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{
    "localId": "159596813",
    "label": "File numbers 4874 - 5509, 1926-1930",
    "core": "doc",
    "dtoType": "document",
    "citationUrl": "https://catalog.archives.gov/id/159596813"
}

{
    "id": "159596813",
    "sourceUrl": "https://catalog.archives.gov/id/159596813",
    "contentType": "document",
    "title": "File numbers 4874 - 5509, 1926-1930",
    "citationUrl": "https://catalog.archives.gov/id/159596813",
    "collections": [
        "Naturalization Records of Non-Federal Courts in Connecticut",
        "Applications for Declaration of Intention"
    ],
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    "source": "import",
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}

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    "url": "https://catalog.archives.gov/id/159596813",
    "naId": 159596813,
    "levelOfDescription": "fileUnit",
    "onlineResources": [
        {
            "description": "FamilySearch",
            "note": "This file was scanned as part of a collaboration effort between FamilySearch and the National Archives.",
            "url": "https://www.familysearch.org/search/catalog/results?count=20&query=%2Bkeywords%3A4526886%20%2Bkeywords%3ANational%20%2Bkeywords%3AArchives"
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    "recordType": "description",
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{
    "seq": 1197,
    "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_01197.jpg",
    "mediaId": "2e0f94f645ccf61c",
    "ocrText": "I have\nused another name in this country than that given at the beginning of this form. If so, it was\nWalter Siboroski\nI\nused that name because it is shorten and easier to pronounce\nThe\nfull name of the person shown on my steamship ticket was Wazlaw Psyborouthi\nMy mother's maiden name was Placyda Chludzinsha\nMy maiden name was (if woman)\ncheckmark_ntt\nMy\npost-office address is Calchester, Conn, R.F.FT2\nThe ticket which I this country bought Bremen (City) germany (Country)\non came to was at\nIf arrival by ship: Name of steamship line was Kaiser Wilhelm11\n1st cabilf\n2d cabin\nsd Cabin\nadroabin\nI as or\narrived (passenger, stowaway, seaman, member of crew, otherwise) (State which)\nPassenger\nI traveled on (an immigration visa, a passport, a permit)\nPassport\n(State which)\nI\n(State amount) head tax at Prostki (City) (State or country) , on June (Month) (Day) 13 (Year) 1911\ngermany\nI was examined by immigration officers at Prostki Germany\nAt that time I intended to remain (permanently, temporarily, for visit, in transit)\npermanently\n(State which)\nThe person in the United States I was coming to was Wtadystaw (Give name Brzogowski in fuk\nThe place in the United States I was going to was Baltimore md.\nThe I traveled with mother of Father\nnames of some of the persons or passengers were\nmr. & mrs. Konstanty Przyborousidi\nADDITIONAL FACTS TO BE GIVEN IF ALIEN CAME FROM OR THROUGH CANADA OR MEXICO:\n(a) The place in Canada where I.landed was\n, on\n(Month)\n(Day)\n(Year)\nCanada\n(b) The place in\nfrom which I entered the United States was\nMexico\n(c) On\n(Month)\n(Day)\n(Year)\n(d) The place where I was examined for admission at the United States border was\n(e) If not examined, state why, and give the circumstances of your entry\nCanada\n(f) The place in\nMexico\nwhere I bought my railroad ticket to come to the United States was\nGOVERNMENT PRENTING OFFICE\n1.\n(OVER)\n(Signature of applicant)"
}