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    "localId": "159596813",
    "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": 115,
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    "ocrText": "Form 2213\nPRELIMINARY FORM FOR DECLARATION OF INTENTION TO BECOME A CITIZEN\n4932\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.\n28\nMr.\nMy name is\nMrs\nAntonio Wi Mella\n; age,\n29\nyears.\nMiss\n(Alien should print or typewrite here true, original, and correct name)\n(Give age last birthday)\nAlso known as\n(If\nalien has used any other name in this country, that name should be shown here)\n1 used that name because\nThe full name of the person shown on my steamship ticket was\nMy mother's maiden name was,\nMy maiden name was (if woman)\nMy present occcupation is Laboris\nMy personal description is: Color, White ; complexion, hank ; height, 5'$\" 6 inches;\nweight, 155 pounds; color of hair, Black\n; color of eyes, Brown\n;\nother visible distinctive marks:\nnone\nI was born in\nmorcons\n(City or town)\non the\n17th day of December\nrelataly\n(Country\n,\n1\nMy present residence is 14 Orchard St. newsondon Come\n(Number and street)\n(City or town)\n(County)\n(State)\nMy post office address is\nThe place where I took the ship or train which landed me in the United States was nables\nItaly\n, on February (Month) 14, (Day) 1921 (Year)\nThe ticket on which I came to this country was bought at\n(City)\n(Country)\nThe of the ship railroad which I came was Princess mattack\nname or on\n(OVER)\n014-8"
}