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Form 2213
PRELIMINARY FORM FOR DECLARATION OF INTENTION TO BECOME A CITIZEN
5331
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
in
CARD INDEX
upper left-hand corner of all copies of
declaration, immediately under your
INDEX BOOKS
declaration number.
DISTRICT DIRECTOR OF NATURALIZATION
MANIFESTS
I desire to file my Declaration of Intention (first paper) to become a citizen.
Mr.
My name is
Mrs.
}
Thomas (Alien should print Banjamin typewrite here true, original, and correct name) ; age, (Give 53 age
Beetham
years.
or
last birthday)
My My present personal occupation Miss description is is: Cólor, farmks white ; complexion, dark
; height, 5 feet 63/4 inches;
weight, pounds; color Scorray of hair,
215
; color of eyes, brown
;
I was born in Vristan da Britain
other visible distinctive marks: rightfalm
(City or town)
(Country)
on the 28 day of
October
1874
My present residence is Kanwecus, Hill, norwich, Come
(Number and street)
(Oity or town)
(County)
(State)
The or me was
place, where I took the ship train which landed in the United States Cape Good
Hope, South africa. Liverpool on (Month) England (Day)
The of the ship railroad which I was Ruth Oceance
(Year)
name or on came
My last place of foreign residence was (City townly South africa (Country) She
Capetroon
or
wife
I am
married. The name of my
is Phoebi Anne
husband
j
}
was born at
He
northstorington, Com and now resides at said Wanwereus Hill
I am now a subject of and intend to renounce allegiance to
(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
New (City or town)
new (State or territory)
York
York
, on
1891
14-8
(Give exact month, day, and year)
(OVER)
Page data
- Page
- 913
- Source index
- 0
- Type
- photo
- Media ID
- eb1428801b333852
- 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\nPRELIMINARY FORM FOR DECLARATION OF INTENTION TO BECOME A CITIZEN\n5331\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\nin\nCARD INDEX\nupper left-hand corner of all copies of\ndeclaration, immediately under your\nINDEX BOOKS\ndeclaration number.\nDISTRICT DIRECTOR OF NATURALIZATION\nMANIFESTS\nI desire to file my Declaration of Intention (first paper) to become a citizen.\nMr.\nMy name is\nMrs.\n}\nThomas (Alien should print Banjamin typewrite here true, original, and correct name) ; age, (Give 53 age\nBeetham\nyears.\nor\nlast birthday)\nMy My present personal occupation Miss description is is: Cólor, farmks white ; complexion, dark\n; height, 5 feet 63/4 inches;\nweight, pounds; color Scorray of hair,\n215\n; color of eyes, brown\n;\nI was born in Vristan da Britain\nother visible distinctive marks: rightfalm\n(City or town)\n(Country)\non the 28 day of\nOctober\n1874\nMy present residence is Kanwecus, Hill, norwich, Come\n(Number and street)\n(Oity or town)\n(County)\n(State)\nThe or me was\nplace, where I took the ship train which landed in the United States Cape Good\nHope, South africa. Liverpool on (Month) England (Day)\nThe of the ship railroad which I was Ruth Oceance\n(Year)\nname or on came\nMy last place of foreign residence was (City townly South africa (Country) She\nCapetroon\nor\nwife\nI am\nmarried. The name of my\nis Phoebi Anne\nhusband\nj\n}\nwas born at\nHe\nnorthstorington, Com and now resides at said Wanwereus Hill\nI am now a subject of and intend to renounce allegiance to\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 States immigration port of\nNew (City or town)\nnew (State or territory)\nYork\nYork\n, on\n1891\n14-8\n(Give exact month, day, and year)\n(OVER)"
}