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OCR
548'516
Form 2213
5169
PRELIMINARY FORM FOR DECLARATION OF INTENTION TO BECOME A CITIZEN
5349
U. S. DEPARTMENT OF LABOR
NOT TO BE FILLED IN BY ALIEN
FOR USE OF OFFICIALS SEARCHING IMMI-
NATURALIZATION SERVICE
GRATION RECORDS
my
BERVIOE
CLERK OF COURT: 17293
RECORDS EXAMINED
Place number
in
upper left-hand corner of all copies of
CARD INDEX
INDEX BOOKS
MAY 29 1928
declaration, immediately under your
declaration number.
UXA
DISTRICA DIBBOJOB MASS.
MANIFESTS
BOSTON,
OF LABOR
DISTRICT DIRECTOR OF NATURALIZATION
to
DEP
I desire to file my Declaration of Intention (first paper) to become a citizen.
MAY 28 1928
Mr.
My name is
Mrs.
PHILIPPE FONtaIN
; age, 23 EXAMINATER last
years.
Miss
(Alien should print or typewrite here true, original, and correct name)
birthday)
GET
My present occupation is
Weaver
dark
My personal description is: Color, White ; complexion, Light
;
height,
5 feet 7 1 / 1 / 4 inches;
weight,
150 pounds; color of hair, tight brown ; color of eyes, light brown;
other visible distinctive marks: None
I was born in Weedon pl
Canada
(City or town)
(Country)
on the 8
day of October
My
present residence is main dt
leweth , 1904 City 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 Sherbrook
2
Canada
, on april (Month)
11
1924
(Day)
(Year)
The
name of the ship or railroad on which I came was Ranadian Pacific
My last place of foreign residence was
pl
Canada
(City or town)
(Country)
for
wife
She
I am of married. The name of my
is
husband
He
}
was born at
, and now resides at
,
I am now a subject of and intend to renounce allegiance to
King (Write George and of sovereign and V
name title country of which now a subject;
or, if citizen of a republic, write name of republic only)
British subject
I
arrived at the United States immigration port of Gackman
(City or town)
maine
(State or territory)
, on asoul 14-8 (Give 11 month, 1924 day, and year)
exact
(OVER)
Page data
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Document data
- ID
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- 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": "548'516\nForm 2213\n5169\nPRELIMINARY FORM FOR DECLARATION OF INTENTION TO BECOME A CITIZEN\n5349\nU. S. DEPARTMENT OF LABOR\nNOT TO BE FILLED IN BY ALIEN\nFOR USE OF OFFICIALS SEARCHING IMMI-\nNATURALIZATION SERVICE\nGRATION RECORDS\nmy\nBERVIOE\nCLERK OF COURT: 17293\nRECORDS EXAMINED\nPlace number\nin\nupper left-hand corner of all copies of\nCARD INDEX\nINDEX BOOKS\nMAY 29 1928\ndeclaration, immediately under your\ndeclaration number.\nUXA\nDISTRICA DIBBOJOB MASS.\nMANIFESTS\nBOSTON,\nOF LABOR\nDISTRICT DIRECTOR OF NATURALIZATION\nto\nDEP\nI desire to file my Declaration of Intention (first paper) to become a citizen.\nMAY 28 1928\nMr.\nMy name is\nMrs.\nPHILIPPE FONtaIN\n; age, 23 EXAMINATER last\nyears.\nMiss\n(Alien should print or typewrite here true, original, and correct name)\nbirthday)\nGET\nMy present occupation is\nWeaver\ndark\nMy personal description is: Color, White ; complexion, Light\n;\nheight,\n5 feet 7 1 / 1 / 4 inches;\nweight,\n150 pounds; color of hair, tight brown ; color of eyes, light brown;\nother visible distinctive marks: None\nI was born in Weedon pl\nCanada\n(City or town)\n(Country)\non the 8\nday of October\nMy\npresent residence is main dt\nleweth , 1904 City 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 Sherbrook\n2\nCanada\n, on april (Month)\n11\n1924\n(Day)\n(Year)\nThe\nname of the ship or railroad on which I came was Ranadian Pacific\nMy last place of foreign residence was\npl\nCanada\n(City or town)\n(Country)\nfor\nwife\nShe\nI am of married. The name of my\nis\nhusband\nHe\n}\nwas born at\n, and now resides at\n,\nI am now a subject of and intend to renounce allegiance to\nKing (Write George and of sovereign and V\nname title country of which now a subject;\nor, if citizen of a republic, write name of republic only)\nBritish subject\nI\narrived at the United States immigration port of Gackman\n(City or town)\nmaine\n(State or territory)\n, on asoul 14-8 (Give 11 month, 1924 day, and year)\nexact\n(OVER)"
}