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Form 2213 11/47/6871 PRELIMINARY FORM FOR DECLARATION OF INTENTION TO BECOME A CITIZEN 5415 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 NATURALIZATION SERVICE Place number 39723 in RECEIVED upper left-hand corner of all copies of CARD INDEX declaration, immediately under your INDEX BOOKS AUG 22,1928 declaration number. afa. OFFICE OF EXAMINER DISTRICT DIRECTOR OF NATURALIZATION MANIFESTS NA W HAVEN, CONN. MAYL LABOR OH' NATURALIZATION SERVICE RECEITRE I desire to file my Declaration of Intention (first paper) to become a citizen. AUG 23 1928 Mrv My name is Mrs. } mangu Margaret Welsh DISTRICI DIRECTOR ; age BOSTON vasid years. Mies (Alien/should print or typewrite here true, original, and correct name) last UF birthday) My present occupation is Housekeeping LABOR My personal description is: Color, White complexion, pale ; height, 5 feet 5 inches; & weight, 130 pounds; color of hair, Blacks Enjoy ; color of eyes, Blue ; other visible distinctive marks: I was born in Belfast Ireland (City or town) on the 9th day of (Country) born My present residence is 18 (Number and street) (City or town) A Westerly (County) (State) The place, where ship or England , on July (Month) 10 1921 2A 1928 (Day) (Year) The name of the ship or railroad on which I came was beltic. White Star Line My residence was AL foreign N. Y. Belfast Ireland (City or town) (Country) wife I am *. - married. The name of my is John Welsh was born at husband limberille, sti He Belfast.Ireland , and now resides at 18 bleveland! st. Westerly I am now a subject of and intend to renounce allegiance to King. rite name George and title d'sovereign and V. countrylof of which England now subject; a or, if citizen of a republic, write name of republic only) I arrived at the United States immigration port of new fork (City or town) newyork (State state territory) , on or about 14-8 (Give 18 month, day, July and V1921 exact year) (OVER)

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1087
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Document data

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Type
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    "ocrText": "Form 2213\n11/47/6871\nPRELIMINARY FORM FOR DECLARATION OF INTENTION TO BECOME A CITIZEN\n5415\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\nNATURALIZATION SERVICE\nPlace number\n39723 in\nRECEIVED\nupper left-hand corner of all copies of\nCARD INDEX\ndeclaration, immediately under your\nINDEX BOOKS\nAUG 22,1928\ndeclaration number.\nafa.\nOFFICE OF EXAMINER\nDISTRICT DIRECTOR OF NATURALIZATION\nMANIFESTS\nNA W HAVEN, CONN.\nMAYL LABOR\nOH'\nNATURALIZATION SERVICE\nRECEITRE\nI desire to file my Declaration of Intention (first paper) to become a citizen.\nAUG 23 1928\nMrv\nMy name is\nMrs.\n}\nmangu Margaret Welsh\nDISTRICI DIRECTOR\n; age\nBOSTON vasid years.\nMies\n(Alien/should print or typewrite here true, original, and correct name)\nlast UF birthday)\nMy present\noccupation is Housekeeping\nLABOR\nMy personal description is: Color, White complexion, pale\n; height,\n5 feet 5 inches;\n&\nweight, 130 pounds; color of hair, Blacks Enjoy ; color of eyes,\nBlue\n;\nother visible distinctive marks:\nI was born in\nBelfast\nIreland\n(City or town)\non the 9th day of\n(Country) born\nMy\npresent residence is 18 (Number and street) (City or town) A Westerly (County) (State)\nThe\nplace, where ship or England\n,\non July (Month)\n10\n1921\n2A 1928\n(Day)\n(Year)\nThe name of the ship or railroad on which I came was beltic. White Star Line\nMy residence was\nAL foreign N. Y.\nBelfast\nIreland\n(City or town)\n(Country)\nwife\nI am *. - married. The name of my\nis John Welsh\nwas born at\nhusband\nlimberille, sti He\nBelfast.Ireland\n,\nand now resides at 18 bleveland! st. Westerly\nI\nam\nnow\na subject of and intend to renounce allegiance to King. rite name George and title d'sovereign and V. countrylof of which England now subject;\na\nor, if citizen of a republic, write name of republic only)\nI arrived at the United States immigration port of\nnew fork (City or\ntown)\nnewyork (State state territory)\n, on\nor\nabout 14-8 (Give 18 month, day, July and V1921\nexact year)\n(OVER)"
}