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{
    "localId": "159596813",
    "label": "File numbers 4874 - 5509, 1926-1930",
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    "contentType": "document",
    "title": "File numbers 4874 - 5509, 1926-1930",
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    "collections": [
        "Naturalization Records of Non-Federal Courts in Connecticut",
        "Applications for Declaration of Intention"
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{
    "seq": 265,
    "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_00265.jpg",
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    "ocrText": "-\nForm 2213\nMamouth\nPRELIMINARY FORM FOR DECLARATION OF INTENTION TO BECOME A CITIZEN\nB007\nU. S. DEPARTMENT OF LABOR\nNOT TO BE FILLED IN BY ALIEN\nFOR USE OF OFFICIALS SEARCHING IMMI-\nNATURALIZATION SERVICE\nGRATION RECORDS\nSERVICE\nCLERK OF COURT:\nRECEIVED\n30621\nRECORDS EXAMINED\nPlace number\nin\nCARD INDEX\nJAN 26 1927\nupper left-hand corner of all copies of\ndeclaration, immediately under your\nINDEX BOOKS\nOFFICE OF EXAMINER\ndeclaration number.\nNEW HAVEN, CONN.\nOF LABOF\nDISTRICT DIRECTOR OF NATURALIZATION.\nMANIFESTS\n(NOTE TO CLERK OF COURT.--To guide you in preparing the Declaration: The black face lines on this form contain\nstatements\nin the regular order as they are to appear on the Declaration of Intention.)\nI desire to file my Declaration of Intention (first paper) to become a citizen.\nMr.\nMy name is\nMrs.\nMr Clittord Burke\n; age, 27\nyears.\nMiss\n(Alien should print or typewrite here true, original, and correct name)\n(Give age last birthday)\nAlso known as\n-\n(If alien has used any other name in this country, that name should be shown here)\nI used that name because\n-\n-\nThe full name of the person shown on my steamship ticket was Critford Burke\nMy\nmother's maiden name was Matilda Richard\nMy maiden name was (if woman)\n-\n-\nMy present occcupation is Boatswain ox U. SL.H.S.Harthorn\nMy personal description is: Color, White ; complexion, Dark\n; height, 5\n&\n8/4\nfeet\ninches;\nweight, 155 pounds; color of hair, Dark brown ; color of eyes, Brown\n;\nother\nvisible\ndistinctive\nmarks: scats on tight cheek Greandleft thumb\nI\nwas born in River Nova Scotia, Canada, (Country) Richmond.Co\nBougoois,\nOity or town)\non the 27\nday\nof September\n, 1899\nMy present residence is USLHS, Hawthorn New London Connecticut\n(Number and street)\n(City or town)\n(County)\n(State)\nMy post office address is USLHS, Hawthorn, New London Connecticut\nThe\nplace where I took the ship or train which landed me in the United States was yaxmouth\nNo va Scotia Canada\n, on March 28 1924\n(Month)\n(Day)\n(Year)\nThe ticket on which I came to this country was bought at Halitax Nova Scotia\n(City)\n(Country)\nThe name of the ship or railroad on which I came was Prince George Bry.ssco\n(OVER)"
}