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Form 2213
PRELIMINARY FORM FOR DECLARATION OF INTENTION TO BECOME A CITIZEN
4880
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
(NOTE TO CLERK OF COURT.-To guide you in preparing the Declaration: The black face lines on this form contain statements
in the regular order as they are to appear on the Declaration of Intention.)
I desire to file my Declaration of Intention (first paper) to become a citizen.
Mr.
My name is
Mrs.
Calizabeth (Alien should print typewrite here true, Inonan original, and correct name) ; age,
60
years.
Miss
or
(Give age last birthday)
Also known as
(If alien has used any other name in this country, that name should be shown here)
I used that name because
The full name of the person shown on my steamohip ticket wase
My mothor's maiden nome was
My maiden war (if
My personal description is: Color, White complexion, fair ; height, 5 feet & 43/4 inches;
My
present occcupation is Househeeper
weight, 165 pounds; color of hair, Guy
; eyes,
color of Blue
;
other visible distinctive marks:
none
I was born in
corttaw-Ct (City town) traterford Irlland (Country)
or
on the 2 to day of
number
8965
My present residence is
-
My post office address is Box (Number 915 and street) new (City or town) London (County)
groton
(State)
The place where
Ereland
I took the ship or train which landed me in the United States was Queenstown
,
on Left18.1997 (Month) (Day)
(Year)
The ticket Oil which I came to this was bought at
The
name of the ship or railroad on which I came was Lusana (City)
(Country)
(OVER)
e14-8
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Document data
- ID
- 159596813
- Core
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- Type
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DTO data
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Context sent to Scholar
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"ocrText": "Form 2213\nPRELIMINARY FORM FOR DECLARATION OF INTENTION TO BECOME A CITIZEN\n4880\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\n(NOTE TO CLERK OF COURT.-To guide you in preparing the Declaration: The black face lines on this form contain statements\nin the regular order as they are to appear on the Declaration of Intention.)\nI desire to file my Declaration of Intention (first paper) to become a citizen.\nMr.\nMy name is\nMrs.\nCalizabeth (Alien should print typewrite here true, Inonan original, and correct name) ; age,\n60\nyears.\nMiss\nor\n(Give age last birthday)\nAlso known as\n(If alien has used any other name in this country, that name should be shown here)\nI used that name because\nThe full name of the person shown on my steamohip ticket wase\nMy mothor's maiden nome was\nMy maiden war (if\nMy personal description is: Color, White complexion, fair ; height, 5 feet & 43/4 inches;\nMy\npresent occcupation is Househeeper\nweight, 165 pounds; color of hair, Guy\n; eyes,\ncolor of Blue\n;\nother visible distinctive marks:\nnone\nI was born in\ncorttaw-Ct (City town) traterford Irlland (Country)\nor\non the 2 to day of\nnumber\n8965\nMy present residence is\n-\nMy post office address is Box (Number 915 and street) new (City or town) London (County)\ngroton\n(State)\nThe place where\nEreland\nI took the ship or train which landed me in the United States was Queenstown\n,\non Left18.1997 (Month) (Day)\n(Year)\nThe ticket Oil which I came to this was bought at\nThe\nname of the ship or railroad on which I came was Lusana (City)\n(Country)\n(OVER)\ne14-8"
}