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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": 97,
    "pageIndex": 0,
    "type": "photo",
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    "ocrText": "Pattans tra\nForm 2213\n4922\nFACTS FOR DECLARATION OF INTENTION\nClark of Court: 24334\nOCT 29 1926\nPlape number\nin upper left-hand dorner\nU.S. DEPARTMENT OF LABOR\nof all copies of declaration immediately under\nOF EXAMINER\nOONN.\nyour declaration number.\nNATURALIZATION SERVICE\nDistrict Director of Naturalization:\nDEP OF LABOR\nBoston, Maes,\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\nto\nthe questions. After being filled out the form is to be returned to the clerk, to be used by him in properly filling out the\ndeclaration. If the applicant landed on or after June 29, 1906, his declaration should not be filed until the name of the\nvessel is definitely given (or the name of the railroad and border port in the United States through which the alien entered),\nas well as the date of arrival.\nTO THE APPLICANT.-The fee of one dollar required by law for the declaration, must be paid to the clerk of the court\nbefore he commences to fill out the declaration of intention. No fee is chargeable for this blank, and none should be paid\nfor assistance in filling it out, as the Naturalization Examiner or the public-school teacher will help you free of charge.\nMy name is\nJulius Friedrich Happel\nAge:\n20\nyears.\n(Alien should state here his true, original, and correct name in full.)\n(Give age last birthday.)\nAls o known as\n(If alien has used any other name in this country, that name should be shown on line immediately above.)\nOccupation:\nWeaver\nColor:\nWhi te\nComplexion:\nFair\nHeight:\n5\nfeet\n$ 4\ninches. Weight:\n165\npounds.\nColor of hair:\nBrown\nOther visible distinctive marks: Mark on\nColor right of eyes: Bundhon Brown right\n(If no visible distinctive marks, so state.)\nRheydt\nGermany\nforcarm\nWhhere born:\n,\n(City or town.)\n(Country.)\nDate of birth:\nFebruary\n22\n.\n1906\n,\n,\n(Month.)\nPresent residence: 6 Joham\nMystic (Day.) stonington Conn. (Year.)\n,\n(Number and street.)\n(City or town.)\n(State, Territory, or District.)\nEmigrated from:\nGremin\nGermany\n,\n(Place where alien got on ship or train to come to the United States.)\n(Country.)\nName of vessel:\nGeorge Washington of U.S.\n(If the alien arrived ot herwise than by vessel, the character of conveyance or name of transportation company should be given.)\nLast place of foreign residence: said Rheydt\nGermany\n,\n(City or town.)\n(Country.)\n*I am not. married; the name of my wife is\n; shewas\n*born at\n; and now resides at\nI am now a subject of and intend to renounce allegiance to Germany or any\nstate wi thin the bounds of the formor\n(Write name and title of sovereign and country of which now a subject; or if citizen of a Republic, write name of Republic only.)\nPort of arrival:\nPortland, Me.\nMaine\n(City or town.)\n(State or Territory.)\nDate of arrival in United States:\nNovember\n2\n1923\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. #2705/257"
}