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Form 2213
PRELIMINARY FORM FOR DECLARATION OF INTENTION TO BECOME A CITIZEN
5373
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.
Miss
}
WILFRED EDWARD DUGAS
; age,
22
years.
(Alien should print or typewrite here true, original, and correct name)
(Give age last birthday)
My present occupation is
ELECTRICAL WORK
My personal description is: Color, WHITE complexion, DARK
; height, 5 feet 5 inches;
weight, 140 pounds; color of hair, DARK BROWN of eyes, BROWN
other
visible
distinctive marks: backofleft
hand
I was born in
MATANE
CANADA
(City or town)
on the
4TH day of JAN.
1906 Morwich, (Country)
My present residence is 56 MARCHANT AVE. TAFYYILLE, NEW LONDON CONN.
(Number and street)
(City or town)
(County)
(State)
The place where I took the ship or train which landed me in the United States was MONTREAL
Canada
,on APRIL
3RD 1907
(Month)
(Day)
(Year)
The name of the ship or railroad on which I
came was CENTRAL VERMONT
said
My last place of foreign residence was
MATANE
CANADA
A
(City or town)
(Country)
I am NOT married. The name of my
{
wife
She
is
was born
husband
He
, and now resides at
,
I am now a subject of and intend to renounce allegiance to GEORGE V KING OF
(Write name and title of sovereign and country of which now a subject;
ENGLAND AND CANADA
or, if citizen of a republic, write name of republic only)
I arrived at the United States immigration port of
ROSSES POINT
(City or town)
NEW YORK
on APRIL 3RD 1907
,
(State or territory)
14-8
(Give exact month, day, and year)
(OVER)
Page data
- Page
- 997
- Source index
- 0
- Type
- photo
- Media ID
- 0e78bedabb8fb585
- 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\n5373\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.\nMiss\n}\nWILFRED EDWARD DUGAS\n; age,\n22\nyears.\n(Alien should print or typewrite here true, original, and correct name)\n(Give age last birthday)\nMy present occupation is\nELECTRICAL WORK\nMy personal description is: Color, WHITE complexion, DARK\n; height, 5 feet 5 inches;\nweight, 140 pounds; color of hair, DARK BROWN of eyes, BROWN\nother\nvisible\ndistinctive marks: backofleft\nhand\nI was born in\nMATANE\nCANADA\n(City or town)\non the\n4TH day of JAN.\n1906 Morwich, (Country)\nMy present residence is 56 MARCHANT AVE. TAFYYILLE, NEW LONDON CONN.\n(Number and street)\n(City or town)\n(County)\n(State)\nThe place where I took the ship or train which landed me in the United States was MONTREAL\nCanada\n,on APRIL\n3RD 1907\n(Month)\n(Day)\n(Year)\nThe name of the ship or railroad on which I\ncame was CENTRAL VERMONT\nsaid\nMy last place of foreign residence was\nMATANE\nCANADA\nA\n(City or town)\n(Country)\nI am NOT married. The name of my\n{\nwife\nShe\nis\nwas born\nhusband\nHe\n, and now resides at\n,\nI am now a subject of and intend to renounce allegiance to GEORGE V KING OF\n(Write name and title of sovereign and country of which now a subject;\nENGLAND AND CANADA\nor, if citizen of a republic, write name of republic only)\nI arrived at the United States immigration port of\nROSSES POINT\n(City or town)\nNEW YORK\non APRIL 3RD 1907\n,\n(State or territory)\n14-8\n(Give exact month, day, and year)\n(OVER)"
}