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{
    "localId": "159596813",
    "label": "File numbers 4874 - 5509, 1926-1930",
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    "id": "159596813",
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    "contentType": "document",
    "title": "File numbers 4874 - 5509, 1926-1930",
    "citationUrl": "https://catalog.archives.gov/id/159596813",
    "collections": [
        "Naturalization Records of Non-Federal Courts in Connecticut",
        "Applications for Declaration of Intention"
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{
    "seq": 1021,
    "pageIndex": 0,
    "type": "photo",
    "url": "https://s3.amazonaws.com/NARAprodstorage/lz/partnerships-0002/18-0177_US-MA/18-0177_US-MA_21/18-0177_US-MA_-4526886-CTN-Applications-for-Declaration-of--1926-1930/18-0177_US-MA_-4526886-CTN-Applications-for-Declaration-of--1926-1930_01021.jpg",
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    "ocrText": "Form 2213\nPRELIMINARY FORM FOR DECLARATION OF INTENTION TO BECOME A CITIZEN\n5385\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.\n|\nalefasander Gerylewing\n; age,\n43\nyears.\n(Alen should print typewrite here true, original, and name)\nor correct\n(Give age last birthday)\nMy present occupation Miss is laborer\nMy personal description is: Color, white ; complexion, fair\n; height, 5 feet 9\ninches;\nweight, 165 pounds; color of hair, brown\n; color of eyes,\nblue\n;\nother visible distinctive marks: Scarsonbackohueck\nI\nwas born in Koscienmiter,Autor now ,Poland\non the 5th\n(City or town)\n(Country)\nday of\napril\n1885\n,\nMy\npresent residence is Nucasville montville Connecticut\n(Number and street)\n(dity or town)\n(County)\n(State)\nThe place where I took the ship or train which landed me in the United States was Sault Ste\nMarie, Canada ,\non\n(Monm)\n(Day)\n(Year)\nThe name of the ship or railroad on which I came was farryboat\nMy\nlast place of foreign residence was said Sault/ste Marie\n(City or town)\nwife\nI am\nmarried. The name of my\nis anna\n(Country)\nShe\nwas born at\nhusband\nHe\nJablonow am now a subject of and intend Poland to renounce allegiance , and now to resides the at Borszezon, (Write Republic of and title of sovereign and Poland of which subject;\nPoland\nname country now a\nor, if citizen of a republic, write name of republic only)\nI arrived at the United States immigration\nport of sault Ste Marie\n(City or lown)\nMichigan\n, on march 14,1917\n(State or territory)\n14--8\n(Give exact month; day, and year)\n(OVER)"
}