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Form 2213
PRELIMINARY FORM FOR DECLARATION OF INTENTION TO BECOME A CITIZEN
5404
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.
/
Marie Vlaun
; age, 35
years.
Miss-
(Alien should print or typewrite here true, original, and correct name)
(Give age last birthday)
My
My personal description is: Color, White ; complexion, while
present occupation is house wife
; height,
5 feet 9 inches;
weight, 170 pounds; color of hair, Brown
; color of eyes, gray
;
other visible distinctive marks:
I was born in Anguille (City B. or town) W.I.
(Country)
on the 12
day of September
, 1893
My
residence is 15 Smith st new London
n L.
Coun
present
(Number and street)
(City or town)
(County)
(State)
The place or me was
where I took the ship train which landed in the United States stkilts B.W.J.
may 22,
on may Month)
22
1916
(Day)
(Year)
The name of the ship or railroad on which I came was
Euiana
My of residence was ST Kills B.W,D
last place foreign
I am yes married. The name of my wile husband (City is Charlo Vlaun (Country)
or town)
She
was born at
He
French west Indus and now resides at Ken London comm
I am now a subject of and intend to renounce allegiance to
great 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
Hen York (City
or town)
, on
(State or territory)
22 14-8 of (Give may exact month, day, and 1916 year)
(OVER)
Page data
- Page
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- Source index
- 0
- Type
- photo
- Media ID
- a6ccbbcf424000ec
- 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\n5404\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.\n/\nMarie Vlaun\n; age, 35\nyears.\nMiss-\n(Alien should print or typewrite here true, original, and correct name)\n(Give age last birthday)\nMy\nMy personal description is: Color, White ; complexion, while\npresent occupation is house wife\n; height,\n5 feet 9 inches;\nweight, 170 pounds; color of hair, Brown\n; color of eyes, gray\n;\nother visible distinctive marks:\nI was born in Anguille (City B. or town) W.I.\n(Country)\non the 12\nday of September\n, 1893\nMy\nresidence is 15 Smith st new London\nn L.\nCoun\npresent\n(Number and street)\n(City or town)\n(County)\n(State)\nThe place or me was\nwhere I took the ship train which landed in the United States stkilts B.W.J.\nmay 22,\non may Month)\n22\n1916\n(Day)\n(Year)\nThe name of the ship or railroad on which I came was\nEuiana\nMy of residence was ST Kills B.W,D\nlast place foreign\nI am yes married. The name of my wile husband (City is Charlo Vlaun (Country)\nor town)\nShe\nwas born at\nHe\nFrench west Indus and now resides at Ken London comm\nI am now a subject of and intend to renounce allegiance to\ngreat Write name and title of sovereign Britian and country of which\nnow a subject;\nor, if citizen of a republic, write name of republic only)\nI arrived at the United States immigration port of\nHen York (City\nor town)\n, on\n(State or territory)\n22 14-8 of (Give may exact month, day, and 1916 year)\n(OVER)"
}