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468992 741-106-17 Form 2213 PRELIMINARY FORM FOR DECLARATION OF INTENTION TO BECOME A CITIZEN 5353 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 45604 in upper left-hand corner of all copies of CARD INDEX declaration, immediately under your INDEX BOOKS NATURALIZATION SERVICE declaration number. KLL DISTRICT DIRECTOR OF NATURALIZATION MANIFESTS APR 10 1928 NATURALIZATION SERVICI ECEIVED DISTRICI DIRECTOR BOSTON MASS. I desire to file my Declaration of Intention to become BOB a citizen. APR 9 1028 Mr. My name is Mrs. 1 Marie Anna DEP Beaulieu OFFICE OF age, years. Miss print or trus correct name) OF (Give age last birthday) My present occupation is keeping house-valid - Working Walken mill My personal description is: Color, white ; complexion, pink fair height, P. 5 feet 33/4 * inches; weight, 118 pounds; color of hair, medium brown color of eyes, gray brown other visible distinctive marks I was born in Canada st Thiodose d action B.Canada (City or town) (Country) on the Februar day of 24 1905 My present residence is 33 noth a Stree taftville, norwich Coun (Number and street) (City or town) (County) (State) The where I took the ship train which landed in the United States Developmed bille place or me was Canada C.V.K on may (Morm) 651924 (Day) (Year) The name of the or on came was ship railroad which I Ranadian national Railways said My last place of foreign residence was Deumandville Conada (City octown) (Country) tan wife is asilas Beaution She I am married. The name of my was, born at husband & said33 north He street Stafford Springscome and now resides at Faftrills Comma I am now a of and to renounce to subject intend allegiance United (Write name States and title of sovereign GeorgeVita, and country of which subject; now a or, if citizen of a republic, write name of republiconly) St albans Virmont I arrived at the United States immigration port of wear (City the or town) tracein nasva , (State or territory) on may 14-8, 50tb month, day, and year) 1924 (Give exact (OVER)

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    "ocrText": "468992\n741-106-17\nForm 2213\nPRELIMINARY FORM FOR DECLARATION OF INTENTION TO BECOME A CITIZEN\n5353\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\n45604 in\nupper left-hand corner of all copies of\nCARD INDEX\ndeclaration, immediately under your\nINDEX BOOKS\nNATURALIZATION SERVICE\ndeclaration number.\nKLL\nDISTRICT DIRECTOR OF NATURALIZATION\nMANIFESTS\nAPR 10 1928\nNATURALIZATION SERVICI\nECEIVED\nDISTRICI DIRECTOR\nBOSTON MASS.\nI desire to file my Declaration of Intention to become BOB a citizen.\nAPR 9 1028\nMr.\nMy name is\nMrs.\n1\nMarie Anna DEP Beaulieu\nOFFICE OF\nage,\nyears.\nMiss\nprint or trus\ncorrect name)\nOF\n(Give age last birthday)\nMy present occupation is keeping house-valid - Working Walken mill\nMy personal description is: Color, white ; complexion, pink fair height, P. 5 feet 33/4 *\ninches;\nweight, 118 pounds; color of hair, medium brown color of eyes, gray brown\nother visible distinctive marks\nI\nwas born in Canada st Thiodose d action B.Canada\n(City or town)\n(Country)\non the Februar day of 24\n1905\nMy present residence\nis 33 noth a Stree taftville, norwich Coun\n(Number and street)\n(City or town)\n(County)\n(State)\nThe where I took the ship train which landed in the United States Developmed bille\nplace or me was\nCanada\nC.V.K\non may (Morm)\n651924\n(Day)\n(Year)\nThe name of the or on came was\nship railroad which I Ranadian national Railways\nsaid\nMy last place of foreign residence was\nDeumandville\nConada\n(City octown)\n(Country)\ntan\nwife\nis asilas Beaution\nShe\nI am married. The name of my\nwas, born at\nhusband\n&\nsaid33 north He street\nStafford Springscome and now resides at Faftrills Comma\nI am now a of and to renounce to\nsubject intend allegiance United (Write name States and title of sovereign GeorgeVita, and country of which subject;\nnow a\nor, if citizen of a republic, write name of republiconly)\nSt albans Virmont\nI arrived at the United States\nimmigration port of wear (City the or town)\ntracein nasva\n,\n(State or territory)\non may 14-8, 50tb month, day, and year) 1924\n(Give exact\n(OVER)"
}