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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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        "Naturalization Records of Non-Federal Courts in Connecticut",
        "Applications for Declaration of Intention"
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{
    "seq": 175,
    "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_00175.jpg",
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    "ocrText": "Form 2218\nPRELIMINARY FORM FOR DECLARATION OF INTENTION TO BECOME A CITIZEN\n4962\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.\nMy name is\nMrs.\nafford Quellet\n; age,\n37 36 years.\nMiss\n(Alien should print or typewrite here true, original, and correct name)\n(Give age last birthday)\nAlso known as\nNote, MCCarthy\nI used that name because\nI was not married\n(If alien has used any other name in this country, that name should be shown here)\nThe full name of the person shown on my steamship ticket was\nMy mother 13 maiden name wash\nMy maiden name was (II wolltan)\nMy present occcupation is Honscrife\n4\nMy personal description is: Color, white ; complexion, fair ; height, 5 feet 64/20 inches;\nweight,\nother visible distinctive marks: scaron right third fintered\n148 pounds; color of hair, dark brown color of eyes, gray\n;\nI was born in\nIncland (City town) Serry Irlland (Country)\nor\non the\n,et day of June\nMy present residence is 248 main St. t norwich (County) Comm\n890\nMy post office address is\nnormich\n(Number and street)\n(City or town)\n(State)\ncome\nThe\nplace where I took the ship or train which landed me in the United States was Gaunetron\nIreland\nnov 2\n, on\n1902\n(Month)\n(Day)\n(Year)\nThe ticket On which I came to this country was bought at\n(City)\n(Country)\nThe name of the ship or railroad on which I came was\n(OVER)\nmy N. W. Hartfith\nCednic"
}