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Form 2213
PRELIMINARY FORM FOR DECLARATION OF INTENTION TO BECOME A CITIZEN
5174
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
SERVICE
36339
INATURALIZATION
Place number
in
CARD INDEX
RECEIVED
upper left-hand corner of all copies of
declaration, immediately under your
INDEX BOOKS
AUG 5 1927
declaration number.
MANIFESTS
OFFICE OF EXAMINER CONN.
DISTRICT DIRECTOR OF NATURALIZATION
NEW HAVEN, of fabou
person
I desire to file my Declaration of Intention (first
Mr.
MARY ALICE
My name is
Mrs.
mary Alice olershaw
; age,
2455 years.
Miss
(Alion should print or typewrite here true, original, and correct name)
(Give age last birthday)
My present occupation is
My personal description is: Color, While ; complexion,
Saderlady
Jain
; height,
5 feet 5th a inches; 7 1/2
weight, 124 pounds; color of hair,
Sainlight brown ; color of
SATURALIZATION
eyes,
None
frang
VAD
;
other visible distinctive marks:
A AUG 1997 R
I was
born in (City or town) Johhshire England CEND
bastlefand
11th
1902
on the
day of
August
1903
My is
present residence 11 Deane st Proton New London Comecticitis
(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 Reverford
England
, on November (Day) 6th 1926
(Month)
(Year)
The name of the ship or railroad on which I came ss Gedrie' Whili Star Line
My last place of foreign sand residence was A Garlieland (City town) Yakshire (Country) England
or
wife
I am
married. The name of my
Sam Hership
Shre
is
was born at
husband
said 11 Beanest
He
Wahefield England , and now resides at Snatona Connecticut
I
Am
now
a
subject
of
and
intend
to
George
V. by me
renounce Brtish Dom God. mons allegiance beyond the Seas to (Write name and title of sovereign of and country England of which HOW subject;
a
Ireland, and the
King, Defender. at the Eaub- Emperor. of India,
or, if citizen of a republic, write name of republic only)
I arrived at the United States immigration port of
Boston
Mass
nov.
on 29. December (City or town) 5 ch 1926
,
(State or territory)
14-8
(Give exact month, day, and year)
(OVER)
rin
SEP 30 '927
TREUED
Page data
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- Source index
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- Type
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Document data
- ID
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- Core
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- Type
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DTO data
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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\n5174\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\nSERVICE\n36339\nINATURALIZATION\nPlace number\nin\nCARD INDEX\nRECEIVED\nupper left-hand corner of all copies of\ndeclaration, immediately under your\nINDEX BOOKS\nAUG 5 1927\ndeclaration number.\nMANIFESTS\nOFFICE OF EXAMINER CONN.\nDISTRICT DIRECTOR OF NATURALIZATION\nNEW HAVEN, of fabou\nperson\nI desire to file my Declaration of Intention (first\nMr.\nMARY ALICE\nMy name is\nMrs.\nmary Alice olershaw\n; age,\n2455 years.\nMiss\n(Alion should print or typewrite here true, original, and correct name)\n(Give age last birthday)\nMy present occupation is\nMy personal description is: Color, While ; complexion,\nSaderlady\nJain\n; height,\n5 feet 5th a inches; 7 1/2\nweight, 124 pounds; color of hair,\nSainlight brown ; color of\nSATURALIZATION\neyes,\nNone\nfrang\nVAD\n;\nother visible distinctive marks:\nA AUG 1997 R\nI was\nborn in (City or town) Johhshire England CEND\nbastlefand\n11th\n1902\non the\nday of\nAugust\n1903\nMy is\npresent residence 11 Deane st Proton New London Comecticitis\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 Reverford\nEngland\n, on November (Day) 6th 1926\n(Month)\n(Year)\nThe name of the ship or railroad on which I came ss Gedrie' Whili Star Line\nMy last place of foreign sand residence was A Garlieland (City town) Yakshire (Country) England\nor\nwife\nI am\nmarried. The name of my\nSam Hership\nShre\nis\nwas born at\nhusband\nsaid 11 Beanest\nHe\nWahefield England , and now resides at Snatona Connecticut\nI\nAm\nnow\na\nsubject\nof\nand\nintend\nto\nGeorge\nV. by me\nrenounce Brtish Dom God. mons allegiance beyond the Seas to (Write name and title of sovereign of and country England of which HOW subject;\na\nIreland, and the\nKing, Defender. at the Eaub- Emperor. of India,\nor, if citizen of a republic, write name of republic only)\nI arrived at the United States immigration port of\nBoston\nMass\nnov.\non 29. December (City or town) 5 ch 1926\n,\n(State or territory)\n14-8\n(Give exact month, day, and year)\n(OVER)\nrin\nSEP 30 '927\nTREUED"
}