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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)

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558
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Document data

ID
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Core
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Type
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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)"
}