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Form 2213
PRELIMINARY FORM FOR DECLARATION OF INTENTION TO BECOME A CITIZEN
5193
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.
My present occupation is Salesman
Miss
/
SamueL Mc Guzan
; age,
38
years.
(Alienghould print or typewrite here true, original, and correct name)
(Give age last birthday)
My personal description is: Color, while ; complexion, fair
;
height, 5 feet 2 1/2 inches;
weight, 123 pounds; color of hair. Brown
;
color of eyes, Hazel
;
other visible distinctive marks: hoss of left eye
I
was born in Glasgow Scotland City or town)
edeast Birtai
(Country)
on the
13
day
of
march
1889
My present residence is Historward St New houdon
Come.
(Number and street)
(City or town)
said
(County)
(Stafe)
The place where I took the ship or train which landed me in the United States was
Glasgow Scotland
The which I was Pastoria
, on June (Month)
27
1904
(Day)
(Year)
name of the ship or railroad on came
My last place of foreign residence was
said wife (City or is town)
(Country)
I am now married. The name of my
He She
was born at
husband
new hondow Coun and now said resides at unotowards
I am now a subject of and intend to renounce allegiance to King (Write George and sovereign Gheet and country of which Britain subject;
name now a
or, if citizen of a republic, write name of republic only)
I
arrived at the United States immigration port of new york City (City or town)
new York (State
, on July 14-8 (Give exact 1904 month, day,
8tmall
or territory)
and year)
(OVER)
Page data
- Page
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- Source index
- 0
- Type
- photo
- Media ID
- 7556d6bb815157eb
- 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\n5193\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.\nMy present occupation is Salesman\nMiss\n/\nSamueL Mc Guzan\n; age,\n38\nyears.\n(Alienghould print or typewrite here true, original, and correct name)\n(Give age last birthday)\nMy personal description is: Color, while ; complexion, fair\n;\nheight, 5 feet 2 1/2 inches;\nweight, 123 pounds; color of hair. Brown\n;\ncolor of eyes, Hazel\n;\nother visible distinctive marks: hoss of left eye\nI\nwas born in Glasgow Scotland City or town)\nedeast Birtai\n(Country)\non the\n13\nday\nof\nmarch\n1889\nMy present residence is Historward St New houdon\nCome.\n(Number and street)\n(City or town)\nsaid\n(County)\n(Stafe)\nThe place where I took the ship or train which landed me in the United States was\nGlasgow Scotland\nThe which I was Pastoria\n, on June (Month)\n27\n1904\n(Day)\n(Year)\nname of the ship or railroad on came\nMy last place of foreign residence was\nsaid wife (City or is town)\n(Country)\nI am now married. The name of my\nHe She\nwas born at\nhusband\nnew hondow Coun and now said resides at unotowards\nI am now a subject of and intend to renounce allegiance to King (Write George and sovereign Gheet and country of which Britain subject;\nname now a\nor, if citizen of a republic, write name of republic only)\nI\narrived at the United States immigration port of new york City (City or town)\nnew York (State\n, on July 14-8 (Give exact 1904 month, day,\n8tmall\nor territory)\nand year)\n(OVER)"
}