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Form 2213
PRELIMINARY FORM FOR DECLARATION OF INTENTION TO BECOME A CITIZEN
5323
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:
45781
RECORDS EXAMINED
Place number
in
CARD INDEX
SERVIOS
upper left-hand corner of all copies of
REUBUR
declaration, immediately under your
INDEX BOOKS
declaration number.
APR 12
1928
DISTRICT
DIRECTOR
OF
NATURALIZATION
MANIFESTS
RECEIVED
BOOLON MASS.
DEP Additionali OF LABOR
APR 10 1020
I desire to file my Declaration of Intention (first paper) to become a citizen.
Mr.
OFFICE OF EXAMINFR
My name is
Mrs.
/
HARRIET-OLDHAM
NEW HAVEN, CO
age,
30.
years.
Miss
(Alien should print or typewrite here true, original, and correct name)
(Give age last birthday)
My present occupation is botton Weaver
My personal description is: Color, White
BUNTAU OF 2 1/2
; complexion,
fair
; height, feet * inches;
weight, 114 pounds; color of hair, lightBound
REQEIVED
; color of eyes,
grey
;
None
APR 26 1928
other visible distinctive marks:
I was born in
Burnley
(City or town) Benefity
England
BIRID
(Commtry)
on the 31
day of December
, 189%
My present residence is 226 (Number High and St.Baltic, (City Sprange, New (County) London Connecticial (State)
street)
or town)
The place where I took the ship or train- which landed me in the United States was
Liverpood
England
on September
12. - 1925.
(Month)
(Day)
(Year)
The of the ship railroad which Rich, S, Franconia
name or on came was
My last place of foreign residence was party (City town)
Burnley.
England
or
(Country)
fairly
{
wife
Wilfred Oldhama
She
I am married. The name of my
is
}
was born at
husband
He
Burnley England and paid 226
now resides at High St
Baltic
,
I am now a subject of and intend to renounce
allegiance to King George Write and 5th title of England and
name sovereign country of which now a subject;
George V. by the Grace of God, of Great Ertaw,
or, if citizen of a republic, write name of republic only)
beyond the
King, Defender of the Fatth. Emperor of India,
I arrived at the United States immigration port of
New (City or York. town)
New yark (State States or territory)
, on September 20th 1925.
(Give exact month, day, and year)
(OVER)
0/A
APH 20 1920
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- Type
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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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Page context
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"ocrText": "Form 2213\nPRELIMINARY FORM FOR DECLARATION OF INTENTION TO BECOME A CITIZEN\n5323\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:\n45781\nRECORDS EXAMINED\nPlace number\nin\nCARD INDEX\nSERVIOS\nupper left-hand corner of all copies of\nREUBUR\ndeclaration, immediately under your\nINDEX BOOKS\ndeclaration number.\nAPR 12\n1928\nDISTRICT\nDIRECTOR\nOF\nNATURALIZATION\nMANIFESTS\nRECEIVED\nBOOLON MASS.\nDEP Additionali OF LABOR\nAPR 10 1020\nI desire to file my Declaration of Intention (first paper) to become a citizen.\nMr.\nOFFICE OF EXAMINFR\nMy name is\nMrs.\n/\nHARRIET-OLDHAM\nNEW HAVEN, CO\nage,\n30.\nyears.\nMiss\n(Alien should print or typewrite here true, original, and correct name)\n(Give age last birthday)\nMy present occupation is botton Weaver\nMy personal description is: Color, White\nBUNTAU OF 2 1/2\n; complexion,\nfair\n; height, feet * inches;\nweight, 114 pounds; color of hair, lightBound\nREQEIVED\n; color of eyes,\ngrey\n;\nNone\nAPR 26 1928\nother visible distinctive marks:\nI was born in\nBurnley\n(City or town) Benefity\nEngland\nBIRID\n(Commtry)\non the 31\nday of December\n, 189%\nMy present residence is 226 (Number High and St.Baltic, (City Sprange, New (County) London Connecticial (State)\nstreet)\nor town)\nThe place where I took the ship or train- which landed me in the United States was\nLiverpood\nEngland\non September\n12. - 1925.\n(Month)\n(Day)\n(Year)\nThe of the ship railroad which Rich, S, Franconia\nname or on came was\nMy last place of foreign residence was party (City town)\nBurnley.\nEngland\nor\n(Country)\nfairly\n{\nwife\nWilfred Oldhama\nShe\nI am married. The name of my\nis\n}\nwas born at\nhusband\nHe\nBurnley England and paid 226\nnow resides at High St\nBaltic\n,\nI am now a subject of and intend to renounce\nallegiance to King George Write and 5th title of England and\nname sovereign country of which now a subject;\nGeorge V. by the Grace of God, of Great Ertaw,\nor, if citizen of a republic, write name of republic only)\nbeyond the\nKing, Defender of the Fatth. Emperor of India,\nI arrived at the United States immigration port of\nNew (City or York. town)\nNew yark (State States or territory)\n, on September 20th 1925.\n(Give exact month, day, and year)\n(OVER)\n0/A\nAPH 20 1920"
}