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File numbers 4874 - 5509, 1926-1930

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Form 2213 PRELIMINARY FORM FOR DECLARATION OF INTENTION TO BECOME A CITIZEN 4900. U. S. DEPARTMENT OF LABOR NOT TO BE FILLED IN BY ALIEN FOR USE OF OFFICIALS SEARCHING IMMI- NATURALIZATION SERVICE whot servion GRATION RECORDS CLERK OF COURT: RECEIVED RECORDS EXAMINED 23123 CARD INDEX 717/10018 92 Place number JUN 8 10 In upper left-hand corner of all copies of WISTRICT DIST declaration, immediately under your INDEX BOOKS OFFICE OF EXAMINEBOSTON, declaration number. NEW HAVEN, CONN English LABOZ OF LABOR DISTRICT DIRECTOR OF NATURALIZATION. MANIFESTS (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. Mr. My name is Mrs. Clery (Alien should print Hillyard typewrite here true, original, Patterson and age, 2627 years. Miss or 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 Cley Hillyard Patterson My mother's maiden name was ganet Webster AUG 24 1926 My maiden name was (if woman) DISTRIOT PIRECTOR My present occcupation is motor mechanic with Ms projectionist My personal description is: Color, White complexion, Fair ; height, 5 feet 9/2 inches; weight, 150 pounds; color of hair, Brown light other visible distinctive marks: Scar t righteance Tatoody forearm ; color of eyes, Grey ; I was born in Walton, nona Scotia Canada (City or town) (Country) on the 5th day of november november struct 1 899 My present residence is 3 H moor are new London Come (Number and street) (City or town) (County) (State) My post office address is new London comm The place where I took the ship or train which landed me in the United States was Halifax nona Scatia canada , on may (Month) 3rd. (Day) 1923 (Year) The ticket on which I came to this country was bought at Halfin (City) nova sentra (Country) Canada The railroad which I came was S.A Punill alburt name of the ship or on Princealburt (OVER) Bty she c14-8

Page data

Page
54
Source index
0
Type
photo
Media ID
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Size
unknown

Document data

ID
159596813
Core
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Type
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Context sent to Scholar

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    "ocrText": "Form 2213\nPRELIMINARY FORM FOR DECLARATION OF INTENTION TO BECOME A CITIZEN\n4900.\nU. S. DEPARTMENT OF LABOR\nNOT TO BE FILLED IN BY ALIEN\nFOR USE OF OFFICIALS SEARCHING IMMI-\nNATURALIZATION SERVICE\nwhot\nservion\nGRATION RECORDS\nCLERK OF COURT:\nRECEIVED\nRECORDS EXAMINED\n23123\nCARD INDEX 717/10018\n92\nPlace number\nJUN 8 10\nIn\nupper left-hand corner of all copies of\nWISTRICT DIST\ndeclaration, immediately under your\nINDEX BOOKS\nOFFICE OF EXAMINEBOSTON, declaration number.\nNEW HAVEN, CONN English LABOZ\nOF LABOR\nDISTRICT DIRECTOR OF NATURALIZATION.\nMANIFESTS\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.\nMr.\nMy name is\nMrs.\nClery (Alien should print Hillyard typewrite here true, original, Patterson and age,\n2627 years.\nMiss\nor 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\nthe\nperson\nshown on my steamship ticket was Cley Hillyard Patterson\nMy mother's maiden name was\nganet Webster\nAUG 24 1926\nMy maiden name was (if woman)\nDISTRIOT PIRECTOR\nMy present\nocccupation is motor mechanic with Ms\nprojectionist\nMy personal description is: Color, White complexion, Fair\n;\nheight,\n5 feet 9/2 inches;\nweight, 150 pounds; color of hair, Brown\nlight\nother visible distinctive marks: Scar t righteance Tatoody forearm\n; color of eyes, Grey\n;\nI was born\nin Walton, nona Scotia Canada\n(City or town)\n(Country)\non\nthe 5th day of november november struct 1 899\nMy present residence is 3 H moor are new London Come\n(Number and street)\n(City or town)\n(County)\n(State)\nMy post office address is\nnew London comm\nThe place where I took the ship or train which landed me in the United States was Halifax\nnona Scatia canada\n,\non\nmay (Month) 3rd. (Day) 1923 (Year)\nThe ticket on which I came to this country was bought at Halfin (City) nova sentra (Country) Canada\nThe railroad which I came was S.A Punill alburt\nname of the ship or on\nPrincealburt (OVER) Bty she c14-8"
}