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Form 2213
PRELIMINARY FORM FOR DECLARATION OF INTENTION TO BECOME A CITIZEN
5153
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
I desire to file my Declaration of Intention (first paper) to become a citizen.
Mr.
My name is
Mrs.
Edward frd Summester
;
Miss
(Alien should prifit or typewrite here true, original, and correct name)
age, thirty (Give age last 31 birthday) years.
My present occupation is
meall utter
My personal description is: Color, White ; complexion, fair
9.1/4
; height, 5
feet H inches;
weight,
180 pounds; color of hair, brown
; color of eyes, blue
;
other visible distinctive marks: Scar on right thurt
I was born in
Busten-on- Inn't
(City or town)
England
(Country)
on the 13
day of June
1896
My present residence is 28 Dill are
RevLander
lonn.
(Number and street)
(City or town)
(County)
(State)
The place where I took the ship train which landed in the United States Sauthampton
or me was
The name of the ship of railroad on which I came was Ast filadephia
England
, on
april
3
1920
(Month)
(Day)
(Yeaf)
My last place of foreign residence was
lovertry
(City or town)
(Country)
England
I
am the married. The name of my
wife
}
is Alice Inarie
She
was born at
husband
He
n. E aston, man u.s. a
,
and now said resides at 28 Fell Avey new Landon long
I
am now a subject of and intend to renounce allegiance to George (Write V name of and England 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)
hay
,
(State or territory)
on aprill 14-8 4-10-20 (Give exact month,
day, and year)
(OVER)
Page data
- Page
- 558
- Source index
- 0
- Type
- photo
- Media ID
- bf43a228fb80e744
- 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\n5153\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\nI desire to file my Declaration of Intention (first paper) to become a citizen.\nMr.\nMy name is\nMrs.\nEdward frd Summester\n;\nMiss\n(Alien should prifit or typewrite here true, original, and correct name)\nage, thirty (Give age last 31 birthday) years.\nMy present occupation is\nmeall utter\nMy personal description is: Color, White ; complexion, fair\n9.1/4\n; height, 5\nfeet H inches;\nweight,\n180 pounds; color of hair, brown\n; color of eyes, blue\n;\nother visible distinctive marks: Scar on right thurt\nI was born in\nBusten-on- Inn't\n(City or town)\nEngland\n(Country)\non the 13\nday of June\n1896\nMy present residence is 28 Dill are\nRevLander\nlonn.\n(Number and street)\n(City or town)\n(County)\n(State)\nThe place where I took the ship train which landed in the United States Sauthampton\nor me was\nThe name of the ship of railroad on which I came was Ast filadephia\nEngland\n, on\napril\n3\n1920\n(Month)\n(Day)\n(Yeaf)\nMy last place of foreign residence was\nlovertry\n(City or town)\n(Country)\nEngland\nI\nam the married. The name of my\nwife\n}\nis Alice Inarie\nShe\nwas born at\nhusband\nHe\nn. E aston, man u.s. a\n,\nand now said resides at 28 Fell Avey new Landon long\nI\nam now a subject of and intend to renounce allegiance to George (Write V name of and England title of sovereign and\ncountry 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 (City\nor town)\nhay\n,\n(State or territory)\non aprill 14-8 4-10-20 (Give exact month,\nday, and year)\n(OVER)"
}