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John tl Walha clerk taberio Cent, Monthing
Form 2213
PRELIMINARY FORM FOR DECLARATION OF INTENTION TO BECOME A CITIZEN
5430
NOT TO BE FILLED IN BY ALIEN
U.S. DEPARTMENT OF LABOR
FOR USE OF OFFICIALS SEARCHING IMMI-
NATURALIZATION SERVICE
GRATION RECORDS
CLERK OF COURT:
RECORDS EXAMINED
Place number
in
CARD INDEX
OCT 1 - 1928 -
upper left-hand corner of all copies of
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.
miss Alice fareett
; age,
66
years.
Miss
(Alien should print or typewrite here true, original, and correct name)
(Give age last birthday)
My present occupation is
House maid
My personal description is: Color, white complexion,
fair
; height, 5 feet 1/2 inches;
weight, 145 pounds; color of hair,
; color blue
other visible distinctive marks: mole one golden left eyebrow
of eyes,
;
I was born in townland of (City Largymore, town) (Country) Ireland
or
on
the 1st day of
spacil.
863
My present residence is
2071 (Number and street) (City St or town) hew London. (County) bonn. (State)
Australton
The place where I Rook the ship or train which landed me in the United States was
on
4th
The name or
of the ship railroad on which I came was Insurance Funnesia
(Month) may (Day)
(Year) 1887
My last
place of foreign residence was itylor town) Helean to (Country) Inclased
Largymore
I am not married. The name of my
wife
is
none
She
husband
was born at
He
, and now resides at
,
I am now a subject of and intend to renounce allegiance to
Great Briton
(Write name and title of sovereign and country of which now a subject;
I or, arrived at the United States republic only) new York
if citizen of a republic, write name of
immigration port of
h.
(City or town)
, on
may
(State or territory)
14-8
(Give exact month, day, and year)
1887
(OVER)
Page data
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Document data
- ID
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- Core
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- Type
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"ocrText": "John tl Walha clerk taberio Cent, Monthing\nForm 2213\nPRELIMINARY FORM FOR DECLARATION OF INTENTION TO BECOME A CITIZEN\n5430\nNOT TO BE FILLED IN BY ALIEN\nU.S. DEPARTMENT OF LABOR\nFOR USE OF OFFICIALS SEARCHING IMMI-\nNATURALIZATION SERVICE\nGRATION RECORDS\nCLERK OF COURT:\nRECORDS EXAMINED\nPlace number\nin\nCARD INDEX\nOCT 1 - 1928 -\nupper left-hand corner of all copies of\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.\nmiss Alice fareett\n; age,\n66\nyears.\nMiss\n(Alien should print or typewrite here true, original, and correct name)\n(Give age last birthday)\nMy present occupation is\nHouse maid\nMy personal description is: Color, white complexion,\nfair\n; height, 5 feet 1/2 inches;\nweight, 145 pounds; color of hair,\n; color blue\nother visible distinctive marks: mole one golden left eyebrow\nof eyes,\n;\nI was born in townland of (City Largymore, town) (Country) Ireland\nor\non\nthe 1st day of\nspacil.\n863\nMy present residence is\n2071 (Number and street) (City St or town) hew London. (County) bonn. (State)\nAustralton\nThe place where I Rook the ship or train which landed me in the United States was\non\n4th\nThe name or\nof the ship railroad on which I came was Insurance Funnesia\n(Month) may (Day)\n(Year) 1887\nMy last\nplace of foreign residence was itylor town) Helean to (Country) Inclased\nLargymore\nI am not married. The name of my\nwife\nis\nnone\nShe\nhusband\nwas born at\nHe\n, and now resides at\n,\nI am now a subject of and intend to renounce allegiance to\nGreat Briton\n(Write name and title of sovereign and country of which now a subject;\nI or, arrived at the United States republic only) new York\nif citizen of a republic, write name of\nimmigration port of\nh.\n(City or town)\n, on\nmay\n(State or territory)\n14-8\n(Give exact month, day, and year)\n1887\n(OVER)"
}