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{
    "localId": "159596813",
    "label": "File numbers 4874 - 5509, 1926-1930",
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    "id": "159596813",
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    "contentType": "document",
    "title": "File numbers 4874 - 5509, 1926-1930",
    "citationUrl": "https://catalog.archives.gov/id/159596813",
    "collections": [
        "Naturalization Records of Non-Federal Courts in Connecticut",
        "Applications for Declaration of Intention"
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{
    "seq": 502,
    "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_00502.jpg",
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    "ocrText": "Form 2213\nPRELIMINARY FORM FOR DECLARATION OF INTENTION TO BECOME A CITIZEN\n5125\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\nI desire to file my Declaration of Intention (first /paper) to become a citizen.\nMr.\nMy name is\nMrs.\nClodias Guerard\n; age,\n26\nyears.\nMiss\n(Alien should print or typewrite here true, original, and correct name)\n(Give age last birthday)\nMy present occupation is carpenler\nMy personal description is: Color, white ; complexion, dark ; height, 5 feet 6 inches;\nweight, 142 pounds; color of hair, darkborn ; color of eyes, darkbrown\nlefthank other visible distinctive marks: on backof\nI was born in\nthe 5th day of (City or town)\nOctober\n(Country)\non\n901\nMy present residence is Lisbon, Connectient\nplace where I took the ship train which landed in the United States Montrial, (Coanty) (State)\n(Number and street)\n(City or town)\nThe or me was\nCanada\non april (Month)\n1910\n,\n(Day)\n(Year)\nThe name\nMy last place of foreign residence was said Montreal\nof the ship or railroad on which I came was Canadian Pacific Railroad\n(City or town)\n(Country)\nI am not married. The name of my { wife\nhusband\n}\nShe\nis\nwas-born at\nHe\nand now resides at\nI am now a renounce\nsubject of and intend to allegiance , to GreatCritain\n(Write name and title of sovereign and country of which now a subject;\nor, if\nI\narrived citizen at of a the republic, United write name States of republic immigration only) port of newsport (City\nVirmont\nor town)\n, on\napril\n1910\n(State or territory)\n14-8\n(Give exact month, day, and year)\n(OVER)"
}