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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": 661,
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    "type": "photo",
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    "ocrText": "Form 2213\nPRELIMINARY FORM FOR DECLARATION OF INTENTION TO BECOME A CITIZEN\n5205\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.\n-\nWladyslaw Podolak\n; age,\n32 years.\n(Alien should print or typewrite here true, original, and correct name)\n(Give age last birthday)\nMiss\nMy present occupation is Weaver\nMy personal description is: Color, White; complexion, dark\n; height, 5 feet 5 inches;\nweight, 150 pounds; color of hair, Brown.\n;\ncolor of eyes, high brown Hascon\nother visible distinctive marks: small scars one right cheek.\nI\nwas\nborn in maiding Raysnik, Ostrow, Russia (Country) now Poland\n(City or town)\non the First day of 1895\nDecember\n,1\n258 West Jhomes St norwich Come\nMy present residence is\n(Number and street)\n(City or town)\nStates amsterdams\n(County)\n(State)\nThe place where I took theship or train which landed me in the United was\nnetherlandes Holland\n, on\nmay\n24\n1914\n(Month)\n(Day)\n(Year)\nThe name of the ship or railroad on which I came was S.S. New amsterdams.\nMy last place of foreign sand residence was majden (City or town) Rgasnik, Ostrow (Country) Bussia now Pohand.\nwife\nShe\nI am yes married. The name of my\nis\nwas born at\nhusband\nHe\nChicagoill.\n, and now resides at 258 West Jhomes It\nI am now a subject of and intend to renounce allegiance to\nnoowich Com.\n(Write name and title of sovereign and country of which now a subject;\nRepublic or, if citizen of republic, write of of republic Poland only)\na name\nI\narrived at the United States immigration port of new York\n(City or town)\nn.y.\n, on June 14-8 2th. (Give\n1914\n(State or territory)\nexact month, day, and year)\n(OVER)"
}