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Form 2213
PRELIMINARY FORM FOR DECLARATION OF INTENTION TO BECOME A CITIZEN
5273
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
I desire to file my Declaration of Intention (first paper) to become a citizen.
Mr.
My name is
Mrs.
My present occupation Miss is laborer
|
Fatrick (A)en should print Joseph typewrite here true, original, Hurphy and name)
; age, H1
years.
or correct
(Give age last birthday)
My personal description is: Color, white prifair complexion, blue 5.
; height, feet 81/4 inches;
weight, 170 color of hair, ; color of eyes,
pounds;
other visible distinctive marks: Scarsonrighterily ofchin night
I was
born in Corobeg. (City talentia / Country towa) Herry (Country) Ireland
or
on the
day of Feb "L 8
, 1887
My present residence is
91 Aven New London (County) (State) bonns
Garfield.
(Number and street)
(City or town)
The place I took
where or me was
the ship train which landed in the United States queenstown. Ireland
on
(Day)
(Year)
The name of the ship or railroad on which I came was Campania (Month)
My
last place of foreign residence said was Corobeg (City or town) Valentia County (Country) Henry Ireland
wife
I am yes married. The name of my
is Mary Agnes Homply He She
was born at
husband
, and now paid resides at 91 Garfield Ava, Portmage Freland Freled
I subject of and intend allegiance to George Write name V and title King of sovereign and of conntry GreatBritain of which subject;
am now a to renounce
now a
I or, arrived if citizen at of the republic, United write States of republic immigration only) port of " (City or town) New fork
a name
it
new (State or territory)
York
,
(OVER)
on may 14-8 (Give 2, exact month, 1904 day, and year)
Page data
- Page
- 796
- Source index
- 0
- Type
- photo
- Media ID
- 3e394fcda3863713
- 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\n5273\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\nI desire to file my Declaration of Intention (first paper) to become a citizen.\nMr.\nMy name is\nMrs.\nMy present occupation Miss is laborer\n|\nFatrick (A)en should print Joseph typewrite here true, original, Hurphy and name)\n; age, H1\nyears.\nor correct\n(Give age last birthday)\nMy personal description is: Color, white prifair complexion, blue 5.\n; height, feet 81/4 inches;\nweight, 170 color of hair, ; color of eyes,\npounds;\nother visible distinctive marks: Scarsonrighterily ofchin night\nI was\nborn in Corobeg. (City talentia / Country towa) Herry (Country) Ireland\nor\non the\nday of Feb \"L 8\n, 1887\nMy present residence is\n91 Aven New London (County) (State) bonns\nGarfield.\n(Number and street)\n(City or town)\nThe place I took\nwhere or me was\nthe ship train which landed in the United States queenstown. Ireland\non\n(Day)\n(Year)\nThe name of the ship or railroad on which I came was Campania (Month)\nMy\nlast place of foreign residence said was Corobeg (City or town) Valentia County (Country) Henry Ireland\nwife\nI am yes married. The name of my\nis Mary Agnes Homply He She\nwas born at\nhusband\n, and now paid resides at 91 Garfield Ava, Portmage Freland Freled\nI subject of and intend allegiance to George Write name V and title King of sovereign and of conntry GreatBritain of which subject;\nam now a to renounce\nnow a\nI or, arrived if citizen at of the republic, United write States of republic immigration only) port of \" (City or town) New fork\na name\nit\nnew (State or territory)\nYork\n,\n(OVER)\non may 14-8 (Give 2, exact month, 1904 day, and year)"
}