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Form 2213
26
PRELIMINARY FORM FOR DECLARATION OF INTENTION TO BECOME A CITIZEN
5791
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
37470
Place number
in
CARD INDEX
upper left-hand corner of all copies of
declaration, immediately under your
INDEX BOOKS
declaration number.
A
NEW OF
DISTRICT DIRECTOR OF NATURALIZATION
MANIFESTS
I desire to file my Declaration of Intention (first paper) to become a/citizen.
3-24-7147
Mr.
My name is
Mrs.
alexander (Alien should print Fraser or typewrite here Grig, true, origimal, and
; age,
27
years.
Miss
correct name)
(Give age last birthday)
My present occupation is
Chipper J banlker
My personal description is: Color, White ; complexion, Fair
; height, 5 feet b inches;
weight, 148 pounds; color of hair, Signatureson ; color of eyes, Blue
;
antoflift
I was other born visible in disuinctive deen thumb macks: thank Scotland on left transcaron
(City ortown)
December
(Country)
on
the 22nd day of
, 1899
My
present residence is 80 and Connecticut (County) (State)
(Number street)
(City or town)
The
place where I took the ship or train which landed me in the United States was Glargor
Scottand
the
on
The of the ship railroad which I came 780 toglifysnin
Schotocoth (Month) 1923 (Day)
(Year)
name or on was
said
My last place of foreign residence was
aberdeen Seattend Asleick
(City or town)
I am itsmith the married. The name of
wife
my
}
is Georgina Daick Rolb (Countey
She
was born at
husband
He
Dunder, Scotland
,
and
now resides sands at allen Street Guston Can
I am
Britain
now a subject of and intend to renounce allegiance to King (Write George name and title of sovereign V and of country of Great which now a subject;
or, if citizen of a republic, write name of republic only)
I arrived at the United States immigration port of
new York
New (state or territory)
York
, on
October (City (Give or exact town) month,day, and year)
1+-8
(OVER)
Page data
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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
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"ocrText": "Form 2213\n26\nPRELIMINARY FORM FOR DECLARATION OF INTENTION TO BECOME A CITIZEN\n5791\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\n37470\nPlace number\nin\nCARD INDEX\nupper left-hand corner of all copies of\ndeclaration, immediately under your\nINDEX BOOKS\ndeclaration number.\nA\nNEW OF\nDISTRICT DIRECTOR OF NATURALIZATION\nMANIFESTS\nI desire to file my Declaration of Intention (first paper) to become a/citizen.\n3-24-7147\nMr.\nMy name is\nMrs.\nalexander (Alien should print Fraser or typewrite here Grig, true, origimal, and\n; age,\n27\nyears.\nMiss\ncorrect name)\n(Give age last birthday)\nMy present occupation is\nChipper J banlker\nMy personal description is: Color, White ; complexion, Fair\n; height, 5 feet b inches;\nweight, 148 pounds; color of hair, Signatureson ; color of eyes, Blue\n;\nantoflift\nI was other born visible in disuinctive deen thumb macks: thank Scotland on left transcaron\n(City ortown)\nDecember\n(Country)\non\nthe 22nd day of\n, 1899\nMy\npresent residence is 80 and Connecticut (County) (State)\n(Number street)\n(City or town)\nThe\nplace where I took the ship or train which landed me in the United States was Glargor\nScottand\nthe\non\nThe of the ship railroad which I came 780 toglifysnin\nSchotocoth (Month) 1923 (Day)\n(Year)\nname or on was\nsaid\nMy last place of foreign residence was\naberdeen Seattend Asleick\n(City or town)\nI am itsmith the married. The name of\nwife\nmy\n}\nis Georgina Daick Rolb (Countey\nShe\nwas born at\nhusband\nHe\nDunder, Scotland\n,\nand\nnow resides sands at allen Street Guston Can\nI am\nBritain\nnow a subject of and intend to renounce allegiance to King (Write George name and title of sovereign V and of country of Great which now a subject;\nor, if citizen of a republic, write name of republic only)\nI arrived at the United States immigration port of\nnew York\nNew (state or territory)\nYork\n, on\nOctober (City (Give or exact town) month,day, and year)\n1+-8\n(OVER)"
}