociates\nmass.\n, on About 14-8 exact 6th month, day, 1922 and year)\nMay\n21,1422\n(State or territory)\n(Give\n1/71/22\nBuy (OVER)"
}