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being duly sworn, deposes and says that he resides
at
No
Street, in
State of Connecticut, and is by occupation
a
that he is a citizen of the United States of America, and personally acquainted
with the above-named applicant for admission to citizenship of the said United States, and has known him
for the past
years, to wit, from
1
to
1
, that his occupation is that of
and that he resides at No
Street, in
that he personally knows that the applicant has resided continuously within the limits and under the juris-
diction of the United States of America since
1
and continuously within the
State of Connecticut since
1
and that during the said time of his
residence within the United States and within the State, he has behaved as a man of good moral character,
attached
to the princioles of the Constitution of the United States and well disposed to the good order and happiness of the
waterbury D.C.
adults
9/1903-1211904
PAGE257
ever, and particurarty
fu.
warly m Court, 1
ations, and taking such oaths as are
of the applicant and his witness
we)
ORDERE
United States of America.
this
day of
A. D. 190
Clerk.
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