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Form 2213
PRELIMINARY FORM FOR DECLARATION OF INTENTION TO BECOME A CITIZEN
5709
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.
MANIFESTS
marie
DISTRICT DIRECTOR OF NATURALIZATION
mary
I desire to file my Declaration of Intention (first paper) to become a citizen.
Mr.
My name is
Mrs.
(Alien Annil should print or Johanna) here true, original, and correct Bursey name) ; age,
53
years.
(Give age last birthday)
My present occupation Miss is House helper
My personal description is: Color, White ; complexion, medium ; height, 5 feet 3 inches;
fair.
weight, 125 pounds; color of hair, blackbrown ;
color of eyes, Blue gray
I
was born in
other visible distinctive marks: Frelanch
(City ortown)
(Country)
on the first day
of
July
1874
My present residence is
st Borad st Nornah New fordon Co,
(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 efficien storm Conner
,
on (Month) 30 20 (Day) 1889 (Year)
April
The of the ship railroad which I Aurania ,
name or on came was
My
last place of foreign residence said was Valentia Island logsint Seeland (Country)
(City or town)
wire
married. The name of my
is John A Mursey
She
I am
He
was born at
husband
I am now a subject of and intend to renounce allegiance to (Ineland) (Write and title of sovereign and England of which subject;
Portrager Irelandro and now resides at
name country now a
or, if citizen of a republic, write name of republic only)
I arrived at the United States immigration port of New years
(City or town)
New (State york or territory)
, on
(OVER)
may dive exact month, 1889 day, and year)
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- Source index
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- Type
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Document data
- ID
- 159596813
- Core
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- Type
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DTO data
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Context sent to Scholar
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Document source metadata
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Document source extras
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"ocrText": "Form 2213\nPRELIMINARY FORM FOR DECLARATION OF INTENTION TO BECOME A CITIZEN\n5709\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.\nMANIFESTS\nmarie\nDISTRICT DIRECTOR OF NATURALIZATION\nmary\nI desire to file my Declaration of Intention (first paper) to become a citizen.\nMr.\nMy name is\nMrs.\n(Alien Annil should print or Johanna) here true, original, and correct Bursey name) ; age,\n53\nyears.\n(Give age last birthday)\nMy present occupation Miss is House helper\nMy personal description is: Color, White ; complexion, medium ; height, 5 feet 3 inches;\nfair.\nweight, 125 pounds; color of hair, blackbrown ;\ncolor of eyes, Blue gray\nI\nwas born in\nother visible distinctive marks: Frelanch\n(City ortown)\n(Country)\non the first day\nof\nJuly\n1874\nMy present residence is\nst Borad st Nornah New fordon Co,\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 efficien storm Conner\n,\non (Month) 30 20 (Day) 1889 (Year)\nApril\nThe of the ship railroad which I Aurania ,\nname or on came was\nMy\nlast place of foreign residence said was Valentia Island logsint Seeland (Country)\n(City or town)\nwire\nmarried. The name of my\nis John A Mursey\nShe\nI am\nHe\nwas born at\nhusband\nI am now a subject of and intend to renounce allegiance to (Ineland) (Write and title of sovereign and England of which subject;\nPortrager Irelandro and now resides at\nname country now a\nor, if citizen of a republic, write name of republic only)\nI arrived at the United States immigration port of New years\n(City or town)\nNew (State york or territory)\n, on\n(OVER)\nmay dive exact month, 1889 day, and year)"
}