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Form 2213
PRELIMINARY FORM FOR DECLARATION OF INTENTION TO BECOME A CITIZEN
5258
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
upper left-hand corner of all copies of
CARD INDEX
declaration, immediately under your
INDEX BOOKS
declaration number.
DISTRICT DIRECTOR OF NATURALIZATION
MANIFESTS
Sugane Intention sagant become
I desire to file my Declaration of (first paper) to a citizen.
Nr.
surane Darant
265
My name is
; age,
years.
Miss
(Alien should print or typewrite here true, original, and correct name)
(Give age last birthday)
My present occupation is
Jand has house-maid
My personal description is: Color, Colordi complexion,
african bark ; height, 5- feet x inches;
weight, 1400 pounds; color of hair, black
; color
dark of eyes, brown
;
other visible distinctive marks:
nighturit
I
was born in Gysand case, case (City st Martin,
of w Frunch Wish
or town)
(Country)
Indies
on the
2 4
day of Nov.
, 1902
My present residence is
11 moore Court New London Eam
(Number and street)
(City or town)
(County)
(State)
The which landed the United States St Kitts, BWJ
place where I took the ship or train me in was
, on
May
29
1996
(Month)
(Day)
(Year)
The name of the ship or railroad on which I came was
guidena
My last place of foreign residence was
said grand Case st Martin I w y
(City or town)
(Country)
I am night married. The name of my wife
She
is
}
was born at
husband
He
and now resides at
,
I am now a subject of and intend to renounce allegiance to
France
Write name and title of sovereign and country of which now a subject;
or, if citizen a name
Funch of republic, write the of republic French only) Republic
I arrived at the United States immigration port of new york
(City or town)
new (State territory) york
, on june 14-8 4 1916 and
or
(Give exact month, day, year)
(OVER)
Page data
- Page
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- Source index
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- Type
- photo
- Media ID
- 3774ea9af6db1069
- 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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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\n5258\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\nupper left-hand corner of all copies of\nCARD INDEX\ndeclaration, immediately under your\nINDEX BOOKS\ndeclaration number.\nDISTRICT DIRECTOR OF NATURALIZATION\nMANIFESTS\nSugane Intention sagant become\nI desire to file my Declaration of (first paper) to a citizen.\nNr.\nsurane Darant\n265\nMy name is\n; age,\nyears.\nMiss\n(Alien should print or typewrite here true, original, and correct name)\n(Give age last birthday)\nMy present occupation is\nJand has house-maid\nMy personal description is: Color, Colordi complexion,\nafrican bark ; height, 5- feet x inches;\nweight, 1400 pounds; color of hair, black\n; color\ndark of eyes, brown\n;\nother visible distinctive marks:\nnighturit\nI\nwas born in Gysand case, case (City st Martin,\nof w Frunch Wish\nor town)\n(Country)\nIndies\non the\n2 4\nday of Nov.\n, 1902\nMy present residence is\n11 moore Court New London Eam\n(Number and street)\n(City or town)\n(County)\n(State)\nThe which landed the United States St Kitts, BWJ\nplace where I took the ship or train me in was\n, on\nMay\n29\n1996\n(Month)\n(Day)\n(Year)\nThe name of the ship or railroad on which I came was\nguidena\nMy last place of foreign residence was\nsaid grand Case st Martin I w y\n(City or town)\n(Country)\nI am night married. The name of my wife\nShe\nis\n}\nwas born at\nhusband\nHe\nand now resides at\n,\nI am now a subject of and intend to renounce allegiance to\nFrance\nWrite name and title of sovereign and country of which now a subject;\nor, if citizen a name\nFunch of republic, write the of republic French only) Republic\nI arrived at the United States immigration port of new york\n(City or town)\nnew (State territory) york\n, on june 14-8 4 1916 and\nor\n(Give exact month, day, year)\n(OVER)"
}