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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": 667,
    "pageIndex": 0,
    "type": "photo",
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    "ocrText": "Form 2213\nPRELIMINARY FORM FOR DECLARATION OF INTENTION TO BECOME A CITIZEN\n5208\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/\nMauRice Louis Wyczauski\n; age, 22\nyears.\n(Alien should print or typewrite here true, original, and correct name)\n(Give age last birthday)\nMiss\nMy present occupation is Beokreeper\nMy personal description is: Color, WHITE; complexion, FaiR\n; height, 5 feet 434 inches;\nweight, 135 pounds; color of hair, BROWN ;\ncolor of eyes, BLUE\n;\nother visible distinctive marks: LAMS In Right leg\nI was born in TARASHT: Russis\n(City at town)\n(Country)\non the 9\nday of AUGUST\n11905\nMy\npresent\nresidence is 17 stand Street new Landon Com\n(Number and street)\n(City or town)\n(County)\n(State)\nThe\nplace where I took the ship or train which landed me in the United States was antwerp\nThe name of the ship or railroad on which I came was Finland (Month)\nBelegian\n11,\non march 18 1910\n,\n(Day)\n(Year)\nMy last place of foreign residence was Bosloff Russia\n(City or town)\n(Country)\nI am not married. The name of my t wife\n}\nShe\nis\nhusband\nI\nwas born at\nHe\n, and now resides at\n,\nI am now a subject of and intend to renounce allegiance to\nRussia\n(Write name and title of sovereign and country of which now a subject;\nor, if citizen\nI\narriyed at of a the republic, United write name States of republic immigration only) port of (City or town)\nNew york (State or territory) My\n, on april 14-8 (Give 2 2nd exact month, 1910 day, and year)\n(OVER)"
}