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Form 2213
PRELIMINARY FORM FOR DECLARATION OF INTENTION TO BECOME A CITIZEN
5454
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
SEP 67 1928
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.
/
Edmond Joseth here Patnaude original, and
; age,
30
years.
Miss
(Alien should print or typewrite true, correct name)
(Give age last birthday)
My present occupation is
auto repair man
My personal description is: Color, white ; complexion, fair
; height, 5 feet inches;
Etty
weight, 135 pounds; color of hair, Beaun
color of eyes,
blue
;
other visible distinctive marks: scar on Sleft forefingu
and H thp
I
was born in st. becile be Milton banada
(City or town)
(Country)
on
the 28
day of
july
1898
My present residence is 257 No main stnorine Here gondon form
(Number and street)
(City or town)
The
place where I took the ship or train which landed me in the United States was it
(County) Kumpa (State)
on St. Hyasintho, banada on
april
1908
(Month)
(Day)
(Year)
The name of the ship or railroad on came was
which I Boston Maine lailed
My last place of foreign residence was
it Hezacinth, canada
(City or town)
(Country)
wife
I am
married. The name of my
is Shene Patnaude
She
was born at
hushand
He
Fiftville, common DOMINIONS and BEY now OND resides THESBAS EING, at 257 or DEPENDER No DRITATSG TRELAND,
maint
AND
THE
BRITISH
OF THE FAITH IXIIA
I am now a subject of and intend to renounce allegiance to Seough
GRORGEV. RY THE GR ACE OF GOD, OF OREAT BRITAIN, TRELAND, AND THE PRITISH Write
name and title of sovereign 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
Newport
(City or town)
Nermont
, on april
1908
(State or territory)
14-8
(Give exact month, day, and year)
(OVER)
Page data
- Page
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- Source index
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- Type
- photo
- Media ID
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- Size
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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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Page context
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"ocrText": "Form 2213\nPRELIMINARY FORM FOR DECLARATION OF INTENTION TO BECOME A CITIZEN\n5454\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\nSEP 67 1928\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/\nEdmond Joseth here Patnaude original, and\n; age,\n30\nyears.\nMiss\n(Alien should print or typewrite true, correct name)\n(Give age last birthday)\nMy present occupation is\nauto repair man\nMy personal description is: Color, white ; complexion, fair\n; height, 5 feet inches;\nEtty\nweight, 135 pounds; color of hair, Beaun\ncolor of eyes,\nblue\n;\nother visible distinctive marks: scar on Sleft forefingu\nand H thp\nI\nwas born in st. becile be Milton banada\n(City or town)\n(Country)\non\nthe 28\nday of\njuly\n1898\nMy present residence is 257 No main stnorine Here gondon form\n(Number and street)\n(City or town)\nThe\nplace where I took the ship or train which landed me in the United States was it\n(County) Kumpa (State)\non St. Hyasintho, banada on\napril\n1908\n(Month)\n(Day)\n(Year)\nThe name of the ship or railroad on came was\nwhich I Boston Maine lailed\nMy last place of foreign residence was\nit Hezacinth, canada\n(City or town)\n(Country)\nwife\nI am\nmarried. The name of my\nis Shene Patnaude\nShe\nwas born at\nhushand\nHe\nFiftville, common DOMINIONS and BEY now OND resides THESBAS EING, at 257 or DEPENDER No DRITATSG TRELAND,\nmaint\nAND\nTHE\nBRITISH\nOF THE FAITH IXIIA\nI am now a subject of and intend to renounce allegiance to Seough\nGRORGEV. RY THE GR ACE OF GOD, OF OREAT BRITAIN, TRELAND, AND THE PRITISH Write\nname and title of sovereign and country of which now a subject;\nor, if citizen of a republic, write name of republic only)\nI arrived at the United States immigration port of\nNewport\n(City or town)\nNermont\n, on april\n1908\n(State or territory)\n14-8\n(Give exact month, day, and year)\n(OVER)"
}