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Form 2213
PRELIMINARY FORM FOR DECLARATION OF INTENTION TO BECOME A CITIZEN
5118
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
upper left-hand corner of all copies of
CARD INDEX
declaration, immediately under your
INDEX BOOKS
declaration number.
DISTRICT DIRECTOR OF NATURALIZATION
MANIFESTS
I desire to file my Declaration of Intention (first paper) to become a citizen.
Mrs. Education ; age,
Mr.
My name is
Edward Holt
39
years.
Miss
(Alien should print or typewrite here true, original, and correct name)
(Give age last birthday)
My present occupation is
Machinist
My personal description is: Color, White
; complexion,
fair ;
height,
5
feet
6
inches;
weight, 156
pounds; color of hair,
Brown
;
color of eyes,
Brown
other visible distinctive marks:
Scar on right eve
I was born in
Bolton
England
(City or town)
(Country)
on the
22
day of
Sept.
, 1 888
stryington
My present residence is
93 Mechanic
St. Pawcatuck 11 New London
Conn.
(Number and street)
(City or town)
(County)
(State)
The place where I took the ship or train which landed me in the United States was
Liverpool
Either on July o August
1893
(Month)
(Day)
(Year)
The name of the ship or railroad on which I came was
Campania
sand
My last place of foreign residence was
Bolton
England
(City or town)
(Country)
{
wife
}
She
I am Singl married. The name of my
is
was born at
husband
He
and now resides at
I am now a subject of and intend to renounce allegiance to
King George,
England
Write name and title of sovereign 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 York
(City or town)
New York
, on
1893
(State or territory)
14-8
(Give exact month, day, and year)
(OVER)
Page data
- Page
- 488
- Source index
- 0
- Type
- photo
- Media ID
- 1ed57cd6368721bc
- Size
- unknown
Document data
- ID
- 159596813
- Core
- doc
- Type
- document
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 2213\nPRELIMINARY FORM FOR DECLARATION OF INTENTION TO BECOME A CITIZEN\n5118\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\nupper left-hand corner of all copies of\nCARD INDEX\ndeclaration, immediately under your\nINDEX BOOKS\ndeclaration number.\nDISTRICT DIRECTOR OF NATURALIZATION\nMANIFESTS\nI desire to file my Declaration of Intention (first paper) to become a citizen.\nMrs. Education ; age,\nMr.\nMy name is\nEdward Holt\n39\nyears.\nMiss\n(Alien should print or typewrite here true, original, and correct name)\n(Give age last birthday)\nMy present occupation is\nMachinist\nMy personal description is: Color, White\n; complexion,\nfair ;\nheight,\n5\nfeet\n6\ninches;\nweight, 156\npounds; color of hair,\nBrown\n;\ncolor of eyes,\nBrown\nother visible distinctive marks:\nScar on right eve\nI was born in\nBolton\nEngland\n(City or town)\n(Country)\non the\n22\nday of\nSept.\n, 1 888\nstryington\nMy present residence is\n93 Mechanic\nSt. Pawcatuck 11 New London\nConn.\n(Number and street)\n(City or town)\n(County)\n(State)\nThe place where I took the ship or train which landed me in the United States was\nLiverpool\nEither on July o August\n1893\n(Month)\n(Day)\n(Year)\nThe name of the ship or railroad on which I came was\nCampania\nsand\nMy last place of foreign residence was\nBolton\nEngland\n(City or town)\n(Country)\n{\nwife\n}\nShe\nI am Singl married. The name of my\nis\nwas born at\nhusband\nHe\nand now resides at\nI am now a subject of and intend to renounce allegiance to\nKing George,\nEngland\nWrite name and title of sovereign and 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 York\n(City or town)\nNew York\n, on\n1893\n(State or territory)\n14-8\n(Give exact month, day, and year)\n(OVER)"
}