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Form 2213
PRELIMINARY FORM FOR DECLARATION OF INTENTION TO BECOME A CITIZEN
5296
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
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 to file my Declaration of Intention (first paper) to become a citizen.
Mr.
My name is
Mrs. times CORA, WILCOX, HURS HMAN; age,
29
years.
(Alien should print or typewrite here true, original, and correct name)
(Give age last birthday)
Miss
My present occupation is House wite.
43/4
My personal description is: Color, light ; complexion, Bight
; 5 feet $
height,
inches;
weight, 133 pounds; color of hair, Red
;
color of eyes, gray
;
I was born in Cheverie (City HantsCounty town) (Country) noua Scotid
other visible distinctive marks: Scorondelffortinges
or
My present residence is station 10 n.b. (County) Connecticut (State)
on the 11th day of June
1898
(Number and street)
waterford
(Cito or town)
The place where I took the ship or train which aspotia landed me in the United States was Halifax tria
Boston
on my
1920
The name of the or on came
ship railroad which or I Princy was D.a. Rand (Month) Eastern (Day) "S. (Year) company,
My last place of foreign residence was (City town) Halifay county N.S.
Fairview?,
or
I am
married. The name of my
{
wife
more Scoloa
is Reymond sannan
She
was born at
husband
He
mahone Bay N.S. , and now resides at Station 10 waterford, Conn
I
am now a subject of and intend to renounce allegiance to King Write name George and titlé of sovereign and quat country of which Britain now a subject;
or, if citizen of a republic, write name of republic only)
I arrived at the United States immigration port of
Boston
(City or town)
massachusetts
, on
(State or territory)
may 14-8 (Give 15 exact month, day, and 1920 year)
(OVER)
Page data
- Page
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- Source index
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- Type
- photo
- Media ID
- 6ee4f2110a4b6327
- Size
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Document data
- ID
- 159596813
- Core
- doc
- Type
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DTO data
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Context sent to Scholar
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"ocrText": "Form 2213\nPRELIMINARY FORM FOR DECLARATION OF INTENTION TO BECOME A CITIZEN\n5296\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\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 to file my Declaration of Intention (first paper) to become a citizen.\nMr.\nMy name is\nMrs. times CORA, WILCOX, HURS HMAN; age,\n29\nyears.\n(Alien should print or typewrite here true, original, and correct name)\n(Give age last birthday)\nMiss\nMy present occupation is House wite.\n43/4\nMy personal description is: Color, light ; complexion, Bight\n; 5 feet $\nheight,\ninches;\nweight, 133 pounds; color of hair, Red\n;\ncolor of eyes, gray\n;\nI was born in Cheverie (City HantsCounty town) (Country) noua Scotid\nother visible distinctive marks: Scorondelffortinges\nor\nMy present residence is station 10 n.b. (County) Connecticut (State)\non the 11th day of June\n1898\n(Number and street)\nwaterford\n(Cito or town)\nThe place where I took the ship or train which aspotia landed me in the United States was Halifax tria\nBoston\non my\n1920\nThe name of the or on came\nship railroad which or I Princy was D.a. Rand (Month) Eastern (Day) \"S. (Year) company,\nMy last place of foreign residence was (City town) Halifay county N.S.\nFairview?,\nor\nI am\nmarried. The name of my\n{\nwife\nmore Scoloa\nis Reymond sannan\nShe\nwas born at\nhusband\nHe\nmahone Bay N.S. , and now resides at Station 10 waterford, Conn\nI\nam now a subject of and intend to renounce allegiance to King Write name George and titlé of sovereign and quat country of which Britain now a subject;\nor, if citizen of a republic, write name of republic only)\nI arrived at the United States immigration port of\nBoston\n(City or town)\nmassachusetts\n, on\n(State or territory)\nmay 14-8 (Give 15 exact month, day, and 1920 year)\n(OVER)"
}