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Form 2213
PRELIMINARY FORM FOR DECLARATION OF INTENTION TO BECOME A CITIZEN
5367
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.
/
Joseph Girard DugAs ; age,20
years.
Miss
(Alien should print or typewrite here true, original, and correct name)
(Give age last birthday)
My present occupation is paper maker
My personal description is: Color, whith complexion, fair
13/4
; height, 5 feet inches;
weight, 130 pounds; color of hair, Brown ; color of eyes, Blue
;
other visible distinctive marks:
I was born in
it (City of town) Canaa (Country)
on the
gthes of
Sept.
agbrier
1907
newsondan
My present residence is
6 (Number and (City or town) (County) (State) Com
maple
street)
The place where I took the ship or train which landed me in the United States was
monted
Canada
, on
injust (Month) (Day) 1908 (Year)
The
name
of
the
ship
or
railroad
on
which
I
came
was
The
My last place of foreign residence was
(Country)
I am not The name
of { wife (City of is town)
She
my
He
}
was born at
husband
, and now resides at
,
I am now a subject of and intend to renounce allegiance to Gurga (Write name and V title of te, sovereign and
country of which now a subject;
or, if citizen of a write name of
I
arrived at the republic, United States republic immigration only) port of St abbans
Nismont
(City or town)
, on
(State or territory)
august
14-8 (Give exact month, day, and year) 1908
(OVER)
Page data
- Page
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- Source index
- 0
- Type
- photo
- Media ID
- 005034cee71e5380
- 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\n5367\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/\nJoseph Girard DugAs ; age,20\nyears.\nMiss\n(Alien should print or typewrite here true, original, and correct name)\n(Give age last birthday)\nMy present occupation is paper maker\nMy personal description is: Color, whith complexion, fair\n13/4\n; height, 5 feet inches;\nweight, 130 pounds; color of hair, Brown ; color of eyes, Blue\n;\nother visible distinctive marks:\nI was born in\nit (City of town) Canaa (Country)\non the\ngthes of\nSept.\nagbrier\n1907\nnewsondan\nMy present residence is\n6 (Number and (City or town) (County) (State) Com\nmaple\nstreet)\nThe place where I took the ship or train which landed me in the United States was\nmonted\nCanada\n, on\ninjust (Month) (Day) 1908 (Year)\nThe\nname\nof\nthe\nship\nor\nrailroad\non\nwhich\nI\ncame\nwas\nThe\nMy last place of foreign residence was\n(Country)\nI am not The name\nof { wife (City of is town)\nShe\nmy\nHe\n}\nwas born at\nhusband\n, and now resides at\n,\nI am now a subject of and intend to renounce allegiance to Gurga (Write name and V title of te, sovereign and\ncountry of which now a subject;\nor, if citizen of a write name of\nI\narrived at the republic, United States republic immigration only) port of St abbans\nNismont\n(City or town)\n, on\n(State or territory)\naugust\n14-8 (Give exact month, day, and year) 1908\n(OVER)"
}