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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)
Page data
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- Source index
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- Type
- photo
- Media ID
- 64a1a1930d8ac3d6
- Size
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Document data
- ID
- 159596813
- Core
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- Type
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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\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)"
}