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Form 2213
PRELIMINARY FORM FOR DECLARATION OF INTENTION TO BECOME A CITIZEN
5369
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.
DISTRICT DIRECTOR OF NATURALIZATION
MANIFESTS
Patricia
I desire to file my Declaration of Intention (first paper) to become a citizen.
Mr.
My name is
Mrs.
|
MRS CHARLOTTE, PCOTE
; age,
34
years.
Miss
(Alien should print or typewrite here true, original, and correct name)
(Give age last birthday)
My present occupation is
House Keefin-wife
3
My personal description is: Color, White ; complexion, Fair
; height, Five feet food inches;
weight, 149 pounds; color of hair, Blonde
; eyes,
color of Blue
;
other visible distinctive marks:
none
I was
born in athlone Co Westmeath Ireland
(City or town)
(Country)
on the 1st day of February
, 1894
My present residence is 100 n. main st. Norwich
Conn
(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 County Cork. Indand
Sincenston, Ireland , on 31 st maz, (Month) Wednesday. (Day) not 1906, (Year)
The name of the ship on which I came was majestic, (White star Line)
My last place of foreign
residence paid was athtone to Westmesth Ireland,
(City or
wite
I am yes married. The name of my
is town) Frank
character (Country)
She
husband
}
was born at
st moise. Carada
and
now resides said at 100 Anothain He st
,
I am now a subject of and intend to renounce allegiance to
Great Britain
(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
relis (City town) new York
Island
or
New (State or territory)
york
, on June 14-8 8th (Give exact 1906. month, day, and Thursday year)
(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
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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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"ocrText": "Form 2213\nPRELIMINARY FORM FOR DECLARATION OF INTENTION TO BECOME A CITIZEN\n5369\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.\nDISTRICT DIRECTOR OF NATURALIZATION\nMANIFESTS\nPatricia\nI desire to file my Declaration of Intention (first paper) to become a citizen.\nMr.\nMy name is\nMrs.\n|\nMRS CHARLOTTE, PCOTE\n; age,\n34\nyears.\nMiss\n(Alien should print or typewrite here true, original, and correct name)\n(Give age last birthday)\nMy present occupation is\nHouse Keefin-wife\n3\nMy personal description is: Color, White ; complexion, Fair\n; height, Five feet food inches;\nweight, 149 pounds; color of hair, Blonde\n; eyes,\ncolor of Blue\n;\nother visible distinctive marks:\nnone\nI was\nborn in athlone Co Westmeath Ireland\n(City or town)\n(Country)\non the 1st day of February\n, 1894\nMy present residence is 100 n. main st. Norwich\nConn\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 County Cork. Indand\nSincenston, Ireland , on 31 st maz, (Month) Wednesday. (Day) not 1906, (Year)\nThe name of the ship on which I came was majestic, (White star Line)\nMy last place of foreign\nresidence paid was athtone to Westmesth Ireland,\n(City or\nwite\nI am yes married. The name of my\nis town) Frank\ncharacter (Country)\nShe\nhusband\n}\nwas born at\nst moise. Carada\nand\nnow resides said at 100 Anothain He st\n,\nI am now a subject of and intend to renounce allegiance to\nGreat Britain\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\nrelis (City town) new York\nIsland\nor\nNew (State or territory)\nyork\n, on June 14-8 8th (Give exact 1906. month, day, and Thursday year)\n(OVER)"
}