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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
- 0
- Type
- photo
- Media ID
- 3856f1cc19ab94eb
- Size
- unknown
Document data
- ID
- 159596813
- Core
- doc
- Type
- document
DTO data
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Context sent to Scholar
Document identity
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Document source metadata
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Document source extras
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Page context
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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)"
}