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OCR
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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- Type
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Document data
- ID
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- Core
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- Type
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DTO data
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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)"
}