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Form 2203
TRIPLICATE
U. S. DEPARTMENT OF LABOR
[To be given le the person making
5064
NATURALIZATION SERVICE
the Declaration)
No. 2581
STATES OF
DECLARATION OF INTENTION
Invalid for all purposes seven years after the date hereof
State of Connectiout
In the
Superior
Court
SS :
County of Now London
of
New London County
u,
Franois Raymond Haley
aged 57 64 years,
occupation
college professor
,
do declare on oath that my personal
description is: Color
1/2
white
,
complexion blond
,
height 5 feet 6 inches,
weight 140
pounds, color of hair mixed brown , color of eyes blue
other visible distinctive marks
none
I was born in
Yarmouth, Nova Scot ia, Canada
on the 24th
day of
August
, anno Domini I 862 ; I now reside
at
249 Broadway Norwich, Connectic
(Give number, street, city or town, and State)
I emigrated to the United States of America from Wolfville, Nova Scotia
on the vessel
Canadian Pacific Bailway
; my last
(Ifthealien arrived otherwise than by vessel, the character of conveyance or name of transportation company should be given)
foreign residence was Wolfvillo, Nova Scotia
; I am
married; the name
of my wife is Elizabeth
;
she was born at Preston, Connecticut,
and now resides at/ aid 249 Broadway, Horwi ch, Connecticut.
It is my bona fide intention to renounce forever all allegiance and fidelity to any foreign
prince, potentate, state, or sovereignty, and particularly to George V, King of Great
Britain- and Ireland NC
1 arrived at the port of
Venceboro balars
of whom I am now a subject;
, in the
State of
Maine
on or about the
of
919
19th 21sta day
June august anno Domini I 916 ; I am not an anarchist; I am not
a
polygamist nor a believer in the practice of polygamy and it is my intention in good faith
to become a citizen of the United States of America and to permanently reside therein:
So HELP ME GOD.
Francis (Original signatury Reymond declarant) stalez
of
Subscribed and sworn to before me in the office of the Clerk of
said Court this 22nd day of September , anno Domini 191
George E.Parsons-
Clerk of the
Superior
Court.
Bythibbend R. Norman
,
Assistant Clerk.
14--1170
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Document data
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- Core
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- Type
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"ocrText": "Form 2203\nTRIPLICATE\nU. S. DEPARTMENT OF LABOR\n[To be given le the person making\n5064\nNATURALIZATION SERVICE\nthe Declaration)\nNo. 2581\nSTATES OF\nDECLARATION OF INTENTION\nInvalid for all purposes seven years after the date hereof\nState of Connectiout\nIn the\nSuperior\nCourt\nSS :\nCounty of Now London\nof\nNew London County\nu,\nFranois Raymond Haley\naged 57 64 years,\noccupation\ncollege professor\n,\ndo declare on oath that my personal\ndescription is: Color\n1/2\nwhite\n,\ncomplexion blond\n,\nheight 5 feet 6 inches,\nweight 140\npounds, color of hair mixed brown , color of eyes blue\nother visible distinctive marks\nnone\nI was born in\nYarmouth, Nova Scot ia, Canada\non the 24th\nday of\nAugust\n, anno Domini I 862 ; I now reside\nat\n249 Broadway Norwich, Connectic\n(Give number, street, city or town, and State)\nI emigrated to the United States of America from Wolfville, Nova Scotia\non the vessel\nCanadian Pacific Bailway\n; my last\n(Ifthealien arrived otherwise than by vessel, the character of conveyance or name of transportation company should be given)\nforeign residence was Wolfvillo, Nova Scotia\n; I am\nmarried; the name\nof my wife is Elizabeth\n;\nshe was born at Preston, Connecticut,\nand now resides at/ aid 249 Broadway, Horwi ch, Connecticut.\nIt is my bona fide intention to renounce forever all allegiance and fidelity to any foreign\nprince, potentate, state, or sovereignty, and particularly to George V, King of Great\nBritain- and Ireland NC\n1 arrived at the port of\nVenceboro balars\nof whom I am now a subject;\n, in the\nState of\nMaine\non or about the\nof\n919\n19th 21sta day\nJune august anno Domini I 916 ; I am not an anarchist; I am not\na\npolygamist nor a believer in the practice of polygamy and it is my intention in good faith\nto become a citizen of the United States of America and to permanently reside therein:\nSo HELP ME GOD.\nFrancis (Original signatury Reymond declarant) stalez\nof\nSubscribed and sworn to before me in the office of the Clerk of\nsaid Court this 22nd day of September , anno Domini 191\nGeorge E.Parsons-\nClerk of the\nSuperior\nCourt.\nBythibbend R. Norman\n,\nAssistant Clerk.\n14--1170"
}