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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
Page data
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- Type
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- Size
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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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Page context
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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"
}