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OCR
713-53-9
Form 2213
PRELIMINARY FORM FOR DECLARATION OF INTENTION TO BECOME A CITIZEN
5255
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: 42296
RECORDS EXAMINED
Place number
in
RUCKIVED
upper left-hand corner of all copies of
CARD INDEX
declaration, immediately under your
INDEX BOOKS
JAN 19 1928
declaration number.
OFFICE OF EXAMINER
DISTRICT DIRECTOR OF NATURALIZATION
MANIFESTS
CONN.
permanated or LABOR
I desire to file my Declaration of Intention (first paper) to become a citizen.
Mr.
My name is
Mes.
CHARLES JOHN. SIBLEY.
age,
30
years.
Miss.
(Alien should print or typewrite here true, original, and correct name)
(Give age last birthday)
My present occupation is
Gandenet
My personal description is: Color, White complexion, Faid
; height, 5
feet
6Y2
inches;
weight, 152 pounds; color of hair, Brown
; color of eyes, Brown
;
other visible distinctive marks:
none
I
was born in borfe Mullen, (City town) Wimborne, Dorset, (Oountry) England
or
on the 21 - day of January
,
1897
My present residence is 203 West Town St. horwich. new London Conn.
(Number and street)
(City or town)
(County)
(State)
The place where I took the ship or train which landed me in the United States was
Guelph,
Dntorie banada
on Octobes 31 1923
(Month)
(Day)
(Year)
The name of
the ship or railroad on which I came was Grand Trunk Railway
My last place of foreign residence said was wife (City or town)
Guelph
Canada
(Country)
I am not married. The name of my
{
}
She
is
was born at
husband
He
, and now resides at
I subject of and intend to allegiance to King (Write George and title of sovereign and country V of
am now a renounce
name which now a subject;
or, if citizen
of of republic, write England name of republic only)
I arrived at the United States immigration port of
new york
niagara (City or Falls town) H
on november
,
(State or territory)
14-8
(Give exact month, day, and year)
1923
(OVER)
Str.
Page data
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- Source index
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- Type
- photo
- Media ID
- 6f4c0db3312e80e8
- Size
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Document data
- ID
- 159596813
- Core
- doc
- Type
- document
DTO data
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Context sent to Scholar
Document identity
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Page context
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"ocrText": "713-53-9\nForm 2213\nPRELIMINARY FORM FOR DECLARATION OF INTENTION TO BECOME A CITIZEN\n5255\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: 42296\nRECORDS EXAMINED\nPlace number\nin\nRUCKIVED\nupper left-hand corner of all copies of\nCARD INDEX\ndeclaration, immediately under your\nINDEX BOOKS\nJAN 19 1928\ndeclaration number.\nOFFICE OF EXAMINER\nDISTRICT DIRECTOR OF NATURALIZATION\nMANIFESTS\nCONN.\npermanated or LABOR\nI desire to file my Declaration of Intention (first paper) to become a citizen.\nMr.\nMy name is\nMes.\nCHARLES JOHN. SIBLEY.\nage,\n30\nyears.\nMiss.\n(Alien should print or typewrite here true, original, and correct name)\n(Give age last birthday)\nMy present occupation is\nGandenet\nMy personal description is: Color, White complexion, Faid\n; height, 5\nfeet\n6Y2\ninches;\nweight, 152 pounds; color of hair, Brown\n; color of eyes, Brown\n;\nother visible distinctive marks:\nnone\nI\nwas born in borfe Mullen, (City town) Wimborne, Dorset, (Oountry) England\nor\non the 21 - day of January\n,\n1897\nMy present residence is 203 West Town St. horwich. new London Conn.\n(Number and street)\n(City or town)\n(County)\n(State)\nThe place where I took the ship or train which landed me in the United States was\nGuelph,\nDntorie banada\non Octobes 31 1923\n(Month)\n(Day)\n(Year)\nThe name of\nthe ship or railroad on which I came was Grand Trunk Railway\nMy last place of foreign residence said was wife (City or town)\nGuelph\nCanada\n(Country)\nI am not married. The name of my\n{\n}\nShe\nis\nwas born at\nhusband\nHe\n, and now resides at\nI subject of and intend to allegiance to King (Write George and title of sovereign and country V of\nam now a renounce\nname which now a subject;\nor, if citizen\nof of republic, write England name of republic only)\nI arrived at the United States immigration port of\nnew york\nniagara (City or Falls town) H\non november\n,\n(State or territory)\n14-8\n(Give exact month, day, and year)\n1923\n(OVER)\nStr."
}