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Form 2213
PRELIMINARY FORM FOR DECLARATION OF INTENTION TO BECOME A CITIZEN
5314
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 45021 in
CARD INDEX 736-108-25
upper left-hand corner of all copies of
declaration, immediately under your
INDEX BOOKS
declaration number.
NATURA)
DISTRIOT DIRECT OR OF NATURALIZATION
MANIFESTS
Daigle
MAR 12 1929
I desire to file my Declaration of Intention (first paper) to become a citizen@ffice OF EXAMINER
47
Mr.
My name is
Maxime Charles Donote
pown
Mrs.
, age,
years.
(Alien should print or typewrite here true, original, and correct name)
(Give age last birthday)
My
present occupation Miss is Shoe-cutter
33/4
My personal description is: Color, White ; complexion, fair
; height, 5 feet X inches;
weight, 127 pounds; color of hair, light brown ; color eyes, blue
of
;
other visible distinctive marks: bald
I
was born in St. Anlest,Canada
Rult
(City or town)
(Country)
on the third day of november
, 1880
My present residence is
33 (Number and street) st (City town) N.L. (County) Came (State)
Spring
narcials,
or
The place where I took the ship or train which landed me in the United States was Sherbradez
Canada
, on sept, (Month)
10 T 1924
(Day)
(Year)
The name of the ship or railroad on which/I came was
said
Boston +maine Railroad
My last place of foreign residence was
A
Sherbrooke
Clear
(City or town)
(Country)
wife
I am
married. The name of my
is
husband canada said
alemina Berguon the She
}
was born at
stoper Cunter, and now resides at 33 spring IN ,
I am now a subject of and intend to renounce allegiance to
English
(Write name and title of sovereign and country of which now a subject;
or, if citizen of a republic, write name of republic only)
I arrived at the United
States immigration port of (City town) yours
Buslington
or
Newport, Vermont (State territory)
, on
left 14-8 (Give 10 month, day, 1924 and year)
or
exact
(OVER)
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Document data
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- Core
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- Type
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DTO data
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Context sent to Scholar
Document identity
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"ocrText": "Form 2213\nPRELIMINARY FORM FOR DECLARATION OF INTENTION TO BECOME A CITIZEN\n5314\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 45021 in\nCARD INDEX 736-108-25\nupper left-hand corner of all copies of\ndeclaration, immediately under your\nINDEX BOOKS\ndeclaration number.\nNATURA)\nDISTRIOT DIRECT OR OF NATURALIZATION\nMANIFESTS\nDaigle\nMAR 12 1929\nI desire to file my Declaration of Intention (first paper) to become a citizen@ffice OF EXAMINER\n47\nMr.\nMy name is\nMaxime Charles Donote\npown\nMrs.\n, age,\nyears.\n(Alien should print or typewrite here true, original, and correct name)\n(Give age last birthday)\nMy\npresent occupation Miss is Shoe-cutter\n33/4\nMy personal description is: Color, White ; complexion, fair\n; height, 5 feet X inches;\nweight, 127 pounds; color of hair, light brown ; color eyes, blue\nof\n;\nother visible distinctive marks: bald\nI\nwas born in St. Anlest,Canada\nRult\n(City or town)\n(Country)\non the third day of november\n, 1880\nMy present residence is\n33 (Number and street) st (City town) N.L. (County) Came (State)\nSpring\nnarcials,\nor\nThe place where I took the ship or train which landed me in the United States was Sherbradez\nCanada\n, on sept, (Month)\n10 T 1924\n(Day)\n(Year)\nThe name of the ship or railroad on which/I came was\nsaid\nBoston +maine Railroad\nMy last place of foreign residence was\nA\nSherbrooke\nClear\n(City or town)\n(Country)\nwife\nI am\nmarried. The name of my\nis\nhusband canada said\nalemina Berguon the She\n}\nwas born at\nstoper Cunter, and now resides at 33 spring IN ,\nI am now a subject of and intend to renounce allegiance to\nEnglish\n(Write name and title of sovereign and country of which now a subject;\nor, if citizen of a republic, write name of republic only)\nI arrived at the United\nStates immigration port of (City town) yours\nBuslington\nor\nNewport, Vermont (State territory)\n, on\nleft 14-8 (Give 10 month, day, 1924 and year)\nor\nexact\n(OVER)"
}