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File numbers 4874 - 5509, 1926-1930

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Form 2213 PRELIMINARY FORM FOR DECLARATION OF INTENTION TO BECOME A CITIZEN 5357 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 CARD INDEX upper left-hand corner of all copies of 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. 51 (Alien should print or typewrit here true, origing) and correct name) age, years. Miss (Give age last birthday) My present occupation is My personal description is: Color, white complexion, fair carpenlet ; height, 5 feet 6/2 inches; weight, 150 pounds; color of hair, brown ; color of eyes, blue ; other visible distinctive marks: Scaronlelt thumb I was born in St. Canada Gabriel, (ity or town) on the 23rd day of S eptember (Country) 1876 My present residence is versailles, (Number and street) (City or town) (County) Common (State) sprague, The place where I took the ship or train which landed me in the United States was Montrial, Canada ,on (Month) (Dan) (Year) The name of the ship or railroad on which I came was Central Vermont My last place of foreign residence was saidst. Gabriel Railway (City or town) wife I am is Clara (Country) She married. The name of my Wiedon, Canada husband and now resides at said Versaills He } was born at , I am now a subject of and intend to renounce allegiance to George (Write name and V,te title of sovereign and country of which now a subject; or, if citizen of a I arrived at port the republic, United write name States of republic immigration only) of St. albans Vermont (City or town) , on august 1908 (State or territory) 14-8 (Give exact month, day, and year) (OVER)

Page data

Page
965
Source index
0
Type
photo
Media ID
6b17031049967516
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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    "ocrText": "Form 2213\nPRELIMINARY FORM FOR DECLARATION OF INTENTION TO BECOME A CITIZEN\n5357\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\nCARD INDEX\nupper left-hand corner of all copies of\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.\n51\n(Alien should print or typewrit here true, origing) and correct name) age,\nyears.\nMiss\n(Give age last birthday)\nMy present occupation is\nMy personal description is: Color, white complexion, fair\ncarpenlet\n; height, 5 feet 6/2 inches;\nweight, 150 pounds; color of hair, brown ;\ncolor of eyes, blue\n;\nother visible distinctive marks: Scaronlelt thumb\nI was\nborn in St. Canada\nGabriel,\n(ity or town)\non the 23rd day of S\neptember\n(Country)\n1876\nMy present residence\nis versailles, (Number and street) (City or town) (County) Common (State)\nsprague,\nThe place where I took the ship or train which landed me in the United States was\nMontrial, Canada\n,on\n(Month)\n(Dan)\n(Year)\nThe name of the ship or railroad on which I came was Central Vermont\nMy last place of foreign residence was saidst. Gabriel\nRailway\n(City or town)\nwife\nI am\nis Clara\n(Country)\nShe\nmarried. The name of my\nWiedon, Canada\nhusband and now resides at said Versaills He\n}\nwas born at\n,\nI\nam now a subject of and intend to renounce allegiance to George (Write name and V,te title of sovereign and country of\nwhich now a subject;\nor, if citizen of a\nI\narrived at port\nthe republic, United write name States of republic immigration only) of St. albans\nVermont\n(City or town)\n,\non\naugust\n1908\n(State or territory)\n14-8 (Give exact month, day,\nand year)\n(OVER)"
}