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Form 2213
PRELIMINARY FORM FOR DECLARATION OF INTENTION TO BECOME A CITIZEN
5507
U. S. DEPARTMENT OF LABOR
NOT TO BE FILLED IN BY ALIEN
NATURALIZATION SERVICE
FOR USE OF OFFICIALS SEARCHING IMMI-
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.
Mrs (Alien mary should tynewrite michand here true, original, and
; age,
45
years.
correct name)
(Give age last birthday)
Miss
My present occupation is
dreas maker
My personal description is: Color, White ; complexion, hampidium ; height, 14 E inches;
weight, 1/3 pounds; color of hair, broann ; color of eyes, tlex blue
;
other visible distinctive marks:
I was born in
Remouski Province Sugbee Canada
mole on right cheek
(City or town)
(Countly)
on the
8
day of October
883
,
My present residence
is 100 Howard street new London Cann
(Number and street)
(City or town)
(County)
(State)
The place where I took the ship or train which landed me in the United States was
Bivine du Louh
Canada on
June 22 1914 (Year)
(Month)
(Day)
The name of the ship or railroad on which I came was
residence babino
grand trinnd R.R.
My last place of foreign was
Canada
(City or town)
wifo:
I am yes married. The name of
my
is Elise michance (Country)
Duc
was born at
husband
He
and now resides at It mathias Cabana
I
am now a subject of and intend to renounce allegiance to georgek (Write name and title of sovereign and
P Luebe
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
New Bort Vermont
(City or town)
, on
(State or territory)
(OVER)
June
14-8 (Give exact month, 23, day, and year) 1914
Page data
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- Type
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Document data
- ID
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- Core
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- Type
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DTO data
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Context sent to Scholar
Document identity
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"ocrText": "Form 2213\nPRELIMINARY FORM FOR DECLARATION OF INTENTION TO BECOME A CITIZEN\n5507\nU. S. DEPARTMENT OF LABOR\nNOT TO BE FILLED IN BY ALIEN\nNATURALIZATION SERVICE\nFOR USE OF OFFICIALS SEARCHING IMMI-\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.\nMrs (Alien mary should tynewrite michand here true, original, and\n; age,\n45\nyears.\ncorrect name)\n(Give age last birthday)\nMiss\nMy present occupation is\ndreas maker\nMy personal description is: Color, White ; complexion, hampidium ; height, 14 E inches;\nweight, 1/3 pounds; color of hair, broann ; color of eyes, tlex blue\n;\nother visible distinctive marks:\nI was born in\nRemouski Province Sugbee Canada\nmole on right cheek\n(City or town)\n(Countly)\non the\n8\nday of October\n883\n,\nMy present residence\nis 100 Howard street new London Cann\n(Number and street)\n(City or town)\n(County)\n(State)\nThe place where I took the ship or train which landed me in the United States was\nBivine du Louh\nCanada on\nJune 22 1914 (Year)\n(Month)\n(Day)\nThe name of the ship or railroad on which I came was\nresidence babino\ngrand trinnd R.R.\nMy last place of foreign was\nCanada\n(City or town)\nwifo:\nI am yes married. The name of\nmy\nis Elise michance (Country)\nDuc\nwas born at\nhusband\nHe\nand now resides at It mathias Cabana\nI\nam now a subject of and intend to renounce allegiance to georgek (Write name and title of sovereign and\nP Luebe\ncountry 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\nNew Bort Vermont\n(City or town)\n, on\n(State or territory)\n(OVER)\nJune\n14-8 (Give exact month, 23, day, and year) 1914"
}