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Form 2213
PRELIMINARY FORM FOR DECLARATION OF INTENTION TO BECOME A CITIZEN
5038
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.
Raymond Henry Desbonnet
; age,
23
years.
(Alien should print or typewrite here true, original, and correct name)
(Give age last birthday)
My present
occupation Miss is Cotton mill Fire Hands labored
My personal description is: Color, White complexion, dark medium ; height, 6 feet 1/2 inches;
weight, 215 pounds; color of hair. Light Brown ; color of
eyes,
Brown
;
other visible distinctive marks:
I was born in
Roubain
France
(City or town)
(Country)
on the 30th day
of
, 1903 griswold.
My present residence is #2 Slaters (Number and street) (City town) City (County) NewLondon, (State) Came
may
Aney Junett
or
The place where I took the ship or train which me was
landed in the United States antwerp Belgium
The name of the ship or railroad on which I came was
Waderland
on September (Month) (Day) 14, 1907 (Year)
residence sand was Roubaix
Frand
My last place of foreign
(City or town)
wife
I am
Blanche Brocha (Country)
She
married. The name of my
is
was born at
straggha Come
husband
said 2slaters assisnee
Ile
, and
now resides at famillaty ,
Corro
I am now a subject of and intend to renounce allegiance to
or, name
if the citizen of French a republic, write of republic Republic only)
(Write name and title of sovereign and country of which now a subject;
I arrived at the United States immigration port of
new (City or town)
new (State or territory) York
,
on 14/8 (Give month, day, 24, and year) 1907
September,
York
exact
(OVER)
Page data
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- Source index
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- Type
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Document data
- ID
- 159596813
- Core
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- Type
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DTO data
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Context sent to Scholar
Document identity
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"ocrText": "Form 2213\nPRELIMINARY FORM FOR DECLARATION OF INTENTION TO BECOME A CITIZEN\n5038\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.\nRaymond Henry Desbonnet\n; age,\n23\nyears.\n(Alien should print or typewrite here true, original, and correct name)\n(Give age last birthday)\nMy present\noccupation Miss is Cotton mill Fire Hands labored\nMy personal description is: Color, White complexion, dark medium ; height, 6 feet 1/2 inches;\nweight, 215 pounds; color of hair. Light Brown ; color of\neyes,\nBrown\n;\nother visible distinctive marks:\nI was born in\nRoubain\nFrance\n(City or town)\n(Country)\non the 30th day\nof\n, 1903 griswold.\nMy present residence is #2 Slaters (Number and street) (City town) City (County) NewLondon, (State) Came\nmay\nAney Junett\nor\nThe place where I took the ship or train which me was\nlanded in the United States antwerp Belgium\nThe name of the ship or railroad on which I came was\nWaderland\non September (Month) (Day) 14, 1907 (Year)\nresidence sand was Roubaix\nFrand\nMy last place of foreign\n(City or town)\nwife\nI am\nBlanche Brocha (Country)\nShe\nmarried. The name of my\nis\nwas born at\nstraggha Come\nhusband\nsaid 2slaters assisnee\nIle\n, and\nnow resides at famillaty ,\nCorro\nI am now a subject of and intend to renounce allegiance to\nor, name\nif the citizen of French a republic, write of republic Republic only)\n(Write name and title of sovereign and country of which now a subject;\nI arrived at the United States immigration port of\nnew (City or town)\nnew (State or territory) York\n,\non 14/8 (Give month, day, 24, and year) 1907\nSeptember,\nYork\nexact\n(OVER)"
}