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{
    "localId": "159596813",
    "label": "File numbers 4874 - 5509, 1926-1930",
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    "citationUrl": "https://catalog.archives.gov/id/159596813"
}

{
    "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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            "note": "This file was scanned as part of a collaboration effort between FamilySearch and the National Archives.",
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{
    "seq": 1254,
    "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_01254.jpg",
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    "ocrText": "I have not used another name in this country than that given at the beginning of this form. If so, it was\nI used that name because\nJose Rodrigues\nThe full name of the person shown on my steamship ticket was\nRoza Silveira Gil.\nMy mother's maiden name was\nMy maiden name was (if woman)\n12 Hancox St.\nMy post-office address is\nAngra do Iroismo Terceira Azores\nThe ticket on which I came to this country was bought at\n(City)\n(Country)\nInsulana Co\n1st cabin\nIf arrival by ship: Name of steamship line was\n20 cabin\n3d cabin\nPassenger\nI arrived as (passenger, stowaway, seaman, member of crew, or otherwise)\n(State which)\nPassport\nI traveled on (an immigration visa, a passport, a permit)\n(State which)\nI paid\nhead tax at\n, on\n(State amount)\n(City)\n(State or country)\n(Month)\n(Day)\n(Year)\nI was examined by immigration officers at Angra do Iroismo. Terceira.\nAzores\nAt that time I intended to remain (permanently, temporarily, for visit, in transit)\nPermanently\n(State which)\nThe person in the United States I was coming to was\nAntonio Souza\n(Give name in full)\nProvidence R L\nThe place in the United States I was going to was\nRoza Silveira Gil\nThe names of some of the persons or passengers I traveled with were\nADDITIONAL FACTS TO BE GIVEN IF ALIEN CAME From OR THROUGH CANADA OR MEXICO:\n(a) The place in Canada where I landed was\n, on\n(Month)\n(Day)\n(Year)\nCanada\n(b) The place in\nfrom which I entered the United States was\nMexico\n(c) On\n(Month)\n(Day)\n(Year)\n(d) The place where I was examined for admission at the United States border was\n(e) If not examined, state why, and give the circumstances of your entry\nCanada\n(f) The place in\nMexico\nwhere I bought my railroad ticket to come to the United States was\nGOVERNMENT OFFICE\n14-8\n(OVER)\nJose (Signature of applicant)\nPodrigues"
}