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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

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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\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"
}