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Form 2218
PRELIMINARY FORM FOR DECLARATION OF INTENTION TO BECOME A CITIZEN
4947
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
22784
in
CARD INDEX
JUL 22 1526
deta
upper left-hand corner of all copies of
I
declaration, immediately under your
INDEX BOOKS
OFFICE or EXAMINER
declaration number.
NEW HAVEN,
ONPARTMENT of
DIRECTOR OF NATURALIZATION.
MANIFESTS
passi
(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.
; age,
40
years.
Miss
Catherine ds Sennets
(Alien should typewgite here true, original, and correct name)
(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 steamship ticket was I'viss
NATURALIZA
Catherine Lymels HON
My mother's maiden name was Bridget 0 Itably
RECEIVED
My maiden name was (if woman)
AUG 3 1 19261 M
My occcupation is none
P
present
ACKND
3 1/4
My personal description is: Color, White ; complexion, fair
; height,
5 feet 4 inches;
weight, 146 pounds; color of hair, brown
; eyes, grey
color of
;
other visible distinctive marks:
none
London (City town)
Londone
II was born in
England
or
(Country)
England
on the
29th day of
My present residence is 89 Liberty (Number and Street) Street, (City town) Washington ReComm (State) baind
Plonington
or
hew Screducan
My
post office address is Westerly R.S
The place where I took the ship or train which landed me in the United States was train Saris
Ship
Hours
Neave
, on 4th (Month) of june (Day) 1926
(Year)
The ticket on which I came to this country was bought at Paris
France
(City)
(Country)
The name of the ship or railroad on which I came was
Tuscania
are
(OVER)
c14-8
SEP
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"ocrText": "Form 2218\nPRELIMINARY FORM FOR DECLARATION OF INTENTION TO BECOME A CITIZEN\n4947\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\n22784\nin\nCARD INDEX\nJUL 22 1526\ndeta\nupper left-hand corner of all copies of\nI\ndeclaration, immediately under your\nINDEX BOOKS\nOFFICE or EXAMINER\ndeclaration number.\nNEW HAVEN,\nONPARTMENT of\nDIRECTOR OF NATURALIZATION.\nMANIFESTS\npassi\n(NOTE\nTO\nCLERK 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.\n; age,\n40\nyears.\nMiss\nCatherine ds Sennets\n(Alien should typewgite here true, original, and correct name)\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 steamship ticket was I'viss\nNATURALIZA\nCatherine Lymels HON\nMy mother's maiden name was Bridget 0 Itably\nRECEIVED\nMy maiden name was (if woman)\nAUG 3 1 19261 M\nMy occcupation is none\nP\npresent\nACKND\n3 1/4\nMy personal description is: Color, White ; complexion, fair\n; height,\n5 feet 4 inches;\nweight, 146 pounds; color of hair, brown\n; eyes, grey\ncolor of\n;\nother visible distinctive marks:\nnone\nLondon (City town)\nLondone\nII was born in\nEngland\nor\n(Country)\nEngland\non the\n29th day of\nMy present residence is 89 Liberty (Number and Street) Street, (City town) Washington ReComm (State) baind\nPlonington\nor\nhew Screducan\nMy\npost office address is Westerly R.S\nThe place where I took the ship or train which landed me in the United States was train Saris\nShip\nHours\nNeave\n, on 4th (Month) of june (Day) 1926\n(Year)\nThe ticket on which I came to this country was bought at Paris\nFrance\n(City)\n(Country)\nThe name of the ship or railroad on which I came was\nTuscania\nare\n(OVER)\nc14-8\nSEP"
}