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Form 2218 PRELIMINARY FORM FOR DECLARATION OF INTENTION TO BECOME A CITIZEN 4981 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 (NOTE TO CLERK OF COURT.-T guide you in preparing the Declaration: The black face lines on this form contain statements in the regular order as they are to appear on the Declaration of Intention.) I desire to file my Declaration of Intention (first paper) to become a citizen. Mr. My name is Mrg. GEORGE M'CUGAN ; age, 44 years. Misg (Alien should print or typewrite here true, original, and correct name) (Give age last birthday) Also known as (If alien has used any other name in this country, that name should be shown here) I used that name because The full name of the person shown on my steamship ticket was George 2glygan, My mother's maiden name was Sanah Haggarty My maiden name was (if woman) My present occcupation is Carpenter My personal description is: Color, White ; complexion, Fair. ; height, 5 feet x inches; 3/4 weight, 140 pounds; color of hair, Brown ; color of eyes, Browny ; I was born in Glasgow (City other visible distinctive marks: Scars under righters Scotland ofchinantra or town) (Country) on the 18th day of January , 18.8.2 9. My present residence is middlefield (Number and street (City Street graton town) (County Long (State) Cbron or My post office address is graton Long Point The or me was place where I took the ship train which landed in the United States glasgow. Scotland , on September 11, 1901. (Month) (Day) (Year) The ticket which I this country bought at glasgore (City) on came to was Scotland (Country) The name of the ship or railroad on which I came was City of Rome x (OVER) c14-8

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    "ocrText": "Form 2218\nPRELIMINARY FORM FOR DECLARATION OF INTENTION TO BECOME A CITIZEN\n4981\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\n(NOTE TO CLERK OF COURT.-T guide you in preparing the Declaration: The black face lines on this form contain statements\nin the regular order as they are to appear on the Declaration of Intention.)\nI desire to file my Declaration of Intention (first paper) to become a citizen.\nMr.\nMy name is\nMrg.\nGEORGE M'CUGAN\n; age,\n44 years.\nMisg\n(Alien should print or typewrite here true, original, and correct name)\n(Give age last birthday)\nAlso known as\n(If alien has used any other name in this country, that name should be shown here)\nI used that name because\nThe\nfull\nname\nof the person shown on my steamship ticket was George 2glygan,\nMy mother's maiden name was\nSanah Haggarty\nMy maiden name was (if woman)\nMy present occcupation is\nCarpenter\nMy personal description is: Color, White ; complexion, Fair. ; height, 5 feet x inches;\n3/4\nweight, 140\npounds; color of hair, Brown\n; color of eyes, Browny\n;\nI was born in Glasgow (City\nother visible distinctive marks: Scars under righters Scotland ofchinantra\nor town)\n(Country)\non the 18th\nday of January\n, 18.8.2\n9.\nMy present\nresidence is middlefield (Number and street (City Street graton town) (County Long (State) Cbron\nor\nMy post office address is graton Long Point\nThe or me was\nplace where I took the ship train which landed in the United States glasgow.\nScotland\n, on\nSeptember 11,\n1901.\n(Month)\n(Day)\n(Year)\nThe ticket which I this country bought at glasgore (City)\non came to was\nScotland\n(Country)\nThe name of the ship or railroad on which I came was City of Rome\nx\n(OVER)\nc14-8"
}