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Form 2213
PRELIMINARY FORM FOR DECLARATION OF INTENTION TO BECOME A CITIZEN
5055
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:
NATURALIZATION SERVICE
30787
RECORDS EXAMINED
Place number
RECEIVED
in
CARD INDEX
upper left-hand corner of all copies of
INDEX BOOKS
JAN19 1927
declaration, immediately under your
declaration number.
OFFICE OF EXAMINER
DISTRICT DIRECTOR OF NATURALIZATION.
MANIFESTS
NEW HAVEN, CONN.
Details UI LABOB
(NOTE TO CLERK OF COURT.- To 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.
BURHAU OF
Mr.
Mrs.
KENNI TH MAC DONALD
FATURALIZATION
My name is
; LYVID
years.
Miss
(Alien should print or typewrite here true, original, and correct name)
A.
(Girgage last birthday)
21 1927
M
Also known as
(If alien has used any other name in this country, that name should be shown here)
AOKNA works initial is WILL
I used that name because
The full name of the person shown on my steamship ticket was
Kenneth macDonald
My Flora macRae
mother's maiden name was
My maiden name was (if woman)
My present occcupation is
mill-hand
My personal description is: Color, White ; complexion, Darkfair ; height, 5 feet a 5-3/4 inches;
weight, 150 pounds; color of hair, black dark ; color of eyes, A trey hagel
brown
other visible distinctive marks: Scarat Scottand
I was born in
Cdinburgh
(City or town)
(Country)
on
the 25th day of
april
1906
My present residence is
Lisbon new London Conn
Box 66 R F D H norwich Conn.
(Number and street)
(City or town)
(County)
(State)
My post office address is
The place where I took the ship or train which landed me in the United States was
greenock
Scottand
, on
Oct
4th 1924
(Month)
(Day)
(Year)
The ticket on which I came to this country was bought at
The name of the ship or railroad on which I came was SB Columbia (City)
Edinburgh
Scottand
(Country)
(OVER)
014-8
O/A ISSUED
FEB 23 1927
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- Core
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"ocrText": "Form 2213\nPRELIMINARY FORM FOR DECLARATION OF INTENTION TO BECOME A CITIZEN\n5055\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:\nNATURALIZATION SERVICE\n30787\nRECORDS EXAMINED\nPlace number\nRECEIVED\nin\nCARD INDEX\nupper left-hand corner of all copies of\nINDEX BOOKS\nJAN19 1927\ndeclaration, immediately under your\ndeclaration number.\nOFFICE OF EXAMINER\nDISTRICT DIRECTOR OF NATURALIZATION.\nMANIFESTS\nNEW HAVEN, CONN.\nDetails UI LABOB\n(NOTE TO CLERK OF COURT.- To 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.\nBURHAU OF\nMr.\nMrs.\nKENNI TH MAC DONALD\nFATURALIZATION\nMy name is\n; LYVID\nyears.\nMiss\n(Alien should print or typewrite here true, original, and correct name)\nA.\n(Girgage last birthday)\n21 1927\nM\nAlso known as\n(If alien has used any other name in this country, that name should be shown here)\nAOKNA works initial is WILL\nI used that name because\nThe full name of the person shown on my steamship ticket was\nKenneth macDonald\nMy Flora macRae\nmother's maiden name was\nMy maiden name was (if woman)\nMy present occcupation is\nmill-hand\nMy personal description is: Color, White ; complexion, Darkfair ; height, 5 feet a 5-3/4 inches;\nweight, 150 pounds; color of hair, black dark ; color of eyes, A trey hagel\nbrown\nother visible distinctive marks: Scarat Scottand\nI was born in\nCdinburgh\n(City or town)\n(Country)\non\nthe 25th day of\napril\n1906\nMy present residence is\nLisbon new London Conn\nBox 66 R F D H norwich Conn.\n(Number and street)\n(City or town)\n(County)\n(State)\nMy post office address is\nThe place where I took the ship or train which landed me in the United States was\ngreenock\nScottand\n, on\nOct\n4th 1924\n(Month)\n(Day)\n(Year)\nThe ticket on which I came to this country was bought at\nThe name of the ship or railroad on which I came was SB Columbia (City)\nEdinburgh\nScottand\n(Country)\n(OVER)\n014-8\nO/A ISSUED\nFEB 23 1927"
}