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Form 2213
PRELIMINARY FORM FOR DECLARATION OF INTENTION TO BECOME A CITIZEN
5154
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
I desire to file my Declaration of Intention (first paper) to become a citizen.
Mr.
My name is
Mrs.
Ernest (Alien should Joseph print or typewrite here true, Bematoly original, and correct name)
; age, 44
years.
Miss
(Give age last birthday)
My present occupation is
Carpenler
My personal description is: Color, white ; complexion, dark
; height, 5 feet 734 inches;
weight, other visible 178 distinctive pounds; marks: color of hair, growe
; color of eyes, hagel
I
was born in (City or town)
montonagomy
C.2. Canada
(Country)
on the 11th day of
Fehruary
1883
My present residence is 28 (Number and street) New London (City or town) mard
Request
Cann.
(County)
(State)
The
place where I took the ship or train which landed me in the United States was monemary
let
, on
1917
The name of the ship or on came was
railroad which I Boston + (Month) main Railroad (Day) (Year)
My last place of foreign residence said (City town) P.g. Canada (Country)
was
or
I am Yes married. The name of my
wife
is Addea many
She
was born at
mentrille, Come
husband resides He
and now at
I am now brgers a subject of and intend street to renounce allegiance to Great (Write Britain
name and title of sovereign and country of which now a subject;
or, a name
I
arrived if citizen of republic, United write of republic only) St altans VA.
at the States immigration port of
(City or town)
act
, on
1917
(State or territory)
14-8
(Give exact month, day, and year)
(OVER)
Page data
- Page
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- Source index
- 0
- Type
- photo
- Media ID
- aeb56cefc5d11c23
- Size
- unknown
Document data
- ID
- 159596813
- Core
- doc
- Type
- document
DTO data
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Context sent to Scholar
Document identity
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Document source metadata
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Document source extras
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Page context
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"ocrText": "Form 2213\nPRELIMINARY FORM FOR DECLARATION OF INTENTION TO BECOME A CITIZEN\n5154\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\nI desire to file my Declaration of Intention (first paper) to become a citizen.\nMr.\nMy name is\nMrs.\nErnest (Alien should Joseph print or typewrite here true, Bematoly original, and correct name)\n; age, 44\nyears.\nMiss\n(Give age last birthday)\nMy present occupation is\nCarpenler\nMy personal description is: Color, white ; complexion, dark\n; height, 5 feet 734 inches;\nweight, other visible 178 distinctive pounds; marks: color of hair, growe\n; color of eyes, hagel\nI\nwas born in (City or town)\nmontonagomy\nC.2. Canada\n(Country)\non the 11th day of\nFehruary\n1883\nMy present residence is 28 (Number and street) New London (City or town) mard\nRequest\nCann.\n(County)\n(State)\nThe\nplace where I took the ship or train which landed me in the United States was monemary\nlet\n, on\n1917\nThe name of the ship or on came was\nrailroad which I Boston + (Month) main Railroad (Day) (Year)\nMy last place of foreign residence said (City town) P.g. Canada (Country)\nwas\nor\nI am Yes married. The name of my\nwife\nis Addea many\nShe\nwas born at\nmentrille, Come\nhusband resides He\nand now at\nI am now brgers a subject of and intend street to renounce allegiance to Great (Write Britain\nname and title of sovereign and country of which now a subject;\nor, a name\nI\narrived if citizen of republic, United write of republic only) St altans VA.\nat the States immigration port of\n(City or town)\nact\n, on\n1917\n(State or territory)\n14-8\n(Give exact month, day, and year)\n(OVER)"
}