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    "label": "File numbers 4874 - 5509, 1926-1930",
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    "title": "File numbers 4874 - 5509, 1926-1930",
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        "Naturalization Records of Non-Federal Courts in Connecticut",
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{
    "seq": 129,
    "pageIndex": 0,
    "type": "photo",
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    "ocrText": "Form 2213\nPRELIMINARY FORM FOR DECLARATION OF INTENTION TO BECOME A CITIZEN\n4939\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\n(NOTE TO CLERK OF COURT.-To guide you in preparing the Declaration: The black face lines on this form contain statements\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.\nEi\nMy name is\nMrs.\nHONY ,Wojthirwicz\n; age,\n38\nyears.\nMiss\n(Alien should print or typewrite here true, origing, and correct name)\n(Give age last birthday)\nAlso known as\n(If alien has used any other name in this country, that name should be shown here)\nI used that name because\nThe full of the shown Same as above\nname person on my steamship ticket was\nL My mother's maiden name was\nMaxyanna Kozlowske\nMy maiden name was (if woman)\n3 My present occcupation is\nMillhand\n4 My personal description is: Color, White Dark ; height, 5 feet N. 10 inches;\n; complexion,\nweight, 171 pounds; color Brown\nLift of hair, out ; color. of eyes, Broynday\nother visible distinctive marks:\nSeep scar on Head\n5 I was born in\nSuwxalki Russia, now\nPoland\n(City or town)\n(Country)\non the 27 day of November\n1888\n4 My present residence is\n61 Seventh Norwich New bondon learn.\n(Number and street)\n(Çity or town)\n(County)\n(State)\nMy post office address is\nNorwich Com\n7 The or me\nplace where I took the ship train which landed in the United States was Hamburg Germany\n, on\nmay\n12th\n1891,\n(Month)\n(Day)\n(Year)\n% The ticket on which I came to this country was bought at\nThe name of the ship or railroad on which I came was (Downt (City) know)\n(Country)\n(OVER)\nc14-8"
}