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OCR
647-74-8
Form 2213
PRELIMINARY FORM FOR DECLARATION OF INTENTION TO BECOME A CITIZEN
5234
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
40624
NOV
Place number
in
CARD INDEX
upper left-hand corner of all copies of
OFFICE OIT
declaration, immediately under your
INDEX BOOKS
NEW HAVEN, COUNON.
declaration number.
DEPAKIMENT
DISTRICT DIRECTOR OF NATURALIZATION
MANIFESTS
Declaration of Intention (first paper) Larivire to zoa become a Rivire citizen.
I desire to file my
Mr.
My name is
Mrs.
/
Lafricin
; age,
18
years.
Miss
LAlien should print or typewrite here true, original, and correct name)
(Give age last birthday)
My occupation is Barber
present
My personal description is: Color, white complexion, fair
;
height, 5 feet 2 inches;
weight, 130 pounds; color of hair. brown
;
color of eyes, blue
;
I
was born in St Johns. (City ortown)
other visible distinctive marks: Scaronrighteide of Conada throat
(Country)
on the 14 day of may
1899
,
My present residence is (Number and street) Baltic (City Spragul town) (County) Connecticut (State)
132 Main
or
The place where I took the ship or train which landed me in the United States was
on 25 oct 1922
of the ship or railroad on came was
which I (Month) Vermon (Day)
(Year)
1927
My last place of foreign residence was
say
John
(City town) (Country)
or
wife
She
I am
The name or any
is
was born at
husband
He
OF
, and now resides at
,
I am now a subject of and intend to renounce allegiance to
Great Briton
(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
(City or town)
Vermont
, on 20 Oet30,1922
(State or territory)
14-8
(Give exact month, day, and year)
Rouses fount, (OVER) 10/30/8 Ratland.
Page data
- Page
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- Source index
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- Type
- photo
- Media ID
- c6cc324939384ee9
- Size
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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": "647-74-8\nForm 2213\nPRELIMINARY FORM FOR DECLARATION OF INTENTION TO BECOME A CITIZEN\n5234\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\n40624\nNOV\nPlace number\nin\nCARD INDEX\nupper left-hand corner of all copies of\nOFFICE OIT\ndeclaration, immediately under your\nINDEX BOOKS\nNEW HAVEN, COUNON.\ndeclaration number.\nDEPAKIMENT\nDISTRICT DIRECTOR OF NATURALIZATION\nMANIFESTS\nDeclaration of Intention (first paper) Larivire to zoa become a Rivire citizen.\nI desire to file my\nMr.\nMy name is\nMrs.\n/\nLafricin\n; age,\n18\nyears.\nMiss\nLAlien should print or typewrite here true, original, and correct name)\n(Give age last birthday)\nMy occupation is Barber\npresent\nMy personal description is: Color, white complexion, fair\n;\nheight, 5 feet 2 inches;\nweight, 130 pounds; color of hair. brown\n;\ncolor of eyes, blue\n;\nI\nwas born in St Johns. (City ortown)\nother visible distinctive marks: Scaronrighteide of Conada throat\n(Country)\non the 14 day of may\n1899\n,\nMy present residence is (Number and street) Baltic (City Spragul town) (County) Connecticut (State)\n132 Main\nor\nThe place where I took the ship or train which landed me in the United States was\non 25 oct 1922\nof the ship or railroad on came was\nwhich I (Month) Vermon (Day)\n(Year)\n1927\nMy last place of foreign residence was\nsay\nJohn\n(City town) (Country)\nor\nwife\nShe\nI am\nThe name or any\nis\nwas born at\nhusband\nHe\nOF\n, and now resides at\n,\nI am now a subject of and intend to renounce allegiance to\nGreat Briton\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\narrived at the United States immigration port of\n(City or town)\nVermont\n, on 20 Oet30,1922\n(State or territory)\n14-8\n(Give exact month, day, and year)\nRouses fount, (OVER) 10/30/8 Ratland."
}