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File numbers 4874 - 5509, 1926-1930

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Form 2218 PRELIMINARY FORM FOR DECLARATION OF INTENTION TO BECOME A CITIZEN 4924 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 CARD INDEX upper left-hand corner of all copies of declaration, immediately under your INDEX BOOKS declaration number. DISTRICT DIRECTOR OF NATURALIZATION. MANIFESTS (NOTE TO CLERK OF COURT.-To guide you in preparing the Declaration: The black face lines on this form contain statements in the regular order as they are to appear on the Declaration of Intention.) I desire to file my Declaration of Intention (first paper) to become a citizen. Mr. My name is Mrs. BERT KIETH ; age, 30 years. Mi (Alien should print or typewrite here true, original, and correct name) (Give age last birthday) Also known as (If alien has used any other name in this country, that name should be shown here) I used that name because The full namo of the person shown on my steamship ticket was My mother's maiden name My maiden name was (if woman) My present occcupation is yeoman, 1st class. U.S. Coast guard My personal description is: Color, white ; complexion, fair ; height, 5 feet 6% inches; weight, 145 pounds; color of hair, brown ; color of eyes, blue ; other visible distinctive marks: none I was born in Kitchener Canada (City or town) (Country) on the 27 day of may 1896 My present residence is 48 Howard st. New London lonn (Number and street) (City or town) (County) (State) My post office address is 48 Howard St. new London Conn. The place where I took the ship or train which landed me in the United States was said Ritchever , on (Month) (Day) (Year) The ticket on which I came to this country was bought at The name of the ship or railroad on which I came was (City) (Country) (OVER) el4-8

Page data

Page
100
Source index
0
Type
photo
Media ID
dfaa31fbe0d46b22
Size
unknown

Document data

ID
159596813
Core
doc
Type
document
DTO data 
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Context sent to Scholar

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    "ocrText": "Form 2218\nPRELIMINARY FORM FOR DECLARATION OF INTENTION TO BECOME A CITIZEN\n4924\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\nCARD INDEX\nupper left-hand corner of all copies of\ndeclaration, immediately under your\nINDEX BOOKS\ndeclaration number.\nDISTRICT DIRECTOR OF NATURALIZATION.\nMANIFESTS\n(NOTE TO CLERK OF COURT.-To guide you in preparing the Declaration: The black face lines on this form contain statements\nin the regular order as they are to appear on the Declaration of Intention.)\nI desire to file my Declaration of Intention (first paper) to become a citizen.\nMr.\nMy name is\nMrs.\nBERT KIETH\n; age,\n30\nyears.\nMi\n(Alien should print or typewrite here true, original, and correct name)\n(Give age last birthday)\nAlso known as\n(If alien has used any other name in this country, that name should be shown here)\nI used that name because\nThe full namo of the person shown on my steamship ticket was\nMy mother's maiden name\nMy maiden name was (if woman)\nMy present occcupation is yeoman, 1st class. U.S. Coast guard\nMy personal description is: Color, white ; complexion, fair\n; height,\n5 feet 6% inches;\nweight, 145 pounds; color of hair, brown\n;\ncolor of eyes, blue\n;\nother visible distinctive marks:\nnone\nI was\nborn in Kitchener\nCanada\n(City or town)\n(Country)\non the\n27 day of\nmay\n1896\nMy present residence is\n48 Howard st. New London\nlonn\n(Number and street)\n(City or town)\n(County)\n(State)\nMy post office address is 48 Howard St. new London\nConn.\nThe place where I took the ship or train which landed me in the United States was said\nRitchever\n, on\n(Month)\n(Day)\n(Year)\nThe ticket on which I came to this country was bought at\nThe\nname of the ship or railroad on which I came was (City) (Country)\n(OVER)\nel4-8"
}