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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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Core
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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"
}