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    "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": 1003,
    "pageIndex": 0,
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    "ocrText": "Form 2213\nPRELIMINARY FORM FOR DECLARATION OF INTENTION TO BECOME A CITIZEN\n5376\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\nmiseale\nI desire to file my Declaration of Intention (first paper) to become a citizen.\nMr.\nMy name is\nMrs.\n/\nUnderic Blanchard\n; age,\n42\nyears.\nMiss\n(Alien should print or typewrite here true, original, and correct name)\n(Give age last birthday)\nMy present occupation\nis Weaver and barber\nMy personal description is: Color, White\nfair\n#\n; complexion,\n; height, 5 feet 5 1 inches;\nweight, 190 pounds; color of hair, brown\n; color of eyes,\nblue\n;\nother visible distinctive marks: scarson right, forefinger wriset and sean on left cheek\nI was born in\nSt. Damase Canada\n(City or town)\n(Country)\non the\n3\nday of\nAugust\n, 8815\nMy present residence is\nBaltic (Number and Spragne (City connecticut (County)\nstreet)\nor town)\n(State)\nThe or me was\nplace where I took the ship train which landed in the United States (Amontrial.\nSt Daman Canada\n, on\nApril\n20 1909-\n(Month)\n(Day)\n(Year)\nThe\nname of the ship or sand railroad on which I came was Canadian Pacific Cairond\nMy last place of foreign residence was\nSt. Damase Canada\n(City or town)\n(Country)\nI am yes married. The name of my\n{\nwife\nRobertine Rose\nShe\nis\nhusband\nHe\n}\nwas born at\nSt. th fainth Canada\n,\nand\nnow said resides at Baltic Genague connecticut\nI am now a subject of and intend to renounce allegiance to\n(Write name and title of sovereign and country of which now a subject;\nor, if citizen of a republic, write name of republic only)\nI arrived at the United\nStates immigration port of Fabritte Tarfaille (City town) commutical\nSt-albans Virmont\nor\n, on 25April\n1908.\n(State or territory)\n14-18\n(Give exact month, day, and year)\n(OVER)"
}