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{
    "localId": "159596813",
    "label": "File numbers 4874 - 5509, 1926-1930",
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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": 313,
    "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_00313.jpg",
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    "ocrText": "Form 2213\nPRELIMINARY FORM FOR DECLARATION OF INTENTION TO BECOME A CITIZEN\n5030\nU. S. DEPARTMENT OF LABOR\nNOT TO BE FILLED IN BY ALIEN\nNATURALIZATION SERVICE\nFOR USE OF OFFICIALS SEARCHING IMMI-\nGRATION RECORDS\nCLERK OF COURT:\nRECORDS EXAMINED\nPlace number\nin\nupper left-hand corner of all copies of\nCARD INDEX\ndeclaration, immediately under your\nINDEX BOOKS\ndeclaration number.\naboot\nDISTRICT DIRECTOR OF NATURALIZATION\nMANIFESTS\naboat\nI desire to file my Declaration of Intention (first paper) to become a citizen.\nMr.\nMy name is\nMrs.\n/\nDemocrito Rocha\n; age,\n25 24 years.\nMiss\n(Alien should print or typewrite here true, original, and correct name)\n(Give age last birthday)\nMy present occupation is Steward\ndark\nMy personal description is: Color, Brown; complexion, Brown\n; height, 45 feet 6 inches;\nweight, 140 pounds; color of hair. Black\nLarabackum\n;\ncolor of eyes,\n;\nother visible distinctive marks: m.l. Templs; check S.I.R. templ; S.R.\ntemple\nCarigara\nI was born in Islands\nPhilippine\n(City or town)\n(Country)\non the\n31st day of\nMy present residence is\nu S. july X bost band , academy (County) new (State) Sondon,\n1902\n(Number and street)\n(City or town)\nThe place where I took the ship or train me was\nwhich landed in the United States San Francisco\nCalfmanila Philippine Islands on Feb. (Month)\n23th 1919\n(Day)\n(Year)\nThe name of the ship or railroad on which I came was W.S.S. Shedrman\nsand\nMy last place of foreign residence\nwas A (City or fown) Sayte Philippine (Country She Islands\nCarigana,\nI am not married. The name of my\n{\nwife\nis\nwas born at\nhusband\nHe\n, and now resides at\n,\nIam now a subject of and intend to renounce allegiance to\nU.S.A\n(Write name and title of sovereign and country of which now a subject;\nor, if citizen of a republic, write name of republic only)\nI arrived at the\nUnited States immigration port of SanFrancisco (City town) California,\nor\n,\non 14-8 (Give exact/month, 23 day, and year) 1919\n(State or territory)\nFibruary\n(OVER)"
}