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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",
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    "collections": [
        "Naturalization Records of Non-Federal Courts in Connecticut",
        "Applications for Declaration of Intention"
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{
    "seq": 56,
    "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_00056.jpg",
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    "ocrText": "Form 2213\nNATURALIZATION SERVICE\nFACTS FOR DECLARATION OF INTENTION\nRECEIVED\n4901\nJUL 7 1926\nClerk of Oourt:\n22408 in opper left U.S. DEPARTMENT OF LABOR\nPlaco number\nOFFICE OF EXAMINER\nof Ril of declaration immediately under\nNATURALIZATION SERVICE\nNEW HAVEN, CONN.\nyour numbor,\nDEPAKIMENT OH MABOR\nDistrict of Naturalization\nNOTE.-A copy of this form will be furnished by the clerk of the court, the Chief Naturalization Examiner, or the\npublic-school teacher to each applicant for a declaration of intention, so that he can at his leisure fill in the answers to\nthe questions. After being filled out the applicant should take the form to the office of the clerk of court to be used\nby him in properly filling out the declaration. Caro should be used to state as near as can be remembered the day,\nmonth, and year of arrival, as well as the name of the vessel on which the alien emigrated to this country.\nTO THE APPLICANT.-Th fee of one dollar required by law for the declaration, must be paid to the clerk of the\ncourt beforo he commences to fill out the declaration of intention. No fee is chargeable for this blank, and none\nshould be paid for assistance in filling it out, as the Naturalization Examiner or the public-school teacher will help you\nfree\nof charge. gentrant\nMyname is Ge rtrude Fischer\nyears.\n(Alien should state here his true, original, and correct name in full.)\n(Give age at last birthday.)\nAlso known as\n(If alien has used any other name in this country, that name should be shown on line immediately above.)\nOccupation: MILL- Operator\nColor:\nWhi te\nComplexion:\nFair\nHeight:\n5\nfeet 12-2314 inches. Weight:\n114\npounds.\nColor of hair:\nBlack none Brown shown Color on of eyes: (BUREAU Brown it\nOther\nvisible Scarson distinctive marks: back on pipist (If distinctive marks, sostate.)\nsears\nno visible\nWhere born:\nNittenau\n,\n(City or town.)\nP\n31 926.\n7686\nDate of birth:\nMarch\n17\n1906 M\n,\n(Month.)\nPresent residence: 43 HOLMES ST. ,\nMystic (Day.) NA Comm. (Year.)\n(Number and street.)\n(City or town.)\n(State, Territory, or District.)\nEmigrated from:\nHamburg\nGe rmany\n,\n(Placo where alien got on ship or train to come to the United States.)\n(Country.)\nName of vessel: S.C Albert Ballin - Hamburg Americanding\n(If the alien arrived otherwise than by vessel, the character of conveyance or name of transportation company should be given.)\nLast place of foreign residence: said Nittenau\nCormany\n,\n(City or town.)\n(Country.)\n*I am not married; the name of my swife thrusband) t is\n; the folvel was\n>born at The German ; Empire, and now resides at the yermanReich\nI am now a subject of and intend to renounce allegiance to\nGermany or any\nindependent stato within the bounds of the formor German Empire.\n(Write name and title of sovereign and country of which now a subject; or if citizen of a Republic, write name of Republiconly.)\nI arrived at the port of\nNew York\nN.Y.\n,\n(City or town.)\n(State or Territory.)\non OF° about\nJanuary\n27\n1925\n,\n,\n(Month.)\n(Day.)\n(Year.)\n* NOTE TO CLERK OF COURT.-The two lines indicated by the * contain information which is provided for by blanks on the latest\ndeclaration of intention form; until such time as you may be supplied with forms containing these blank spaces the information called\nfor herein should be inserted immediately ABOVE the twelfth line, which begins It is my bona fide intention,' etc., as requested in\ncircular letter of January 5, 1916.\n0/6\nPRINTING\nOFFICE\nSEP 29 1926"
}