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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
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Media ID
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Size
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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

Document identity
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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)"
}