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Form 2213 7461 764 PRELIMINARY FORM FOR DECLARATION OF INTENTION TO BECOME A CITIZEN 5307 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 43700 upper left-hand corner of all copies of CARD INDEX declaration, immediately under your INDEX BOOKS NA declaration number. SERVICE HX MECEIVED NATURALIZATION SERVION DISTRICT DIRECTOR OF NATURALIZATION MANIFESTS Francoise FEB 251928 FEB 277 1928 OFFICN OF EXAMINER MAVEN, OONN. I desire to file my Declaration of Intention (first paper) to become a citizen. DY or LABOR Mr. MASS. My name is Mrs. } Euls Lie Hod ON, ge LA30 ; age, 2524 years. Miss (Alien should print or typewrite here true, original, an Correct name) (Give age last birthday) My present occupation is genal Er A house work dark My personal description is: Color, mulato abjean =; complexion, Brown ; height, 5- feet 5 inches; weight, 140 pounds; color of hair, black ; eyes, color of brown dark ; other visible distinctive marks: none I was born in grand Case, (City or town) St martin F. HS. Indias sinch (Country) on the 4 day of july 1903 my 2025 My present residence is 11 moore Court New London Conn q.3 (Number and street) (City or town) (County) (State) The place where I took the ship or train which landed me in the United was States st. 96. S. a Virgin Islands , on as (Month) (Day) (Year) Carima Guiana s The name of the ship or railroad on which I came was My last place of foreign was residence said grans d. - Case off martin (Country) Feding (City or town) not married. The name of my { wife She I am is was born at husband He , and now resides at , I am now a subject of and intend to renounce allegiance to great Britain (Write name and title of sovereign and country of which now a subject; (my was only Three the trunch Republic I or, arrived at a the republic, United States immigration port of new york if write name of republic (City or town) news (State or territory) york , on july 23 (Give exact month, 1923 day, and year) (OVER)

Page data

Page
865
Source index
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Type
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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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    "ocrText": "Form 2213\n7461 764\nPRELIMINARY FORM FOR DECLARATION OF INTENTION TO BECOME A CITIZEN\n5307\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\n43700\nupper left-hand corner of all copies of\nCARD INDEX\ndeclaration, immediately under your\nINDEX BOOKS\nNA\ndeclaration number. SERVICE\nHX\nMECEIVED\nNATURALIZATION SERVION\nDISTRICT DIRECTOR OF NATURALIZATION\nMANIFESTS\nFrancoise\nFEB 251928\nFEB 277 1928\nOFFICN OF EXAMINER\nMAVEN, OONN.\nI desire to file my Declaration of Intention (first paper) to become a citizen. DY or LABOR\nMr.\nMASS.\nMy name is\nMrs.\n}\nEuls Lie Hod ON, ge LA30\n; age,\n2524 years.\nMiss\n(Alien should print or typewrite here true, original, an Correct name)\n(Give age last birthday)\nMy present occupation is genal Er A house work dark\nMy personal description is: Color, mulato abjean =; complexion, Brown\n; height, 5- feet 5 inches;\nweight, 140\npounds; color of hair, black\n; eyes,\ncolor of brown\ndark\n;\nother visible distinctive marks: none\nI was born in grand Case, (City or town) St martin\nF. HS. Indias\nsinch\n(Country)\non the 4\nday of july\n1903\nmy\n2025\nMy present residence is 11 moore Court New London Conn\nq.3\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 was\nStates st.\n96. S. a Virgin Islands , on\nas\n(Month)\n(Day)\n(Year)\nCarima Guiana\ns\nThe name of the ship or railroad on which I came was\nMy last place of foreign was\nresidence said grans d. - Case off martin (Country) Feding\n(City or town)\nnot married. The name of my {\nwife\nShe\nI am\nis\nwas born at\nhusband\nHe\n, and now resides at\n,\nI am now a subject of and intend to renounce allegiance\nto great Britain\n(Write name and title of sovereign and country of which now a subject;\n(my was only Three the trunch Republic\nI or, arrived at a the republic, United States immigration port of new york\nif write name of republic\n(City or town)\nnews\n(State or territory)\nyork\n, on july 23 (Give exact month, 1923 day, and\nyear)\n(OVER)"
}