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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": 1152,
    "pageIndex": 0,
    "type": "photo",
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    "ocrText": "Form 2213\nPRELIMINARY FORM FOR DECLARATION OF INTENTION TO BECOME A CITIZEN\n5441\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\nupper left-hand corner of all copies of\nCARD INDEX\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.\nMy name is\nMrs.\noccupation is FIREMAN. ROBERtsoN PAPER Company\nMiss\n-\nMiCHAEL LEWIC\n; age,\n31\nyears.\n(Alien should print or typewrite here true, original, and correct name)\n(Give age last birthday)\nMy\npresent\nMy personal description is: Color, WhitE ; complexion, sweethy dark ; height, 5 feet 8th inches;\nweight, 155 pounds; color of hair, BROWN\n; color of eyes, BROWN\n;\nother\nI\nwas born in Town of ToRki City of Payemy Austria (Paland)\nvisible distinctive marks: No Marks sean on leftside of chin\n(City or town)\nPSCZYEMY\n(Country)\non the\n1st\nday of August\n1896.\nMy present residence is R.F.D.- - Moot VILLE Conn\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 BAEMEN,\nFERMANY\n, on OK aBout (Month) 30th of (Day) NN. 1913 (Year)\nThe name of the ship or railroad on which I came was NECKAR\nMy last place of foreign residence was BREMEN - GERMANY\n(City or town)\n(Country)\nwife\nI am\nmarried. The name of my\nis Mary PogonEL 10\nShe\nwas born at\nhusband\nHe\nC and now resides at MontvillE , Court\nI subject of and intend allegiance to Austria. (No w P.Lano)\nam now a to renounce\n(Write name and title of sovereign and country of which now a subject;\nI or, arrived if citizen at of the republic, United write States of republic immigration only) port of EUL15 ISLAND-\na name\n(City or town)\nNEW YeRK\non DECEMBER 10th 1913\n,\n(State or\n14-8\n(Give exact month, day, and year)\n(OVER)"
}