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Form 2218
PRELIMINARY FORM FOR DECLARATION OF) INTENTION TO BECOME A CITIZEN
5508
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
CARD INDEX
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 Intentror (firgt) paper) to become a citizen.
Mr.
My name is
Mrs.
Miss
get should print or typewrite hore true, original, and correct
42
; age,
years.
name)
(Give age last birthday)
My present occupation is
Barber
My personal description is: Color, White complexion, Medium height, It feet 4 inches;
5 21/4
weight, 123 pounds; hair, gray
color of
; color eyes,
of Blans Blue
other visible distinctive marks:
I was born in
Ledges (City or town) (Country)
middle frobbact
on the
5
day of
august
1880
,
My present residence is
100 Howardt New-fondon born
(Number and street)
(City or town)
(County)
(State)
The place where I took the shipor train which landed me in the United States Cabano p.zue
was
Grand Lannah
Camara on
august
12
1912
(Month)
(Day)
(Year)
The name of the ship or railroad on which I came was
Railroad
My last place of foreign residence was
(City town)
or
(Country
am yes married. The name of my {
wife
I
}
is
was born at
hucband
Ho
Rimoustri P.gue and now resides at Nevo London Come
I am now a
subject of and intend to renounce allegiance to George (Write name and title of sovereign II
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
New Vermont
(City or town)
, on
(State or territory)
Ougust 14-8 (Give exact month, 12 , day, and year) 1912
(OVER)
Page data
- Page
- 1293
- Source index
- 0
- Type
- photo
- Media ID
- 606507e4e23d5951
- Size
- unknown
Document data
- ID
- 159596813
- Core
- doc
- Type
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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 2218\nPRELIMINARY FORM FOR DECLARATION OF) INTENTION TO BECOME A CITIZEN\n5508\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\nCARD INDEX\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 Intentror (firgt) paper) to become a citizen.\nMr.\nMy name is\nMrs.\nMiss\nget should print or typewrite hore true, original, and correct\n42\n; age,\nyears.\nname)\n(Give age last birthday)\nMy present occupation is\nBarber\nMy personal description is: Color, White complexion, Medium height, It feet 4 inches;\n5 21/4\nweight, 123 pounds; hair, gray\ncolor of\n; color eyes,\nof Blans Blue\nother visible distinctive marks:\nI was born in\nLedges (City or town) (Country)\nmiddle frobbact\non the\n5\nday of\naugust\n1880\n,\nMy present residence is\n100 Howardt New-fondon born\n(Number and street)\n(City or town)\n(County)\n(State)\nThe place where I took the shipor train which landed me in the United States Cabano p.zue\nwas\nGrand Lannah\nCamara on\naugust\n12\n1912\n(Month)\n(Day)\n(Year)\nThe name of the ship or railroad on which I came was\nRailroad\nMy last place of foreign residence was\n(City town)\nor\n(Country\nam yes married. The name of my {\nwife\nI\n}\nis\nwas born at\nhucband\nHo\nRimoustri P.gue and now resides at Nevo London Come\nI am now a\nsubject of and intend to renounce allegiance to George (Write name and title of sovereign II\nand 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\nNew Vermont\n(City or town)\n, on\n(State or territory)\nOugust 14-8 (Give exact month, 12 , day, and year) 1912\n(OVER)"
}