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Form 2213
PRELIMINARY FORM FOR DECLARATION OF INTENTION TO BECOME A CITIZEN
5247
U. S. DEPARTMENT OF LABOR
NOT TO BE FILLED IN BY ALIEN
NATURALIZATION SERVICE
FOR USE OF OFFICIALS SEARCHING IMMI-
GRATION RECORDS
CLERK OF COURT:
RECORDS EXAMINED
Place number
in
upper left-hand corner of all copies of
CARD INDEX
declaration, immediately under your
INDEX BOOKS
declaration number.
DISTRICT DIRECTOR OF NATURALIZATION
MANIFESTS
I desire file my Declaration of Intention (first paper) to become citizen
to a
My name is
Mrs. Miss (Allen should print or true, original, and correct name) Boileau ; age, 5-2 (Give age last
Mr.
years.
birthday)
My present occupation is
mill
My personal description is: Color, white complexion, fair
; height, 5 feet 9 inches;
near born right in Rotiton Falls, Canada
other weight, visible 210 distinctive pounds; thumb marks: color Scagray of hair, on w thper lip ; color of eyes, on
;
I was
City or town)
(Country)
on
the 31st day of , 1 876
My
present residence is 28 South Bstrutt Saftrille, (County) Norwich (State) Conn
January
(Number and street)
(Cit, or'town)
The place where I took the ship or train me
which landed in the United States was said
Rotton Falls
,on
,
(Pay)
(Year)
The name of the ship or railroad on which I came was
My last place of foreign residence was said (Country)
(City or town)
I am not married. The name of my { wife
}
She
is
husband
He
)
was born at
and now resides at
I am now a renounce
subject of and intend to allegiance , to George (Write name and title of V, sovereign tc. 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
St. albans
Vermont
(City or town)
,
(State or territory)
on 14-8 (Give exact month, day, and year)
april 25,1890
(OVER)
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- Source index
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- Type
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- Media ID
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Document data
- ID
- 159596813
- Core
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- Type
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DTO data
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Context sent to Scholar
Document identity
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"ocrText": "Form 2213\nPRELIMINARY FORM FOR DECLARATION OF INTENTION TO BECOME A CITIZEN\n5247\nU. S. DEPARTMENT OF LABOR\nNOT TO BE FILLED IN BY ALIEN\nNATURALIZATION SERVICE\nFOR USE OF OFFICIALS SEARCHING IMMI-\nGRATION RECORDS\nCLERK OF COURT:\nRECORDS EXAMINED\nPlace number\nin\nupper left-hand corner of all copies of\nCARD INDEX\ndeclaration, immediately under your\nINDEX BOOKS\ndeclaration number.\nDISTRICT DIRECTOR OF NATURALIZATION\nMANIFESTS\nI desire file my Declaration of Intention (first paper) to become citizen\nto a\nMy name is\nMrs. Miss (Allen should print or true, original, and correct name) Boileau ; age, 5-2 (Give age last\nMr.\nyears.\nbirthday)\nMy present occupation is\nmill\nMy personal description is: Color, white complexion, fair\n; height, 5 feet 9 inches;\nnear born right in Rotiton Falls, Canada\nother weight, visible 210 distinctive pounds; thumb marks: color Scagray of hair, on w thper lip ; color of eyes, on\n;\nI was\nCity or town)\n(Country)\non\nthe 31st day of , 1 876\nMy\npresent residence is 28 South Bstrutt Saftrille, (County) Norwich (State) Conn\nJanuary\n(Number and street)\n(Cit, or'town)\nThe place where I took the ship or train me\nwhich landed in the United States was said\nRotton Falls\n,on\n,\n(Pay)\n(Year)\nThe name of the ship or railroad on which I came was\nMy last place of foreign residence was said (Country)\n(City or town)\nI am not married. The name of my { wife\n}\nShe\nis\nhusband\nHe\n)\nwas born at\nand now resides at\nI am now a renounce\nsubject of and intend to allegiance , to George (Write name and title of V, sovereign tc. and country of which\nnow a subject;\nor, if citizen of a republic, write name of republic only)\nI arrived at the United States immigration port of\nSt. albans\nVermont\n(City or town)\n,\n(State or territory)\non 14-8 (Give exact month, day, and year)\napril 25,1890\n(OVER)"
}