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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)

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989
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Document data

ID
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Core
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Type
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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)"
}