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Form 2213 PRELIMINARY FORM FOR DECLARATION OF INTENTION TO BECOME A CITIZEN 5058 U. S. DEPARTMENT OF LABOR NOT TO BE FILLED IN BY ALIEN FOR USE OF OFFICIALS SEARCHING IMMI- NATURALIZATION SERVICE GRATION RECORDS NATURALIZATION SERVICE CLERK OF COURT: RECORDS EXAMINED RECRIVED Place number 31613 in CARD INDEX FEB 7 1927 upper left-hand corner of all copies of declaration, immediately under your INDEX BOOKS declaration number. OFFICE OF EXAMINER " W HAVEN, CONN. or LABOR 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. mr. John Robert Betts ; age, 47 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 BUREAU OF My mother's maiden name was Jessie My maiden name was (if woman) RECEIVED My present occcupation is moulding P, FEB 1 8 1927, ACKND ; height, 5 feet 2847 inches; 5 My personal description is: Color, White ; complexion, Hair brown weight, 130 pounds; color of hair, Duburn color ; eyes, gray of ; other visible distinctive marks: none I was born in new (City or town) Nova Scotia, (Country) Canada on the 11th day of Kebruary , 1879 My present residence is 576 Jhomest Groton, new London, (County) (State) Conn (Number and street) (City or town) My post office address is Groton, Conn, said The place where I took the or train which landed me in the ship United States was new Glasgro, Hova Scotia, Canada. , on July (Month) 26th 1925 (Day) (Year) The ticket on which I came to this country was bought at new (City) glasgow Novascoting (Country) Can. The name of the ship or railroad on which I came was Canadian National D/A ISSUED (OVER) niagara Ry. arch Bridge MAR 141927

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    "ocrText": "Form 2213\nPRELIMINARY FORM FOR DECLARATION OF INTENTION TO BECOME A CITIZEN\n5058\nU. S. DEPARTMENT OF LABOR\nNOT TO BE FILLED IN BY ALIEN\nFOR USE OF OFFICIALS SEARCHING IMMI-\nNATURALIZATION SERVICE\nGRATION RECORDS\nNATURALIZATION SERVICE\nCLERK OF COURT:\nRECORDS EXAMINED\nRECRIVED\nPlace number\n31613\nin\nCARD INDEX\nFEB 7 1927\nupper left-hand corner of all copies of\ndeclaration, immediately under your\nINDEX BOOKS\ndeclaration number.\nOFFICE OF EXAMINER\n\" W HAVEN, CONN.\nor LABOR\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.\nmr. John Robert Betts\n; age,\n47\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\nBUREAU OF\nMy mother's maiden name was\nJessie\nMy maiden name was (if woman)\nRECEIVED\nMy present occcupation is\nmoulding\nP,\nFEB 1 8 1927,\nACKND ; height, 5 feet 2847 inches;\n5\nMy personal description is: Color, White ; complexion, Hair\nbrown\nweight, 130 pounds; color of hair, Duburn color\n; eyes, gray\nof\n;\nother visible distinctive marks:\nnone\nI was born in\nnew (City or town) Nova Scotia, (Country) Canada\non the 11th day of\nKebruary\n, 1879\nMy present residence is 576 Jhomest Groton, new London, (County) (State) Conn\n(Number and street)\n(City or town)\nMy post office address is Groton, Conn,\nsaid\nThe place where I took the or train which landed me in the\nship United States was new Glasgro,\nHova Scotia, Canada.\n, on July (Month)\n26th 1925\n(Day)\n(Year)\nThe\nticket on which I came to this country was bought at new (City) glasgow Novascoting (Country) Can.\nThe name of the ship or railroad on which I came was\nCanadian National\nD/A ISSUED\n(OVER) niagara Ry. arch Bridge\nMAR 141927"
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