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Form 2213 PRELIMINARY FORM FOR DECLARATION OF INTENTION TO BECOME A CITIZEN 5261 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: NATURALIZATION RECORDS EXAMINED Place number 41398 in upper left-hand corner of all copies of CARD INDEX JAN 1 1028 declaration, immediately under your INDEX BOOKS declaration number. OFFICE OF EXAMINER NEW HA VINN, CONN. DISTRICT DIRECTOR OF NATURALIZATION MANIFESTS DEPAKIMENT OH LABOR IAN * I desire to file my Declaration of Intention (first paper) to become a citizen. 1926 My name is Mrs. MARY ANN REKOS ; age, 27 years. (Alien should print or typewrite here true, original, and correct name) (Give age last birthday) My present occupation is HOUSE WIFE My personal description is: Color, WHITE ; complexion, Rusy fair height, 5 feet 4 inches; 4= weight, 125 pounds; color of hair, FAIR light ; color of eyes, GREY ; other visible distinctive marks: nohe I was born in BOOTLE, LIVERPOOL, ENGLAND. City or town) (Country) on the 27 day of MARCH. 1900 My present residence is 66 FRANKLIN NEW LONDON CONNECTICUT (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 SOUTHAMPTON ENGLAND ,on NOVEMBER 23RD 1926 (Month) (Day) (Year) The name of the ship or railroad on which I came was 5.5 LEVIATHAN My last place of foreign residence was CANTON - CARDIFF Sq WALES, ENGLAND (City or town) I am - married. The name of my { is JOSEPH M. She was born at husband He PAWTUCKET R.I. , and now resides at U.S. Nanx said 66 thanklin I am now a subject of and intend to renounce allegiance to ENGLAND (Write name and title of sovereign and country of which now a subject; George V by the Grace of God, of Great rtaw, Iteland, and the British Faminions beyond the Seas or, if citizen of a republic, write name of republic only) K ng. Defender of the Faith. Emperor of andia, I arrived at the United States immigration port of NEW YORK (City or town) NEW YORK , on NOVEMBER 29TH 1926 (State or territory) 14-8 (Give exact month, day, and year) (OVER) ICIA ISSUED JAN 7 1928

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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\n5261\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:\nNATURALIZATION\nRECORDS EXAMINED\nPlace number\n41398 in\nupper left-hand corner of all copies of\nCARD INDEX\nJAN 1 1028\ndeclaration, immediately under your\nINDEX BOOKS\ndeclaration number.\nOFFICE OF EXAMINER\nNEW HA VINN, CONN.\nDISTRICT DIRECTOR OF NATURALIZATION\nMANIFESTS\nDEPAKIMENT OH LABOR\nIAN\n*\nI desire to file my Declaration of Intention (first paper) to become a citizen.\n1926\nMy name is\nMrs.\nMARY ANN REKOS\n; age,\n27\nyears.\n(Alien should print or typewrite here true, original, and correct name)\n(Give age last birthday)\nMy present occupation is\nHOUSE WIFE\nMy personal description is: Color, WHITE ; complexion, Rusy fair height, 5 feet 4 inches;\n4=\nweight, 125\npounds; color of hair, FAIR light ; color of\neyes, GREY\n;\nother visible distinctive marks:\nnohe\nI was born in\nBOOTLE, LIVERPOOL,\nENGLAND.\nCity or town)\n(Country)\non the 27\nday of\nMARCH.\n1900\nMy present residence is\n66 FRANKLIN\nNEW LONDON\nCONNECTICUT\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 SOUTHAMPTON\nENGLAND\n,on NOVEMBER\n23RD\n1926\n(Month)\n(Day)\n(Year)\nThe name of the ship or railroad on which I came was 5.5 LEVIATHAN\nMy last place of foreign residence was\nCANTON - CARDIFF\nSq WALES, ENGLAND\n(City or town)\nI am\n- married. The name of my\n{\nis\nJOSEPH M.\nShe\nwas born at\nhusband\nHe\nPAWTUCKET R.I.\n, and now resides at U.S. Nanx said 66 thanklin\nI am now a subject of and intend to renounce allegiance to\nENGLAND\n(Write name and title of sovereign and country of which now a subject;\nGeorge V by the Grace of God, of Great rtaw,\nIteland, and the British Faminions beyond the Seas\nor, if citizen of a republic, write name of republic only) K ng. Defender of the Faith. Emperor of andia,\nI arrived at the United States immigration port of\nNEW YORK\n(City or town)\nNEW YORK\n, on\nNOVEMBER 29TH 1926\n(State or territory)\n14-8\n(Give exact month, day, and year)\n(OVER)\nICIA ISSUED\nJAN 7 1928"
}