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Form 2213
PRELIMINARY FORM FOR DECLARATION OF INTENTION TO BECOME A CITIZEN
5468
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
upper left-hand corner of all copies of
CARD INDEX
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.
BERTHA JESSIE SANGSTER
; age, 32
years.
Miss
(Alien should print or typewrite here true, original, and correct name)
(Give age last birthday)
My present occupation is office worker
My personal description is: Color, white ; complexion, fair
; height,
5
feet 31/2 inches;
weight, go
pounds; color of hair, light brown ; color of eyes, gray
;
other visible distinctive marks:
none
I was born in Sherbrooke Duchee
Carada
(City or town)
(Country)
on the 15
day of april
, 1 1896
My present residence is 6 Groue Place norwich new London connecticut
place where I took the ship or (Number train which street) landed me in the (City United town) States was St batharines, (County) (s)
and
or
The
bemada
,on
dontremender
(Month)
(Year)
The name of the ship or railroad on which I came was
sintermine
(Day)
My last place of foreign residence was St. Cattarines, ontario Canada
(City or town)
(Country)
wife
married. The name of my
}
She
I am
is
was born at
husband
He
and now resides at
,
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
magara (City town) Falls
or
, on
march
(State or territory)
14-8
(Give exact month, day, and year)
1907
(OVER)
Page data
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- Source index
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- Type
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- Media ID
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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\n5468\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\nupper left-hand corner of all copies of\nCARD INDEX\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.\nBERTHA JESSIE SANGSTER\n; age, 32\nyears.\nMiss\n(Alien should print or typewrite here true, original, and correct name)\n(Give age last birthday)\nMy present occupation is office worker\nMy personal description is: Color, white ; complexion, fair\n; height,\n5\nfeet 31/2 inches;\nweight, go\npounds; color of hair, light brown ; color of eyes, gray\n;\nother visible distinctive marks:\nnone\nI was born in Sherbrooke Duchee\nCarada\n(City or town)\n(Country)\non the 15\nday of april\n, 1 1896\nMy present residence is 6 Groue Place norwich new London connecticut\nplace where I took the ship or (Number train which street) landed me in the (City United town) States was St batharines, (County) (s)\nand\nor\nThe\nbemada\n,on\ndontremender\n(Month)\n(Year)\nThe name of the ship or railroad on which I came was\nsintermine\n(Day)\nMy last place of foreign residence was St. Cattarines, ontario Canada\n(City or town)\n(Country)\nwife\nmarried. The name of my\n}\nShe\nI am\nis\nwas born at\nhusband\nHe\nand now resides at\n,\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\nmagara (City town) Falls\nor\n, on\nmarch\n(State or territory)\n14-8\n(Give exact month, day, and year)\n1907\n(OVER)"
}