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File numbers 4874 - 5509, 1926-1930

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Form 2213 PRELIMINARY FORM FOR DECLARATION OF INTENTION TO BECOME A CITIZEN Mr. 4976 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 NATURALIZATION SERVICE 27980 Place number In RECEIVED upper left-hand corner of all copies of CARD INDEX declaration, immediately under your INDEX BOOKS OCT 14 1926 declaration number. OFFICE OF EXAMINER DISTRICT DIRECTOR OF NATURALIZATION. MANIFESTS NEW HAVEN, CONN. DEPARTMENT or LABOR (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. EDGAR, BELL/VEAU 32 ; age, years. Miss (Alien should print or typewrite 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 My mother's maiden name was Mary Nieneau My maiden name was (if woman) My present occcupation is Woolen. spinner My personal description is: Color, White ; complexion, Darm ; height, 5 feet 6 inches; weight, 125 pounds; color of hair, Black ; color of eyes, dark Brown ; other visible distinctive marks: on I was born in amlesst Nova scotia Canada (City or town) (Country) on the 21 day of august , 1894 norwich My present residence is 47 (Number Sturtevant.st.Norich and street) (City or town) (County) (State) Conn My post office address is Norwich Town, Conn The place where I took the ship or train which landed me in the United States was clouctonation Runwich , on august (Month) 1 5th 1921 (Day) (Year) The ticket on which I came to this country was bought at Moneton New Brunswich Canada (City) (Country) The name or on came of the ship railroad which I was Canadian National Roilway (OVER) c14-8

Page data

Page
203
Source index
0
Type
photo
Media ID
e133a757322ccafa
Size
unknown

Document data

ID
159596813
Core
doc
Type
document
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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\nMr.\n4976\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\nNATURALIZATION SERVICE\n27980\nPlace number\nIn\nRECEIVED\nupper left-hand corner of all copies of\nCARD INDEX\ndeclaration, immediately under your\nINDEX BOOKS\nOCT 14 1926\ndeclaration number.\nOFFICE OF EXAMINER\nDISTRICT DIRECTOR OF NATURALIZATION.\nMANIFESTS\nNEW HAVEN, CONN.\nDEPARTMENT or LABOR\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.\nEDGAR, BELL/VEAU\n32\n; age,\nyears.\nMiss\n(Alien should print or typewrite 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\nMy mother's maiden name was\nMary Nieneau\nMy maiden name was (if woman)\nMy present occcupation\nis Woolen. spinner\nMy personal description is: Color, White ; complexion, Darm\n; height,\n5 feet 6 inches;\nweight, 125 pounds; color of hair, Black\n; color of eyes,\ndark Brown\n;\nother visible distinctive marks: on\nI was born in\namlesst Nova scotia\nCanada\n(City or town)\n(Country)\non the\n21\nday\nof august\n, 1894 norwich\nMy present residence\nis 47 (Number Sturtevant.st.Norich and street) (City or town) (County) (State) Conn\nMy post office address is\nNorwich Town, Conn\nThe place where I took the ship or train which landed me in the United States was\nclouctonation\nRunwich\n, on august (Month) 1\n5th  1921\n(Day)\n(Year)\nThe ticket on which I came to this country was bought at\nMoneton New Brunswich Canada\n(City)\n(Country)\nThe name or on came\nof the ship railroad which I was Canadian National Roilway\n(OVER)\nc14-8"
}