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Form 2213
PRELIMINARY FORM FOR DECLARATION OF INTENTION TO BECOME A CITIZEN
5233
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.
My present occupation is Labour our
Miss
}
michael (Alien should Joseph print typewrite Healy here true
; age,
30
years.
for original, and correct name)
(Give age last birthday)
My personal description is: Color, white ; complexion,
; height, 5 feet 87/4 inches;
weight, 170 pounds; color of hair,
;
color of eyes,
;
other visible distinctive marks: corner of
I
was born in to Tuerry (City or town) Ireland valentia Sland, (Country) Ireland
on the 3
day
of October
, 1897
My present residence is 196 are New London (County)
Crystal
bonn
(Number and street)
(City or town)
(State)
The place where I took the ship train which landed in the United States Queenstown Ireland
or me was
, on
(Year)
The name of the ship or railroad on which I came was for Coronia (Month) Coronia (Day)
My last
place of foreign residence was (City town) (Country)
Kirry
or
I am
married. The name of my
stanagee
{
wife
is Neltic murphy
She
was born at
husband
He
to hurpy Ireland
,
and
now resides said at 196 Criptal Ave New London born
I am now a subject of and intend to renounce allegiance to United States of America
(Write name and title of sovereign and country of which now a subject;
or,
Georgi
if citizen of a republic, write name of republic V,te, only)
I arrived at
the United States immigration port of fung New (Cit. for town)
York
state of New (State territory) York
or
, on July 9-1920 (Give exact month,
day, and year)
(OVER)
Page data
- Page
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- Source index
- 0
- Type
- photo
- Media ID
- 60e55e2650adc572
- 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\n5233\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.\nMy present occupation is Labour our\nMiss\n}\nmichael (Alien should Joseph print typewrite Healy here true\n; age,\n30\nyears.\nfor original, and correct name)\n(Give age last birthday)\nMy personal description is: Color, white ; complexion,\n; height, 5 feet 87/4 inches;\nweight, 170 pounds; color of hair,\n;\ncolor of eyes,\n;\nother visible distinctive marks: corner of\nI\nwas born in to Tuerry (City or town) Ireland valentia Sland, (Country) Ireland\non the 3\nday\nof October\n, 1897\nMy present residence is 196 are New London (County)\nCrystal\nbonn\n(Number and street)\n(City or town)\n(State)\nThe place where I took the ship train which landed in the United States Queenstown Ireland\nor me was\n, on\n(Year)\nThe name of the ship or railroad on which I came was for Coronia (Month) Coronia (Day)\nMy last\nplace of foreign residence was (City town) (Country)\nKirry\nor\nI am\nmarried. The name of my\nstanagee\n{\nwife\nis Neltic murphy\nShe\nwas born at\nhusband\nHe\nto hurpy Ireland\n,\nand\nnow resides said at 196 Criptal Ave New London born\nI am now a subject of and intend to renounce allegiance to United States of America\n(Write name and title of sovereign and country of which now a subject;\nor,\nGeorgi\nif citizen of a republic, write name of republic V,te, only)\nI arrived at\nthe United States immigration port of fung New (Cit. for town)\nYork\nstate of New (State territory) York\nor\n, on July 9-1920 (Give exact month,\nday, and year)\n(OVER)"
}