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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": 641,
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    "ocrText": "Form 2213\nPRELIMINARY FORM FOR DECLARATION OF INTENTION TO BECOME A CITIZEN\n5194\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.\na\nMy name is\nMrs.\nandry (Alienshould print/or typewrite Grabbrekk here true, original, and correct name)\n; age,\n3536 years.\nMiss\n(Give age last birthday)\nMy present occupation is farmer\nMy personal description is: Color, white complexion, light\n; height, 5 feet 5K inches;\nweight, 170 pounds; color of hair, Blondlight color of eyes, Bluegray\nother visible distinctive\nI was born in jeur, Russia, (City or town) nich\nmarks: none Scarmlift fortinger\nPoland\non\nthe 28 day of October\n(Country)\nMy present residence is Norwich NewLondon, bown\nRJD.#1\n(Number and street)\n(City or town)\n(County)\n(State)\nThe place where I took the ship or train which landed me in the United States was\nHamburg\nGermany\non\nOctober 13th 1913\n(Day)\n(Year)\nThe\nMy last place of foreign residence was few wife (City or town)\nname of the ship or railroad said on which I came was Viktopja (Month)\nI am now married. The name of my\npainthing\nPoland\n(Country)\nis anartasia\nShe\nwas born at\nHe\nChindakucn- Poland husband and now said resides Presions at PTD#1 nourch let \"\nI am now a subject of and intend to renounce allegiance to\nRepublic\n(Writp name and title of sovereign and country of which now a subject;\nor, if citizen of a republic, write name of republic only)\nof Poland\nI arrived at the United States immigration port of\nnew york 25th\n(City or town)\nn.y. (State or terricory)\n,\non October 14-8 2751913\n(Give exact montK, day and year)\n(OVER)\nJUL 26 ) 1927\nDKOND,\n2 9"
}