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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": 1236,
    "pageIndex": 0,
    "type": "photo",
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    "ocrText": "Form 2213\nPRELIMINARY FORM FOR DECLARATION OF INTENTION TO BECOME A CITIZEN\n5481\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\nupper left-hand corner of all copies of\nCARD INDEX\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.\nMashe (Alien should print or typewrite Kerachsky here true, original, and correct name)\n; age,\n48\nyears.\n(Give age last birthday)\nMy present occupation Miss is farmer own & care fortarm)\nMy personal description is: Color, White; complexion, tan ; height, 4 feet 11% inches;\nweight, 35 pounds; color of hair, brown\n; color of eyes, brown\n;\nother visible distinctive marks: more\nI was born\nin Uidege (City Korna or town) goberns, Russia (Country) (now polland\non the\n21\nday of\naugust\n1 880\n,\nMy\npresent residence is LeonardBrity Lebanon new Sondon (County) Conn, (State)\n(Number and street)\n(City or town)\nThe place where I took the ship or train which landed me in the United States was Liver fools\nEngland\n, on\nSept (Month) about (Day) 5 1905 (Year)\nThe name of the ship or railroad on which I came was\nCoronia\nMy\nlast place of foreign residence was Uilna (Country) Russia\nHuntelschick\n(City or town)\nI am not married. The name of my {\nwife\niswas\nSam\nShe\nwas born at\nhusband\nHe\nRussia, and now resides at is now dead\nI am now a subject of and intend to renounce allegiance to Russin (now Pottand)\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 States immigration port of\nnew York\n(City or town)\n,\n(State or territory)\non seft 14-8 (Give exact 15, month, day, and 1905 year)\n(OVER)"
}