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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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        "Naturalization Records of Non-Federal Courts in Connecticut",
        "Applications for Declaration of Intention"
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{
    "seq": 205,
    "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_00205.jpg",
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    "ocrText": "Form 2218\nPRELIMINARY FORM FOR DECLARATION OF INTENTION TO BECOME A CITIZEN\n4977.\nU. S. DEPARTMENT OF LABOR\nNOT TO BE FILLED IN BY ALIEN\nFOR USE OF OFFICIALS SEARCHING IMMI-\nNATURALIZATION SERVICE\nGRATION RECORDS\nSERVIOR\nCLERK OF COURT:\nRECORDS EXAMINED\nJAN12 1927\nPlace number\n29059\n'In\nCARD INDEX\nby thisk\nupper left-hand corner of all copies of\ndeclaration, immediately under your\nINDEX BOOKS\nLOONA,\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.\nMr.\nMy name is\nMrs.\n(Alien should print or here true, original, and correct name)\nRudalf Vait\n; age,\n18\nyears.\nMiss\n(Give age last birthday)\nAlso known as\n(If alien has used any other name in this country, that name should be shown here)\nI used that name because\nThe full name of the person shown on my steamship ticket was\nRudalf Poit\nMy mother's maiden name was\nAnna Sanntag\nMy maiden name was (if woman)\nWoolen Weaver\nMy is\npresent occcupation at\nfair\nMy personal description is: Color, white dark ; complexion, strong\n; height,\n5 feet 68 inches; 9\nweight, 200 pounds; color of hair, brown\n; eyes, gray\ncolor of\n;\nother visible distinctive marks:\nnone\nI was born in\nLusan, by Gera Renss,\n(City or town)\nGermany\n(Country)\non the\n14. day of march\n908\nMy present residence is 73 River (Number and Street Baltic ulpraged P (County) RECEIV 13 Conn.\nstreet)\n(City or town)\nMy post office address is\nBaltic tom. P.V. Box 98\nM\nACKND\nThe place where I took the ship or train which landed me in the United States was Bremen\nHermany\n, on\nOctober\n28.\n1926\n(Month)\n(Day)\n(Year)\nThe ticket on which I came to this country was bought at\nWeida\n(City)\nGermany\n(Country)\nThe name of the ship or railroad on which I came was\nS.S. Bremen\nC.A issuea\n(OVER)\n014-8\nJAN 4.1927"
}